Topical Glucocorticoid·Dermatology - Topical Corticosteroids

Triamcinolone

Corticosteroid-responsive dermatoses, severe aphthous ulcers

PBSSTEROIDAristocort, Kenalog in OrabaseCream/Ointment 0S4+1

No source link confirmed for this record yet. Its own source notes are under Additional.

At a glance

Caution: Potency

MODERATE

Caution: Max Use

2-4 WEEKS

Caution: Face Safe

AVOID

Dental Paste

AVAILABLE

Cautions

Avoid / Cautions

Untreated skin infections, acne vulgaris, rosacea. Application to face/groin/axillae. Pregnancy Category A (Safe, but use the lowest potency needed).

Where it stands

Rapid Summary

Overview

Moderate-potency topical corticosteroid. The workhorse for stubborn eczema and psoriasis on the body and limbs.

Clinical Focus

Too strong for the face or groin. Will cause permanent thinning, visible blood vessels (telangiectasia), and steroid-induced rosacea.

Bottom Line

Triamcinolone is a moderate-potency topical corticosteroid for inflammatory dermatoses and intra-articular injection, but can cause skin atrophy with prolonged use and adrenal suppression if used extensively.

Formulation & Access

Brand Names

Aristocort, Kenalog in Orabase

Topical Routes

Cream/Ointment 0.02% (Aristocort). Dental paste 0.1% (Kenalog).

Prescribing & PBS

Unrestricted General Benefit (S4). Kenalog dental paste is OTC (S3).

Indications & Use

Primary

PBSTGA

Corticosteroid-responsive dermatoses, severe aphthous ulcers.

Clinical Place

Step-up therapy when 1% Hydrocortisone fails on the torso or limbs.

Quick reference

Class & Role

Topical Glucocorticoid — Moderate-potency topical corticosteroid.

Route / Formulation

Cream/Ointment 0.02% (Aristocort). Dental paste 0.1% (Kenalog). (Aristocort, Kenalog in Orabase)

Usual Dose & Max

Topical Apply 1-3 times daily to body/limbs. Apply a thin layer BD to TDS.

Key Indication Doses

Severe Eczema / Psoriasis: Topical Apply 1-3 times daily to body/limbs. Severe Mouth Ulcers (Aphthous): Topical Apply dental paste (Kenalog in Orabase) to the ulcer BD after meals. Do not rub in; dab it on to form a protective seal.

Best Uses

Key Risks

Dermatological: Skin atrophy, striae, hypopigmentation, hypertrichosis (excess hair growth), perioral dermatitis if used near the mouth.

Key Interactions

NONE.

Monitoring

Step down to hydrocortisone or cease once the flare is controlled. Do not use continuously for months.

Clinical Pearl

Kenalog in Orabase is a gritty paste. If the patient tries to rub it into the mouth ulcer, it clumps and falls off. They MUST take a tiny dab on a cotton swab and press it gently onto the ulcer once, letting the saliva turn it into an adhesive plaster.

Access

Aristocort, Kenalog in Orabase

Brand: Aristocort, Kenalog in Orabase

From this page

No calculator, monitoring schedule or factsheet is linked to this medicine page yet.

Topical Glucocorticoid·Dermatology - Topical Corticosteroids

Triamcinolone

Corticosteroid-responsive dermatoses, severe aphthous ulcers

PBSSTEROIDAristocort, Kenalog in OrabaseCream/Ointment 0S4+1

No source link confirmed for this record yet. Its own source notes are under Additional.

At a glance

Caution: Potency

MODERATE

Caution: Max Use

2-4 WEEKS

Caution: Face Safe

AVOID

Dental Paste

AVAILABLE

Cautions

Avoid / Cautions

Untreated skin infections, acne vulgaris, rosacea. Application to face/groin/axillae. Pregnancy Category A (Safe, but use the lowest potency needed).

Where it stands

Rapid Summary

Overview

Moderate-potency topical corticosteroid. The workhorse for stubborn eczema and psoriasis on the body and limbs.

Clinical Focus

Too strong for the face or groin. Will cause permanent thinning, visible blood vessels (telangiectasia), and steroid-induced rosacea.

Bottom Line

Formulation & Access

Brand Names

Aristocort, Kenalog in Orabase

Topical Routes

Cream/Ointment 0.02% (Aristocort). Dental paste 0.1% (Kenalog).

Prescribing & PBS

Unrestricted General Benefit (S4). Kenalog dental paste is OTC (S3).

Indications & Use

Primary

PBSTGA

Corticosteroid-responsive dermatoses, severe aphthous ulcers.

Clinical Place

Step-up therapy when 1% Hydrocortisone fails on the torso or limbs.

Quick reference

Class & Role

Topical Glucocorticoid — Moderate-potency topical corticosteroid.

Route / Formulation

Cream/Ointment 0.02% (Aristocort). Dental paste 0.1% (Kenalog). (Aristocort, Kenalog in Orabase)

Usual Dose & Max

Topical Apply 1-3 times daily to body/limbs. Apply a thin layer BD to TDS.

Key Indication Doses

Best Uses

Key Risks

Dermatological: Skin atrophy, striae, hypopigmentation, hypertrichosis (excess hair growth), perioral dermatitis if used near the mouth.

Key Interactions

NONE.

Monitoring

Step down to hydrocortisone or cease once the flare is controlled. Do not use continuously for months.

Clinical Pearl

Access

Aristocort, Kenalog in Orabase

Brand: Aristocort, Kenalog in Orabase

From this page

No calculator, monitoring schedule or factsheet is linked to this medicine page yet.