Triamcinolone inj.
40 mg/1 mL × 30 vials
Description
Sterile triamcinolone acetonide suspension. A long-acting corticosteroid (anti-inflammatory / immunosuppressant) given by injection. Suspension form — for IM, intra-articular, intrabursal, intra-tendon-sheath, or intradermal use. Warnings (key) • ⚠️ Never IV. Never epidural or intrathecal (deaths reported) • Contraindicated: drug allergy, untreatable/systemic fungal infections, thrombocytopenia/purpura, herpes simplex/zoster/varicella, infection at injection site, unstable joint, neonates/premature infants (benzyl alcohol) • Caution: TB, glaucoma, hypertension, diabetes, peptic ulcer, osteoporosis, CHF/renal impairment, infections, recent MI, psychiatric conditions, elderly • Pregnancy/breastfeeding: only if benefit > risk; stop breastfeeding during use • Long-term use → adrenal suppression; taper gradually, never stop abruptly
Indication
• Intra-articular: osteoarthritis synovitis, rheumatoid arthritis, acute/subacute bursitis, gouty arthritis, epicondylitis, tenosynovitis, post-traumatic OA • Intramuscular (when oral steroids unsuitable): adrenal insufficiency, rheumatic/collagen diseases (RA, lupus, rheumatic carditis), skin conditions (pemphigus, psoriasis, dermatitis, herpes zoster), allergic conditions (asthma, hay fever, drug allergy), eye inflammation (uveitis, optic neuritis), GI (ulcerative colitis, Crohn’s), blood (leukemia, lymphoma) • Intradermal: lichen planus (malignant only), early keloid, alopecia areata
Packaging
40 mg/1 mL × 30 vials
Protocol
• Intra-articular/bursal/tendon: adults 2–40 mg per dose, ≥2-week intervals • Intramuscular: adults & 12+ → 40 mg deep gluteal initially, adjust 20–80 mg every 1–2 weeks; ages 6–12 → start 40 mg by weight/age; not for under 6 • Intradermal: 0.2–1 mg per site, up to 10 mg, once weekly
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