Triamcinolone 0.025% Ointment 454gm
Overview
What is this medicine?
How to Use This Medicine
To use this medication correctly, follow your doctor's instructions and read all the information provided. Use this medication only as directed, and continue to use it even if your symptoms improve.
Application Instructions
Apply this medication only to your skin, avoiding the mouth, nose, and eyes, as it may cause burning.
Wash your hands before and after applying the medication, unless your hand is the treated area.
Clean the affected area before applying the medication, and make sure it is dry.
Apply a thin layer of the medication to the affected skin and gently rub it in.
Avoid applying the medication to the face, underarms, or groin area unless your doctor instructs you to do so.
Do not use bandages, dressings, or other coverings unless your doctor advises you to do so.
If the treated area is in the diaper region, avoid using tight-fitting diapers or plastic pants, as this may increase the amount of medication absorbed into the body.
Do not use this medication to treat diaper rash.
Avoid applying the medication to cuts, scrapes, or damaged skin.
Storage and Disposal
Store this medication at room temperature, away from freezing temperatures.
Keep all medications in a safe place, out of the reach of children and pets.
Dispose of unused or expired medications properly. Do not flush them down the toilet or pour them down the drain unless instructed to do so by your pharmacist. Check with your pharmacist for guidance on the best way to dispose of medications, and consider participating in local drug take-back programs.
Missed Dose
If you miss a dose, apply it as soon as you remember.
If it is close to the time for your next dose, skip the missed dose and resume your regular schedule.
* Do not apply two doses at the same time or use extra doses to make up for a missed dose.
Lifestyle & Tips
- Wash hands before and after applying the ointment.
- Apply a thin layer to the affected skin area, gently rubbing it in until it disappears. Do not use more than directed.
- Avoid applying to the eyes, mouth, or inside the nose.
- Do not cover the treated area with bandages or plastic wrap unless specifically instructed by your doctor, as this can increase absorption and side effects.
- Do not use on the face, groin, or armpits unless directed by your doctor, as these areas are more prone to side effects.
- Use for the shortest duration necessary to control symptoms.
- If you miss a dose, apply it as soon as you remember, then continue with your regular schedule. Do not apply extra to make up for a missed dose.
Available Forms & Alternatives
Available Strengths:
- Triamcinolone 0.5% Cream 15gm
- Triamcinolone 0.5% Oint 15gm
- Triamcinolone 0.025% Ointment 15gm
- Triamcinolone 0.025% Ointment 80gm
- Triamcinolone 0.025% Cream 15gm
- Triamcinolone 0.1% Cream 30gm
- Triamcinolone 0.1% Cream 15gm
- Triamcinolone 0.025% Cream 454gm
- Triamcinolone 0.1% Ointment 15gm
- Triamcinolone 0.1% Cream 80gm
- Triamcinolone 0.1% Ointment 80gm
- Triamcinolone 0.1% Ointment 454gm
- Triamcinolone 0.1% Cream 454gm
- Triamcinolone 0.025% Ointment 454gm
- Triamcinolone 0.1% Ointment 15gm
- Triamcinolone 0.025% Cream 80gm
- Triamcinolone 0.1% Ointment 80gm
- Triamcinolone Topical Spray 100gm
- Triamcinolone Topical Spray 63gm
- Triamcinolone 0.1% Lotion 60ml
- Triamcinolone 0.1% Ointment 15gm
- Triamcinolone 0.1% Ointment 30gm
- Triamcinolone 55mcg Nasalsp (120)
- Triamcinolone Ace 40mg/ml, 1ml
- Triamcinolone Topical Spray 63gm
- Triamcinolone Topical Spray 100gm
- Triamcinolone Ace 40mg/ml Inj, 10ml
- Triamcinolone Ace 0.05% Oint 430gm
- Triamcinolone Ace 40mg/ml, 5ml
- Triamcin Ace 40mg/ml Inj, 10ml
- Triamcinolone 0.1% Lotion 60ml
- Triamcinolone 0.025% Lotion 60ml
- Triamcinolone 400mg/10ml Inj, 10ml
- Triamcinolone 0.1% Ointment 454gm
Dosing & Administration
Adult Dosing
Condition-Specific Dosing:
Pediatric Dosing
Dose Adjustments
Renal Impairment:
Hepatic Impairment:
Pharmacology
Mechanism of Action
Pharmacokinetics
Absorption:
Distribution:
Elimination:
Pharmacodynamics
Safety & Warnings
Side Effects
While rare, some people may experience severe and potentially life-threatening side effects when taking this medication. If you notice any of the following symptoms, contact your doctor or seek immediate medical attention:
Signs of an allergic reaction, such as:
+ Rash
+ Hives
+ Itching
+ Red, swollen, blistered, or peeling skin with or without fever
+ Wheezing
+ Tightness in the chest or throat
+ Trouble breathing, swallowing, or talking
+ Unusual hoarseness
+ Swelling of the mouth, face, lips, tongue, or throat
Signs of high blood sugar, including:
+ Confusion
+ Feeling sleepy
+ Unusual thirst or hunger
+ Passing urine more often
+ Flushing
+ Fast breathing
+ Breath that smells like fruit
Signs of a weak adrenal gland, such as:
+ Severe upset stomach or vomiting
+ Severe dizziness or fainting
+ Muscle weakness
+ Feeling very tired
+ Mood changes
+ Decreased appetite
+ Weight loss
Signs of Cushing's syndrome, including:
+ Weight gain in the upper back or belly
+ Moon face
+ Severe headache
+ Slow healing
Irritation at the site where the medication was applied
Skin changes, such as:
+ Pimples
+ Stretch marks
+ Slow healing
+ Hair growth
Change in skin color
Thinning of the skin
Other Possible Side Effects
Like all medications, this drug can cause side effects. Many people experience no side effects or only mild ones. If you notice any of the following side effects or any other unusual symptoms, contact your doctor or seek medical help if they bother you or do not go away:
Burning
Itching
* Dry skin
This is not an exhaustive list of possible side effects. If you have questions or concerns about side effects, consult your doctor. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch.
Seek Immediate Medical Attention If You Experience:
- Worsening of the skin condition or no improvement after 1-2 weeks of use.
- Signs of skin infection (e.g., pus, spreading redness, fever).
- Severe burning, stinging, or irritation at the application site.
- Skin thinning, easy bruising, stretch marks, or changes in skin color.
- Unusual hair growth or acne-like breakouts in the treated area.
- If used extensively or for prolonged periods, watch for signs of systemic absorption like unusual weight gain, swelling in the face, or fatigue (rare).
Before Using This Medicine
It is essential to inform your doctor about the following:
Any allergies you have, including allergies to this medication, any of its components, or other substances, such as foods or drugs. Be sure to describe the allergic reaction you experienced, including any symptoms that occurred.
All medications you are currently taking, including prescription and over-the-counter (OTC) drugs, natural products, and vitamins. This is not an exhaustive list, and it is crucial to disclose all your medications and health issues to your doctor and pharmacist.
Any health problems you have, as they may interact with this medication. Your doctor and pharmacist need to be aware of your complete medical history to ensure safe treatment.
Do not initiate, discontinue, or modify the dosage of any medication without first consulting your doctor. It is vital to verify that it is safe to take this medication in conjunction with your other medications and health conditions.
Precautions & Cautions
Before using any other medications or products on your skin, including soaps, consult with your doctor to ensure safe and effective treatment. Exercise caution when applying this medication to a large area of skin, and discuss any concerns with your doctor.
Using this medication too frequently can exacerbate your skin condition. If the patient is a child, use this drug with caution, as the risk of certain side effects may be increased in children. In some cases, this medication may affect growth in children and teenagers, and regular growth checks may be necessary. Consult with your doctor to discuss this potential risk.
If you are pregnant, planning to become pregnant, or are breastfeeding, inform your doctor. It is crucial to weigh the benefits and risks of using this medication during these situations to ensure the best possible outcome for both you and your baby.
Overdose Information
Overdose Symptoms:
- With excessive or prolonged topical use, especially over large areas or under occlusion, systemic effects of corticosteroid excess may occur, including:
- Cushing's syndrome (e.g., moon face, central obesity, striae)
- Hyperglycemia (high blood sugar)
- Glucosuria (sugar in urine)
- Adrenal suppression (fatigue, weakness, nausea, vomiting)
What to Do:
Discontinue the medication gradually under medical supervision. Symptomatic and supportive treatment. Call a poison control center (1-800-222-1222) or seek emergency medical attention.
Drug Interactions
Contraindicated Interactions
- None known for topical triamcinolone 0.025% ointment.
Major Interactions
- None known for topical triamcinolone 0.025% ointment.
Moderate Interactions
- None known for topical triamcinolone 0.025% ointment.
Minor Interactions
- None known for topical triamcinolone 0.025% ointment.
Monitoring
Baseline Monitoring
Rationale: To establish baseline severity of dermatosis, identify areas for application, and rule out contraindications (e.g., active infection).
Timing: Prior to initiation of therapy.
Routine Monitoring
Frequency: Weekly to bi-weekly, then as needed.
Target: Significant improvement in symptoms.
Action Threshold: Lack of improvement or worsening symptoms may indicate need for re-evaluation or alternative therapy.
Frequency: At each follow-up visit, especially with prolonged use or on sensitive areas.
Target: Absence of or minimal adverse effects.
Action Threshold: Presence of significant adverse effects warrants dose reduction, discontinuation, or change in therapy.
Frequency: At each follow-up visit.
Target: Absence of infection.
Action Threshold: Presence of infection requires appropriate antimicrobial therapy and potential discontinuation of triamcinolone.
Frequency: Rarely needed for typical topical use; consider if large areas, prolonged use, or occlusive dressings are employed, especially in children.
Target: Normal physiological parameters.
Action Threshold: Symptoms or signs of systemic absorption require immediate medical attention and discontinuation.
Symptom Monitoring
- Worsening of skin condition
- Increased redness, swelling, or pain (signs of infection)
- Severe burning or stinging at application site
- Skin thinning, easy bruising, or stretch marks (striae)
- New hair growth or acne-like breakouts
- Unusual fatigue, weight gain, or changes in mood (rare, systemic effects)
Special Patient Groups
Pregnancy
Category C. Use during pregnancy only if the potential benefit justifies the potential risk to the fetus. Avoid large amounts, prolonged use, or application to large surface areas.
Trimester-Specific Risks:
Lactation
Considered compatible with caution. It is not known whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in breast milk. Avoid applying to the breast area to prevent infant ingestion.
Pediatric Use
Children are more susceptible to systemic adverse effects from topical corticosteroids due to a larger skin surface area to body weight ratio. Use the least potent effective corticosteroid for the shortest duration. Avoid occlusive dressings. Monitor for signs of adrenal suppression (e.g., growth retardation, delayed weight gain) and Cushing's syndrome.
Geriatric Use
No specific dose adjustments are typically needed. However, elderly patients may have thinner skin, which could increase the risk of local adverse effects like skin atrophy and purpura. Monitor skin integrity closely.
Clinical Information
Clinical Pearls
- Triamcinolone 0.025% ointment is a low-potency topical corticosteroid, suitable for mild to moderate dermatoses, especially on sensitive areas or for maintenance therapy.
- Ointments are generally more potent than creams for the same concentration and are preferred for dry, scaly lesions.
- Instruct patients to apply a very thin layer; a little goes a long way.
- Avoid abrupt discontinuation after prolonged use on chronic conditions, as this can lead to rebound flares. Tapering may be necessary.
- Not for use on skin infections (bacterial, fungal, viral) without concomitant antimicrobial therapy, as corticosteroids can mask or worsen infections.
- Educate patients on proper application technique and the importance of not exceeding prescribed duration or frequency to minimize side effects.
Alternative Therapies
- Other topical corticosteroids (e.g., hydrocortisone, fluocinolone, betamethasone)
- Topical calcineurin inhibitors (e.g., tacrolimus, pimecrolimus) for steroid-sparing therapy, especially on the face or intertriginous areas.
- Emollients and moisturizers for barrier repair.
- Antihistamines for pruritus (oral or topical, if appropriate).