Triamcinolone Intranasal

Triamcinolone Intranasal is an over-the-counter (OTC) medication used to treat allergic rhinitis. 

• Triamcinolone Intranasal is available under various brand names: Nasacort Allergy 24HR

Common side effects of Triamcinolone Intranasal include:

• sneezing after the use of the medicine, and
• mild stinging or burning in the nose

Serious side effects of Triamcinolone Intranasal include:

• fever,
• chills,
• body aches,
• flu symptoms,
• nosebleeds,
• blurry vision,
• tunnel vision,
• eye pain, and
• seeing halos around lights

Rare side effects of Triamcinolone Intranasal include:

• none

Seek medical care or call 911 at once if you have the following serious side effects:

• Severe headache, confusion, slurred speech, arm or leg weakness, trouble walking, loss of coordination, feeling unsteady, very stiff muscles, high fever, profuse sweating, or tremors;
• Serious eye symptoms such as sudden vision loss, blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
• Serious heart symptoms include fast, irregular, or pounding heartbeats; fluttering in the chest; shortness of breath; sudden dizziness, lightheadedness, or passing out.

This is not a complete list of side effects and other serious side effects or health problems that may occur because of the use of this drug. Call your doctor for medical advice about serious side effects or adverse reactions. You may report side effects or health problems to FDA at 1-800-FDA-1088.

Adult and pediatric dosage

Nasal spray

• 55 mcg/spray
• Note: Nasacort AQ (Rx) was phased out and replaced by Nasacort Allergy 24HR (OTC) in the spring 2014

Allergic Rhinitis

Adult dosage

• 2 sprays/nostril every day (220 mcg/day); not to exceed 220 mcg/day

Pediatric dosage

• Aged below 2 years: Safety and efficacy not established
• 2-6 years: 1 spray/nostril every day (110 mcg/day); not to exceed 110 mcg/day
• 6-12 years: 1 spray/nostril qDay; may increase to 2 sprays/nostril every day (110 mcg/day); if inadequate response, may increase to 2 sprays/nostril every day (ie, 220 mcg/day); not to exceed 220 mcg/day
• Aged above 12 years: 2 sprays/nostril every day (220 mcg/day); not to exceed 220 mcg/day

Dosage Considerations – Should be Given as Follows: 

• See “Dosages”

If your medical doctor is using this medicine to treat your pain, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider, or pharmacist first.

• Triamcinolone Intranasal has no noted severe interactions with any other drugs.
• Triamcinolone Intranasal has no noted serious interactions with any other drugs.
• Triamcinolone Intranasal has no noted moderate interactions with any other drugs.
• Triamcinolone Intranasal has no noted minor interactions with any other drugs.

This information does not contain all possible interactions or adverse effects. Visit the RxList Drug Interaction Checker for any drug interactions. Therefore, before using this product, tell your doctor or pharmacist about all your products. Keep a list of all your medications with you and share this information with your doctor and pharmacist. Check with your healthcare professional or doctor for additional medical advice, or if you have health questions or concerns.

Contraindications

• Hypersensitivity

Effects of drug abuse

• None

Short-Term Effects

• See “What Are Side Effects Associated with Using Triamcinolone Intranasal?”

Long-Term Effects

• See “What Are Side Effects Associated with Using Triamcinolone Intranasal?”

Cautions

• Delay initiation of treatment in patients with recent nasal surgery, nasal trauma, and nasal septum ulcers (until healing has occurred)
• Prolonged use may increase the incidence of secondary infection
• Monitor for vision change, or with a history of increased IOP, glaucoma, or cataracts
• Potential worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or ocular herpes simplex
• More serious or fatal course of chickenpox or measles in susceptible patients
• Risk for hypercorticism and adrenal suppression with higher than normal doses
• Potential reduction of growth velocity in children

Pregnancy & Lactation

• Use with caution if benefits outweigh risks during pregnancy
• Lactation
  • Unknown whether distributed in breast milk; exercise caution