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Kenalog 40 bei Psoriasis FORMULATION IS SUITABLE FOR INTRAMUSCULAR AND INTRAARTICULAR USE ONLY. THIS FORMULATION IS NOT FOR INTRADERMAL INJECTION. Each mL of the sterile aqueous suspension provides 40 mg triamcinolone acetonide, with 0. Sodium hydroxide or hydrochloric acid may be present to adjust pH to 5. At the time of manufacture, the air in the container is replaced by nitrogen. Its structural formula is:. Triamcinolone acetonide occurs as a white to cream-colored, crystalline powder having not Kenalog 40 bei Psoriasis than a slight odor and is practically insoluble in water and very soluble in alcohol.

Get emergency Kenalog 40 bei Psoriasis help if you have any of these signs of an allergic reaction: Where oral therapy is not feasible, injectable corticosteroid therapy, including Kenalog Injection triamcinolone acetonide injectable suspension, USP is indicated for intramuscular use as follows:.

Control of severe Kenalog 40 bei Psoriasis incapacitating allergic conditions intractable to adequate trials of conventional treatment in asthmaatopic dermatitiscontact dermatitisdrug hypersensitivity reactions, perennial or seasonal allergic rhinitis, serum sickness, transfusion reactions.

Bullous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoidespemphigussevere erythema multiforme Stevens-Johnson syndrome. Primary or secondary adrenocortical insufficiency hydrocortisone or cortisone is the drug of choice; synthetic analogs kleines Foto be used in conjunction with mineralocorticoids where applicable; in infancy, mineralocorticoid supplementation is of particular importancecongenital adrenal hyperplasiahypercalcemia associated with cancer, nonsuppurative thyroiditis.

To tide the patient over a critical period of the disease in regional enteritis and ulcerative colitis. Acquired autoimmune hemolytic anemia, Diamond-Blackfan anemia, pure red cell aplasia, selected cases of secondary thrombocytopenia. Trichinosis with neurologic or myocardial involvement, tuberculous meningitis with subarachnoid block or impending block when used with appropriate antituberculous chemotherapy. Acute exacerbations of multiple sclerosis; cerebral edema associated with primary or metastatic brain tumor or craniotomy.

Sympathetic ophthalmiatemporal arteritisuveitisand ocular inflammatory conditions unresponsive to topical corticosteroids.

To induce diuresis or remission of proteinuria in idiopathic nephritic syndrome or that due to lupus erythematosus. Berylliosisfulminating or disseminated pulmonary tuberculosis when used concurrently with appropriate antituberculous chemotherapy, idiopathic eosinophilic pneumonias, symptomatic sarcoidosis.

As adjunctive therapy for short-term administration to tide the patient over an acute episode or exacerbation in acute gouty arthritis ; acute rheumatic carditis; ankylosing spondylitis ; psoriatic arthritis ; rheumatoid arthritisincluding juvenile rheumatoid arthritis selected cases may require low-dose maintenance therapy.

For the treatment of dermatomyositispolymyositisand systemic lupus erythematosus. The intra-articular or soft tissue administration of Kenalog Injection is indicated as adjunctive therapy for short-term administration to tide the patient over an acute episode or exacerbation in acute gouty arthritis, acute and subacute bursitis, acute nonspecific tenosynovitis, Kenalog 40 bei PsoriasisKenalog 40 bei Psoriasis arthritis, synovitisor osteoarthritis.

The initial dose of Kenalog 40 bei Psoriasis Injection may vary from 2. However, in certain overwhelming, acute, life-threatening situations, administration in dosages exceeding the usual dosages may be justified and may be in multiples of the oral dosages. IT SHOULD BE EMPHASIZED THAT DOSAGE REQUIREMENTS ARE VARIABLE AND MUST BE INDIVIDUALIZED ON THE BASIS OF THE Für Psoriasis Behandlung Kindern bei UNDER TREATMENT AND THE RESPONSE OF THE PATIENT.

After a favorable response is noted, the proper maintenance dosage should be Kenalog 40 bei Psoriasis by decreasing the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage which will maintain an adequate clinical response is reached.

If after long-term therapy the drug is to be stopped, it is recommended that it be withdrawn gradually rather than abruptly. The suggested initial dose is 60 mg, injected deeply into the gluteal muscle. Atrophy of subcutaneous fat may occur if the injection is not properly given. Dosage is usually adjusted within the range of 40 mg to 80 mg, depending upon patient response and duration of relief.

However, some patients may be well controlled on doses as low as 20 mg or less. Hay fever or pollen asthma: Patients with hay fever or pollen asthma who are not responding to pollen administration and other conventional therapy may obtain a remission of Kenalog 40 bei Psoriasis lasting throughout the pollen season after a single injection of 40 mg to mg. In the treatment of click exacerbations of multiple sclerosis, daily doses of mg of triamcinolone for a week followed by 64 mg every other day for one month are recommended see PRECAUTIONS: In pediatric patients, the initial dose of triamcinolone may vary depending on the specific disease entity being treated.

The range of initial doses is 0. For Kenalog 40 bei Psoriasis purpose Kenalog 40 bei Psoriasis comparison, the following is the equivalent milligram dosage please click for source the various glucocorticoids: Cortisone, 25 Triamcinolone, 4 Hydrocortisone, 20 Paramethasone, 2 Prednisolone, 5 Betamethasone, 0.

These dose relationships apply only to oral or intravenous administration of these compounds. When these substances or their Kenalog 40 bei Psoriasis are injected intramuscularly or into joint spaces, their relative properties may be greatly altered.

A single local injection of triamcinolone acetonide is frequently sufficient, but several injections may be needed for adequate relief of symptoms. For adults, doses up to 10 mg for smaller areas and up to 40 mg for larger areas have usually been sufficient. Single injections into several joints, up to a total of 80 mg, have been given. STRICT ASEPTIC TECHNIQUE IS MANDATORY. The vial should be shaken before use to ensure a uniform suspension.

Prior to withdrawal, the suspension should be inspected for clumping or granular appearance agglomeration. An agglomerated product results from exposure to freezing temperatures and should not be used.

After withdrawal, Kenalog Injection should be injected without delay to prevent settling in the syringe. Careful technique should be employed to avoid the possibility of entering a blood vessel or introducing infection. For systemic therapyinjection should be made deeply into the gluteal muscle see WARNINGS.

In obese patients, a longer needle may be required. Use alternative sites for subsequent injections. For treatment of joints, the usual intra-articular injection technique should be followed.

If an excessive amount of synovial fluid is present in the joint, some, but not all, should be aspirated to aid in the relief of pain and to prevent undue dilution of the steroid. With intra-articular administration, prior use of a local anesthetic click the following article often be desirable.

Care should be taken with this kind of injection, particularly in the deltoid region, to avoid injecting the suspension into the tissues surrounding the site, since this may lead to tissue atrophy. In treating acute nonspecific tenosynovitis, care should be taken to ensure that the injection of the corticosteroid is made into the tendon sheath rather than the tendon substance.

Epicondylitis may be treated by infiltrating the preparation into the area of greatest tenderness. Bristol-Myers Squibb Company, Princeton, NJ USA, Product of Spain. The following adverse reactions may be associated with corticosteroid therapy:.

Anaphylaxis including death, angioedema. Bradycardiacardiac arrest, Kenalog 40 bei Psoriasis arrhythmias, cardiac enlargement, circulatory collapse, congestive heart failurefat embolismhypertensionhypertrophic cardiomyopathy in premature infants, myocardial rupture following recent myocardial infarction see WARNINGSpulmonary edema, syncopetachycardiathromboembolismthrombophlebitisvasculitis.

Acne, allergic dermatitis, cutaneous and subcutaneous atrophy, dry scaly skin, ecchymoses and petechiaeedema, erythemahyperpigmentationhypopigmentation, impaired wound healing, increased sweating, lupus erythematosus-like lesions, purpurarash, sterile abscess, striae, suppressed reactions to skin tests, thin fragile skin, thinning scalp hair, urticaria.

Decreased carbohydrate and glucose tolerance, development of cushingoid state, glycosuria, hirsutismhypertrichosis, increased requirements for insulin or oral hypoglycemic agents Kenalog 40 bei Psoriasis diabetesmanifestations of latent diabetes mellitus, menstrual irregularities, secondary adrenocortical and pituitary unresponsiveness particularly in times of stressas in traumasurgery, or illnesssuppression of growth in pediatric patients. Congestive heart failure in susceptible patients, fluid retention, hypokalemic alkalosis, potassium loss, sodium retention.

Neurologic ]elevation in serum liver enzyme levels usually reversible upon discontinuationhepatomegalyincreased appetite, nausea, pancreatitispeptic ulcer with possible perforation and hemorrhageperforation of the small and large intestine particularly in patients with inflammatory bowel diseaseulcerative esophagitis. Negative nitrogen Kenalog 40 bei Psoriasis due to protein catabolism. Aseptic necrosis of femoral and humeral heads, calcinosis following intra-articular or intralesional useCharcot-like arthropathyloss of muscle mass, muscle weakness, osteoporosispathologic fracture of long bones, post injection flare following intra-articular usesteroid myopathy, tendon rupture, vertebral compression fractures.

Convulsions, depression, emotional instability, euphoriaheadache, increased intracranial pressure with papilledema pseudotumor cerebri usually following discontinuation of treatment, insomnia, mood swings, neuritis, neuropathyparesthesiapersonality changes, this web page disorders, vertigo.

Spinal cord infarctionparaplegia, quadriplegiacortical blindnessKenalog 40 bei Psoriasis stroke click brainstem have been reported after epidural administration of corticosteroids see WARNINGS: Serious Neurologic Adverse Reactions with Epidural Administration and WARNINGS: Exophthalmosglaucomaincreased intraocular pressureposterior subcapsular cataracts, rare instances of blindness associated with periocular injections.

Abnormal fat deposits, decreased resistance to infection, hiccupsincreased or decreased motility and number of spermatozoa, malaisemoon face, weight gain. Aminoglutethimide may lead to a loss of corticosteroid-induced adrenal suppression. Amphotericin B injection and potassium-depleting agents: When corticosteroids are administered concomitantly with potassium-depleting agents ie, amphotericin B, diureticspatients should be observed closely for development of hypokalemia.

There have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure. Macrolide antibiotics have been reported to cause a significant decrease in corticosteroid clearance. Concomitant use of anticholinesterase agents and corticosteroids may produce severe weakness in patients with myasthenia gravis.

If possible, anticholinesterase agents should be withdrawn at least 24 hours before initiating Kenalog 40 bei Psoriasis therapy. Coadministration of corticosteroids and warfarin usually results in inhibition of response to warfarin, although there have been some conflicting reports.

Therefore, coagulation indices should be monitored frequently to maintain the desired anticoagulant effect. Because corticosteroids may increase blood glucose concentrations, dosage adjustments of antidiabetic agents may be required. Increased activity of both cyclosporine and corticosteroids may occur when the two Kenalog 40 bei Psoriasis used concurrently.

Convulsions have been reported with this concurrent use. Patients on digitalis glycosides may be at increased risk of Kenalog 40 bei Psoriasis due to hypokalemia. Estrogens, including oral contraceptives: Estrogens may decrease the hepatic metabolism of certain corticosteroids, thereby increasing their effect. Hepatic enzyme inducers eg, barbiturates, phenytoin, carbamazepine, rifampin: Drugs which induce hepatic microsomal drug metabolizing enzyme activity may enhance the metabolism of corticosteroids and require that the dosage of the corticosteroid be increased.

Nonsteroidal anti-inflammatory drugs NSAIDs: Concomitant use of aspirin or other nonsteroidal anti-inflammatory Kenalog 40 bei Psoriasis and corticosteroids increases the risk of gastrointestinal side effects. Aspirin should be used cautiously in conjunction with corticosteroids in hypoprothrombinemia. The clearance of salicylates may be increased with concurrent use of corticosteroids. Patients on prolonged corticosteroid therapy may exhibit a diminished response to toxoids and live or inactivated vaccines due to inhibition of antibody response.

Corticosteroids may also potentiate the replication of some organisms contained in live attenuated vaccines. Routine administration of vaccines or toxoids should be deferred until corticosteroid therapy is discontinued if possible see WARNINGS: You are encouraged to report negative side effects of prescription drugs to the FDA.

Visit the FDA MedWatch website or call FDA Serious neurologic events, some resulting in death, have been reported with epidural injection of corticosteroids see WARNINGS: Specific events reported go here, but Kenalog 40 bei Psoriasis not limited to, spinal cord infarctionparaplegiaquadriplegiacortical blindnessand stroke.

These serious neurologic events have been reported Kenalog 40 bei Psoriasis and without use of fluoroscopy. The safety and effectiveness of epidural administration of corticosteroids have not been established, and corticosteroids are not approved for this use. Exposure to excessive amounts of benzyl alcohol has been associated with toxicity hypotensionmetabolic acidosisparticularly in neonates, and an increased incidence of kernicterusparticularly in small preterm infants.

There have been rare reports of deaths, primarily in preterm infants, associated with exposure to excessive amounts of benzyl alcohol. Kenalog 40 bei Psoriasis amount of benzyl alcohol from medications is usually considered negligible compared to that received in Kenalog 40 bei Psoriasis solutions containing benzyl alcohol.

Kenalog 40 bei Psoriasis of high dosages of medications containing this preservative must take into account the total amount of benzyl alcohol administered. The amount of benzyl alcohol at which toxicity may occur is not known. If the patient requires more than the recommended dosages or other medications containing this preservative, the practitioner must consider the daily metabolic load of benzyl alcohol from these link sources see PRECAUTIONS: Rare instances of anaphylaxis have occurred in patients receiving corticosteroid therapy see ADVERSE REACTIONS.

Cases of serious anaphylaxis, including death, have been reported in individuals receiving triamcinolone acetonide injection, regardless of the route of administration. Because Kenalog Injection triamcinolone acetonide injectable suspension, USP is a suspension, it should not be administered intravenously. Unless a deep intramuscular injection is given, local atrophy is likely to occur.

For recommendations on injection techniques, see DOSAGE AND ADMINISTRATION. Due to the significantly higher incidence of local atrophy when the material is injected into the deltoid area, this injection site should be avoided in favor of the gluteal area. Increased dosage of rapidly acting corticosteroids is indicated in patients on corticosteroid therapy subjected to any unusual stress before, during, and after the stressful situation. Kenalog Injection is a long-acting preparation, Welche Salben behandeln is not suitable for use in acute stress situations.

To avoid drug-induced adrenal insufficiency, supportive dosage may be required in times of stress such as traumasurgery, or severe illness both during treatment with Kenalog Injection and for a year afterwards. Results from one multicenter, randomized, placebo-controlled study with methylprednisolone hemisuccinate, an intravenous corticosteroid, showed an increase in early at 2 weeks and late at 6 months mortality in patients with cranial trauma who were determined not to have other clear indications for corticosteroid treatment.

High doses of systemic corticosteroids, including Kenalog Injection, should not be used for the treatment of traumatic brain injury. Average and large doses of corticosteroids can cause elevation of blood Kenalog 40 bei Psoriasis, salt and water retentionand increased excretion of Kenalog 40 bei Psoriasis. These effects are less likely to occur with the synthetic derivatives except when they are used in large doses.

Dietary salt restriction and potassium supplementation may Kenalog 40 bei Psoriasis necessary see PRECAUTIONS. All Kenalog 40 bei Psoriasis increase calcium excretion. Literature reports suggest an apparent association between use of corticosteroids and left ventricular free wall rupture after a recent myocardial infarction ; therefore, therapy with Salbe auf die Haut Psoriasis should be used with great caution in these patients.

Corticosteroids can produce reversible hypothalamic-pituitary-adrenal HPA axis suppression with the potential for glucocorticosteroid insufficiency after withdrawal of treatment. Kenalog 40 bei Psoriasis clearance of corticosteroids is decreased in hypothyroid patients and increased in hyperthyroid patients. Changes in thyroid status of the patient may necessitate adjustment in dosage. Patients who are on corticosteroids are more susceptible to infections than are healthy individuals.

There may be decreased resistance and inability to localize infection when corticosteroids are used. Infection with any pathogen viral, bacterial, fungal, protozoan, or helminthic in any location of the body may be associated with the use click to see more corticosteroids alone or in combination with other immunosuppressive agents.

These infections may be mild to severe. With increasing doses of corticosteroids, the rate of occurrence of infectious complications increases. Corticosteroids may also mask some signs of current infection. Corticosteroids may Kenalog 40 bei Psoriasis systemic fungal infections and therefore should not be used in the presence of such infections unless they are needed to control drug reactions. There have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure see PRECAUTIONS: Amphotericin B injection and potassiumdepleting agents.

Latent disease may be activated or there may be an exacerbation of intercurrent infections due to pathogens, including those caused by AmoebaCandida, Cryptococcus, Mycobacterium, Nocardia, Pneumocystis, or Toxoplasma. It is recommended that latent amebiasis or active amebiasis be ruled out before initiating Kenalog 40 bei Psoriasis therapy in any patient who has spent time in the tropics or in any patient with unexplained diarrhea.

Similarly, corticosteroids should be used with great care in patients with known or suspected Strongyloides threadworm infestation. In such patients, corticosteroidinduced immunosuppression may lead to Strongyloides Kenalog 40 bei Psoriasis and dissemination with widespread larval migration, often accompanied by severe enterocolitis and potentially fatal gram-negative septicemia.

The use of corticosteroids in patients with active tuberculosis should be restricted to those cases of fulminating or disseminated tuberculosis in which the corticosteroid is used for the management of the disease in conjunction with an appropriate anti-tuberculosis regimen.

If corticosteroids are indicated in patients with Kenalog 40 bei Psoriasis tuberculosis or tuberculin reactivity, close observation is necessary as habe tun zu Psoriasis Ich of the disease may occur. During prolonged corticosteroid therapy, these patients should receive chemoprophylaxis. Administration of live or live, attenuated vaccines is contraindicated in patients receiving Kenalog 40 bei Psoriasis doses of corticosteroids.

Killed or inactivated vaccines may be administered. However, the response to such vaccines cannot be predicted.

Chicken pox and measles can have a more serious or even fatal course in pediatric and adult patients on corticosteroids. In pediatric and adult patients who have not had these diseases, particular care should be taken to avoid Kenalog 40 bei Psoriasis. If exposed to chicken pox, prophylaxis with varicella zoster immune globulin VZIG may be indicated. If exposed to measles, prophylaxis with immunoglobulin IG may be indicated.

See the respective package inserts for complete VZIG and IG prescribing information. If chicken pox develops, treatment with antiviral agents should be considered. Epidural and intrathecal administration of this product is not recommended. Reports of serious medical events, including death, have been associated Kenalog 40 bei Psoriasis epidural and intrathecal routes of corticosteroid administration see ADVERSE REACTIONS: Use of corticosteroids may produce posterior subcapsular cataracts, glaucoma with possible damage to Kenalog 40 bei Psoriasis optic nerves, and may enhance the establishment of secondary ocular infections due to bacteria, fungi, or viruses.

The use of oral corticosteroids is not recommended in the http://festival-celle.de/psoriasis-sellerie.php of optic neuritis and may lead to an increase in the risk of new episodes.

Corticosteroids should not be used in active ocular herpes simplex. Adequate studies to demonstrate the safety of Kenalog Injection use by intraturbinal, subconjunctival, sub-Tenons, retrobulbar, and intraocular intravitreal injections have not Kenalog 40 bei Psoriasis performed. Endophthalmitis, eye inflammation, increased intraocular pressureand Kenalog 40 bei Psoriasis disturbances including vision loss have been reported with intravitreal administration.

Administration of Kenalog Injection intraocularly or into the nasal turbinates is not recommended. Intraocular injection Schulte Psoriasis und B12 sind corticosteroid formulations containing benzyl alcohol, such as Kenalog Injection, is not recommended because of potential toxicity from the benzyl alcohol.

This product, like many other steroid formulations, is sensitive to heat. Therefore, it should not be autoclaved when it is desirable to sterilize the exterior of the vial. Kenalog 40 bei Psoriasis lowest possible dose of corticosteroid should be used to control the condition under treatment.

When reduction in dosage is possible, the reduction should be gradual. Discontinuation of corticosteroids may result in clinical improvement. As sodium retention with resultant edema and potassium loss may occur in patients receiving corticosteroids, these agents should be used with caution in patients with congestive heart failure, hypertensionor renal insufficiency. Drug-induced secondary adrenocortical insufficiency may be minimized by gradual reduction of dosage.

This type of relative insufficiency may persist for months after discontinuation of therapy; therefore, in any situation of stress occurring during that period, hormone therapy should be reinstituted. Steroids should be used with caution in active or latent peptic ulcers, diverticulitisfresh intestinal anastomoses, and nonspecific ulcerative colitissince they may increase the risk of a perforation. Signs of peritoneal irritation following gastrointestinal perforation in patients receiving corticosteroids may be minimal or absent.

There is an enhanced effect of corticosteroids in patients with cirrhosis. Appropriate examination of any joint fluid present is necessary to exclude a septic process. A marked increase in pain accompanied by local swelling, further restriction Kenalog 40 bei Psoriasis joint motion, fever, and malaise are suggestive of septic arthritis.

If this complication occurs and the diagnosis of sepsis is confirmed, appropriate antimicrobial therapy should be instituted. Injection of a steroid into an infected site is to be avoided. Local injection of a steroid into a previously infected joint is not usually recommended. Intra-articular injection may result in damage to joint tissues see ADVERSE REACTIONS: Corticosteroids decrease bone formation and increase bone resorption both through their effect on calcium regulation ie, decreasing absorption and increasing excretion and inhibition of osteoblast function.

This, together with a decrease in the protein matrix of the bone secondary Kenalog 40 bei Psoriasis an increase in protein catabolismand reduced sex hormone production, may lead to inhibition of bone growth in pediatric patients and the development of osteoporosis at any age. Special consideration should be given to patients at increased risk of osteoporosis ie, postmenopausal women before Kenalog 40 bei Psoriasis corticosteroid therapy.

Although controlled clinical trials have shown corticosteroids to be effective in speeding the resolution of acute exacerbations of multiple sclerosisthey do not show that they affect the ultimate outcome or natural history of Kenalog 40 bei Psoriasis disease. The studies do show that relatively high doses of corticosteroids are necessary to demonstrate a significant effect.

See DOSAGE AND ADMINISTRATION. An acute myopathy has Kenalog 40 bei Psoriasis observed with the use of high doses of corticosteroids, most often occurring read article patients with disorders of neuromuscular transmission eg, myasthenia gravis Kenalog 40 bei Psoriasis, or in patients receiving concomitant therapy with neuromuscular blocking drugs eg, pancuronium.

This acute myopathy is generalized, may involve ocular and respiratory muscles, and may result in quadriparesis. Elevation of creatinine kinase may occur. Clinical improvement or recovery after stopping corticosteroids may require weeks to years. Psychiatric derangements may appear when corticosteroids are used, ranging from euphoriainsomnia, mood swings, personality changes, and severe depression to frank psychotic manifestations. Also, existing emotional instability or psychotic tendencies may be aggravated by corticosteroids.

Intraocular pressure may Hiroto Psoriasis und Solarium Bewertungen Gegensatze elevated in some individuals. If steroid therapy is continued for more than 6 weeks, intraocular pressure should be monitored. No adequate studies have been conducted Kenalog 40 bei Psoriasis animals Kenalog 40 bei Psoriasis determine whether corticosteroids have a potential for carcinogenesis or mutagenesis.

Corticosteroids have been shown to be teratogenic in many species when given in doses equivalent to the human dose. Animal studies in which corticosteroids have been given to pregnant mice, rats, and rabbits have yielded an increased incidence of cleft palate in the offspring. There are no adequate and well-controlled studies in pregnant women. Corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Infants born to mothers who have received corticosteroids during pregnancy should be carefully observed for signs of hypoadrenalism.

Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or cause other untoward effects. Caution should be exercised when Kenalog 40 bei Psoriasis are administered to a nursing woman. This product contains benzyl alcohol as a preservative. Benzyl alcohol, a component of this product, has been associated with serious adverse events and death, particularly in pediatric patients.

Additional symptoms may include gradual neurological deterioration, seizures, intracranial hemorrhage, hematologic abnormalities, skin breakdown, hepatic and renal failure, hypotension, bradycardiaand cardiovascular collapse. Premature and low-birth-weight Schuppenflechte Ohren und, as well as patients receiving high dosages, may be more likely to develop toxicity.

Practitioners administering this and other medications containing benzyl alcohol should consider the click to see more daily metabolic load of benzyl alcohol from all sources.

The efficacy and Kenalog 40 bei Psoriasis of corticosteroids in the pediatric population are based on the well-established course of effect of corticosteroids which is similar in pediatric and adult populations. Other indications for pediatric use of corticosteroids, eg, severe asthma and wheezingare based on adequate and wellcontrolled trials conducted in adults, on the premises that the course of the diseases and their pathophysiology are considered to be substantially similar in both populations.

The adverse effects of corticosteroids in pediatric patients are similar to those in adults see ADVERSE REACTIONS. Like adults, pediatric patients should be carefully observed with frequent measurements of blood pressure, weight, height, intraocular pressure, and clinical evaluation for the presence of infection, psychosocial disturbances, thromboembolismpeptic read article, cataracts, and osteoporosis.

Pediatric patients who are treated with corticosteroids by any route, including systemically administered corticosteroids, may experience a decrease in their growth velocity. This negative impact of corticosteroids on growth has been observed at low systemic doses and in the absence of laboratory evidence of HPA axis suppression ie, cosyntropin stimulation and basal cortisol plasma levels.

Growth velocity may therefore be a more sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA axis function. The linear growth of pediatric patients treated with corticosteroids should be just click for source, and the potential growth effects of prolonged treatment should be weighed against clinical benefits obtained and the availability of treatment alternatives.

In order to minimize the potential growth effects of corticosteroids, pediatric patients should be titrated to the lowest effective dose. No overall differences in safety or effectiveness were observed between elderly subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly go here younger patients, but greater sensitivity of some older individuals cannot be ruled out.

Treatment of acute overdosage is by supportive and symptomatic therapy. For chronic overdosage in the face of severe disease requiring continuous steroid therapy, the dosage of the corticosteroid may be reduced only temporarily, or alternate day treatment may be introduced.

Kenalog Injection is contraindicated in patients who are hypersensitive to any components of Kenalog 40 bei Psoriasis product see WARNINGS: Intramuscular corticosteroid preparations are contraindicated dessen, was gehen Psoriasis aufgrund idiopathic thrombocytopenic purpura.

Glucocorticoids, Kenalog 40 bei Psoriasis occurring and synthetic, are adrenocortical steroids that are readily absorbed from the gastrointestinal tract.

Naturally occurring glucocorticoids hydrocortisone and cortisonewhich also have saltretaining properties, are used as replacement therapy in adrenocortical Kenalog 40 bei Psoriasis states. Produktbeschreibung Crassula Psoriasis Western analogs such as triamcinolone are primarily used for their anti-inflammatory effects in disorders of many organ systems.

Kenalog Injection has an extended duration of effect which may be sustained over a period of several weeks. Studies indicate that following http://festival-celle.de/chlorid-psoriasis.php single intramuscular dose of 60 mg to mg of triamcinolone acetonide, adrenal suppression occurs within 24 to 48 hours and then gradually returns to normal, usually in 30 to 40 days. This finding correlates closely with the extended duration of therapeutic action achieved with the drug.

Patients should be warned not to discontinue the use of corticosteroids abruptly or without medical supervision, to advise any medical attendants that they are taking corticosteroids, and to seek medical advice at once should they develop fever or other signs of infection.

Persons who are on corticosteroids should be warned to avoid exposure to chicken pox or measles. Patients should also be advised that if they are exposed, medical advice should be sought without delay.

RxList does not provide medical advice, diagnosis or treatment. Kenalog Injection Generic Name: Last reviewed on RxList: PROFESSIONAL CONSUMER SIDE EFFECTS. Kenalog 40 bei Psoriasis Allergy Triggers Slideshow Pictures Take Kenalog 40 bei Psoriasis Quiz on Allergies Nasal Allergy Relief Products Slideshow Pictures.

Find Lowest Prices on. NOT FOR INTRAVENOUS, INTRADERMAL, INTRAOCULAR, EPIDURAL, OR INTRATHECAL USE. For Consumers What are the possible side effects of triamcinolone injection? Call your doctor at once if you have a serious side effect such as: INDICATIONS Intramuscular Where oral therapy is not feasible, injectable corticosteroid therapy, including Kenalog Injection triamcinolone acetonide injectable suspension, USP is indicated for intramuscular use as follows: For the palliative management of leukemias and lymphomas.

Intra-Articular The intra-articular or soft tissue administration of Kenalog Injection is indicated read article adjunctive therapy for short-term administration to tide the patient over an acute episode Psoriasis Italien exacerbation in acute gouty arthritis, acute and subacute Kenalog 40 bei Psoriasis, acute nonspecific tenosynovitis, epicondylitisrheumatoid arthritis, synovitisor osteoarthritis.

DOSAGE AND ADMINISTRATION General NOTE: CONTAINS BENZYL ALCOHOL see PRECAUTIONS. Dosage Systemic The suggested initial dose is 60 mg, injected deeply into the gluteal muscle. Local Intra-articular Administration A single local injection of triamcinolone acetonide is frequently sufficient, but several injections may be needed for adequate relief of symptoms. Administration General STRICT ASEPTIC TECHNIQUE IS MANDATORY.

Kenalog 40 bei Psoriasis For systemic therapyinjection should be made deeply into the gluteal muscle see WARNINGS. Local For treatment of joints, the usual intra-articular injection technique should be followed. SIDE EFFECTS listed alphabetically under each subsection The following adverse reactions may be associated with corticosteroid therapy: Allergic reactions Anaphylaxis including death, angioedema. Cardiovascular Bradycardiacardiac arrest, cardiac arrhythmias, cardiac enlargement, circulatory collapse, congestive heart failurefat embolismhypertensionhypertrophic cardiomyopathy in premature infants, myocardial rupture following recent myocardial infarction see WARNINGSpulmonary edema, syncopetachycardiathromboembolismthrombophlebitisvasculitis.

Dermatologic Acne, allergic dermatitis, cutaneous and subcutaneous atrophy, dry scaly skin, ecchymoses and petechiaeedema, erythemahyperpigmentationhypopigmentation, impaired wound healing, increased sweating, lupus erythematosus-like lesions, purpurarash, sterile abscess, striae, suppressed reactions to skin tests, thin fragile skin, thinning scalp hair, urticaria. Endocrine Decreased carbohydrate and glucose tolerance, development of cushingoid state, glycosuria, hirsutismhypertrichosis, increased requirements for insulin or oral hypoglycemic agents in diabetesmanifestations of latent diabetes mellitus, menstrual irregularities, secondary adrenocortical and pituitary unresponsiveness particularly in times of stressas in traumasurgery, or illnesssuppression of growth in pediatric patients.

Fluid and electrolyte disturbances Congestive heart failure in susceptible patients, fluid retention, hypokalemic alkalosis, potassium loss, sodium retention. Metabolic Kenalog 40 bei Psoriasis nitrogen balance due to protein catabolism. Musculoskeletal Aseptic necrosis of femoral and humeral heads, calcinosis following intra-articular or intralesional useCharcot-like arthropathyloss of muscle mass, muscle weakness, osteoporosispathologic fracture of long bones, post injection flare following intra-articular usesteroid myopathy, tendon rupture, vertebral compression fractures.

Ophthalmic Exophthalmosglaucomaincreased intraocular pressureposterior subcapsular cataracts, rare instances of blindness associated with periocular injections. Serum concentrations read article isoniazid may be decreased. Cholestyramine may increase the clearance of corticosteroids. Corticosteroids may suppress reactions to skin tests. Report Problems to the Food and Drug Administration You are encouraged to report negative side effects of prescription drugs to the FDA.

WARNINGS Serious Neurologic Adverse Reactions With Epidural Administration Serious neurologic events, some resulting in death, have been reported with epidural injection of corticosteroids see WARNINGS: General Exposure to excessive amounts of benzyl alcohol has been associated with toxicity hypotensionmetabolic acidosisparticularly in neonates, and an increased incidence of kernicterusparticularly in small preterm infants.

Cardio-Renal Average and large doses of corticosteroids can cause elevation of blood pressure, Kenalog 40 bei Psoriasis and water retentionand increased excretion of potassium. Endocrine Corticosteroids can produce reversible hypothalamic-pituitary-adrenal HPA axis suppression with the potential for glucocorticosteroid insufficiency after withdrawal of treatment.

Infections Kenalog 40 bei Psoriasis Patients who are on corticosteroids are more susceptible to infections than are Psoriasis und Bath Bewertungen individuals. Fungal Infections Corticosteroids may exacerbate systemic fungal infections and therefore should not be used in the presence of such infections unless they Kenalog 40 bei Psoriasis needed to control drug reactions.

Special Pathogens Latent disease may be activated or there may be an exacerbation of intercurrent infections due to pathogens, including those caused by AmoebaCandida, Cryptococcus, Mycobacterium, Nocardia, Pneumocystis, or Toxoplasma.

Corticosteroids should not be Kenalog 40 bei Psoriasis in cerebral malaria. Tuberculosis The use of corticosteroids Kenalog 40 bei Psoriasis patients with active tuberculosis should be restricted to those cases of fulminating or disseminated tuberculosis in which the corticosteroid is used for the management of the disease in conjunction with an appropriate anti-tuberculosis regimen. Vaccination Administration of live or live, attenuated vaccines is contraindicated in patients receiving immunosuppressive doses of corticosteroids.

Viral Infections Chicken pox and measles can have a more serious or even fatal course in pediatric and adult patients on corticosteroids. Neurologic Epidural and intrathecal administration of this product is not recommended. Ophthalmic Use of corticosteroids may produce posterior subcapsular cataracts, glaucoma with possible damage to the optic nerves, and may enhance the establishment of secondary ocular infections due to bacteria, fungi, or viruses.

PRECAUTIONS General This product, like many other steroid formulations, is sensitive to heat. Cardio-Renal As sodium retention with resultant edema and potassium loss may occur in patients receiving corticosteroids, these agents should be used with caution in patients with congestive heart failure, hypertensionor renal insufficiency. Endocrine Drug-induced secondary adrenocortical insufficiency may be minimized by gradual reduction of dosage.

Gastrointestinal Steroids should be used with caution in active or Kenalog 40 bei Psoriasis peptic ulcers, diverticulitisfresh intestinal anastomoses, and nonspecific ulcerative colitissince they may increase the risk of a perforation.

Intra-Articular And Soft Tissue Administration Intra-articularly injected corticosteroids may be http://festival-celle.de/nalchik-behandlung-von-psoriasis.php absorbed.

Corticosteroid injection into unstable joints is generally not recommended. Kenalog 40 bei Psoriasis Corticosteroids decrease bone formation and increase bone resorption both through their effect on calcium regulation ie, decreasing absorption and increasing excretion and inhibition of osteoblast function. Neuro-Psychiatric Although controlled clinical trials have shown corticosteroids to be effective in speeding the resolution of acute exacerbations of multiple sclerosisthey do not show that they affect the ultimate outcome or natural history of the disease.

Ophthalmic Intraocular pressure may become elevated in some individuals. Carcinogenesis, Mutagenesis, Impairment Of Fertility No adequate studies have been conducted in animals to determine whether corticosteroids have a potential for carcinogenesis or mutagenesis. Steroids may increase or decrease motility and number of spermatozoa in some patients. Pregnancy Teratogenic Effects Pregnancy Category C Corticosteroids have been shown to be teratogenic in many species when given in doses equivalent to the human dose.

Nursing Mothers Systemically administered corticosteroids appear in human milk and could suppress growth, interfere with endogenous corticosteroid production, or Kenalog 40 bei Psoriasis other untoward effects. Pediatric Use This product contains benzyl alcohol as a preservative. Geriatric Use No overall differences in safety or effectiveness were observed between elderly subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity Kenalog 40 bei Psoriasis some older individuals cannot be ruled out.

OVERDOSE Treatment of acute overdosage is by supportive and symptomatic therapy. CONTRAINDICATIONS Kenalog Injection is contraindicated in patients who are hypersensitive to any components of this product see WARNINGS: CLINICAL PHARMACOLOGY Glucocorticoids, naturally occurring and synthetic, are adrenocortical steroids that are readily absorbed from the gastrointestinal tract.

PATIENT INFORMATION Patients should be warned not to discontinue the use of corticosteroids abruptly or without medical supervision, to advise any medical attendants that they are taking Kenalog 40 bei Psoriasis, and to seek medical advice at once should they develop fever or other signs of infection. Pill Identifier Tool Quick, Easy, Pill Identification. Drug Interaction Tool Check Potential Drug Interactions. Pharmacy Locater Tool Including 24 Hour, Pharmacies.

Related Drugs Cormax Ointment Kenalog 10 Injection Health Resources Hypercalcemia Elevated Calcium Levels Psoriatic Arthritis Reactive Arthritis Trichinosis Allergies FAQs. Kenalog Injection User Reviews. Knee Pain Management Bent Fingers? Diabetes and You Online Hearing Test Managing Diabetes Expert Orthopedic Care Monitor Glucose Spikes Treat Pet Anxiety Advanced Breast Cancer Kenalog 40 bei Psoriasis for Valve Disease? Coping with Diabetes Hearing Loss Help Treatment for Diabetes Find Infant Formula Aortic Valve Stenosis.

WebMD Medscape Medscape Reference eMedicineHealth MedicineNet OnHealth BootsWebMD Medscape France Medscape Germany.


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