Aristocort Forte

In the U.S.

• Aristocort
• Aristocort Forte
• Aristospan
• Clinacort
• Kenalog-10
• Kenalog-40
• Triamcot
• Triam-Forte
• Triesense

Available Dosage Forms:

• Suspension

Therapeutic Class: Endocrine-Metabolic Agent

Pharmacologic Class: Adrenal Glucocorticoid

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone injection in the pediatric population. However, because of this medicine's toxicity, it should be used with caution especially in premature babies.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of triamcinolone injection in the elderly.

Pregnancy

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Desmopressin
• Rotavirus Vaccine, Live

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Aldesleukin
• Bemiparin
• Ceritinib
• Idelalisib
• Nadroparin
• Pixantrone
• Ritonavir

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Alcuronium
• Aspirin
• Atracurium
• Fosphenytoin
• Gallamine
• Hexafluorenium
• Licorice
• Metocurine
• Phenytoin
• Primidone
• Saiboku-To

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Bone problems (e.g., osteoporosis) or
• Cataracts or
• Cirrhosis (liver problem) or
• Congestive heart failure or
• Depression or
• Emotional problems or
• Glaucoma or
• Heart attack, recent or
• Heart disease or
• Hypertension (high blood pressure) or
• Intracranial hypertension (increased pressure in the head) or
• Kaposi's sarcoma or
• Kidney disease, severe or
• Mental illness or
• Myasthenia gravis (severe muscle weakness) or
• Stomach or bowel problems (e.g., diverticulitis, ulcers, ulcerative colitis) or
• Thyroid problems—Use with caution. May make these conditions worse.

• Brain injury, traumatic or
• Cerebral malaria or
• Herpes infection of the eye or
• Idiopathic thrombocytopenic purpura (low platelet count)—Should not be used in patients with this condition.

• Infection (bacteria, virus, fungus, parasite, or protozoa)—May decrease your body's ability to fight infection.

• Tuberculosis infection, inactive—Should be treated first before starting therapy with this medicine.

This section provides information on the proper use of a number of products that contain triamcinolone. It may not be specific to Aristocort Forte. Please read with care.

A nurse or other trained health professional will give you this medicine. You may also be taught how to give your medicine at home. This medicine is given as a shot into one of your muscles, a joint, or a spot on your skin called a lesion.

4 mg to 12 mg orally daily, in addition to mineralocorticoid therapy.

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Initial:
8 mg to 16 mg orally per day. Alternatively, 3 mg to 48 mg IM per day, administered in equally divided doses every 12 hours.

Intra-articular and intrasynovial Injection:
5 mg to 40 mg once depending on the size of the joint. The average for the knee is 25 mg.

The maximum weekly dosage of triamcinolone diacetate is 75 mg.

Initial:
12 mg to 40 mg orally daily.

16 mg to 60 mg orally daily.

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.

3 mg to 48 mg per day given as an intralesional injection. The average course of treatment for many conditions is 2 to 3 injections at one to two week intervals.

Alopecia areata and totalis:
25 mg to 30 mg subcutaneously once to twice weekly (at a concentration of 10 mg/mL). No more than 0.5 mL should be given in any one site.

The maximum weekly dose of triamcinolone diacetate is 75 mg.