Triesence


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Generic Name: triamcinolone (ophthalmic)
(trye am SIN oh lone off THAL mik)

What is Triesence ophthalmic?

Triesence ophthalmic is a steroid. It prevents the release of substances in the body that cause inflammation.

Triesence ophthalmic (for the eyes) is injected into the eye to treat inflammation caused by disease or injury. Triamcinolone ophthalmic is usually given after steroid eye drops have been used without successful treatment of symptoms.

Triesence ophthalmic is also used during a certain type of eye surgery.

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

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

You should not receive this medication if you are allergic to Triesence, or if you have a fungal infection anywhere in your body.

Do not use Triesence ophthalmic without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

Before receiving Triesence ophthalmic, tell your doctor if you have any type of bacterial, fungal, or viral infection (including tuberculosis). Also tell your doctor if you have cataracts or glaucoma, herpes infection of your eye, diabetes, high blood pressure, congestive heart failure, a thyroid disorder, myasthenia gravis, a stomach or intestinal disorder, or a history of recent heart attack.

Before you receive any vaccine, talk with the doctor who is treating you with Triesence ophthalmic. Some vaccines may not work as well or could cause harmful side effects during treatment with steroid medicine.

Steroids can lower the blood cells that help your body fight infections Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles.

There are many other medicines that can interact with Triesence ophthalmic. Tell your doctor about all the prescription and over-the-counter medications you use. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

What should I discuss with my health care provider before receiving Triesence ophthalmic?

You should not receive this medication if you are allergic to Triesence, or if you have a fungal infection anywhere in your body.

If you have certain conditions, you may need a dose adjustment or special tests to safely receive this medication. Before receiving Triesence ophthalmic, tell your doctor if you are allergic to any drugs, or if you have:

  • herpes infection of your eye
  • eye conditions such as cataract or glaucoma
  • diabetes
  • high blood pressure, congestive heart failure
  • any type of bacterial, fungal, or viral infection (including tuberculosis)
  • a thyroid disorder
  • a muscle disorder such as myasthenia gravis
  • diverticulitis, stomach or intestinal ulcer, or recent stomach surgery; or
  • if you have recently had a heart attack.

FDA pregnancy category D. Triesence ophthalmic can cause harm to an unborn baby or cause birth defects. Before you receive triamcinolone ophthalmic, tell your doctor if you are pregnant. Use an effective form of birth control, and tell your doctor if you become pregnant during treatment.

Triesence can pass into breast milk and may harm a nursing baby. Do not receive this medication without telling your doctor if you are breast-feeding a baby.

This medication can decrease bone formation, which could lead to osteoporosis, especially with long-term use. Talk with your doctor about your specific risk of bone loss while receiving Triesence ophthalmic.

Steroids can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.

How is Triesence ophthalmic given?

Triesence ophthalmic is given as an injection into your eye. Your doctor will use a medicine to numb your eye before giving you the injection. You will receive this injection in your doctor's office or other clinic setting.

For at least 30 minutes after your injection, your eyes will be checked periodically to make sure the injection has not caused any side effects.

Long-term use of steroids can cause harmful effects on the eyes, such as glaucoma or cataracts. If you receive Triesence ophthalmic for longer than 6 weeks, your doctor may want you to have regular eye exams.

Steroids can lower the blood cells that help your body fight infections. This can make it easier for you to get sick from being around others who are ill, or from bacteria in a skin wound. Steroids can also slow the healing of skin wounds. Use caution to prevent illness, infection, or injury.

Your doctor may instruct you to limit your salt intake while you are receiving Triesence ophthalmic. You may also need to take potassium supplements. Follow your doctor's instructions.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are being treated with Triesence ophthalmic.

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment for your injection.

What happens if I overdose?

Seek emergency medical attention if you think you have received too much of this medicine.

Since this medication is given by a healthcare professional, an overdose is unlikely to occur.

What should I avoid while receiving Triesence ophthalmic?

Do not receive a smallpox vaccine or any other "live" vaccine if you are being treated long-term with Triesence ophthalmic. Some vaccines may not work as well during treatment with steroid medicine at certain doses. Some vaccines may even cause dangerous side effects when used during steroid treatment. Before you receive any vaccine, talk with the doctor who is treating you with triamcinolone ophthalmic.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroids.

What are the possible side effects of Triesence ophthalmic?

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:

  • problems with your vision, blurred vision, or seeing halos around lights
  • eye swelling, redness, severe discomfort, crusting or drainage (may be signs of infection)
  • large red or purple spots on your skin
  • fast, slow, or uneven heart rate
  • feeling short of breath, swelling in your hands or feet
  • increased blood pressure (severe headache, blurred vision, chest pain, shortness of breath, uneven heartbeats)
  • ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes
  • severe depression, changes in mood or behavior, seizures (convulsions); or
  • severe pain in your upper stomach.

Less serious side effects may include:

  • mild eye discomfort
  • headaches, back aches, weakness, confusion
  • bloating, appetite changes, weight gain
  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist), roundness in your face,
  • increased acne or facial hair
  • menstrual problems (in women), impotence or loss of interest in sex (in men)
  • dry skin, thinning skin, changes in skin color
  • bruising, sweating more than usual; or
  • a wound that is slow to heal.

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 Triesence ophthalmic?

Many drugs can interact with Triesence. Below is just a partial list. Tell your doctor if you are using:

  • amphotericin B (Fungizone, AmBisome, Abelcet)
  • birth control pills or hormone replacement therapy
  • a blood thinner such as warfarin (Coumadin)
  • cholestyramine (Prevalite, Questran)
  • cyclosporine (Neoral, Gengraf, Sandimmune)
  • digoxin (digitalis, Lanoxin)
  • a diuretic (water pill)
  • insulin or diabetes medications you take by mouth
  • isoniazid (for treating tuberculosis)
  • rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin)
  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), or telithromycin (Ketek)
  • an antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), or voriconazole (Vfend)
  • aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), etodolac (Lodine), indomethacin (Indocin), piroxicam (Feldene), and others
  • heart or blood pressure medication such as diltiazem (Cardizem, Dilacor, Tiazac), quinidine (Quinaglute, Quinidex, Quin-Release), or verapamil (Calan, Covera, Isoptin, Verelan)
  • HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva), fosamprenavir (Lexiva), indinavir (Crixivan), nevirapine (Viramune), saquinavir (Invirase, Fortovase), ritonavir (Norvir), and others
  • medications to treat dementia, such as donepezil (Aricept), rivastigmine (Exelon), galantamine (Razadyne), tacrine (Cognex); or
  • seizure medication such as carbamazepine (Carbatrol, Tegretol), phenobarbital (Solfoton), phenytoin (Dilantin), and others.

This list is not complete and there are many other medicines that can interact with Triesence ophthalmic. 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. Keep a list of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Where can I get more information?

Your doctor can provide more information about Triesence ophthalmic.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2009 Cerner Multum, Inc. Version: 1.03. Revision date: 06/12/2009.