Triamcinolone 40mg Inj.

Triamcinolone Acetonide Injection 40 mg/ml is a synthetic corticosteroid designed to treat various inflammatory conditions. This medication is particularly beneficial for patients unable to take oral medications. The injection is available in single-dose vials containing 40 mg of Triamcinolone Acetonide per 1 ml suspension. It is highly effective in reducing inflammation, alleviating pain, and improving symptoms related to numerous medical conditions.

Therapeutic Uses

Triamcinolone Acetonide Injection is used for the short-term treatment of the following conditions:

• Severe allergies and skin conditions
• Joint pain, swelling, and stiffness from arthritis
• Gout
• Various inflammatory disorders
• Certain eye diseases
• Blood diseases
• Breathing problems like asthma
• Hormone problems
• Intestinal disorders
• Autoimmune disorders

Administration
This medication is administered intramuscularly (into the muscle) or intra-articularly (into the joint). It should only be given by or under the immediate supervision of a healthcare professional.

Reconstitution Recommendations

Materials Needed:

• Triamcinolone Acetonide Injection 40 mg vial
• Sterile diluent (e.g., saline or sterile water for injection)
• Syringe (appropriate volume)

Steps:

1. Clean vial stopper with alcohol swab
2. Withdraw 1 ml of sterile diluent with syringe.
3. Inject into vial containing 40 mg Triamcinolone Acetonide.
4. Swirl gently until powder fully dissolves.

Total concentration after reconstitution: 40mg/ml

Administration Protocol

Route of Administration

Intramuscular (IM) Injection: Deep intramuscular injection into the gluteal muscle (upper, outer quadrant). Avoid the deltoid muscle due to the risk of subcutaneous fat atrophy. Alternate sides should be used for subsequent injections.
Intra-Articular (IA) Injection: Injection into joint spaces, tendon sheaths, or bursae. Avoid injecting into the Achilles tendon due to the risk of tendon rupture.

Dosage

Adults and Children Over 12 Years:

Initial dose: 40 mg (1.0 ml) deep IM injection into the gluteal muscle.
Subsequent doses depend on patient response and duration of relief.

Important Considerations

• Use aseptic techniques during administration.
• Do not mix with other medicinal products physically.
• The duration of effect is variable; administer subsequent doses based on symptom recurrence rather than fixed intervals.
• Avoid abrupt withdrawal in patients receiving more than physiological doses (more than one injection in a three-week period); taper the dose gradually.
• In patients requiring long-term therapy, adjust dosage intervals and gradually reduce the dose to prevent adrenal insufficiency.

Contraindications

• Hypersensitivity to any components of the injection.
• Systemic infections unless specific anti-infective therapy is employed.
• Not recommended for intravenous, intrathecal, epidural, or intraocular administration.
• Not recommended for children under six years old.

Special Precautions

• Avoid contact with people who have infections (colds, flu, etc.) due to immune suppression.
• Monitor blood sugar levels closely in diabetic patients.
• Long-term use may require vitamin and mineral supplements to prevent bone weakening (osteoporosis).
• Patients should carry steroid treatment cards with details of the prescriber, drug, dosage, and duration of treatment.
• Avoid live vaccines during therapy.

Side Effects

• Agitation or trouble sleeping
• Increased appetite
• Dizziness
• Headaches
• High blood sugar
• Pain, redness, or swelling near the injection site
• Menstrual changes
• Stomach upset or abdominal pain
• Weight gain

Seek immediate medical help if you experience any of the following serious side effects:

• Severe allergic reactions (difficulty breathing, rash, itching, swelling)
• Bleeding or bruising
• Bone pain
• Vomiting blood or coffee-ground-like vomit
• Swelling of legs, feet, or hands
• Fever or chills
• Fast or irregular heartbeats
• Severe mood changes
• Muscle pain or weakness
• Seizures
• Shortness of breath
• Thinning of the skin
• Dark, tarry stools
• Persistent or unusual thirst
• Yeast infections

Drug Interactions

Inform your healthcare provider about all medications you are taking, including prescription, over-the-counter, vitamins, and herbal supplements. This medication may interact with:

• Aspirin and NSAIDs
• Blood thinners like warfarin
• Certain antibiotics and antifungals
• HIV medications
• Diabetes medications
• Thyroid medications

Special Considerations

• Not recommended for use during pregnancy or lactation without medical advice.
• Close supervision required for elderly patients and those with a history of severe psychiatric disorders.
• Avoid use in children under six years old.
• Should not be used in certain types of infections or unstable joints.

Storage

Store below 30°C
Protect from light

Package: Triamcinolone 40mg x 30 vials

Note: This description provides an overview and important details about Triamcinolone Acetonide Injection. Always follow the advice and directions of your healthcare provider for best results.