Tri-Nasal (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 that your doctor checks the progress of you or your child 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 improve within 3 weeks or if they get worse, check with your doctor.

This medicine may raise your risk of having some unwanted effects in the nose. Check with your doctor right away if you or your child have bloody mucus, sores inside the nose, unexplained nosebleeds, or a whistling sound when breathing while using this medicine.

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

Check with your doctor immediately if you have changes in vision, such as blurred vision, difficulty reading, or eye pain during or after treatment. Your doctor may want your eyes checked by an eye doctor.

You may get infections more easily while using this medicine. Avoid being around people who are sick or have infections such as chickenpox or measles, especially if you have never had these infections or been immunized. This is especially important for children. Tell your doctor right away 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 makes steroids for your body. This is more likely for people who use steroids for a long time or at high doses. Check with 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. This could result in a child not gaining weight or getting 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 must consider the risks of taking it compared to the benefits it will provide. This decision will be made between you and your doctor. For this medicine, please consider the following:

Allergies

Inform your doctor if you have ever had any unusual or allergic reactions to this medicine or any other medicines. Also, tell your healthcare professional about any other allergies you have, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

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

Geriatric

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

Breast Feeding

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

Interactions with Medicines

Some medicines should never be used together, while in other cases, two different medicines may be used together even if there is a risk of interaction. In these situations, your doctor may adjust the dose or take other precautions. It is very important for your healthcare professional to know if you are taking any of the medicines listed below. The following interactions have been chosen based on their potential significance and may not be a complete list.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to prescribe this medication or change some of your other medicines.

• Desmopressin
• Rotavirus Vaccine, Live

Using this medicine with any of the following medicines is usually not recommended, but may be necessary in some cases. 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 could be the best treatment 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 taken at or around mealtime or with certain types of food due to potential interactions. Using alcohol or tobacco with some medicines may also cause interactions. Talk to your healthcare professional about how to use your medicine with food, alcohol, or tobacco.

Other Medical Problems

Having other medical conditions may affect the use of this medicine. Be sure to tell your doctor if you have any other medical issues, 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 infection of the eye or
• Infections (bacteria, fungus, virus, or parasite), active or untreated or
• Measles (including recent exposure) or
• Tuberculosis, active 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 issues.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do happen, they may need medical attention.

Check with your doctor immediately 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. 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:

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 occur 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.