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Triamcinolone Nasal Spray

pronounced as(trye" am sin' oh lone)

Why is this medication prescribed?

Triamcinolone nasal spray is used to relieve sneezing and stuffed, runny, or itchy nose caused by hay fever or other allergies in adults and children 2 years of age and older. Triamcinolone nasal spray should not be used to treat sneezing, stuffed, runny, or itchy nose caused by the common cold. Triamcinolone is in a class of medications called corticosteroids. It works by blocking the release of certain natural substances that cause allergy symptoms.

How should this medicine be used?

Triamcinolone comes as a liquid to spray in the nose. It is usually sprayed in each nostril once daily. Follow the directions on the package label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use triamcinolone spray exactly as directed. Do not use more or less of it or use it more often than directed on the label.

An adult should help children under 12 years old to use triamcinolone nasal spray. Children younger than 2 years of age should not use this medication.

Triamcinolone nasal spray is only for use in the nose. Do not swallow the nasal spray and be careful not to spray it in your eyes. If you accidentally get triamcinolone nasal spray in your eyes, rinse your eyes well with water.

If you are an adult, you will begin your treatment with a higher dose of triamcinolone nasal spray and then decrease your dose when your symptoms improve. If you are giving triamcinolone nasal spray to a child, you will begin treatment with a lower dose of the medication and increase the dose if the child's symptoms do not improve. You will decrease the dose when the child's symptoms improve. Follow the directions on the package label carefully and ask your doctor or pharmacist if you have any questions.

Your symptoms may improve on the day that you begin using triamcinolone nasal spray, but it may take up to 1 week of daily use before you feel the full benefit of this medication. Stop using triamcinolone nasal spray and call your doctor if your symptoms do not get better after you use triamcinolone nasal spray daily for 1 week.

Before you use triamcinolone nasal spray the first time, read the written instructions that come with it. Ask your doctor or pharmacist if you do not understand the instructions or have questions about the proper way to use the nasal spray.

Each bottle of triamcinolone nasal spray should only be used by one person. Do not share triamcinolone nasal spray because this may spread germs.

Triamcinolone nasal spray is available in bottles that are designed to provide 60 sprays and in bottles that are designed to provide 120 sprays. The bottle might not be empty after the marked number of sprays has been used, but after this point, each spray might not contain the correct amount of medication. You should keep track of the number of sprays you have used and throw away the bottle after you have used the marked number of sprays even if it still contains some liquid.

To use the nasal spray, follow these steps:

  1. If you are using the pump for the first time or have not used it for 2 weeks or longer, you must prime it by following steps 2 to 3 below. If you have used the pump in the past 2 weeks, skip to step 4.

  2. Remove the cap from the bottle and shake the bottle gently.

  3. Press and release the nozzle until you see a fine spray. You may need to press the nozzle several times before you see the spray. Be careful not to spray the medication in your face.

  4. Gently blow your nose until your nostrils are clear.

  5. Remove the bottle cap and gently shake the bottle.

  6. Hold the pump with the applicator between your forefinger and middle finger and the bottom resting on your thumb.

  7. Press one finger on the other hand against the side of one of your nostrils to hold it closed.

  8. Put the spray tip into your other nostril. Aim the tip toward the back of your nose, but do not push the tip deep into your nose. Do not point the tip toward your nasal septum (divider between your nostrils).

  9. Sniff gently. While you are sniffing, use your forefinger and middle finger to press firmly down on the applicator and release a spray.

  10. If you are using 2 sprays, repeat steps 6 to 9.

  11. Repeat steps 6 to 10 in the other nostril.

  12. Do not blow your nose for 15 minutes after using the spray.

  13. Wipe the applicator with a clean tissue and cover it with the dust cover.

  14. If your bottle will not spray, the nozzle may be blocked. Do not try to remove the blockage with a sharp object. Instead, remove the spray nozzle from the bottle and rinse the nozzle under warm water. Shake the nozzle to remove excess water and replace it on the bottle. Then press down on the nozzle until you see a fine mist. Be careful not to spray the medication in your face.

Other uses for this medicine

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This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

What special precautions should I follow?

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Before using triamcinolone nasal spray,

  • tell your doctor and pharmacist if you are allergic to triamcinolone, any other medications, or any of the ingredients in triamcinolone nasal spray. Check the package label for a list of the ingredients.
  • tell your doctor and pharmacist if you are using steroid medications for asthma, allergies, or a rash.
  • tell your doctor if you have tuberculosis (TB; a type of lung infection), chicken pox, or measles, or if you have been around someone who has one of these conditions. Also tell your doctor if you have an eye infection or any other type of infection or if you have or have ever had cataracts (clouding of the lens of the eye) or glaucoma (an eye disease). Also tell your doctor if you have recently had surgery on your nose, or injured your nose in any way or if you have sores in your nose.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using triamcinolone nasal spray, call your doctor.

What special dietary instructions should I follow?

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Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose?

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Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.

What side effects can this medication cause?

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Triamcinolone nasal spray may cause side effects. Tell your doctor if either of these symptoms is severe or does not go away:

  • headache

  • sore throat

Some side effects can be serious. If you experience any of these symptoms, stop using triamcinolone nasal spray and call your doctor:

  • vision problems

  • fever, sore throat, chills, cough, and other signs of infection

  • severe or frequent nosebleeds

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at] or by phone [1-800-332-1088].

You should know that this medication may cause children to grow more slowly. Talk to your child's doctor if your child needs to use this medication for more than 2 months per year.

Triamcinolone may cause other side effects. Call your doctor if you have any unusual problems while using this medication.

What should I know about storage and disposal of this medication?

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Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose

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If someone swallows triamcinolone nasal spray, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

What other information should I know?

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Ask your pharmacist any questions you have about triamcinolone nasal spray.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Brand names

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  • Nasacort Allergy 24HR®
  • Nasacort® AQ Nasal Spray®

Last Revised - 04/15/2014

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AHFS® Consumer Medication Information. © Copyright, 2015. The American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.