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Simacort

Simacort

triamcinolone

Manufacturer:

Siam Bheasach

Distributor:

Siam Pharmaceutical
Concise Prescribing Info
Contents
Triamcinolone
Indications/Uses
Anti-inflammation, allergy, RA, acute rheumatic fever, bronchial asthma, allergic rhinitis, dermatoses, acute bursitis, sprue, uveitis & blood dyscrasia.
Dosage/Direction for Use
Adult & ped weighing >60 lbs Initially 8-32 mg daily. Reduce dose by 2 mg every 2-3 days until lowest dose is reached. Ped weighing <60 lbs 4-12 mg daily.
Administration
Should be taken with food.
Contraindications
History of hypersensitivity. Systemic fungal infection. Concomitant use w/ live or attenuated virus vaccines.
Special Precautions
Hypersensitivity. Not to be used in patients w/ systemic fungal infection, unless necessary. Patients w/ peptic ulcer or duodenal ulcer, diabetes, TB or viral infections; cirrhosis; diverticulitis; hypothyroidism; HTN; myasthenia gravis; ocular herpes simplex; osteoporosis. Psychotic tendencies may be aggravated. May increase incidence of secondary infection, mask acute infection (including fungal infection), prolong or exacerbate viral infections. Edema in the presence of renal disease. W/draw therapy gradually. Renal insufficiency. Pregnancy & lactation.
Adverse Reactions
HTN; atrophic skin condition, impaired wound healing; Cushing's syndrome, decreased body growth; GIT disorder, loss of appetite; osteoporosis; depression, euphoria. Hyperglycemia, primary adrenocortical insufficiency; cataract, glaucoma; pulmonary TB.
Drug Interactions
Enhanced adverse/toxic effect of acetylcholinesterase inhibitors; deferasirox; leflunomide; loxapine; natalizumab; nicorandil; NSAIDs; quinolone antibiotics; live vaccines. Diminished neoplastic effect of aldesleukin. Increased metabolism w/ aminoglutethimide. Enhanced hypokalemic effect of amphotericin B; thiazide diuretics. Enhanced fluid-retaining effect of androgens. Diminished therapeutic effect of antidiabetic agents; BCG; calcitriol; corticorelin; hyaluronidase; sipuleucel-T; urea cycle disorder agents; inactivated vaccines. Increased serum conc w/ aprepitant; strong CYP3A4 inhibitors; estrogen derivatives; fosaprepitant; mifepristone; telaprevir. Enhanced hyperglycemic effect of ceritinib. Diminished diagnostic effect of Coccidioides immitis skin test. Decreased serum conc w/ strong CYP3A4 inducers; mitotane. Enhanced adverse/toxic effect w/ denosumab; pimecrolimus; ritonavir; salicylates; topical tacrolimus. Diminished therapeutic effect w/ echinacea; mifepristone. Enhanced hypokalemic effect w/ indacaterol. Decreased serum conc of INH; telaprevir. Enhanced adverse neuromuscular effect w/ non-depolarizing neuromuscular blocking agents. Enhanced immunosuppressive effect w/ roflumilast. Enhanced immunosuppressive effect of tofacitinib. Enhanced neutropenic effect w/ trastuzumab. Enhanced anticoagulant effect of warfarin.
MIMS Class
Corticosteroid Hormones
ATC Classification
H02AB08 - triamcinolone ; Belongs to the class of glucocorticoids. Used in systemic corticosteroid preparations.
Presentation/Packing
Form
Simacort tab 4 mg
Packing/Price
100's
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