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All about: Kenalog Suspension

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Generic Name: Triamcinolone 10 mg/mL Injection Suspension (TRYE-am-SIN-oh-lone)
Brand Name: Kenalog-10

Kenalog Suspension is used for:

Treating inflammation in a number of different disorders, such as arthritis, bursitis, or tendonitis. It may also be used for other conditions as determined by your doctor.

Kenalog Suspension is a corticosteroid. The precise way it works to decrease irritation and swelling is not known, but it has a wide range of effects at the cell level. This relieves the discomfort caused by inflammation.

Do NOT use Kenalog Suspension if:

  • you are allergic to any ingredient in Kenalog Suspension
  • you have a systemic fungal infection or a malaria infection in the brain
  • you are using Kenalog Suspension as an intramuscular injection to treat a certain bleeding disorder (idiopathic thrombocytopenic purpura)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Kenalog Suspension:

Some medical conditions may interact with Kenalog Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a bacterial or fungal infection; a viral infection (eg, chickenpox, shingles); measles; tuberculosis (TB); a parasitic, amebae, or worm infection; or a herpes infection of the eye
  • if you have unexplained diarrhea, inflammation of the esophagus, ulcers, colitis, stomach or bowel problems (eg, inflammation, blockage, perforation), or recent stomach or bowel surgery
  • if you have a history of heart problems (eg, congestive heart failure), recent heart attack, high blood pressure, blood clotting problems, diabetes, cataracts, glaucoma, increased eye pressure, kidney problems, liver problems (eg, cirrhosis), mood or mental problems, a seizure disorder (eg, epilepsy), thyroid problems, or weak or brittle bones (osteoporosis)
  • if you have had joint surgery or a positive TB skin test, or if you have recently had a vaccination
  • if you have myasthenia gravis and take anticholinesterases (eg, pyridostigmine)

Some MEDICINES MAY INTERACT with Kenalog Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Amphotericin B, digoxin, or diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium and heart problems (eg, enlarged heart, irregular heartbeat, heart failure) may be increased
  • Cyclosporine because the risk of seizures may be increased
  • Anticoagulants (eg, warfarin) because an increase or decrease of their effects may occur
  • Azole antifungals (eg, itraconazole, ketoconazole), estrogens, hormonal contraceptives (birth control pills), or macrolide antibiotics (eg, clarithromycin) because they may increase the risk of Kenalog Suspension's side effects
  • Barbiturates (eg, phenobarbital), carbamazepine, cholestyramine, hydantoins (eg, phenytoin), or rifampin because they may decrease Kenalog Suspension's effectiveness
  • Aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or ritodrine because the risk of their side effects may be increased by Kenalog Suspension
  • Anticholinesterases (eg, pyridostigmine) or isoniazid because their effectiveness may be decreased by Kenalog Suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if Kenalog Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Kenalog Suspension:

Use Kenalog Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Kenalog Suspension is usually given as an injection at your doctors office, hospital, or clinic. If you will be using Kenalog Suspension at home, a health care provider will teach you how to use it. Be sure you understand how to use Kenalog Suspension. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
  • Kenalog Suspension is only for injection into the skin or a joint. Do not inject Kenalog Suspension into a vein, an infected or unstable joint, or an infected area of the skin.
  • Do not use Kenalog Suspension if it is discolored, or if the vial is cracked or damaged.
  • Shake well before using a dose.
  • Your doctor may change your prescription to medicine you take by mouth. If this occurs, be sure that you understand the dosing schedule and follow it exactly.
  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
  • If you miss a dose of Kenalog Suspension, contact your doctor right away.

Ask your health care provider any questions you may have about how to use Kenalog Suspension.

Important safety information:

  • Kenalog Suspension may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections or to anyone who has tuberculosis TB.
  • If you are on long-term therapy, you may have withdrawal symptoms if you suddenly stop using Kenalog Suspension. Contact your doctor right away if you have muscle and joint pain, exhaustion, or depression. Do not suddenly stop using Kenalog Suspension or change your dose without talking with your doctor or pharmacist.
  • If you are on long-term therapy, contact your doctor right away in the event of situations of physical stress (eg, injury, surgery, infection, or loss of blood electrolytes). You may need additional fast-acting steroids to help the body handle these situations.
  • Tell your doctor or dentist that you take Kenalog Suspension before you receive any medical or dental care, emergency care, or surgery.
  • Kenalog Suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Kenalog Suspension for a few days before the tests.
  • Do not receive a live vaccine (eg, measles, mumps) while you are using Kenalog Suspension. Talk with your doctor before you receive any vaccine.
  • Kenalog Suspension has benzyl alcohol in it. Do not use it in NEWBORNS. It may cause serious and sometimes fatal nervous system problems and other side effects.
  • Lab tests, including blood pressure checks, bone density, and eye exams, may be performed while you use Kenalog Suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Diabetes patients - Kenalog Suspension may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Kenalog Suspension.
  • Caution is advised when using Kenalog Suspension in CHILDREN; they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Kenalog Suspension while you are pregnant. It is not known if Kenalog Suspension is found in breast milk. If you are or will be breast-feeding while you use Kenalog Suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Kenalog Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Acne; changes in appetite; constipation; diarrhea; difficulty sleeping; headache; heartburn; nausea; restlessness; sweating; trouble sleeping; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; hoarseness; tightness in the chest; swelling of the mouth, face, hands, legs, eyes, throat, lips, or tongue); depression; fainting; fast, slow, or irregular heartbeat; joint stiffness; mood or mental changes; muscle pain or weakness; numbness or tingling in the hands or feet; pain, redness, swelling, or other skin problems at the injection site; personality changes; seizures; shortness of breath; signs of infection (eg, fever, chills, or sore throat); slow wound healing; swelling of the ankles, hands, legs, or feet; vision changes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center ( http://www.aapcc.org/findyour.htm), or emergency room immediately.

Proper storage of Kenalog Suspension:

Store Kenalog Suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, light, and moisture. Do not freeze. Keep Kenalog Suspension, as well as syringes and needles, out of the reach of children and away from pets.

General information:

  • If you have any questions about Kenalog Suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Kenalog Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Kenalog Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: September 5, 2007
Database Edition 07.3.1.003
Copyright © 2007 Wolters Kluwer Health, Inc.

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