Nasacort (Triamcinolone Acetonide)

(trye'' am sin' oh lone)

Triamcinolone nasal spray is used to relieve sneezing, runny, stuffy, or itchy nose and itchy, watery eyes caused by hay fever or other allergies. Triamcinolone nasal spray should not be used to treat symptoms (e.g., sneezing, stuffy, 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.

Triamcinolone comes as a liquid (prescription and nonprescription) to spray in the nose. It is usually sprayed in each nostril once daily. 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, treatment will begin with a lower dose of the medication and then the dose may increase 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 or product label carefully and ask your doctor or pharmacist if you have any questions. Use triamcinolone spray exactly as directed. Do not use more or less of it or use it more often than directed on the package label or prescribed by your doctor. 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. 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 controls the symptoms of hay fever and allergies but does not cure these conditions. 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. If you use the prescription triamcinolone nasal spray daily and your symptoms do not improve after 3 weeks, call your doctor. If you use the nonprescription triamcinolone nasal spray daily and your symptoms do not improve after 1 week, call your doctor. Triamcinolone nasal spray is designed to provide a certain number of sprays. After the marked number of sprays have been used, the remaining sprays in the bottle might not contain the correct amount of medication. You should keep track of the number of sprays you have used and dispose of 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:

• Remove the cap from the bottle and shake the bottle gently.
• If you are using the pump for the first time you must prime the pump. Press and release the nozzle to release 5 sprays into the air away from the face. If you have not used it for 2 weeks or longer, press and release 1 spray into the air away from the face.
• Gently blow your nose until your nostrils are clear. A small child may need help to gently blow his or her nose.
• Remove the bottle cap and gently shake the bottle.
• Hold the pump with the applicator between your forefinger and middle finger and the bottom resting on your thumb.
• Press one finger on the other hand against the side of one of your nostrils to hold it closed.
• 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).
• Sniff gently. While you are sniffing, use your forefinger and middle finger to press firmly down on the applicator and release a spray.
• If you are using 2 sprays, repeat steps 6 to 8.
• Repeat steps 6 to 8 in the other nostril.
• Do not blow your nose for 15 minutes after using the spray.
• Wipe the applicator with a clean tissue and cover it with the cap.

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 a herpes infection of the eye (an infection that causes a sore on the eyelid or eye surface), any other type of infection, 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.

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

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.

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

• headache
• heartburn
• diarrhea
• stomach pain
• teeth problems

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

You should know that this medication may cause children to grow 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.

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). It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

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.

You will need to clean your triamcinolone nasal spray applicator periodically. You will need to remove the cap and then pull on the applicator to remove it from the bottle. Soak the cap and spray nozzle in warm water for a few minutes, and then rinse under cold water. Shake or tap off the excess water and allow to air dry. Once the cap and spray nozzle are dry, put the nozzle back onto the bottle. Press and release the nozzle until you see a fine spray. If your bottle will not spray, the nozzle may be blocked. Do use pins or other sharp objects to try to remove the blockage with. Instead, clean the spray applicator as directed. 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. ¶ This branded product is no longer on the market. Generic alternatives may be available.