![]() ![]() Mild disease: Triamcinolone 0.025% (ointment, cream, lotion) or 0.1% (lotion): Topical: Apply once or twice daily to affected areas for 2 to 4 weeks (Buys 2007 Weston 2019). Triamcinolone 0.1% (oral/dental paste): Topical: Apply a small amount to the lesion 2 to 4 times daily until healed do not rinse afterwards and avoid eating or drinking for 30 minutes after application (Altenburg 2014 McBride 2000 Taylor 2014).Ītopic dermatitis (eczema): Note: Concurrent use of emollients (applied liberally) is recommended. Conversely, a shorter course may be sufficient depending upon response and when used for minor self-limiting skin conditions (Drake 1996 Goldstein 2019 Tadicherla 2009).Īphthous stomatitis (recurrent), mild to moderate: Note: Initiate at first indication of an outbreak. Treatment courses of ~2 weeks are common however, longer courses of treatment or repeated intermittent courses can be appropriate, particularly when prescribed under the guidance of a dermatologist. Vehicle:Optimal response depends on choosing a vehicle that is appropriate for body location and lesion characteristics, as well as consideration of patient preference.įrequency of application: Corticosteroid-responsive dermatoses: Usual: Once or twice daily.ĭuration of therapy: Corticosteroid-responsive dermatoses: Topical corticosteroids are generally well tolerated when used appropriately. However, use of higher-potency agents in these areas can be appropriate for certain indications when prescribed under the guidance of a dermatologist. In the management of corticosteroid-responsive dermatoses, lower-potency agents are often preferred for sites at increased risk for corticosteroid-induced skin atrophy (eg, face, intertriginous areas). Potency according to the US Classification System:Īerosol spray (delivering ~0.2 mg per 2-second spray): Medium (group 4)Ĭream, ointment, oral/dental paste: 0.1%: Medium (group 4) Table has been converted to the following text. Potency (According to the US Classification System) Potency of Topical Triamcinolone Products 1 Vehicle, concentration, site of application, use of occlusive dressings, and other factors can alter potency: In general, start with the lowest-potency agent appropriate for the condition severity and application site. Potency: The potency classifications of topical triamcinolone products are provided in the table. Oral topical formulations only: Fungal, viral, or bacterial infections of the mouth or throat Dosage and Administration Dosing: Adult Hypersensitivity to triamcinolone or any component of the formulation Use: Off LabelĬlinical experience suggests the utility of topical triamcinolone (a mid- or high-potency formulation) in the management of stasis dermatitis Fransway 2019. Urine (40%) feces (60%, some via biliary excretion) Half-Life Eliminationīiologic: 18 to 36 hours Use: Labeled IndicationsĪphthous stomatitis: Oral/dental paste: Adjunctive treatment and temporary relief of symptoms associated with oral inflammatory and ulcerative lesions resulting from trauma.Ĭorticosteroid-responsive dermatoses (eg, atopic dermatitis, contact dermatitis, vulvar dermatitis, psoriasis, seborrheic dermatitis): Topical: Relief of inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. The extent is dependent on several factors, including epidermal integrity (intact vs abraded skin), formulation, and the use of occlusive dressings. Topical corticosteroids are absorbed percutaneously. Pharmacokinetics/Pharmacodynamics Absorption Triamcinolone has intermediate to high range potency (dosage-form dependent). May depress the formation, release, and activity of endogenous chemical mediators of inflammation (kinins, histamine, liposomal enzymes, prostaglandins) through the induction of phospholipase A 2 inhibitory proteins (lipocortins) and sequential inhibition of the release of arachidonic acid. Topical corticosteroids have anti-inflammatory, antipruritic, and vasoconstrictive properties. = Discontinued productĪerosol Solution, External, as acetonide: Excipient information presented when available (limited, particularly for generics) consult specific product labeling. ![]()
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