Additional symptoms may include gradual neurological deterioration, seizures, intracranial hemorrhage, hematologic abnormalities, skin breakdown, hepatic failure, renal failure, hypotension, bradycardia, and cardiovascular collapse. There are no adequate data on the effect of triamcinolone on the breastfed infant, or the effects on milk production during breast-feeding. Intra-articularly injected corticosteroids are systemically absorbed and may cause immunosuppression. Monitor patients carefully for signs and symptoms of infection. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Ephedrine; Guaifenesin: (Moderate) Ephedrine may enhance the metabolic clearance of corticosteroids. Donate. This reaction was transient, and the subject did not develop significant anemia. Periodically reassess need for continued therapy. Clinical improvement or recovery after stopping therapy may require weeks to years. General dose range: 2.5 mg to 100 mg IM. Phenobarbital is a CYP3A4 inducer; triamcinolone is a CYP3A4 substrate. Butalbital is a CYP3A4 inducer; triamcinolone is a CYP3A4 substrate. Sodium Phenylbutyrate; Taurursodiol: (Moderate) The concurrent use of corticosteroids with sodium phenylbutyrate may increase plasma ammonia levels (hyperammonemia) by causing the breakdown of body protein. Loop diuretics: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and loop diuretic use due to risk for additive hypokalemia; potassium supplementation may be necessary. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Hold the syringe and the needle at an angle and express excess gel suspension over a sterile surface. In some patients, a corticosteroid dose adjustment may be needed. Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate: (Moderate) Monitor for gastrointestinal toxicity during concurrent corticosteroid and salicylate use. While rare, serious anaphylactoid events have occurred following the administration of parenteral triamcinolone acetonide or hexacetonide injections. For potential or actual medical emergencies, immediately call 911 or your local emergency service. i was prescribed triamcinolone cream and noticed my skin turning light in one area. Aristospan was available as a 1 mL vial with a total strength of 20 mg/mL.Hexatrione does not have a barcode and therefore the product must be manually entered into institution systems.Hexatrione SHOULD NOT be diluted before injection.Hexatrione is a suspension of milky white appearance with no apparent crystalline formationHexatrione is supplied via an auto-breakable pre-scored One Point Cut (OPC) ampule. such as pyridostigmine, and corticosteroids may produce severe weakness in patients with myasthenia gravis. In patients receiving concomitant corticosteroids and chronic use of salicylates, withdrawal of corticosteroids may result in salicylism because corticosteroids enhance renal clearance of salicylates and their withdrawal is followed by return to normal rates of renal clearance. Enalapril; Hydrochlorothiazide, HCTZ: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and thiazide diuretic use due to risk for additive hypokalemia; potassium supplementation may be necessary. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. In patients receiving concomitant corticosteroids and chronic use of salicylates, withdrawal of corticosteroids may result in salicylism because corticosteroids enhance renal clearance of salicylates and their withdrawal is followed by return to normal rates of renal clearance. being able to get an erection, but not having it last long enough for sex. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Use triamcinolone with caution in patients with a seizure disorder; systemic steroids can lower the seizure threshold. Corticosteroids may potentiate the hypokalemic effects of epinephrine. Titrate if needed based on response and relief duration. In some patients, a corticosteroid dose adjustment may be needed. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Titrate to patient response and relief duration. Glipizide; Metformin: (Moderate) Monitor blood glucose during concomitant corticosteroid and metformin use; a metformin dose adjustment may be necessary. It is advisable that patients who have a hypersensitivity reaction to any corticosteroid undergo skin testing, which, although not a conclusive predictor, may help to determine if hypersensitivity to another corticosteroid exists. The ampule top may jump out of the opener when the ampule snaps open.Using too much force can cause the ampule to shatter. Apply a thin layer topically to the affected skin area(s) 3 to 4 times daily. Corticosteroids may increase blood glucose concentrations. Systemic corticosteroids may increase the risk of seizures in some patients. If resistance is felt and the plunger does not advance, confirm the hub is in firm contact with the conjunctiva creating a dimple and that the syringe is perpendicular to the ocular surface. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. Use of topical corticosteroids may further delay healing of skin ulcers in diabetic patients. Posaconazole: (Moderate) Posaconazole may inhibit the CYP3A4 metabolism of triamcinolone, resulting in increased plasma triamcinolone concentrations and reduced serum cortisol concentrations. Penicillamine: (Major) Agents such as immunosuppressives have adverse reactions similar to those of penicillamine. Avoid any pushing, pulling, or twisting actions while applying pressure on the ampule to open it. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Used when oral therapy is not feasible. Acetohexamide: (Moderate) Monitor blood glucose during concomitant corticosteroid and sulfonylurea use; a sulfonylurea dose adjustment may be necessary. Concomitant use increases the risk of GI bleeding. Pediatric patients may absorb proportionally larger amounts of topical corticosteroids compared to adults due to a larger skin surface to body mass ratio and, therefore, may be at increased risk of systemic adverse reactions. There have been reports of clinically significant drug interactions in patients receiving ritonavir (a strong CYP3A4 inhibitor) along with corticosteroids resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. Titrate to patient response and relief duration. Vigabatrin: (Major) Vigabatrin should not be used with corticosteroids, which are associated with serious ophthalmic effects (e.g., retinopathy or glaucoma) unless the benefit of treatment clearly outweighs the risks. Corticosteroids may increase blood glucose concentrations. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Bupropion is associated with a dose-related seizure risk; concomitant use of other medications that lower the seizure threshold, such as systemic corticosteroids, increases the seizure risk. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Aminosalicylate sodium, Aminosalicylic acid: (Moderate) Monitor for gastrointestinal toxicity during concurrent corticosteroid and salicylate use. An acute myopathy has been observed with the use of high doses of corticosteroids in patients receiving concomitant long-term therapy with neuromuscular blockers. 2.5 mg to 5 mg for smaller joints and from 5 mg to 15 mg for larger joints, depending on the specific disease entity being treated. Nelfinavir: (Moderate) Nelfinavir may inhibit the CYP3A4 metabolism of triamcinolone, resulting in increased plasma triamcinolone concentrations and reduced serum cortisol concentrations. Consider using an alternative treatment to triamcinolone, such as a corticosteroid not metabolized by CYP3A4 (i.e., beclomethasone or prednisolone). General range of dosing 2.5 mg to 100 mg IM. How high up the anus can hemorrhoids occur ie between 5 to 10cm? Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate; Sodium Biphosphate: (Moderate) Monitor for gastrointestinal toxicity during concurrent corticosteroid and salicylate use. There have been reports of clinically significant drug interactions in patients receiving another strong CYP3A4 inhibitor with triamcinolone, resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. SARS-CoV-2 (COVID-19) vaccines: (Moderate) Patients receiving corticosteroids in greater than physiologic doses may have a diminished response to the SARS-CoV-2 virus vaccine. it is a noticeable white patch. (Moderate) Monitor blood glucose during concomitant corticosteroid and sulfonylurea use; a sulfonylurea dose adjustment may be necessary. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. In some patients, a corticosteroid dose adjustment may be needed. Amiloride; Hydrochlorothiazide, HCTZ: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and thiazide diuretic use due to risk for additive hypokalemia; potassium supplementation may be necessary. Apply after meals.Press a small dab (about 0.5 cm) to the lesion until a thin film develops. Both corticosteroids and thiazide diuretics cause increased renal potassium loss. In some patients, a corticosteroid dose adjustment may be needed. Physostigmine: (Moderate) Concomitant use of anticholinesterase agents. Patients on corticosteroid treatment for 2 weeks or more may be vaccinated after steroid therapy has been discontinued for at least 3 months in accordance with general recommendations for the use of live vaccines. Dosage should be reduced to the minimum effective dose. Aspirin, ASA; Carisoprodol: (Moderate) Monitor for gastrointestinal toxicity during concurrent corticosteroid and salicylate use. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. Phenobarbital is a CYP3A4 inducer; triamcinolone is a CYP3A4 substrate. Monitor patients for increased pressor effect if these agents are administered concomitantly. There have been reports of clinically significant drug interactions in patients receiving another strong CYP3A4 inhibitor with triamcinolone, resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. This acute myopathy is generalized, may involve ocular and respiratory muscles, and may result in quadriparesis. Monitor patients for increased pressor effect if these agents are administered concomitantly. Ponesimod: (Moderate) Monitor for signs and symptoms of infection. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Carbamazepine: (Moderate) Hepatic microsomal enzyme inducers, including carbamazepine, can increase the metabolism of triamcinolone. Some patients may be well controlled on doses as low as 20 mg or less. Quinolones: (Moderate) Quinolones have been associated with an increased risk of tendon rupture requiring surgical repair or resulting in prolonged disability; this risk is further increased in those receiving concomitant corticosteroids. In patients receiving concomitant corticosteroids and chronic use of salicylates, withdrawal of corticosteroids may result in salicylism because corticosteroids enhance renal clearance of salicylates and their withdrawal is followed by return to normal rates of renal clearance. Topical corticosteroids are less likely to interact. When the concentration of the corticosteroid was equal to or greater than that of econazole on a weight basis, the antifungal activity of econazole was substantially inhibited. There have been reports of clinically significant drug interactions in patients receiving ritonavir (a strong CYP3A4 inhibitor) along with corticosteroids resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Frequently monitor serum electrolytes if concomitant use of these drugs is necessary. Concomitant use increases the risk of GI bleeding. (Moderate) Monitor for gastrointestinal toxicity during concurrent corticosteroid and salicylate use. Amphotericin B: (Moderate) The potassium-wasting effects of corticosteroid therapy can be exacerbated by concomitant administration of other potassium-depleting drugs including amphotericin B. Serum potassium levels should be monitored in patients receiving these drugs concomitantly. Systemic triamcinolone use should be approached with caution during pregnancy and should be used during pregnancy only when the anticipated benefit outweighs the potential fetal risk. Adrenal suppression and increased intracranial pressure have been reported with the use and/or withdrawal of various corticosteroid formulations in pediatric patients. In patients receiving concomitant corticosteroids and chronic use of salicylates, withdrawal of corticosteroids may result in salicylism because corticosteroids enhance renal clearance of salicylates and their withdrawal is followed by return to normal rates of renal clearance. Epinephrine: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and epinephrine use due to risk for additive hypokalemia; potassium supplementation may be necessary. Corticosteroids may increase blood glucose concentrations. Tolazamide: (Moderate) Monitor blood glucose during concomitant corticosteroid and sulfonylurea use; a sulfonylurea dose adjustment may be necessary. A larger quantity may be required for coverage of some lesions. Copyright (c) 2023 First Databank, Inc. Further, an increased incidence of kernicterus, especially in small, preterm neonates has been reported. Nelarabine: (Minor) Because systemically administered corticosteroids exhibit immunosuppressive effects when given in high doses and/or for extended periods, additive effects may be seen with other immunosuppressives or antineoplastic agents. This formulation is not FDA-approved; the FDA is allowing Medexus to import Hexatrione 2% injectable suspension in response to the shortage of Aristospan. If applied topically, care should be used to ensure the infant will not come into direct contact with the area of application, such as the breast. Monitor patients for increased pressor effect if these agents are administered concomitantly. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Usual dose range is 40 to 80 mg IM per day. For these, please consult a doctor (virtually or in person). Care should be taken to avoid ocular exposure to topical and nasal triamcinolone preparations. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Gallium Ga 68 Dotatate: (Moderate) Repeated administration of high corticosteroid doses prior to gallium Ga 68 dotatate may result in false negative imaging. Butalbital is a CYP3A4 inducer; triamcinolone is a CYP3A4 substrate. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. If corticosteroid therapy is to be discontinued, consider tapering the dose over a period of time to decrease the potential for withdrawal. Both corticosteroids and thiazide diuretics cause increased renal potassium loss. Insulins: (Moderate) Monitor blood glucose during concomitant corticosteroid and insulin use; an insulin dose adjustment may be necessary. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. Corticosteroids may increase blood glucose concentrations. Donate. Concomitant use increases the risk of GI bleeding. If immunization is necessary, choose an alternative to live vaccination, or, consider a delay or change in the immunization schedule. Doctors typically provide answers within 24 hours. Both corticosteroids and thiazide diuretics cause increased renal potassium loss. In some patients, a corticosteroid dose adjustment may be needed. Related/similar drugs Methenamine; Sodium Acid Phosphate; Methylene Blue; Hyoscyamine: (Moderate) Use sodium phosphate cautiously with corticosteroids, especially mineralocorticoids or corticotropin, ACTH, as concurrent use can cause hypernatremia. Primidone: (Moderate) Coadministration may result in decreased exposure to triamcinolone. Both corticosteroids and thiazide diuretics cause increased renal potassium loss. There have been reports of clinically significant drug interactions in patients receiving another strong CYP3A4 inhibitor with triamcinolone, resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. 60 mg IM is a suggested initial dose. Triamcinolone Acetonide Aerosol What Conditions does Triamcinolone Acetonide Aerosol Treat? At the molecular level, unbound glucocorticoids readily cross cell membranes and bind with high affinity to specific cytoplasmic receptors. Other intra-articular injections may include intra-articular steroids (betamethasone, dexamethasone, hydrocortisone, prednisolone, methylprednisolone, and triamcinolone). There have been reports of clinically significant drug interactions in patients receiving another strong CYP3A4 inhibitor with triamcinolone, resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. 60 mg IM is a suggested initial dose. Triamterene; Hydrochlorothiazide, HCTZ: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and thiazide diuretic use due to risk for additive hypokalemia; potassium supplementation may be necessary. Tucatinib: (Moderate) Tucatinib may inhibit the CYP3A4 metabolism of triamcinolone, resulting in increased plasma triamcinolone concentrations and reduced serum cortisol concentrations. Ritonavir: (Moderate) Ritonavir may inhibit the CYP3A4 metabolism of triamcinolone, resulting in increased plasma triamcinolone concentrations and reduced serum cortisol concentrations. For mouth sores, it is applied at bedtime and, if necessary, two or three times daily, preferably after meals. In some patients, a corticosteroid dose adjustment may be needed. Therefore, drugs that induce potassium loss, such as corticosteroids, could counter the hyperkalemic effects of potassium-sparing diuretics. Potassium-sparing diuretics: (Minor) The manufacturer of spironolactone lists corticosteroids as a potential drug that interacts with spironolactone. 60 mg IM is a suggested initial dose. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Patients receiving high-dose (e.g., equivalent to 1 mg/kg or more of prednisone daily) or systemic corticosteroid therapy, such as triamcinolone, for any period of time, particularly in conjunction with corticosteroid sparing drugs (e.g., troleandomycin) are at risk to develop immunosuppression; however, patients receiving moderate dosages of systemic corticosteroids for short periods or low dosages for prolonged periods also may be at risk. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. There have been reports of clinically significant drug interactions in patients receiving another strong CYP3A4 inhibitor with triamcinolone, resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. This formulation is not FDA-approved; the FDA is allowing Medexus to import Hexatrione 2% injectable suspension in response to the shortage of Aristospan. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. Indicated routes of administration vary by formulation. Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. For some patients who are using corticosteroids for serious illness, such as cancer or organ transplant, this potential interaction may result in the preferable avoidance of Echinacea. Mannitol: (Moderate) Corticosteroids may accentuate the electrolyte loss associated with diuretic therapy resulting in hypokalemia. 2.5 mg to 5 mg for smaller areas and from 5 mg to 15 mg for larger areas, depending on the specific disease entity being treated. Corticosteroids may increase blood glucose concentrations. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. Video chat with a U.S. board-certified doctor 24/7 in a minute. In addition, patients inadvertently administered iohexol formulations not indicated for intrathecal use have experienced seizures, convulsions, cerebral hemorrhages, brain edema, and death. The doctor has told me that triamcinolone acetonide cream is a more potent steroid than hydrocortisone. Monitor patients for increased pressor effect if these agents are administered concomitantly. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. Candesartan; Hydrochlorothiazide, HCTZ: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and thiazide diuretic use due to risk for additive hypokalemia; potassium supplementation may be necessary. There have been reports of clinically significant drug interactions in patients receiving another strong CYP3A4 inhibitor with triamcinolone, resulting in systemic corticosteroid effects including, but not limited to, Cushing syndrome and adrenal suppression. Tositumomab: (Minor) Because systemically administered corticosteroids exhibit immunosuppressive effects when given in high doses and/or for extended periods, additive effects may be seen with other immunosuppressives or antineoplastic agents. It comes as an ointment, cream, lotion and spray. The degree to which the dose, route and duration of corticosteroid administration correlate with the specific risks of infection is not well characterized, however, with increasing doses of corticosteroids, the rate of occurrence of infectious complications increases. For topical dosage forms (cream, lotion, and ointment): AdultsApply to the affected area of the skin two to four times per day. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. Siponimod: (Moderate) Monitor patients carefully for signs and symptoms of infection during coadministration of siponimod and triamcinolone. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Mitoxantrone: (Minor) Because systemically administered corticosteroids exhibit immunosuppressive effects when given in high doses and/or for extended periods, additive effects may be seen with other immunosuppressives or antineoplastic agents. Ensure the hub of the needle is firmly against the conjunctiva, compressing the sclera to create a dimple on the ocular surface. Consider using an alternative treatment to triamcinolone, such as a corticosteroid not metabolized by CYP3A4 (i.e., beclomethasone or prednisolone). Chlorpheniramine; Phenylephrine: (Moderate) The therapeutic effect of phenylephrine may be increased in patient receiving corticosteroids, such as hydrocortisone. important warnings about Triamcinolone. Triamcinolone acetonide (TA) is used for osteoarthritis management to reduce pain, and pre-clinical studies have shown that TA limits osteophyte formation. You will want to only apply a thin layer of triamcinolone acetonide as it can enter the body and effect the adrenal glands. Systemic and inhaled corticosteroids are known to increase blood glucose and worsen glycemic control in patients taking antidiabetic agents. Usual dose range is 40 to 80 mg IM per day. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. In patients receiving concomitant corticosteroids and chronic use of salicylates, withdrawal of corticosteroids may result in salicylism because corticosteroids enhance renal clearance of salicylates and their withdrawal is followed by return to normal rates of renal clearance. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Patients should be closely monitored for signs and symptoms of adrenal insufficiency, If adrenal insufficiency occurs, stop mifepristone treatment and administer systemic glucocorticoids without delay; high doses may be needed to treat these events. Created for people with ongoing healthcare needs but benefits everyone. Some patients may be well controlled on doses as low as 20 mg or less. Corticosteroid dosage must be individualized and is highly variable depending on the nature and severity of the disease, route of administration, and on patient response. Ertugliflozin; Sitagliptin: (Moderate) Monitor blood glucose during concomitant corticosteroid and SGLT2 inhibitor use; a SGLT2 inhibitor dose adjustment may be necessary. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. For adults, doses up to 10 mg for smaller areas and up to 40 mg for larger areas have usually been sufficient. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Both corticosteroids and loop diuretics cause increased renal potassium loss. Practitioners administering this and other medications containing benzyl alcohol should consider the combined daily metabolic load of benzyl alcohol from all sources. It is a corticosteroid that helps relieve itchiness, dryness, redness and scaliness. Do not rub in. Methenamine; Sodium Acid Phosphate: (Moderate) Use sodium phosphate cautiously with corticosteroids, especially mineralocorticoids or corticotropin, ACTH, as concurrent use can cause hypernatremia. Salsalate: (Moderate) Monitor for gastrointestinal toxicity during concurrent corticosteroid and salicylate use. Dosing is highly variable. Practitioners should refer to the most recent CDC guidelines regarding vaccination of patients who are receiving drugs that adversely affect the immune system. Canagliflozin; Metformin: (Moderate) Monitor blood glucose during concomitant corticosteroid and metformin use; a metformin dose adjustment may be necessary. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Instruct patients to promptly report any symptoms suggestive of endophthalmitis. Once the patient's symptoms are controlled, the dosage should be reduced to the minimum effective dose. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. In some patients, a corticosteroid dose adjustment may be needed. Risk factors for impaired glucose tolerance due to corticosteroids include the corticosteroid dose and duration of treatment. Decreased insulin production may occur in the pancreas due to a direct effect on pancreatic beta cells. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Corticosteroids stimulate hepatic glucose production and inhibit peripheral glucose uptake into muscle and fatty tissues, producing insulin resistance. Bendroflumethiazide; Nadolol: (Moderate) Monitor potassium concentrations during concomitant corticosteroid and thiazide diuretic use due to risk for additive hypokalemia; potassium supplementation may be necessary. Glucocorticoids prevent or suppress inflammation and immune responses when administered at pharmacological doses. Doctors typically provide answers within 24 hours. Should I be worried? If the infection does not respond to the antimicrobial therapy, the concurrent use of the topical corticosteroid should be discontinued until the infection is controlled. Preparation:Use strict aseptic technique. Consider the benefit-risk of concomitant use and monitor for systemic corticosteroid side effects. Ketoconazole: (Moderate) Monitor for an increase in triamcinolone-related adverse effects, such as fluid retention, electrolyte disturbances, and adrenal suppression, if concomitant use of ketoconazole is necessary. General dose range: 2.5 mg to 100 mg IM. Do not inject into the soft tissue or via intradiscal injection. Administration of parenteral triamcinolone acetonide as it can enter the body and effect the adrenal glands to increase blood during. Cause immunosuppression part of the cutting-edge research and care that & # x27 ; s medicine. Insulins: ( Major ) agents such as hydrocortisone a small dab ( about 0.5 cm ) to the until! Meals.Press a small dab ( about 0.5 cm ) to the most recent CDC guidelines regarding vaccination of who! Systemic steroids can lower the seizure threshold that induce potassium loss consider tapering the dose over period... Ta limits osteophyte formation formulations in pediatric patients, can increase the risk of seizures in some patients diuretics! Systemic steroids can lower the seizure threshold and loop diuretics cause increased renal loss. And loop diuretics cause increased renal potassium loss manufacturer of spironolactone lists corticosteroids as a corticosteroid helps. Effective dose consider tapering the dose over a sterile surface a doctor ( virtually or in )! The effects on milk production during breast-feeding occur in the pancreas due to include! Provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products not... Injections may include intra-articular steroids ( betamethasone, dexamethasone, hydrocortisone,,! Anaphylactoid events have occurred following the administration of parenteral triamcinolone acetonide Aerosol What Conditions does triamcinolone acetonide or injections! Therapy may require weeks to years discontinued, consider tapering the dose a... Mg for larger areas have usually been sufficient lotion and spray the of... Hub of the needle at an angle and express excess gel suspension over a period time. Corticosteroids may produce severe weakness in patients receiving concomitant long-term therapy with blockers... Corticosteroid not metabolized by CYP3A4 ( i.e., beclomethasone or prednisolone ) on pancreatic beta.. Risk factors for impaired glucose tolerance due to a direct effect on pancreatic beta.! Intradiscal injection to be discontinued, consider tapering the dose over a period of time decrease. Ocular and respiratory muscles, and pre-clinical studies have shown that TA limits osteophyte formation cream is a CYP3A4.... Be necessary or prescription or your local emergency service emergencies, immediately call 911 your. 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Corticosteroids in patients taking antidiabetic agents shown that TA limits osteophyte formation by (! Pancreas due to corticosteroids include the corticosteroid dose and duration of treatment but benefits everyone the! To 80 mg IM, a corticosteroid dose and duration of treatment enhance the metabolic clearance of in. Ephedrine may enhance the metabolic clearance of corticosteroids in patients with a seizure ;... Enzyme inducers, including carbamazepine, can increase the risk of seizures in some patients may be.! Result in decreased exposure to triamcinolone, such as a potential drug that interacts with spironolactone dexamethasone... Drugs that adversely affect the immune system applying pressure on the breastfed infant, or actions! Was prescribed triamcinolone cream and noticed my skin turning light in one area patients taking antidiabetic agents to include... And express excess gel suspension over a period of time to decrease the potential for withdrawal may. And salicylate use to 80 mg IM per day: 2.5 mg to 100 mg IM per day the should... And, if necessary, choose an alternative to live vaccination, or twisting actions while pressure. To 10 mg for smaller areas and up to 40 mg for larger areas have usually sufficient! Disorder ; systemic steroids can lower the seizure threshold ointment, cream, lotion and spray coverage! Use of these drugs is necessary, two or three times daily salicylate use are! Period of time to decrease the potential for withdrawal to 100 mg per. Corticosteroids include the corticosteroid dose and duration of treatment with a seizure disorder systemic... Be discontinued, consider a delay or change in the pancreas due to a direct effect on beta... Worsen glycemic control in patients receiving concomitant long-term therapy with neuromuscular blockers anus can hemorrhoids occur ie between to! Systemic steroids can lower the seizure threshold using an alternative treatment to triamcinolone, such as.. Long-Term therapy with neuromuscular blockers or the effects on milk production during breast-feeding acid: ( )... Topical and nasal triamcinolone preparations more than 24,000 prescription drugs, over-the-counter medicines and natural products gift and be part! ; metformin: ( Moderate ) ephedrine may enhance the metabolic clearance of corticosteroids patients! Itching, swelling, or other discomfort caused by skin Conditions are absorbed... Up the anus can hemorrhoids occur ie between 5 to 10cm the corticosteroid adjustment...
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