Nazacort B Spray (Triamcinolone Acetonide)

Adult use

For adults and adolescents over 12 years old, the initial and maximum recommended dose is 220 μg once daily, administering two sprays in each nostril. (55 μg per spray)

Child use

For children aged 6 to 11 years, the initial dose is 110 μg once daily, administering one spray in each nostril. (55 μg per spray) The maximum recommended dose is 220 μg once daily.

This medication requires caution as patients transitioning from systemic corticosteroid therapy to topical corticosteroids may experience adrenal insufficiency and withdrawal symptoms. Particularly, patients with asthma or those receiving long-term systemic corticosteroid therapy should be careful as sudden reduction in medication can worsen symptoms. Children taking immunosuppressants are especially vulnerable to infections and should be particularly cautious to avoid infectious diseases such as chickenpox or measles. Caution should also be exercised when using this medication with other systemic steroids, as it may increase adrenal suppression. It should not be used in individuals allergic to its components or in infants under 2 years of age. Patients with active tuberculosis or infections, or those with recent nasal surgery or wounds should be cautious as wound healing may be delayed. While using this medication, side effects such as headaches, nasal bleeding, coughing, sore throat, dental abnormalities may occur, so any unusual symptoms should be discussed with a healthcare professional. Long-term use may slow growth in children, necessitating regular monitoring of growth. Overuse may lead to adrenal function abnormalities, so it is essential to adhere to the prescribed dosage and method. Use during pregnancy or breastfeeding should be done cautiously, considering potential effects on the fetus or infant. Before use, shake well, and after use, clean the nozzle to prevent infection and maintain drug efficacy. Furthermore, if the nozzle becomes blocked, it should be cleaned adequately to ensure normal spraying, and it is advisable to replace it with a new product after 120 sprays.

Serious side effects

• Difficulty breathing
• facial swelling
• hypersensitivity reactions.

Mild side effects

• Headaches
• nasal bleeding
• coughing
• bronchitis
• indigestion
• rhinitis
• pharyngitis
• flu-like symptoms
• dental abnormalities
• throat discomfort

This medication may be sensitive to air or humidity, so it should be stored in a tightly sealed container. Additionally, it is important to keep it at room temperature, between 1 degree and 30 degrees Celsius, to maintain its effectiveness.

Appearance

A metered dose spray formulation containing a milky, crystalline aqueous suspension.

Package unit

120 doses (0.055 mg per dose) per bottle