Triamcinolone Topical (patient information)

Why is this medication prescribed

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. It is also used to relieve the discomfort of mouth sores.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should this medicine be used

Triamcinolone comes in ointment, cream, lotion, liquid, and aerosol (spray) in various strengths for use on the skin and as a paste for use in the mouth. It usually is applied two to four times a day. For mouth sores, it is applied at bedtime and, if necessary, two or three times daily, preferably after meals. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use triamcinolone exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor. Do not apply it to other areas of your body or wrap or bandage the treated area unless directed to do so by your doctor.

Wash or soak the affected area thoroughly before applying the medicine, unless it irritates your skin. Apply the ointment, cream, liquid, or lotion sparingly in a thin film and rub it in gently.

To use the lotion or liquid on your scalp, part your hair, apply a small amount of the medicine on the affected area, and rub it in gently. Protect the area from washing and rubbing until the lotion or liquid dries. You may wash your hair as usual but not right after applying the medicine.

To apply an aerosol, shake well and spray on the affected area holding the container about 3 to 6 inches away. Spray for about 2 seconds to cover an area the size of your hand. Take care not to inhale the vapors. If you are spraying near your face, cover your eyes.

To apply the paste, press a small amount on the mouth sore without rubbing until a thin film develops. You may need to use more paste if the mouth sore is large. If the mouth sore does not begin to heal within 7 days, call your doctor.

Avoid prolonged use on the face, in the genital or rectal areas, and in skin creases and armpits unless directed to do so by your doctor.

If you are using triamcinolone on your face, keep it out of your eyes.

Do not apply cosmetics or other skin preparations on the treated area without talking with your doctor.

If you are using triamcinolone on a child's diaper area, do not use tight-fitting diapers or plastic pants. Such use may increase side effects.

If your doctor tells you to wrap or bandage the treated area, follow these instructions:

• Soak the area in water or wash it well.
• While the skin is moist, gently rub the medication into the affected areas.
• Cover the area with plastic wrap (such as Saran Wrap or Handi-Wrap). The plastic may be held in place with a gauze or elastic bandage or adhesive tape on the normal skin beside the treated area. (Instead of using plastic wrap, plastic gloves may be used for the hands, plastic bags for the feet, or a shower cap for the scalp.)
• Carefully seal the edges of the plastic to make sure the wrap adheres closely to the skin. If the affected area is moist, you can leave the edges of the plastic wrap partly unsealed or puncture the wrap to allow excess moisture to escape.
• Leave the plastic wrap in place as long as directed by your doctor. Usually plastic wraps are left in place no more than 12 hours each day.
• Cleanse the skin and reapply the medication each time a new plastic wrapping is applied. Do not discontinue treatment abruptly without talking to your doctor.

What special precautions should I follow

Before using triamcinolone

• tell your doctor and pharmacist if you are allergic to triamcinolone or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially cancer chemotherapy agents, other topical medications, and vitamins.
• tell your doctor if you have an infection or if you have ever had diabetes, glaucoma, cataracts, a circulation disorder, or an immune disorder.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using triamcinolone, call your doctor immediately.

What should I do if I forget a dose

Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.

Side Effects

Minor Side Effects

Although the side effects from triamcinolone are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

• drying or cracking of the skin
• acne
• itching
• burning
• change in skin color

Severe Side Effects

If you experience any of the following symptoms, call your doctor immediately:

• severe skin rash
• difficulty breathing or swallowing
• wheezing
• skin infection (redness, swelling, or oozing of pus)

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/MedWatch/report.htm] or by phone [1-800-332-1088].

What storage conditions are needed for this medicine

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it according to the package instructions. Throw away any medication that is outdated or no longer needed. Do not use it to treat other skin conditions. Talk to your pharmacist about the proper disposal of your medications.

What other information should I know

Keep all appointments with your doctor.

Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.

Brand names

• Aristocort®
• Aristocort® A
• Flutex®
• Kenalog®
• Kenalog® in Orabase®
• Kenalog® Spray
• Triacet®

Brand names of combination products

• Myco® II containing Triamcinolone Acetonide and Nystatin
• Mycogen® II containing Triamcinolone Acetonide and Nystatin
• Mycolog® II containing Triamcinolone Acetonide and Nystatin
• Mycolog®-II containing Triamcinolone Acetonide and Nystatin
• Myco-Triacet® II containing Triamcinolone Acetonide and Nystatin
• Mytrex® containing Triamcinolone Acetonide and Nystatin
• N.T.A.® Cream containing Triamcinolone Acetonide and Nystatin
• N.T.A.® Ointment containing Triamcinolone Acetonide and Nystatin
• NGT® containing Triamcinolone Acetonide and Nystatin
• Tri-Statin® II containing Triamcinolone Acetonide and Nystatin