Triamcinolone Injection 40 Milligrams (Triamcinolone Acetonide)

Adult administration

1. Intrarticular, intra-bursal, intra-tendinous injection: Triamcinolone acetonide, 2 to 40 mg per injection, normally administered at intervals of more than 2 weeks with appropriate adjustments. 2. Muscle injection: Initially, 40 mg is injected deep into the gluteal muscle, and adjusted between 20 and 80 mg at intervals of 1 to 2 weeks depending on the therapeutic effect on the patient. 3. Local intradermal injection: The initial dose varies according to each condition.

Child administration

2. Muscle injection: For children aged 12 and older, the initial dose is usually 40 mg injected deep into the gluteal muscle and adjusted between 20 and 80 mg at intervals of 1 to 2 weeks.

This medication is formulated as a suspension and should not be administered via intravenous injection. Administering into the epidural space or spinal canal may cause severe side effects and must be avoided under any circumstances. The ingredient benzyl alcohol is included, which can pose a risk to premature and newborn infants. Patients who have had an allergic reaction to this medication or those with infectious diseases should not use it. Caution is necessary, especially for systemic fungal infections or intra-articular infections, as symptoms might worsen. This medication should be administered cautiously to patients with specific diseases such as tuberculosis, glaucoma, hypertension, and diabetes, as there is a risk of symptom exacerbation. Additionally, caution is needed for elderly patients or those with liver disease or heart failure. During treatment, side effects such as edema, hypertension, muscle weakness, osteoporosis, gastrointestinal issues, skin changes, and neurological abnormalities may occur, so the patient's condition must be closely monitored. Long-term use may lead to adrenal insufficiency, so sudden discontinuation is dangerous, and tapering off is necessary. Resistance to infections may decrease, so it is important to be cautious about exposure to infectious diseases like chickenpox or measles. There are many drug interactions, so if you are taking other medications, you must inform your healthcare provider, as concurrent use may reduce efficacy or increase side effects. Pregnant or breastfeeding women should use this medication cautiously, as it may affect the fetus or newborn; breastfeeding is recommended to be discontinued. When used in children, side effects such as growth retardation may occur, so it should be used carefully at the minimum effective dose, and care should be taken to avoid tissue damage at the injection site. Elderly patients are at higher risk of infection and various side effects, so a thorough assessment of their condition is required before administration, and close observation is necessary. When injecting, care should be taken in selecting the injection site to avoid nerve damage, and if severe pain or blood reflux occurs during injection, the injection site should be changed immediately.

Serious side effects

Hives, angioedema, shock, anaphylactic-like reactions, difficulty breathing, generalized flushing, exacerbation of asthma attacks, severe rash with high fever, blisters, skin peeling, pain of oral/ocular mucosa, severe allergic reactions, severe skin adverse reactions, shortness of breath or difficulty breathing, respiratory problems, yellowing of the skin or eyes (jaundice), liver abnormalities, sudden and severe headache, thunderclap headache, seizures, disorientation.

Mild side effects

Muscle pain, joint pain, muscle weakness, fatigue, steroid myopathy, loss of muscle mass, osteoporosis, spinal compression fractures, delayed fracture healing, avascular necrosis of the femoral head and humeral head, pathological fractures of the pelvis, idiopathic fractures, tendon ruptures, gastrointestinal perforation, peptic ulcers, pancreatitis, diarrhea, nausea, vomiting, abdominal pain, heartburn, abdominal bloating, esophagitis, thirst, loss of appetite, increased appetite, indigestion, delayed wound healing, epidermal peeling, spots.

This medication may be sensitive to light, so it should be stored in a lightproof container. Additionally, avoid storing the medication in extremely hot or cold places, and it is best to keep it at room temperature, between approximately 20 to 25 degrees Celsius.

Appearance

White suspension injectable formulation

Package unit

30 vials/box [1 milliliter/vial]