Triamcinolone Injection 200 Milligrams (Triamcinolone Acetonide)

Adult dosage

1. Intra-articular, bursal, or tendon sheath injection As Triamcinolone Acetonide, administer 2 to 40 mg in a single dose, typically injecting at intervals of more than 2 weeks, adjusting as needed. 2. Intramuscular injection Adults and children aged 12 and older are typically administered an initial dosage of 40 mg injected deep into the gluteal muscle, with adjustments between 20 and 80 mg at intervals of 1 to 2 weeks based on the therapeutic effect. 3. Local intradermal injection.

Children's dosage

2. Intramuscular injection For children aged 12 and older, the usual initial dosage is 40 mg injected deep into the gluteal muscle, and it can be adjusted between 20 and 80 mg at intervals of 1 to 2 weeks based on the therapeutic effect.

This medication is in a suspension form and must not be used for intravenous injection. It should not be injected epidurally or intrathecally, as serious side effects may occur in these areas. It contains benzyl alcohol, which may be harmful to premature infants. It should not be used in patients with hypersensitivity or infections, thrombocytopenia or purpura, and in patients with chickenpox or herpes zoster. Do not administer it to infected joints or surrounding tissues, and avoid using it in patients with unstable joints. Furthermore, it is not administered to newborns or premature infants. Patients with conditions like tuberculosis, keratitis, cataracts, glaucoma, hypertension, thrombosis, myocardial infarction, peptic ulcers, schizophrenia, osteoporosis, etc., need to use this medication cautiously. In particular, patients with infections, poor liver or kidney function, diabetes, and the elderly require careful observation for side effects. This drug can cause various side effects such as fluid retention, elevated blood pressure, muscle weakness, osteoporosis, gastric disturbances, skin abnormalities, neuropsychiatric issues, endocrine dysfunction, and ocular problems. Depending on the injection site, pain, tissue atrophy, or visual disturbances may occur, so careful monitoring is necessary. During administration, symptoms of infection may worsen or be masked; hence, vigilance for signs of infection is essential, and those with hepatitis B viral infection may require regular tests as their condition may worsen. Long-term use may lead to adrenal insufficiency; abrupt discontinuation is dangerous, so the dosage must be reduced gradually. In stressful situations, the dose may need to be temporarily increased. This drug may exacerbate symptoms in asthma patients, so they should be especially cautious. When combining with other medications, pay attention to drug interactions, as some may reduce the effectiveness of this drug or increase side effects. During pregnancy, it may pose risks to the fetus and should be used only when necessary; administration during breastfeeding should be avoided. Caution should be exercised when administering to children, as side effects such as growth retardation may occur, and the minimum effective dose should be used while closely monitoring their growth status. Elderly patients are at higher risk of side effects related to infections, diabetes, osteoporosis, cataracts, glaucoma, etc., and should be administered cautiously. This medication is not used for intravenous, intrathecal, epidural, or intramuscular injection; in intramuscular injections, avoid nerve or vascular areas, and if pain or blood reflux occurs during injection, immediately change the injection site.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweats, pallor, severe rash with high fever, blisters, skin peeling, pain in the mouth/eye mucosa, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities with cough + fever, jaundice (yellowing of skin or eyes), extreme fatigue, sudden and severe headaches, thunderclap headaches, seizures, confusion, vision disturbances, paralysis, and urination issues.

Mild side effects

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

This medication may be sensitive to light, so it should be stored in a lightproof container. Additionally, it is important to store it at room temperature, avoiding extremes of heat or cold to maintain its efficacy.

Appearance

It is an injection in a white suspension form.

Package unit

10 vials/box [5 milliliters/vial]