Triesence

Generic name: Triamcinolone (intravitreal)
Drug class: Ophthalmic steroids

Usage of Triesence

Triesence contains triamcinolone, a corticosteroid. It prevents the release of substances in the body that cause inflammation.

Triesence is injected into the eye to treat inflammation caused by disease or injury. It is usually given after steroid eye drops have been used without successful treatment of symptoms.

Triesence is also used during a certain type of eye surgery (vitrectomy).

Triesence side effects

Get emergency medical help if you have signs of an allergic reaction to Triesence: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

signs of eye infection - swelling, redness, severe discomfort, crusting or drainage;

blurred vision, tunnel vision, eye pain, or seeing halos around lights;

unusual changes in mood or behavior;

swelling, rapid weight gain, feeling short of breath;

muscle pain or weakness;

large red or purple spots on your skin;

any wound that will not heal;

increased thirst or urination;

severe stomach pain, bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;

low potassium - leg cramps, constipation, irregular heartbeats, fluttering in your chest, numbness or tingling, limp feeling; or

signs of low adrenal gland hormones - flu-like symptoms, headache, weakness, tiredness, diarrhea, vomiting, craving salty foods, and feeling light-headed.

Triamcinolone can affect growth in children. Tell your doctor if your child is not growing at a normal rate while receiving this medicine.

Common Triesence side effects may include:

blurred vision; or

increased appetite.

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

Before taking Triesence

You should not be treated with Triesence if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body.

Tell your doctor if you have ever had:

any type of bacterial, fungal, or viral infection;

a parasite infection;

tuberculosis;

herpes infection of your eye;

cataracts or glaucoma;

a thyroid disorder;

high blood pressure, heart failure, or heart attack;

diabetes;

osteoporosis, or low bone mineral density;

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

a muscle disorder such as myasthenia gravis.

Do not use Triesence if you are pregnant. It could harm the unborn baby or cause birth defects. Use effective birth control to prevent pregnancy while you are receiving this medicine.

It may not be safe to breast-feed a baby while you are using this medicine. Ask your doctor about any risks.

Relate drugs

How to use Triesence

Usual Adult Dose of Triesence for Uveitis:

4 mg (100 microliters of 40 mg/mL suspension) with subsequent dosage as needed over the course of treatment Comments: -Strict aseptic technique is mandatory. -The vial should be vigorously shaken for 10 seconds before use. -Prior to withdrawal, the suspension should be inspected for clumping or granular appearance (agglomeration). -After withdrawal, the suspension should be injected without delay. -Careful technique should be employed to avoid the possibility of entering a blood vessel or introducing organisms that can cause infection. Uses: -Treatment of sympathetic ophthalmia -Treatment of temporal arteritis -Treatment of uveitis -Treatment of ocular inflammatory conditions unresponsive to topical

Usual Adult Dose of Triesence for Temporal Arteritis:

Usual Adult Dose of Triesence for Vitrectomy:

1 to 4 mg (25 to 100 microliters of 40 mg/mL suspension) administered intravitreally Comments: -Strict aseptic technique is mandatory. -The vial should be vigorously shaken for 10 seconds before use. -Prior to withdrawal, the suspension should be inspected for clumping or granular appearance (agglomeration). -After withdrawal, the suspension should be injected without delay. -Careful technique should be employed to avoid the possibility of entering a blood vessel or introducing organisms that can cause infection. Use: Visualization during vitrectomy

Warnings

You should not receive Triesence if you are allergic to triamcinolone, or if you have a fungal infection anywhere in your body. Do not use Triesence without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

Before receiving Triesence, tell your doctor if you have any type of bacterial, fungal, or viral infection (including tuberculosis). Also tell your doctor if you have cataracts or glaucoma, herpes infection of your eye, diabetes, high blood pressure, congestive heart failure, a thyroid disorder, myasthenia gravis, a stomach or intestinal disorder, or a history of recent heart attack.

Before you receive any vaccine, talk with the doctor who is treating you with Triesence. Some vaccines may not work as well or could cause harmful side effects during treatment with steroid medicine.

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

There are many other medicines that can interact with Triesence. Tell your doctor about all the prescription and over-the-counter medications you use. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

What other drugs will affect Triesence

Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.

Tell your doctor about all your current medicines. Many drugs can affect triamcinolone, especially:

a diuretic or "water pill";

insulin or oral diabetes medicine;

birth control pills or hormone replacement therapy;

medicine to treat any type of infection;

a blood thinner - warfarin, Coumadin, Jantoven; or

NSAIDs (nonsteroidal anti-inflammatory drugs) - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete and many other drugs may interact with triamcinolone. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Disclaimer

Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.