TRIAMCINOLONE (OPHTHALMIC)

(trye am SIN oh lone off THAL mik) Brand: Triesence, Trivaris Intravitreal

What is the most significant information I must know about triamcinolone ophthalmic?

• You must not receive this medicine if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body.

• Do not use triamcinolone if you are pregnant. It could harm the unborn baby.

• Till receiving triamcinolone ophthalmic, speak your doctor if you have any type of bacterial, fungal, or viral infection (including tuberculosis). Also speak your doctor if you have cataracts or glaucoma, herpes infection of your eye, diabetes, tall blood pressure, congestive heart failure, a thyroid mess, myasthenia gravis, a stomach or intestinal mess, or a history of last heart attack.

• Till you receive any vaccine, conversation with the doctor who is treating you with triamcinolone ophthalmic. Some vaccines may not work as well or could reason deleterious side effects during treatment with steroid medicine.

• Steroids can lower the blood cells that help your body fight infections. Avoid being around people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles.

• There are much another drugs that can interact with triamcinolone. Speak your doctor about all medications you use. Hold a list of all your medicines and show it to any healthcare provider who treats you.

What is triamcinolone ophthalmic?

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

• Triamcinolone ophthalmic (for the eyes) is injected into the eye to treat inflammation caused by malady or injury. Triamcinolone ophthalmic is generally given after steroid eye drops have been used without successful treatment of symptoms.

• Triamcinolone ophthalmic is also used during a determined type of eye surgery.

• Triamcinolone ophthalmic may also be used for purposes not listed in this medicine guide.

What must I discuss with my health care provider till receiving triamcinolone ophthalmic?

• You must not receive this medicine if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body.

• To create certain you can safely receive triamcinolone, speak your doctor if you have any of these another conditions:

· herpes infection of your eye;

· eye conditions such as cataract or glaucoma;

· diabetes;

· tall blood pressure, congestive heart failure;

· any type of bacterial, fungal, or viral infection (including tuberculosis);

· a thyroid disorder;

· a muscle mess such as myasthenia gravis;

· diverticulitis, stomach or intestinal ulcer, or last stomach surgery; or

· if you have recently had a heart attack.

• FDA pregnancy category D. Do not receive triamcinolone if you are pregnant. It could harm the unborn child. Use effective birth control, and speak your doctor if you become pregnant during treatment.

• Triamcinolone can pass into breast milk and may harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

• This medicine can decrease bone formation which could lead to osteoporosis, especially with long-term use. Conversation with your doctor about your specific risk of bone loss while receiving triamcinolone ophthalmic.

• Steroids can affect growth in children. Conversation with your doctor if you think your baby is not growing at a usual course while using this medication.

How is triamcinolone ophthalmic given?

• Triamcinolone ophthalmic is given as an injection into your eye. Your doctor will use a medication to numb your eye till giving you the injection. You will receive this injection in your doctor's office or another clinic setting.

• For at least 30 minutes after your injection, your eyes will be checked periodically to create certain the injection has not caused any side effects.

• Long-term use of steroids can reason deleterious effects on the eyes, such as glaucoma or cataracts. If you receive triamcinolone ophthalmic for longer than 6 weeks, your doctor may want you to have regular eye exams.

• Steroids can lower the blood cells that help your body fight infections. This can create it easier for you to get sick from being near others who are ill, or from bacteria in a skin wound. Steroids can also slow the healing of skin wounds. Use caution to prevent diseases, infection, or injury.

• Your doctor may instruct you to limit your salt intake while you are receiving triamcinolone ophthalmic. You may also need to take potassium supplements. Follow your doctor's instructions.

• This medicine can reason unusual results with determined medical trials. Speak any doctor who treats you that you are using triamcinolone.

What happens if I miss a dose?

• Call your doctor for instructions if you miss an appointment for your injection.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.

• Since this medicine is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

What must I avoid while receiving triamcinolone ophthalmic?

• Do not receive a smallpox vaccine or any another "live" vaccine if you are being treated long-term with triamcinolone ophthalmic. Some vaccines may not work as well during treatment with steroid medication at determined doses. Some vaccines may even reason dangerous side effects when used during steroid treatment. Till you receive any vaccine, conversation with the doctor who is treating you with triamcinolone ophthalmic.

• Avoid being around 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 steroids.

What are the possible side effects of triamcinolone ophthalmic?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have a serious side effect such as:

· problems with your vision, pain behind your eyes, or seeing halos near lights;

· eye swelling, redness, severe discomfort, crusting or drainage (may be signs of infection);

· big red or purple spots on your skin;

· quick or slow heart rate;

· feeling short of breath, swelling in your hands or feet;

· dangerously tall blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, uneven heartbeats, seizure);

· severe dizziness or nausea;

· severe depression, changes in mood or behavior, seizures (convulsions); or

· severe pain in your upper stomach.

• Smaller serious side effects may include:

· mild eye discomfort;

· headaches, back aches, weakness;

· bloating, appetite changes, weight gain;

· changes in the shape or location of body thick (especially in your arms, legs, person, neck, breasts, and waist), roundness in your face;

· heighten acne or facial hair;

· menstrual problems (in women), impotence or loss of interest in sex (in men);

· dry skin, thinning skin, changes in skin color;

· bruising, sweating more than normal; or

· any wound that will not heal.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect triamcinolone ophthalmic?

• Much drugs can interact with triamcinolone. Adown is just a partial list. Speak your doctor if you are using:

· amphotericin B (Fungizone, AmBisome, Abelcet);

· birth control pills or hormone replacement therapy;

· a blood thinner such as warfarin (Coumadin);

· cholestyramine (Prevalite, Questran);

· cyclosporine (Neoral, Gengraf, Sandimmune);

· digoxin (digitalis, Lanoxin);

· a diuretic (water pill);

· insulin or an oral diabetes medication;

· isoniazid (for treating tuberculosis);

· rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin);

· an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), or telithromycin (Ketek);

· an antifungal medicine such as itraconazole (Sporanox), ketoconazole (Nizoral), or voriconazole (Vfend);

· aspirin or another NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), etodolac (Lodine), indomethacin (Indocin), piroxicam (Feldene), and others;

· heart or blood pressure medicine such as diltiazem (Cartia, Cardizem), quinidine (Quin-G), or verapamil (Calan, Covera, Isoptin, Verelan);

· HIV/AIDS medication such as atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva), fosamprenavir (Lexiva), indinavir (Crixivan), nevirapine (Viramune), saquinavir (Invirase, Fortovase), ritonavir (Norvir, Kaletra), and others;

· medications to treat dementia, such as donepezil (Aricept), rivastigmine (Exelon), galantamine (Razadyne), tacrine (Cognex); or

· seizure medicine such as carbamazepine (Carbatrol, Tegretol), phenobarbital (Solfoton), phenytoin (Dilantin), and others.

• This list is not complete and there are much another drugs that can interact with triamcinolone. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor. Hold a list of all your medicines and show it to any healthcare provider who treats you.

Where can I get more information?

• Your doctor can provide more information about triamcinolone ophthalmic.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

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