Trialon 1 mg/gm Ointment

Corticosteroid used as:

• Injection (40 mg/ml): into joints or soft tissues for arthritis, bursitis, tendinitis, keloids; IM for severe allergy (e.g. hay fever season), dermatological and rheumatic conditions
• Oral paste 0.1%: mouth ulcers (aphthous ulcers), oral lichen planus
• Cream/ointment 0.1%: eczema, dermatitis, psoriasis
• Nasal spray: allergic rhinitis

Intra-articular (health professional): small joints 2.5–10 mg, large joints (knee) 20–40 mg; not more often than every 3 months in the same joint.

IM: 40–80 mg as a single deep IM injection (into the buttock), repeated if needed after weeks.

Oral paste: dab a small amount (do not rub) on the ulcer 2–3 times daily, after meals and at bedtime.

Cream: apply thinly 2–3 times daily.

Nasal spray (55 mcg/spray): 2 sprays each nostril once daily (adults), reduce to 1 when controlled; children 2–12: 1 spray each nostril once daily.

• Systemic fungal or untreated serious infections; infection in or near the joint for injections
• IV administration (suspension)
• Skin/mouth: untreated bacterial, viral (herpes) or fungal infections; acne, rosacea
• Allergy to triamcinolone

Injection: temporary flare of joint pain, skin thinning/discolouration at the site (fat atrophy), facial flushing, raised blood sugar, menstrual irregularity, rarely joint infection; repeated injections may damage cartilage.

IM depot: adrenal suppression lasting weeks.

Topical/oral paste: local irritation, skin thinning, oral thrush.

Nasal: nosebleeds, nasal dryness.

• Diabetics: blood sugar rises for several days after injection.
• Avoid in joints with recent infection; strict aseptic technique.
• Long-acting IM depot — adrenal suppression; tell doctors before surgery.
• Avoid repeated injections into the same joint.

Use in pregnancy only if needed; topical and nasal use acceptable. Compatible with breastfeeding.

• Ritonavir, cobicistat, itraconazole (Cushing's syndrome even with joint or nasal use — avoid)
• Diabetes medicines (higher sugar), NSAIDs (ulcers), diuretics (low potassium)

Not expected as a single overdose; repeated excess may cause Cushing's features.

Store below 25–30°C, protected from light; do not freeze the injection.