Nasacort AQ (Nasal)

Triamcinolone nasal spray is used to treat an itchy or runny nose, sneezing, and other symptoms caused by seasonal and perennial hay fever (allergic rhinitis).

Triamcinolone is a steroid (cortisone-like medicine). It works by stopping the inflammation that happens during allergic reactions.

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

It is very important for your doctor to check how you or your child is doing during regular visits. This will help your doctor see if the medicine is working well and decide if you or your child should keep using it.

If your or your child's symptoms do not get better in 3 weeks or if they get worse, contact your doctor.

This medicine may increase the chance of some unwanted effects in the nose. Contact your doctor right away if you or your child have bloody mucus, sores inside the nose, unexplained nosebleeds, or a whistling sound when you breathe while using this medicine.

This medicine may cause thrush (a type of fungal infection) in the nose or throat. Tell your doctor immediately if you or your child have white patches in the throat, or pain when eating or swallowing.

Contact your doctor right away if you notice changes in vision, such as blurred vision, difficulty reading, or eye pain during or after treatment. Your doctor may want to have your eyes checked by an eye doctor.

You may get infections more easily while using this medicine. Avoid close contact with people who are sick or have infections like chickenpox or measles, especially if you have never had these infections or been vaccinated. This is especially important for children. Tell your doctor immediately if you think you have been exposed to chickenpox or measles.

This medicine may increase your risk of having an adrenal gland that is less active than normal. The adrenal gland produces steroids for your body. This is more likely for people who use steroids for a long time or take high doses. Contact your doctor right away if you or your child have any of the following symptoms: darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.

This medicine may cause children to grow more slowly than normal, which means a child may not gain weight or grow taller. Talk with your doctor if you think your child is not growing properly or if you have any questions about this.

In deciding to use a medicine, you and your doctor must weigh the risks against the benefits. Here are some important things to consider about this medicine:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also, inform your healthcare professional about any other allergies you may have, like those to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies have not shown any specific problems that would limit the use of triamcinolone nasal spray in children aged 2 years and older. However, safety and effectiveness have not been established in children younger than 2 years.

Geriatric

Studies have not shown any specific problems that would limit the use of triamcinolone nasal spray in older adults. However, older patients are more likely to have age-related liver, kidney, or heart issues, which may require caution and possible dose adjustments for those using triamcinolone nasal spray.

Breast Feeding

There are no adequate studies in women to determine the risk to infants when using this medicine during breastfeeding. Consider the potential benefits and risks before taking this medicine while breastfeeding.

Interactions with Medicines

Some medicines should not be used together at all, while others may be used together even if interactions might happen. In such cases, your doctor may want to adjust the dose or take other precautions. It is very important that your healthcare professional knows if you are taking any of the medicines listed below. The following interactions are significant but not an exhaustive list.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medicine 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 necessary in some situations. If both medicines are prescribed together, your doctor may adjust the dose or how often you use one or both of the medicines.

• Aldesleukin
• Aspirin
• Atazanavir
• Balofloxacin
• Bemiparin
• Besifloxacin
• Ceritinib
• Ciprofloxacin
• Cobicistat
• Darunavir
• Enoxacin
• Fleroxacin
• Flumequine
• Gatifloxacin
• Gemifloxacin
• Levofloxacin
• Lomefloxacin
• Lutetium Lu 177 Dotatate
• Macimorelin
• Moxifloxacin
• Nadifloxacin
• Nadroparin
• Nirmatrelvir
• Norfloxacin
• Ofloxacin
• Pazufloxacin
• Pefloxacin
• Prulifloxacin
• Ritonavir
• Rufloxacin
• Sargramostim
• Somatrogon-ghla
• Sparfloxacin
• Tosufloxacin

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

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

Interactions with Food/Tobacco/Alcohol

Some medicines should not be used at or around mealtimes, as interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions. Talk to your healthcare professional about using your medicine with food, alcohol, or tobacco.

Other Medical Problems

Having other medical issues may affect how you use this medicine. Make sure to inform your doctor if you have any other medical problems, especially:

• Adrenal problems or
• Asthma or
• Cataracts, history of or
• Glaucoma, history of—Use with caution. May worsen these conditions.

• Chicken pox (including recent exposure) or
• Herpes simplex eye infection or
• Active or untreated infections (bacteria, fungus, virus, or parasite) or
• Measles (including recent exposure) or
• Active tuberculosis or history of—Can weaken the body's ability to fight infections.

• Injury to the nose or
• Recent nose surgery or
• Recent sores or ulcers in the nose—May hinder proper healing of these conditions.

Along with its necessary effects, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they may require medical attention.

Check with your doctor right away if any of the following side effects occur:

More common

• Body aches or pain
• chills
• congestion
• diarrhea
• dryness or soreness of the throat
• fever
• general feeling of discomfort or illness
• headache
• hoarseness
• increased cough
• joint pain
• loss of appetite
• muscle aches and pains
• nausea
• runny nose
• shivering
• sweating
• tender, swollen glands in the neck
• trouble sleeping
• trouble with swallowing
• unexplained nosebleeds
• unusual tiredness or weakness
• voice changes
• vomiting

Less common

• Cough producing mucus
• difficulty with breathing
• noisy breathing
• shortness of breath
• tightness in the chest

Incidence not known

• Blindness
• bloody mucus
• blurred vision
• changes in vision
• darkening of the skin
• decreased vision
• eye pain
• fainting
• fast heartbeat
• hives
• irritation
• itching
• joint stiffness or swelling
• loss of appetite
• lower back or side pain
• mental depression
• painful or difficult urination
• rash
• redness of the skin
• slowing of normal growth in children
• swelling of the eyelids, face, lips, hands, or feet
• tearing
• trouble healing
• white patches in the throat

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

Less common

• Acid or sour stomach
• belching
• heartburn
• indigestion
• stomach discomfort, upset, or pain
• tooth problems
• upper abdominal or stomach pain

Incidence not known

• Change in sense of smell or taste

Other side effects not listed may also happen in some patients. If you notice any other effects, check with your healthcare professional.

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

In the U.S.

• Nasacort
• Nasacort AQ
• Tri-Nasal

In Canada

• Nasacort Aq
• Nasacort Cfc-Free

Available Dosage Forms:

• Spray

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects.

This medicine comes with patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.

This medicine is only used in the nose. Do not get this medicine in your eyes or mouth. If it does get on these areas, rinse it off right away with water and call your doctor right away.

Do not use this medicine for any other nose problem without checking with your doctor first.

To use the spray:

• Shake the bottle gently before each use.
• When you use the triamcinolone nasal spray for the first time, you must prime the spray. Press down fully on the top of the pump 5 times or until a fine spray comes out. Prime the spray if it has not been used for 14 days or more.
• Gently blow your nose before using the spray if needed. Tilt your head back slightly and insert the tip of the nose piece into your nostril.
• Close the opposite nostril with a finger. Release 1 spray and at the same time, breathe in gently through the nostril.
• Hold your breath for a few seconds then breathe out slowly through your mouth.
• Spray the opposite nostril using the same steps.
• Do not blow your nose for 15 minutes after using the spray.
• Wipe the tip of the spray bottle with a clean, dry tissue or cloth and put the cap back on.
• Use the check-off chart that is included in the package to help you monitor the number of sprays you used.
• Throw this medicine away after you use 120 sprays.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For nasal dosage form (spray):For treatment of seasonal and perennial allergic rhinitis Adults and teenagers—Two sprays in each nostril once a day. Your doctor may adjust your dose if needed. Each spray contains 55 micrograms (mcg) of triamcinolone. Children 6 to 12 years of age—One spray in each nostril once a day. Some children may need two sprays in each nostril once a day. Your doctor may adjust your dose if needed. Children 2 to 5 years of age—One spray in each nostril once a day. Children younger than 2 years of age—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.