homatropine ophthalmic

Generic Name: homatropine ophthalmic (hoe ma TROE peen)

Brand Names: Isopto Homatropine

What is homatropine ophthalmic?

Homatropine ophthalmic causes the muscles in your eye to become relaxed. This widens your pupil. Your pupil will remain wide and will not respond to light.

Homatropine ophthalmic is used to dilate (widen) your pupil when you have an inflammatory condition or in diagnostic or postsurgery situations in which this effect may be helpful.

Homatropine ophthalmic may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about homatropine ophthalmic?

Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye.

Apply light pressure to the inside corner of your eye (near your nose) for 1 to 3 minutes after each drop to prevent the medicine from draining down your tear duct.

Use caution when driving, operating machinery, or performing other hazardous activities. Homatropine ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities. The effects of even one drop of this medication can last for up to 3 days. Be sure that your vision is clear before attempting any activity that could be dangerous. Homatropine ophthalmic may make your eyes more sensitive to light. Protect your eyes when you are going to be in bright light.

Who should not use homatropine ophthalmic?

Do not use homatropine ophthalmic if you have glaucoma that is not being treated.

Homatropine ophthalmic eye drops contain a preservative (benzalkonium chloride), so do not wear soft contact lenses when the eye drops are being inserted.

Homatropine ophthalmic is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not use homatropine ophthalmic without first talking to your doctor if you are pregnant. Homatropine ophthalmic passes into breast milk in small quantities. Its effects on a nursing baby are unknown. Do not use homatropine ophthalmic without first talking to your doctor if you are breast-feeding a baby. If you are over 65 years of age, there is a greater chance that you have increased pressure in your eyes. Homatropine ophthalmic may worsen this condition. Your doctor will need to monitor this. Homatropine ophthalmic may cause unusual reactions in children and infants since they may be more susceptible to the side effects. Use extra caution when homatropine ophthalmic is being used on a child.

How should I use homatropine ophthalmic?

Use homatropine ophthalmic eye drops exactly as directed by your doctor. If you do not understand these instructions, ask your doctor, pharmacist, or nurse to explain them to you.

Wash your hands before and after using your eye drops.

To apply the eye drops:

• 
  

  Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for 1 to 3 minutes to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye or drops in both eyes, repeat the process with about 5 minutes between drops.

  
  

Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye. Do not use any eye drop that is discolored or has particles in it. Store homatropine ophthalmic at room temperature away from moisture and heat. Keep the bottle properly capped.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

Flush the eye with water and seek emergency medical attention.

Symptoms of a homatropine ophthalmic overdose include headache, fast heartbeat, dry mouth and skin, unusual drowsiness, and flushing.

What should I avoid while using homatropine ophthalmic?

Use caution when driving, operating machinery, or performing other hazardous activities. Homatropine ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities. The effects of even one drop of this medication can last for up to 3 days. Be sure that your vision is clear before attempting any activity that could be dangerous. Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye. Homatropine ophthalmic may make your eyes more sensitive to light. Protect your eyes when you are going to be in bright light.

Homatropine ophthalmic eye drops contain a preservative (benzalkonium chloride), so do not wear soft contact lenses when the eye drops are being inserted.

Homatropine ophthalmic side effects

If you experience any of the following serious side effects, stop using homatropine ophthalmic and seek emergency medical attention:

• 
  

  an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

  
  


• 
  

  an irregular or fast heart rate;

  
  


• 
  

  hallucinations or unusual behavior (especially in children); or

  
  


• 
  

  a swollen or distended stomach (in infants).

  
  

Other, less serious side effects may be more likely to occur. Continue to use homatropine ophthalmic and talk to your doctor if you experience

• 
  

  blurred vision,

  
  


• 
  

  sensitivity to sunlight,

  
  


• 
  

  stinging and burning, or

  
  


• 
  

  swelling of the eyelids.

  
  

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

Homatropine ophthalmic Dosing Information

Usual Adult Dose for Refraction:

Instill 1 to 2 drops in the eye once. May repeat in 5 to 10 minutes if necessary. The lacrimal sacs should be compressed by digital pressure for a few minutes after instillation.

Usual Adult Dose for Uveitis:

Instill 1 to 2 drops into the affected eye up to every 3 to 4 hours. The lacrimal sacs should be compressed by digital pressure for a few minutes after instillation.

Usual Pediatric Dose for Refraction:

Only the 2% strength should be used in children:
Instill 1 to 2 drops in the eye once. May repeat in 5 to 10 minutes if necessary. The lacrimal sacs should be compressed by digital pressure for a few minutes after instillation.

Usual Pediatric Dose for Uveitis:

Only the 2% strength should be used in children:
Instill 1 to 2 drops into the affected eye up to every 3 to 4 hours. The lacrimal sacs should be compressed by digital pressure for a few minutes after instillation.

What other drugs will affect homatropine ophthalmic?

Avoid other eye medications unless they are approved by your doctor.

Drugs other than those listed here may also interact with homatropine ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

More homatropine ophthalmic resources

• Homatropine ophthalmic Side Effects (in more detail)
• Homatropine ophthalmic Dosage
• Homatropine ophthalmic Use in Pregnancy & Breastfeeding
• Homatropine ophthalmic Drug Interactions
• Homatropine ophthalmic Support Group
• 0 Reviews for Homatropine - Add your own review/rating

• Isopto Homatropine Advanced Consumer (Micromedex) - Includes Dosage Information


• Isopto Homatropine Drops MedFacts Consumer Leaflet (Wolters Kluwer)

Compare homatropine ophthalmic with other medications

• Refraction, Assessment
• Uveitis

Where can I get more information?

• Your pharmacist has additional information about homatropine ophthalmic written for health professionals that you may read.

See also: homatropine side effects (in more detail)

Hyosyne Elixir

Pronunciation: HYE-oh-SYE-a-meen
Generic Name: Hyoscyamine
Brand Name: Hyosyne

Hyosyne Elixir is used for:

Treating certain stomach, intestinal, and bladder conditions, including spasms. It is used to control stomach secretions and cramps. It is used to relieve the symptoms of colic, runny nose, and Parkinson-like problems. It is used to treat excessive sweating or saliva production. It may also be used for other conditions as determined by your doctor.

Hyosyne Elixir is an anticholinergic agent. It works by decreasing the motion of muscles in the stomach, intestines, and bladder. It also decreases the production of stomach acid.

Do NOT use Hyosyne Elixir if:

• you are allergic to any ingredient in Hyosyne Elixir


• you have severe esophagus problems (eg, irritation, narrowing); a blockage of the stomach, bowel, or bladder; bowel motility problems; or severe bowel problems (eg, severe ulcerative colitis, toxic megacolon)


• you have glaucoma, myasthenia gravis, or heart problems caused by severe bleeding

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

Before using Hyosyne Elixir:

Some medical conditions may interact with Hyosyne Elixir. 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 nerve problems, prostate problems, esophagus problems (eg, reflux), stomach or bowel problems, heart or blood vessel problems (eg, fast or irregular heartbeat, heart failure, coronary heart disease), hiatal hernia, kidney problems, an overactive thyroid, high blood pressure, urinary problems, paralysis, or brain damage, or if you are at risk for glaucoma


• if you have diarrhea or fever, have been very ill, or are in poor health

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

• Amantadine, antihistamines (eg, diphenhydramine), haloperidol, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), other anticholinergics (eg, scopolamine), phenothiazines (eg, thioridazine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Hyosyne Elixir's side effects


• Narcotic pain medicines (eg, codeine) or potassium chloride because the risk of their side effects may be increased by Hyosyne Elixir


• Ketoconazole or metoclopramide because their effectiveness may be decreased by Hyosyne Elixir

This may not be a complete list of all interactions that may occur. Ask your health care provider if Hyosyne Elixir 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 Hyosyne Elixir:

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

• Hyosyne Elixir is usually taken 30 to 60 minutes before a meal. Follow your doctor's instructions for taking Hyosyne Elixir.


• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.


• If you also take antacids, take Hyosyne Elixir before meals and the antacid after meals, unless directed otherwise by your doctor.


• If you miss a dose of Hyosyne Elixir, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Hyosyne Elixir.

Important safety information:

• Hyosyne Elixir may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Hyosyne Elixir with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Hyosyne Elixir; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.


• Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.


• Do not become overheated or dehydrated in hot weather or while you are being active; heatstroke may occur.


• Drink plenty of fluids, maintain good oral hygiene, and suck on sugarless hard candy to relieve dry mouth.


• Proper dental care is important while you are taking Hyosyne Elixir. Brush and floss your teeth and visit the dentist regularly.


• Hyosyne Elixir may make your eyes more sensitive to sunlight. It may help to wear sunglasses.


• Tell your doctor or dentist that you take Hyosyne Elixir before you receive any medical or dental care, emergency care, or surgery.


• Use Hyosyne Elixir with caution in the ELDERLY; they may be more sensitive to its effects, especially constipation, trouble urinating, dry mouth, drowsiness, agitation, confusion, excitability, or memory problems.


• Caution is advised when using Hyosyne Elixir in CHILDREN; they may be more sensitive to its effects, including excitability.


• Hyosyne Elixir should be used with extreme caution in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: It is not known if Hyosyne Elixir can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Hyosyne Elixir while you are pregnant. Hyosyne Elixir is found in breast milk. If you are or will be breast-feeding while taking Hyosyne Elixir, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Hyosyne Elixir:

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:

Bloated feeling; blurred vision; constipation; decreased sweating; dizziness; drowsiness; dry mouth; enlarged pupils; excitability; headache; nausea; nervousness; trouble sleeping; weakness.

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

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; behavior changes; confusion; decreased sexual ability; diarrhea; difficulty focusing eyes; disorientation; exaggerated sense of well-being; fast or irregular heartbeat; hallucinations; loss of consciousness; loss of coordination; memory loss; mental or mood changes; severe or persistent trouble sleeping; speech changes; taste changes or loss; trouble urinating; unusual tiredness or weakness; vision changes; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Hyosyne side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include disorientation; excessive thirst or excitability; fever; hot, dry skin; seizures; severe dry mouth; severe or persistent blurred vision, dizziness, headache, nausea, or vomiting; trouble breathing or swallowing.

Proper storage of Hyosyne Elixir:

Store Hyosyne Elixir at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Hyosyne Elixir out of the reach of children and away from pets.

General information:

• If you have any questions about Hyosyne Elixir, please talk with your doctor, pharmacist, or other health care provider.


• Hyosyne Elixir 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.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Hyosyne Elixir. 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: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Hyosyne resources

• Hyosyne Side Effects (in more detail)
• Hyosyne Use in Pregnancy & Breastfeeding
• Hyosyne Drug Interactions
• Hyosyne Support Group
• 1 Review for Hyosyne - Add your own review/rating

Compare Hyosyne with other medications

• Anesthesia
• Crohn's Disease
• Endoscopy or Radiology Premedication
• Irritable Bowel Syndrome
• Urinary Incontinence

Ancef

Generic Name: cefazolin (sef A zoe lin)

Brand Names: Ancef, Kefzol

What is Ancef (cefazolin)?

Cefazolin is in a group of drugs called cephalosporin (SEF a low spor in) antibiotics. It works by fighting bacteria in your body.

Cefazolin injection is used to treat many kinds of bacterial infections, including severe or life-threatening forms.

Cefazolin may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Ancef (cefazolin)?

Do not use cefazolin if you have ever had an allergic reaction to another cephalosporin or to a penicillin without first talking to your doctor.

Before using cefazolin, tell your doctor if you are allergic to any drugs (especially penicillins), or if you have kidney disease, liver disease, or a stomach or intestinal disorder such as colitis.

Before using cefazolin, tell your doctor if you are also using probenecid (Benemid).

Use this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefazolin will not treat a viral infection such as the common cold or flu.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

What should I discuss with my health care provider before using Ancef (cefazolin)?

Do not use this medication if you are allergic to cefazolin, any type of penicillin, or to other cephalosporin antibiotics, such as:

• 
  

  cefaclor (Raniclor);

  
  


• 
  

  cefadroxil (Duricef);

  
  


• 
  

  cefdinir (Omnicef);

  
  


• 
  

  cefditoren (Spectracef);

  
  


• 
  

  cefpodoxime (Vantin);

  
  


• 
  

  cefprozil (Cefzil);

  
  


• 
  

  ceftibuten (Cedax);

  
  


• 
  

  cefuroxime (Ceftin);

  
  


• 
  

  cephalexin (Keflex); or

  
  


• 
  

  cephradine (Velosef).

  
  

Before using cefazolin, tell your doctor if you are allergic to any drugs (especially penicillins), or if you have:

• 
  

  kidney disease;

  
  


• 
  

  liver disease; or

  
  


• 
  

  a stomach or intestinal disorder such as colitis.

  
  

If you have any of these conditions, you may need a dose adjustment or special tests to safely use this medication.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Cefazolin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use Ancef (cefazolin)?

Cefazolin is given as an injection through a needle placed into a muscle or a vein. Your doctor, nurse, or other healthcare provider will give you this injection. You may be shown how to use your medicine at home. Do not self-inject this medicine if you do not fully understand how to give the injection and properly dispose of needles, IV tubing, and other items used in giving the medicine.

You may need to mix cefazolin with a liquid (diluent) before using it. If you are using the injections at home, be sure you understand how to properly mix and store the medication.

Do not mix this medicine or draw your cefazolin dose into a syringe until you are ready to give yourself an injection.

Use each disposable needle only one time. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Keep this container out of the reach of children and pets.

Use this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Cefazolin will not treat a viral infection such as the common cold or flu.

This medication can cause you to have unusual results with certain lab tests to check for glucose (sugar) in the urine. Tell any doctor who treats you that you are using cefazolin.

Store unopened cefazolin vials at room temperature, away from light, heat, and moisture. After mixing cefazolin with a diluent, you may store the mixture in the refrigerator and use it within 10 days. Do not freeze. Do not use the mixed medication if it has any particles in it.

What happens if I miss a dose?

Call your doctor for instructions if you miss a dose of this medication.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a cefazolin overdose are not known.

What should I avoid while using Ancef (cefazolin)?

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

Ancef (cefazolin) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• 
  

  diarrhea that is watery or bloody;

  
  


• 
  

  skin rash, bruising, severe tingling, numbness, pain, muscle weakness;

  
  


• 
  

  fever, chills, body aches, flu symptoms;

  
  


• 
  

  easy bruising or bleeding, unusual weakness;

  
  


• 
  

  fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or

  
  


• 
  

  seizure (black-out or convulsions).

  
  

Less serious side effects may include:

• 
  

  pain, swelling, skin rash, or a hard lump where the injection was given;

  
  


• 
  

  stomach pain, nausea, vomiting, loss of appetite;

  
  


• 
  

  skin rash or itching;

  
  


• 
  

  white patches or sores inside your mouth or on your lips; or

  
  


• 
  

  vaginal itching or discharge.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Ancef (cefazolin)?

Before using cefazolin, tell your doctor if you are also using probenecid (Benemid).

There may be other drugs that can interact with cefazolin. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Ancef resources

• Ancef Side Effects (in more detail)
• Ancef Use in Pregnancy & Breastfeeding
• Ancef Drug Interactions
• Ancef Support Group
• 0 Reviews for Ancef - Add your own review/rating

• Ancef Prescribing Information (FDA)


• Ancef Monograph (AHFS DI)


• Ancef Advanced Consumer (Micromedex) - Includes Dosage Information


• Cefazolin Professional Patient Advice (Wolters Kluwer)


• Cefazolin MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Ancef with other medications

• Bacterial Endocarditis Prevention
• Bacterial Infection
• Bone infection
• Cholecystitis
• Endocarditis
• Joint Infection
• Kidney Infections
• Peritonitis
• Pneumonia
• Prevention of Perinatal Group B Streptococcal Disease
• Septicemia
• Skin Infection
• Surgical Prophylaxis
• Urinary Tract Infection

Where can I get more information?

• Your pharmacist can provide more information about cefazolin.

See also: Ancef side effects (in more detail)

Triacet

Generic Name: triamcinolone (Topical application route)

trye-am-SIN-oh-lone a-SEET-oh-nide

Commonly used brand name(s)

In the U.S.

• Aristocort A


• Cinolar


• Kenalog


• Pediaderm TA


• Triacet


• Triamcot


• Triderm


• Zytopic

In Canada

• Aristocort C Concentrate


• Aristocort D Dilute


• Aristocort R Ointment Regular


• Aristocort R Regular


• Kenalog Cream


• Kenalog Ointment


• Kenalog Spray


• Triaderm Mild Cream


• Triaderm Mild Ointment


• Triaderm Regular Cream


• Triaderm Regular Ointment


• Trianide Mild-Cream

Available Dosage Forms:

• Cream


• Lotion


• Spray


• Ointment

Therapeutic Class: Corticosteroid, Intermediate

Pharmacologic Class: Triamcinolone

Uses For Triacet

Triamcinolone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor's prescription.

Before Using Triacet

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of triamcinolone topical in the pediatric population. However, because of this medicine's toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor's instructions very carefully.

Geriatric

No information is available on the relationship of age to the effects of triamcinolone topical in geriatric patients.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Cushing's syndrome (adrenal gland disorder) or


• Diabetes or


• Hyperglycemia (high blood sugar) or


• Intracranial hypertension (increased pressure in the head)—Use with caution. May make these conditions worse.

• Infection of the skin at or near the place of application or


• Large sores, broken skin, or severe skin injury at the place of application—The chance of side effects may be increased.

Proper Use of triamcinolone

This section provides information on the proper use of a number of products that contain triamcinolone. It may not be specific to Triacet. Please read with care.

It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.

This medicine is for use on the skin only. Do not get it in your eyes. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.

If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

This medicine should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. This medicine should not be used to treat certain kinds of skin infections or conditions, such as severe burns.

Do not use the spray on the groin or underarms unless directed to do so by your doctor.

To use:

• Wash your hands with soap and water before and after using this medicine.


• Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.


• Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.


• If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.


• If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

The spray form is flammable until it dries on the skin. Do not use it near heat, an open flame, or while smoking. Do not puncture, break, or burn the aerosol can.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For redness, itching, and swelling of the skin:
  
  • For topical dosage forms (cream, lotion, and ointment):
    
    • Adults—Apply to the affected area of the skin two to four times per day.
    
    
    • Children—Apply to the affected area of the skin two to four times per day.
    
    
  
  
  • For topical dosage form (aerosol spray):
    
    • Adults—Spray to the affected area of the skin three to four times per day.
    
    
    • Children—Spray to the affected area of the skin three to four times per day.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Triacet

It is very important that your doctor check the progress of you or your child at regular visits for any problems that may be caused by this medicine. Blood and urine tests may be needed to check for unwanted effects.

If your or your child's symptoms do not improve within a few weeks, or if they become worse, check with your doctor.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use this medication with other corticosteroid (eg, hydrocortisone) containing products without checking with your doctor first. .

Do not use cosmetics or other skin care products on the treated areas.

Triacet Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

• Blistering, burning, crusting, dryness, or flaking of the skin


• irritation


• itching, scaling, severe redness, soreness, or swelling of the skin


• redness and scaling around the mouth


• thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

• Acne or pimples


• burning and itching of the skin with pinhead-sized red blisters


• burning, itching, and pain in hairy areas, or pus at the root of the hair


• increased hair growth on the forehead, back, arms, and legs


• lightening of normal skin color


• lightening of treated areas of dark skin


• reddish purple lines on the arms, face, legs, trunk, or groin


• softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Triacet side effects (in more detail)

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