Drug Detail:Kenalog (Triamcinolone topical [ trye-am-sin-oh-lone ])
Drug Class: Topical steroids
Usual Adult Dose for Dermatitis
Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
- If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Adult Dose for Eczema
Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
- If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Adult Dose for Psoriasis
Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
- If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Adult Dose for Stomatitis
Paste: Press a small dab (about 1/4 inch) to the lesion until a thin film develops.
Comments:
- The paste should be applied at bedtime to permit steroid contact with the lesion throughout the night.
- It may be necessary to apply the paste two or three times a day, depending on the severity of symptoms.
- If regeneration has not occurred in seven days, additional investigation is recommended.
Use: Temporary relief of symptoms associated with oral inflammatory lesions and ulcerative lesions resulting from trauma
Usual Pediatric Dose for Dermatitis
Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
- If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Pediatric Dose for Eczema
Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
- If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Pediatric Dose for Psoriasis
Cream/ointment: Apply a thin film to affected areas two to four times a day
Lotion: Apply a thin film to affected areas three to four times a day
Spray: Three to four applications a day
Comments:
- Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions.
- If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy initiated.
Use: Relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Usual Pediatric Dose for Stomatitis
Paste: Press a small dab (about 1/4 inch) to the lesion until a thin film develops.
Comments:
- The paste should be applied at bedtime to permit steroid contact with the lesion throughout the night.
- It may be necessary to apply the paste two or three times a day, depending on the severity of symptoms.
- If regeneration has not occurred in seven days, additional investigation is recommended.
Use: Temporary relief of symptoms associated with oral inflammatory lesions and ulcerative lesions resulting from trauma
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing's syndrome than mature patients because of a larger skin surface area to body weight ratio.
Consult WARNINGS section for additional precautions.
Dialysis
Data not available
Other Comments
Administration advice:
- This drug should not be used on the face, groin, or axillae, unless directed by a healthcare professional.
- The treated area should not be bandaged, covered, or wrapped, as to be occlusive, unless directed by a healthcare provider.
- Parents of pediatric patients should be advised not to use tight-fitting diapers or plastic pants on a child being treated in the diaper area.
- Long term therapy in infants should be avoided as adrenal suppression may occur.
- Patients on long term therapy should not be given any live attenuated vaccines if there is a risk of immunosuppression.
Storage requirements:
- Avoid freezing
Spray: Avoid excessive heat; do not puncture or incinerate
Monitoring:
- Endocrine: HPA-axis suppression (Urinary free-cortisol test, ACTH-stimulation test)
Patient advice:
- Patients should report any signs of local adverse reactions, especially those that develop under occlusive dressings.
- This medication is to be used as directed by the physician. It is for external use only. Contact with the eyes should be avoided.
- Patients should be advised not to use this medication for any condition other than for which it was prescribed.