Nasacort Allergy 24HR

Triamcinolone is a steroid. It prevents the release of substances in the body that cause inflammation.

Triamcinolone nasal (for the nose) is used to treat sneezing, itching, and runny nose caused by seasonal allergies or hay fever.

Triamcinolone nasal may also be used for other purposes not listed in this medication guide.

Do not use this medication in a child under 2 years old without the advice of a doctor. Some brands of triamcinolone nasal are not made for use in children.

Do not use this medication if you are allergic to triamcinolone.

Before using triamcinolone nasal, tell your doctor if you are allergic to any drugs, or if you have tuberculosis, asthma, a history of glaucoma or cataracts, any type of infection, or if you have had recent surgery or injury to your nose.

It may take up to a week before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 1 week of treatment, or if they get worse any time during treatment.

Triamcinolone nasal can lower the blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

Do not stop using triamcinolone nasal suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the medication before stopping completely.

You should not use this medication if you are allergic to triamcinolone.

If you have any of these other conditions, you may need a triamcinolone dose adjustment or special tests:

• tuberculosis;
• asthma;
• any type of infection;
• a history of glaucoma or cataracts; or
• if you have had recent surgery or injury to your nose.

FDA pregnancy category C. It is not known whether triamcinolone nasal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether triamcinolone nasal passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Triamcinolone nasal can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.

Do not use this medication in a child under 2 years old without the advice of a doctor. Some brands of triamcinolone nasal are not made for use in children.

• Tell all of your health care providers that you take Nasacort Allergy 24HR. This includes your doctors, nurses, pharmacists, and dentists.
• This medicine may raise the chance of cataracts or glaucoma. Talk with the doctor.
• Talk with your doctor if you come into contact with anyone who has chickenpox or measles and you have not had chickenpox, measles, or the vaccines for them.
• If you have had any recent nose surgery, injury, ulcers, or sores, talk with your doctor.
• This medicine may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.
• Use with care in children. Talk with the doctor.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

Applies to triamcinolone nasal: nasal aerosol, nasal aerosol with adapter, nasal spray

General

Triamcinolone nasal (the active ingredient contained in Nasacort Allergy 24HR) has been generally well tolerated and, due to the nature of its administration, has not been inclined to produce the systemic adverse effects generally associated with the use of corticosteroids.[Ref]

Nervous system

The central nervous system side effect of headache has been reported in 18% of patients.[Ref]

Respiratory

Respiratory side effects have included nasal irritation, pharyngitis, dry mucous membranes, burning and stinging, congestion, epistaxis, sneezing, and rarely, nasal septal perforations.[Ref]

Endocrine

Endocrine side effects have included rare reports of suppression of the hypothalamus-pituitary-adrenal axis. The risk of adrenal suppression is less than that associated with systemic corticosteroids and is generally only of concern when using higher than recommended doses or in patients who may be particularly sensitive.[Ref]

Ocular

Ocular adverse effects are more commonly seen with systemic administration of corticosteroids. However, posterior capsular cataracts have been occasionally reported with triamcinolone, especially with long-term use. In addition, prolonged use of high-dose inhaled corticosteroids ( >= 440 mcg of triamcinolone nasal (the active ingredient contained in Nasacort Allergy 24HR) may be associated with increased risk of ocular hypertension and open angle glaucoma.[Ref]

Some side effects of Nasacort Allergy 24HR may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.