Aristocort Ointment

(Triamcinolone Acetonide)

The active ingredient in Kenalog is triamcinolone acetonide, which is a corticosteroid. It works on the immune system to help relieve swelling, redness, itching, and allergic reactions.

Follow all directions given to you by your doctor and read all documents provided, including the full Prescribing Information, FDA-Approved Product Labeling, Instructions for Use, and Medication Guide before using Kenalog. However, the following is a synopsis of the general guidelines for the use of Kenalog:

• Kenalog topical products are applied directly to the skin.
• Clean and dry the affected area before application.
• Apply a thin layer to the affected area and gently rub it in.
• Do not use occlusive dressings unless directed by your healthcare provider.
• Avoid contact with the eyes unless using a formulation intended for oral or dental use.
• Kenalog injections are administered by a healthcare professional only. It will be given by injecting it into different locations, such as a muscle (intramuscularly) or a joint (intra-articularly).
• Use Kenalog for the shortest duration needed to control symptoms.
• Pediatric use is approved for certain formulations; dosing is based on age, weight, and condition.
• Wash hands after applying topical Kenalog unless treating the hands.

The side effects of Kenalog will depend on the dosage form used. Some mild or common side effects of Kenalog include:

• Skin thinning or atrophy.
• Dryness or irritation at the application site.
• Burning or stinging sensation.
• Acne-like eruptions.
• Injection site reactions.
• Fluid retention.
• Weight gain.
• Trouble sleeping.

Some individuals may experience serious adverse reactions while using Kenalog. These side effects may require immediate medical attention. If you experience any of the following, contact your healthcare provider or seek emergency medical help:

• Signs of an allergic reaction, such as hives or swelling.
• Blurred vision or eye pain.
• Severe mood changes or mood swings.
• Increased risk of infections.
• Peptic ulcer symptoms such as heartburn, stomach pain, loss of appetite, weight loss, vomiting blood, blood in stool, and dark or tarry stool.
• Life-threatening adrenal suppression with long-term or high-dose use.

These are not all of the possible side effects of Kenalog. You should always seek medical advice from your healthcare provider for any questions or concerns about your medical condition or treatment. Read all patient information, medication guides, or drug information sheets that come with this medication. You can also report adverse effects to the Food and Drug Administration at www.fda.gov/medwatch or 1-800-FDA-1088.

Before starting Kenalog, it is crucial to discuss any existing health conditions with your healthcare provider. You should be sure that your healthcare provider is aware of all your medical conditions, including if you have:

• A weakened immune system.
• A history of fungal, viral, or bacterial infections like herpes.
• Glaucoma or cataracts.
• High blood pressure (hypertension) or heart failure.
• Osteoporosis.
• Diabetes.
• Thyroid problems.
• Liver disease, such as cirrhosis.
• A history of mood disorders or depression.
• Myasthenia gravis.
• Lupus erythematosus.
• Gastrointestinal conditions such as ulcerative colitis or diverticulitis.
• Menstrual irregularities.
• Idiopathic Thrombocytopenic Purpura (ITP).

Kenalog should not be used in individuals with:

• Known hypersensitivity to triamcinolone acetonide or any inactive ingredients.
• Untreated systemic fungal infections.
• Certain viral infections, such as chickenpox or measles.

Topical Kenalog may begin to reduce redness and itching within a few days. Injectable forms may start working within hours to days, depending on the condition treated. Full benefits may take several days to a week.

When Kenalog is taken with other prescription drugs, over-the-counter medications, vitamins, and supplements, it may change how they work or increase the frequency or severity of side effects. Make sure that you tell your healthcare professional about anything that you are taking to avoid any negative drug interactions, including:

• NSAIDs, which may increase the risk of gastrointestinal bleeding.
• Warfarin, as with corticosteroids, may alter anticoagulant effects.
• Ketoconazole, which can increase corticosteroid levels.
• Ritonavir or other protease inhibitors, which may increase steroid exposure.
• Diuretics, which may worsen electrolyte imbalance.
• Amphotericin B, which may increase potassium loss.
• Cyclosporine, which may increase the toxicity of both drugs.

Kenalog is available in multiple dosage forms and strengths, including:

Topical creams, ointments, and sprays.

Dental paste.

Injectable suspensions such as Kenalog-40.

Dose and frequency depend on the formulation and condition being treated.

It should be stored at room temperature, away from the reach of children or pets.

Kenalog is manufactured by Bristol-Myers Squibb and other manufacturers, depending on the formulation.

Yes, generic triamcinolone acetonide is available in multiple dosage forms.

Do not stop Kenalog suddenly if you have been using it long-term or receiving injections. Your healthcare provider may recommend tapering the dose to avoid adrenal suppression.

Kenalog should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your healthcare provider before and during pregnancy.

Topical Kenalog is considered low risk during breastfeeding when used on limited areas. Avoid applying to the breast or nipple area. For injectable Kenalog, breastfeeding should be discussed with a healthcare provider, as systemic absorption may occur.