![]() What special precautions should I follow?.If you are using triamcinolone on a child's diaper area, do not use tight-fitting diapers or plastic pants. If you are using triamcinolone topical on your face, keep it out of your eyes.ĭo not apply other skin preparations or products on the treated area without talking with your doctor. Stay away from open fire, flames, and do not smoke while you are applying triamcinolone aerosol, and for a short time afterward. Triamcinolone aerosol (spray) may catch fire. If the mouth sore does not begin to heal within 7 days, call your doctor. You may need to use more paste if the mouth sore is large. To apply the paste, press a small amount on the mouth sore without rubbing until a thin film develops. If you are spraying near your face, cover your eyes. Spray for about 2 seconds to cover an area the size of your hand. To apply an aerosol, shake well and spray on the affected area holding the container about 3 to 6 inches away. You may wash your hair as usual but not right after applying the medicine. Protect the area from washing and rubbing until the lotion or spray dries. To use the lotion or aerosol (spray) on your scalp, part your hair, apply a small amount of the medicine on the affected area, and rub it in gently. ![]() To use triamcinolone topical, apply the ointment, cream, or lotion sparingly in a thin film and rub it in gently. Do not apply it to other areas of your body or use it to treat other skin conditions unless directed to do so by your doctor. Do not use more or less of it or use it more often than prescribed by your doctor. ![]() Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. For mouth sores, it is applied at bedtime and, if necessary, two or three times daily, preferably after meals. It usually is applied two to four times a day. If a favorable response does not occur promptly, the corticosteroid should be discontinued until the infection has been adequately controlled.Triamcinolone comes in ointment, cream, lotion, and aerosol (spray) in various strengths for use on the skin and as a paste for use in the mouth. In the presence of dermatological infections, the use of an appropriate antifungal or antibacterial agent should be instituted. If irritation develops, topical corticosteroids should be discontinued and appropriate therapy instituted. Children may absorb proportionally larger amounts of topical corticosteroids and thus be more susceptible to systemic toxicity (see Infrequently, signs and symptoms of steroid withdrawal may occur, requiring supplemental systemic corticosteroids. Recovery of HPA axis function is generally prompt and complete upon discontinuation of the drug. If HPA axis suppression is noted, an attempt should be made to withdraw the drug, to reduce the frequency of application, or to substitute a less potent steroid. Therefore, patients receiving a large dose of a potent topical steroid applied to a large surface area or under an occlusive dressing should be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation tests. ![]() Systemic absorption of topical corticosteroids has produced reversible hypothalamic-pituitary-adrenal (HPA) axis suppression, manifestations of Cushing’s syndrome, hyperglycemia, and glucosuria in some patients.Ĭonditions which augment systemic absorption include the application of the more potent steroids, use over large surface areas, prolonged use, and the addition of occlusive dressings. Some of the topical corticosteroids and their metabolites are also excreted into the bile. Corticosteroids are metabolized primarily in the liver and are then excreted by the kidneys. Corticosteroids are bound to plasma proteins in varying degrees. Once absorbed through the skin, topical corticosteroids are handled through pharmacokinetic pathways similar to systemically administered corticosteroids. Thus, occlusive dressings may be a valuable therapeutic adjunct for treatment of resistant dermatoses (seeĭOSAGE AND ADMINISTRATION). Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids. Inflammation and/or other disease processes in the skin increase percutaneous absorption. Topical corticosteroids can be absorbed from normal intact skin. The extent of percutaneous absorption of topical corticosteroids is determined by many factors including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings. ![]()
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