Cinolar

Cinolar is part of the drug classes:

• Corticosteroids for local oral treatment

• Corticosteroids, moderately potent group II

• Corticosteroids, moderately potent, other combinations

• Antiinflammatory Corticosteroids

Serious side effects have been reported with triamcinolone. See the “Triamcinolone Precautions” section.

Common side effects of topical triamcinolone include the following:

• Drying of the skin
• Acne
• Itching or burning of the skin
• Change in skin color

Common side effects of injectable triamcinolone include the following:

• Stomach upset
• Depression
• Emotional instability
• Headache
• Weight gain
• Fluid retention

This is not a complete list of triamcinolone side effects. Ask your doctor or pharmacist for more information.

Tell your doctor if you have any side effect that bothers you or that does not go away.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• Aminoglutethimide (Cytadren)
• Amphotericin B (Fungizone, Abelcet, AmBisome, Amphotec)
• Antibiotics
• Anticholinesterase agents such as donepezil (Aricept), rivastigmine (Exelon), and galantamine (Ryzadyne)
• Anticoagulants such as warfarin (Coumadin)
• Antidiabetic agents
• Isoniazid
• Cholestyramine
• Cyclosporine (Neoral, Sandimmune)
• Digoxin (Lanoxin)
• Estrogens, including oral contraceptives
• Phenytoin (Dilantin)
• Carbamazepine (Tegretol)
• Rifampin (Rifadin)
• Ketoconazole (Nizoral)
• Non-steroidal anti-inflammatory agents such as aspirin, ibuprofen (Motrin), naproxen (Aleve), and celecoxib (Celebrex)

This is not a complete list of triamcinolone drug interactions. Ask your doctor or pharmacist for more information.

Before taking triamcinolone, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

• are allergic to triamcinolone or to any of its ingredients
• have diabetes
• have glaucoma
• have cataracts
• have or have had a circulation disorder
• have or have had an immune system disorder
• are pregnant or plan to become pregnant
• are breastfeeding or plan to begin breastfeeding

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Triamcinolone topical will not treat a bacterial, fungal, or viral skin infection.

Wash your hands before and after each application, unless you are using triamcinolone topical to treat a hand condition.

Apply a small amount to the affected area and rub it gently into the skin.

Avoid using this medication on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.

If you are using the dental paste, apply the medication in a thin layer, just enough to cover the mouth ulcer. The paste may stick better if you dry the mouth ulcer before applying the medication.

Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with triamcinolone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.

Contact your doctor if your condition does not improve or if it gets worse after using this medication for several days. It is important to use triamcinolone topical regularly to get the most benefit.

Store at room temperature away from moisture and heat.

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor's prescription.

It is very important that your doctor check the progress of you or your child at regular visits for any problems that may be caused by this medicine. Blood and urine tests may be needed to check for unwanted effects.

If your or your child's symptoms do not improve within a few weeks, or if they become worse, check with your doctor.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use this medication with other corticosteroid (eg, hydrocortisone) containing products without checking with your doctor first. .

Do not use cosmetics or other skin care products on the treated areas.

Applies to triamcinolone topical: topical application cream, topical application lotion, topical application ointment, topical application spray

Along with its needed effects, triamcinolone topical (the active ingredient contained in Cinolar) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking triamcinolone topical:

• Blistering, burning, crusting, dryness, or flaking of the skin
• irritation
• itching, scaling, severe redness, soreness, or swelling of the skin
• redness and scaling around the mouth
• thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Some side effects of triamcinolone topical may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Acne or pimples
• burning and itching of the skin with pinhead-sized red blisters
• burning, itching, and pain in hairy areas, or pus at the root of the hair
• increased hair growth on the forehead, back, arms, and legs
• lightening of normal skin color
• lightening of treated areas of dark skin
• reddish purple lines on the arms, face, legs, trunk, or groin
• softening of the skin

Applies to triamcinolone topical: mucous membrane paste, topical cream, topical kit, topical lotion, topical ointment, topical spray

General

The most commonly reported side effects were burning, itching, irritation, and dryness.[Ref]

Endocrine

Frequency not reported: Hypothalamic-pituitary-adrenal (HPA) axis suppression, Cushing's syndrome[Ref]

Local

Frequency not reported: Burning, itching, irritation, dryness[Ref]

Dermatologic

Frequency not reported: Folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, blistering or peeling not present prior to therapy, perioral dermatitis, allergic contact dermatitis, maceration of the skin and oral mucosa, secondary infection, atrophy of the skin and oral mucosa, striae, and miliaria[Ref]

Metabolic

Frequency not reported: Hyperglycemia, glucosuria[Ref]

Nervous system

Frequency not reported: Intracranial hypertension (including bulging fontanelles, headaches, bilateral papilledema)[Ref]

Some side effects of Cinolar may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.