Triamcinolone

KENALOG

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Pronunciation: trye-am-SIN-oe-loen

Triamcinolone ballicule: receptor binding, kinetics and half-life diagram — Mechanism of action: Triamcinolone ballicule

Triamcinolone KENALOG mascot mnemonic cartoon — Visual mnemonic: Triamcinolone mascot
**“Ken-log, Try and sin, alone”**
moon face → corticosteroid

What it isGlucocorticoid-receptor agonist; intra-articular, intramuscular, intranasal and topical treatment of inflammation.

Why this oneA long-lived intra-articular depot effect is its distinguishing niche, while topical and nasal forms cover local inflammation.

What limits itRepeated joint injections can damage cartilage; systemic absorption can still suppress the adrenal axis and raise glucose.

Triamcinolone molecular structure (skeletal formula) — Molecular structure: Triamcinolone

FDA-approved for

inflammation (~1958)

FDA label

Read the full label on DailyMed ↗

FDA dosing	Population	Start	Target	Max
Nasal allergy symptoms (OTC triamcinolone acetonide nasal spray)	Adults & children ≥12 yr	2 sprays each nostril QD	1 spray each nostril QD after symptoms improve	2 sprays each nostril QD
Nasal allergy symptoms (OTC)	Children 6 to <12 yr	1 spray each nostril QD	1 spray each nostril QD after improvement	2 sprays each nostril QD
Nasal allergy symptoms (OTC)	Children 2 to <6 yr	1 spray each nostril QD	1 spray each nostril QD	1 spray each nostril QD

Renal Undefined

Hepatic Undefined

Instructions

Intranasal use only; prime before first use and again if unused >2 weeks
Shake bottle before use
Do not spray into eyes or mouth
Children under 2 years: do not use
Stop and consult a doctor if no improvement after 1 week; consult if used more than 2 months/year in children

Available strengths

cream 0.025, 0.1, 0.5 %
ointment 0.025, 0.1, 0.5 %

Cautions

Growth rate may be slower in children with prolonged use

Pregnancy Undefined

Lactation Undefined

Cost

Triamcinolone (KENALOG)

Strength		#/mo	CostPlus
0.025 %	cream	per unit	not offered
0.1 %	cream	per unit	not offered
0.5 %	cream	per unit	not offered
0.025 %	ointment	per unit	not offered
0.1 %	ointment	per unit	not offered
0.5 %	ointment	per unit	not offered

NADAC is a voluntary CMS survey of what retail community pharmacies pay for the drugs they stock. Triamcinolone is dispensed outside retail pharmacies, so it rarely appears on surveyed invoices.

Other forms: Triamcinolone injection (KENALOG-40)

Generic entry1982

NO BOXED WARNINGS

Principal riskAdrenal suppression with prolonged systemic use

Classes and tags

Clinical profile

Therapeutic safety burden0 / 4

Overdose danger2 / 4

Weight-gain liability1 / 4

Sedation liability0 / 4

QT / Torsades0 / 4

Direct muscarinic antagonism0 / 4

Embryofetal risk2 / 4

Legacy pregnancy categoryC

Defining liabilityHyperglycemia, infection, osteoporosis and potentially severe mood, sleep or psychotic effects.

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Memory aids: interaction avatars

Box: minimal PK interactions

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