Triamcinolone Acetonide Tablets
Triamcinolone acetonide is a highly potent steroid effective in the treatment of inflammation and related disorders in dogs, cats and horses. It may be prescribed for the management and treatment of acute arthritis as well as for some allergy and skin conditions (eg. atopy). Triamcinolone acetonide is available in several different concentrations of tablets or as an injection (given at your veterinary clinic).
WHAT IS THIS DRUG?
- An anti-inflammatory drug
- A synthetic glucocorticoid; a steroid
- Registered for use in animals, available by prescription only from your veterinarian
- Available as an injection or as oral tablets (topical cream and sprays, as well)
REASONS FOR PRESCRIBING:
- Used in dogs, cats and horses to treat many different conditions, including endocrine disorders
- May also be used to treat immune and allergic disorders including allergic reactions, asthma, colitis, lupus, gout, bursitis, and various skin reactions
- The injection provides rapid relief from pain and reduces swelling/inflammation
Read and follow the label carefully.
Inflammation and related disorders: Depending upon your animal’s condition, Triamcinolone acetonide injection may be given in the muscle or in the joint. Typically, the patient will show improved movement and will experience decreased pain within 24 hours.
Allergic and skin conditions: An injection given into the muscle, or under the skin may give quick and prolonged relief of allergy symptoms (conjunctivitis, insect bite reactions, various skin conditions). Swelling, itching and associated discomfort will ease, usually within 24 hours. Often one injection is all that is necessary, but repeated treatments may be given if necessary.
An intralesional injection may be effective for moist eczema and a few other skin conditions in small animals. Usually a single injection is enough to cause remission or elimination of the lesion within a 1-2 week period.
Tablets/oral therapy: Individualization of dose is key to successful Triamcinolone acetonide therapy. This will depend upon the severity of the condition, the expected duration of steroid therapy and your animal’s tolerance for steroid excess. Ideally, therapy should achieve control of symptoms with a minimum effective dose. Typically, an initial dose regime will be given to suppress symptoms, usually for no longer than 14 days. If you don’t see satisfactory improvement in this time, re-evaluation of the original diagnosis and treatment may be necessary. When a satisfactory response is reached, the daily dose will be gradually reduced, either to termination of treatment in acute cases, or to the lowest effective maintenance dose for chronic conditions. It is important that you complete the prescription unless specifically directed by your veterinarian. This is important to prevent relapse and to minimize unwanted side effects.
Give the exact amount prescribed and only as often as directed. Ideally, give the medication at the same time daily.
Triamcinolone acetonide may be given with food to reduce gastrointestinal side effects.
Ensure your pet has fresh, clean drinking water at all times.
Call ahead for refills.
WHAT IF A DOSE IS MISSED?If a dose is missed, give it as soon as you can. If it is time already for the next dose, skip the missed dose and go back to the normal schedule.
What to tell/ask veterinarian before giving medication? Talk to your veterinarian about:
- When will your pet need to be rechecked
- What tests may need to be performed prior to and during treatment with this drug
- What are the risks and benefits of using this drug
- If your pet has experienced side-effects on other drugs/products
- If your pet has experienced digestive upset now or ever
- If your pet has experienced liver or kidney disease now or ever
- If your pet has experienced any other medical problems or allergies now or ever
- All medicines and supplements that you are giving your pet or plan to give your pet, including those you can get without a prescription. Your veterinarian may want to check that all of your pet's medicines can be given together.
- If your pet is pregnant or nursing or if you plan to breed your pet
STORAGE AND WARNINGS:
Store in a tight, light resistant, childproof container in a cool, dry place at room temperature away from heat and direct sunlight.
Keep this and all medication out of reach of children and pets.
Not for use in horses intended for food.
Not for human use. Call your physician immediately if you accidentally take this product.
POTENTIAL SIDE EFFECTS:
- When used under the direction of a veterinarian, Triamcinolone acetonide is generally considered safe and useful, however it can cause some side effects, as discussed below
- Allergy symptoms to this medication include: facial swelling, hives, difficulty breathing, swelling of the lips, tongue or face. Discontinue treatment and contact your veterinarian.
- Possible weight loss, vomiting, depression, lethargy, panting, anorexia and diarrhea (possibly bloody)
- Reports of diabetes mellitus or Cushing’s disease in dogs who have received prolonged or repeated steroid therapy
- Due to the anti-inflammatory action of Triamcinolone acetonide, signs of infection may be hidden. Treatment may need to be halted until a diagnosis is made.
- Pain and other local effects may occur after an injection into the joint. If your pet’s condition seems to worsen after the injection (ie. there is a marked increase in pain, accompanied with swelling, fever and malaise), the joint may have become infected necessitating antimicrobial therapy.
- At high doses or frequent administration, increased thirst and urination and appetite may occur. This can be minimized by giving as brief a course of therapy as possible and also by waiting for symptoms to reappear before repeating therapy. If your animal experiences increased thirst or urination, discontinue therapy until these unwanted effects have ended; therapy should be resumed as instructed by your veterinarian, at a lower dosage level.
- If you notice any of the above symptoms or anything else unusual, contact your veterinarian
CAN THIS DRUG BE GIVEN WITH OTHER DRUGS?
- Yes, but possible interactions may occur with anti-seizure medications, some diuretics, insulin, NSAIDs or other steroids, or with over-the-counter or prescription products. Let your veterinarian know what products you give your animal.
- Pets undergoing Triamcinolone acetonide treatment should not be vaccinated as this can reduce the response to the vaccine
- If your pet experiences any unusual reactions when taking multiple medications, contact your veterinarian.
Contact your veterinarian immediately if your animal receives more than the prescribed amount. Overdosage of some steroids may result in sodium and/or fluid retention, potassium loss and weight gains.
WHAT ANIMALS SHOULD NOT TAKE THIS MEDICATION?
- Pregnant or nursing animals
- Horses with laminitis
- Animals with fungal or viral infections
- Animals with infections unless antimicrobial (antibiotics) therapy is also given
- Animals about to go to surgery, as it can delay wound healing
- Animals with glaucoma, tuberculosis, Cushing’s disease, stomach ulcers, osteoporosis, hypothyroidism, diabetes mellitus, corneal ulcers, heart and kidney disease
- If your animal has had an allergic reaction to Triamcinolone acetonide or other glucocorticoids
WHAT ELSE SHOULD I KNOW?
Notify your veterinarian if your animal's condition does not improve or worsens despite this treatment.
As with all prescribed medicines, Triamcinolone acetonide should only be given to the pet for which it was prescribed. It should be given only for the condition for which it was prescribed.
This is just a summary of information about Triamcinolone acetonide. If you have any questions or concerns about Triamcinolone acetonide or for the condition it was prescribed, contact your veterinarian.