TRIAMCINILONE

(Aristocort, Aristospan, Kenalog, Triaderm)

Standard Prescription

triamcinolone cream/ointment: apply thinly to affected area(s)__(frequency)

triamcinolone in Orabase: Apply small dab to oral
lesion__(frequency)

triamcinolone hexacetonide__mg Intra-articular x 1 dose

triamcinolone acetonide__mg Intra-articular x 1 dose

triamcinolone acetonide__mg/mL: Inject__mg intralesional x 1 dose

Dosages

Topically:
Apply a thin layer of cream or ointment BID-TID.

Triamcinolone in Orabase:
Press a small dab (about 6 mm) to oral lesion until a thin film develops; do not rub in. May be applied OD-TID, depending on the severity of symptoms.

Intra-articular:
Use hexacetonide (Aristospan) or acetonide.
Large Joints: 40 mg (2 mL)
Small Joints: 5-20 mg (0.25-1 mL)

Intralesional:
Use 5 mg/mL or 10 mg/mL dilution of acetonide (Kenalog). Amount injected depends on size of lesion.

Mechanism of Action

Synthetic corticosteroid with anti-inflammatory, antipruritic and antiallergic properties

Forms Supplied

cream: 0.1%
ointment: 0.1%
in orabase: 0.1%
injection: 10 mg/mL (acetonide [Kenalog-10]); 20 mg/mL (hexacetonide [Aristospan]); 40 mg/mL (acetonide [Kenalog-40])

Comments

Injectable forms are not for IV use.

Use acetonide for small joints due to risk of subcutaneous atrophy with hexacetonide.

References

32, 44

Last Edited

2019-08-30 20:16:21