Triamcinolone acetonide
Administration
- Type: Topical steroids
- Dosage Forms: Ointment/Cream: 0.025%, 0.5% . Nasal spray: 55 mcg/spray
- Routes of Administration: Topical, intranasal
- Common Trade Names: Kenalog, Aristocort cream, Nasocort
Adult Dosing
- Skin disorders
- Apply to affected areas 2-4 times per day
- Allergic rhinitis
- 2 sprays in each nostril 1-2 times per day
Pediatric Dosing
- Topical: apply to affected area 2-4 times per day
- Intranasal:
- 6-12yo: 1 spray in each nostril 1-2 times per day
- 2-5yo: 1 spray in each nostril once daily
Special Populations
- Pregnancy Rating: C
- Lactation risk: Infant risk cannot be ruled out
Renal Dosing
- Adult:
- Pediatric:
Hepatic Dosing
- Adult:
- Pediatric:
Contraindications
- Allergy to class/drug
- Avoid applying to groin or open skin
Adverse Reactions
Serious
- Secondary hypocortisolism (Very rare with topicals, only with prolonged use of high-potency ointment over large areas)
Common
- No truly "common" adverse reaction for topical/intranasal forms, but may
Pharmacology
- Absorption: Percutaneous absorption: bioavailability 1-7% for areas excluding groin. Intranasal bioavailability minimal
- Half-life:
- Metabolism:
- Excretion:
Mechanism of Action
- Adrenal glucocorticoid