{"id":25634,"date":"2022-09-23T11:15:55","date_gmt":"2022-09-23T11:15:55","guid":{"rendered":"https:\/\/zeepedia.com\/?p=25634"},"modified":"2022-09-24T08:02:55","modified_gmt":"2022-09-24T08:02:55","slug":"trica","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/trica\/","title":{"rendered":"Trica &#8211; Triamcinolone hexacetonide uses, dose and side effects"},"content":{"rendered":"\n<p>20 mg\/ml solution for injection, suspension<br>triamcinolone hexacetonide<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Trica is and what it is used for<\/h2>\n\n\n\n<p>Trica is given as an\u00a0injection\u00a0containing medicine that is a\u00a0corticosteroid.\u00a0Corticosteroids\u00a0are similar to a type of\u00a0hormone\u00a0produced naturally in the body by the adrenal glands.\u00a0Corticosteroid\u00a0one in Trica is called triamcinolone hexacetonide.<\/p>\n\n\n\n<p>Trica is injected into or around joints.\u00a0It is given to adults and young people as a treatment against pain, swelling, and stiffness in joints in\u00a0subacute\u00a0and\u00a0chronic\u00a0inflammatory\u00a0joint disease, i.a.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rheumatoid arthritis&nbsp;(joint inflammation)<\/li><li>juvenile idiopathic arthritis&nbsp;(<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/child-rheumatoid-arthritis-jia\/\">JIA<\/a>,&nbsp;arthritis&nbsp;in children)<\/li><li>osteoarthritis&nbsp;(a joint disease caused by wear and tear) and&nbsp;post-traumatic&nbsp;arthritis&nbsp;(caused by external injury)<\/li><li>synovitis&nbsp;(mild swelling of&nbsp;tissue&nbsp;around the joint),&nbsp;tendinitis&nbsp;(&nbsp;inflammation&nbsp;of a tendon), <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/bursitis-mucosal-inflammation\/\">bursitis<\/a> (&nbsp;inflammation&nbsp;of one or more bursae (small fluid-filled cavities) with synovial fluid in the body),&nbsp;epicondylitis&nbsp;(longitudinal pain in the elbow, also called <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/tennis-elbow\/\">tennis elbow<\/a>).<\/li><\/ul>\n\n\n\n<p>Trica can also be used intra-articularly (as an\u00a0injection\u00a0into the joint) in children aged 3\u201312 years with\u00a0juvenile idiopathic arthritis.<\/p>\n\n\n\n<p>Triamcinolone hexacetonide found in Trica may also be approved to treat other conditions not listed in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you receive Trica<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Trica<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to triamcinolone hexacetonide or any of the other ingredients of this medicine (listed in section 6).<\/li><li>Must not be given to newborn or premature infants or children up to 3 years of age.<\/li><li>if you have active\u00a0tuberculosis,\u00a0herpes\u00a0simplex\u00a0infection\u00a0of the eye,\u00a0acute\u00a0psychosis,\u00a0or a generalized fungal and parasitic infection.<\/li><li>if you have an\u00a0infection\u00a0in the joint or near the joint be treated<\/li><li>to relieve <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/joint-pain\/\">joint pain<\/a> caused by\u00a0arthritis\u00a0due to\u00a0tuberculosis\u00a0or\u00a0gonorrhea<\/li><li>if you have recently had a broken bone or have an unhealed broken bone.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Trica contains a powerful&nbsp;corticosteroid&nbsp;and should therefore be used with caution if you have any of the following diseases.<\/p>\n\n\n\n<p><strong>You must therefore inform your doctor before receiving Trica if you have any of the following conditions:<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>heart failure,\u00a0acute\u00a0coronary artery disease<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/diseases\/hypertension\/\">hypertension<\/a>\u00a0(high\u00a0blood pressure\u00a0)<\/li><li>thrombophlebitis\u00a0(blood clot),\u00a0thromboembolism\u00a0(a blood clot that breaks loose and is carried with the blood to another\u00a0vessel\u00a0that it blocks)<\/li><li>myasthenia gravis\u00a0(muscle weakness)<\/li><li>osteoporosis\u00a0_<\/li><li>peptic ulcer\u00a0(stomach ulcer),\u00a0diverticulitis\u00a0(\u00a0inflammation\u00a0of a small bulge in the wall of the large intestine),\u00a0ulcerative colitis\u00a0(\u00a0chronic\u00a0inflammation\u00a0of the large intestine), recent intestinal anastomosis (\u00a0surgery\u00a0after the removal of parts of the intestine)<\/li><li>any skin disease such as\u00a0eczema<\/li><li>psychosis\u00a0(mental health problems with hallucinations or delusions)<\/li><li>&#8220;full moon face&#8221; and fat accumulation on the trunk (Cushing&#8217;s syndrome)<\/li><li>diabetes mellitus<\/li><li>underactive\u00a0thyroid\u00a0(\u00a0hypothyroidism\u00a0)<\/li><li>reduced kidney function,\u00a0acute\u00a0glomerulonephritis\u00a0(damage to the small filters inside the kidney),\u00a0chronic\u00a0nephritis (long-term\u00a0inflammation\u00a0of the kidney)<\/li><li>liver cirrhosis\u00a0(cirrhosis)<\/li><li>infection\u00a0that cannot be treated with\u00a0antibiotics<\/li><li>cancer metastases (cancer that spreads from one organ or part of an organ to another organ or part of an organ<\/li><li>active\u00a0tuberculosis<\/li><li>herpes\u00a0simplex\u00a0infection\u00a0of the eye<\/li><li>fungal and parasitic infection<\/li><\/ul>\n\n\n\n<p>Contact a doctor if you experience blurred vision or other visual disturbances.<\/p>\n\n\n\n<p>The medicine must not be given&nbsp;intravenously&nbsp;(into a vein), intradermally, (into the skin),&nbsp;subcutaneously&nbsp;(under the skin),&nbsp;intramuscularly&nbsp;(into a muscle), intraocularly (into the eye), epidurally (into the spinal canal), or intrathecally (into the brain or spinal cord).<\/p>\n\n\n\n<p>Be careful not to overuse a joint that feels better after receiving a\u00a0Trica\u00a0injection.\u00a0The joint must recover from the\u00a0inflammation\u00a0that caused the symptoms.\u00a0Repeated\u00a0injections\u00a0can damage the joint.<\/p>\n\n\n\n<p>You should not be vaccinated or immunized with live vaccines if you are treated with\u00a0medium or high-dose\u00a0corticosteroids\u00a0for more than 2 weeks, as a possible lack of antibody response may cause medical complications, especially neurological ones.<\/p>\n\n\n\n<p>If you experience a serious reaction or acute\u00a0infection, treatment must be discontinued and appropriate treatment instituted.<\/p>\n\n\n\n<p>Corticosteroid drugs suppress the body&#8217;s natural\u00a0immune response.\u00a0If you come into contact with someone who has an infectious disease, e.g.\u00a0chickenpox,\u00a0shingles,\u00a0or measles, you should contact a doctor as soon as possible.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Growth and development in children receiving long-term treatment with&nbsp;corticosteroids&nbsp;should be monitored.<\/p>\n\n\n\n<p>Trica must not be given to newborns or premature babies because it contains benzyl alcohol.&nbsp;It may cause toxic or severe allergic reactions in children under 3 years of age.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Trica<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might be taking any other medicines, even those without a prescription.<\/p>\n\n\n\n<p>Some medicines can increase the effects of Trica and your doctor may want to monitor you closely if you are taking these medicines (eg some anti-HIV medicines: ritonavir, cobicistat).<\/p>\n\n\n\n<p>It is especially important to tell your doctor if you are also taking:<\/p>\n\n\n\n<p><strong>amphotericin B\u00a0injection\u00a0and potassium-lowering agents:<\/strong>\u00a0a combination of these with Trica can cause too low levels of potassium in the blood<\/p>\n\n\n\n<p><strong>cholinesterase inhibitors:<\/strong>&nbsp;as they may become less effective<\/p>\n\n\n\n<p><strong>anticholinergics (eg atropine):<\/strong>&nbsp;as the pressure in the eye may increase<\/p>\n\n\n\n<p><strong>blood thinners (oral&nbsp;anticoagulants&nbsp;):&nbsp;<\/strong>Corticosteroids&nbsp;can enhance or reduce the blood thinning (&nbsp;anticoagulant&nbsp;) effect.<\/p>\n\n\n\n<p><strong>Blood sugar-lowering agents (antidiabetics, eg sulphonylurea derivatives, and\u00a0insulin\u00a0):\u00a0<\/strong>Corticosteroids\u00a0can increase blood sugar levels<\/p>\n\n\n\n<p><strong>blood pressure lowering agents (antihypertensive agents, including&nbsp;diuretics&nbsp;):<\/strong>&nbsp;may become less effective<\/p>\n\n\n\n<p><strong>medicines against\u00a0tuberculosis, e.g.\u00a0isoniazid:<\/strong>\u00a0the concentration of\u00a0isoniazid\u00a0in the blood may decrease<\/p>\n\n\n\n<p><strong>immunosuppressive agents (cyclosporine):<\/strong>&nbsp;When used concurrently, cyclosporine may cause increased cyclosporine and corticosteroid activities<\/p>\n\n\n\n<p><strong>medicines against&nbsp;heart failure&nbsp;(&nbsp;digitalis glycosides&nbsp;):<\/strong>&nbsp;Concomitant treatment with Trica may increase the risk of digitalis toxicity<\/p>\n\n\n\n<p><strong>medicines that increase the number<\/strong> of certain liver enzymes\u00a0(eg\u00a0barbiturates,\u00a0phenytoin, carbamazepine, rifampicin, primidone, aminoglutethimide): may reduce the effect of Trica<\/p>\n\n\n\n<p><strong>human&nbsp;growth hormone&nbsp;(somatropin):<\/strong>&nbsp;The growth-promoting effect may be reduced during long-term treatment with Trica<\/p>\n\n\n\n<p><strong>drugs against fungal infections (&nbsp;ketoconazole&nbsp;):<\/strong>&nbsp;Corticosteroid effects of Trica may increase<\/p>\n\n\n\n<p><strong>protease inhibitors&nbsp;for&nbsp;HIV&nbsp;infection&nbsp;(ritonavir):&nbsp;Corticosteroid<\/strong>&nbsp;effects may be increased or prolonged<\/p>\n\n\n\n<p><strong>neuromuscular nondepolarizing agents:&nbsp;<\/strong>Steroids&nbsp;may decrease or increase neuromuscular blockade<\/p>\n\n\n\n<p><strong>Nonsteroidal anti-inflammatory drugs (\u00a0NSAIDs\u00a0):\u00a0<\/strong>Corticosteroids\u00a0may increase the incidence and severity of gastrointestinal bleeding and\u00a0peptic ulcers\u00a0associated with\u00a0NSAIDs.\u00a0Corticosteroids\u00a0can lead to reduced salicylate concentrations in\u00a0serum\u00a0and thus reduce its effect.\u00a0If treatment with\u00a0corticosteroids\u00a0is discontinued during simultaneous treatment with high\u00a0doses of\u00a0salicylates, it can cause salicylate poisoning.\u00a0If you are using\u00a0aspirin\u00a0and have low prothrombin levels in your blood, tell your doctor or nurse<\/p>\n\n\n\n<p><strong>the hormone\u00a0that prevents pregnancy, including\u00a0birth control pills\u00a0(oral contraceptives):<\/strong>\u00a0The corticosteroid effect of Trica may be longer<\/p>\n\n\n\n<p><strong>Thyroid medication:<\/strong>&nbsp;If you have an underactive&nbsp;thyroid gland&nbsp;(&nbsp;hypothyroidism&nbsp;) or an overactive&nbsp;thyroid gland&nbsp;(&nbsp;hyperthyroidism&nbsp;), inform your doctor or nurse as the&nbsp;dose&nbsp;may need to be adjusted<\/p>\n\n\n\n<p><strong>vaccines:<\/strong>&nbsp;Neurological complications and a reduced antibody response can occur in special situations when patients taking&nbsp;corticosteroids&nbsp;are vaccinated.&nbsp;(See section 2 Warnings and precautions)<\/p>\n\n\n\n<p><strong>drugs that prolong the\u00a0QT interval\u00a0et or induce\u00a0torsades de pointes\u00a0(a form of\u00a0cardiac arrhythmia\u00a0):<\/strong>\u00a0Use of Trica and\u00a0class IA\u00a0antiarrhythmics\u00a0such as\u00a0disopyramide,\u00a0quinidine,\u00a0and\u00a0procainamide\u00a0or other\u00a0class II\u00a0antiarrhythmics such as\u00a0amiodarone, bepridil, and sotalol is not recommended.<\/p>\n\n\n\n<p>The greatest caution is required when Trica is used with phenothiazines,\u00a0tricyclic antidepressants, terfenadine and astemizole, vincamine,\u00a0intravenous\u00a0erythromycin, halofantrine, pentamidine, and sultopride.<\/p>\n\n\n\n<p>Combination with agents that cause electrolyte disturbances such as\u00a0hypokalemia\u00a0(potassium-depleting\u00a0diuretics,\u00a0intravenous\u00a0amphotericin B, and some\u00a0laxatives\u00a0), low magnesium levels, and severely decreased blood calcium levels is not recommended.<\/p>\n\n\n\n<p><em>Pediatric&nbsp;population<\/em><\/p>\n\n\n\n<p>Interaction studies have only been performed in adults.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you are pregnant, or plan to have a baby, ask your doctor or pharmacist for advice before using this medicine.<\/p>\n\n\n\n<p>Corticosteroid treatment can cause menstrual disturbances.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>Trica is not expected to affect the ability to drive and use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Trica contains benzyl alcohol and sorbitol (E420)<\/h2>\n\n\n\n<p><strong>Benzyl alcohol<\/strong>&nbsp;can cause toxic and severe allergic reactions in infants and children up to 3 years of age.<\/p>\n\n\n\n<p>Trica contains\u00a0<strong>sorbitol<\/strong>.\u00a0If you have an intolerance to certain sugars, you should consult your doctor before taking this medication.<br><br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to get Trica<\/h2>\n\n\n\n<p>A doctor (or nurse on a doctor&#8217;s\u00a0prescription\u00a0) gives you an\u00a0injection\u00a0with Trica.\u00a0The dose\u00a0is determined by the doctor.<\/p>\n\n\n\n<p><strong><em>This medicine is intended for intra-articular, peri-articular, and\u00a0intrasynovial\u00a0use (in and around a joint).\u00a0This medicine must not be used\u00a0intravenously\u00a0(into a vein), intradermally, (into the skin),\u00a0subcutaneously\u00a0(under the skin),\u00a0intramuscularly\u00a0(into a muscle), intraocularly (into the eye), epidurally (into the spinal canal), or intrathecally (into the brain or spinal cord ).<\/em><\/strong><\/p>\n\n\n\n<p>The doctor prescribes the&nbsp;dose&nbsp;that is most suitable for you.<\/p>\n\n\n\n<p>Recommended&nbsp;dose<\/p>\n\n\n\n<p><strong><em>For intra-articular use (&nbsp;injection&nbsp;into the joint,&nbsp;dosage&nbsp;for adults and adolescents) for all indications<\/em><\/strong><\/p>\n\n\n\n<p>The dose\u00a0is determined individually and can vary from 2 to 20 mg depending on the size of the joint and the amount of fluid in the joint.\u00a0Usually, 10-20 mg (0.5-1 ml) is used in large joints (eg hip, knee, and shoulder), 5-10 mg (0.25-0.5 ml) in medium-sized joints (eg . elbow and wrist), and 2\u20116 mg (0.1\u20110.3 ml) in small joints (eg hands and feet).\u00a0If there is a lot of fluid in the joint, this can be removed before\u00a0injection.\u00a0The subsequent\u00a0dose\u00a0and number of\u00a0injections\u00a0depend on how the disease responds.\u00a0Since Trica is long-acting, no joint should be treated more than once every 3-4 weeks.<\/p>\n\n\n\n<p>Control of pain after treatment: The pain in a joint caused by intra-articular\u00a0injection\u00a0can be prevented or alleviated by avoiding unnecessary movement for 12 hours after\u00a0injection.<\/p>\n\n\n\n<p><strong><em>For\u00a0periarticular\u00a0use (an\u00a0injection\u00a0around the joint,\u00a0dosing\u00a0for adults and adolescents only)<\/em><\/strong><\/p>\n\n\n\n<p><em>Bursitis\/epicondylitis:<\/em>&nbsp;Usually 10\u201120 mg (0.5\u20111 ml) depending on the size of the bursa and the severity of the disease.&nbsp;In most cases, one treatment session is sufficient.<\/p>\n\n\n\n<p><em>Synovitis\/tendinitis:<\/em>&nbsp;Usually 10-20 mg (0.5-1.0 ml) The need for further&nbsp;injection&nbsp;is assessed based on the treatment response.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p><em>Use in children aged 3-12 years with&nbsp;juvenile idiopathic arthritis<\/em><\/p>\n\n\n\n<p>The dosage\u00a0schedule for triamcinolone hexacetonide as an intra-articular\u00a0injection\u00a0for the treatment of JIA in children is 1 mg\/kg for large joints (knee, hip, shoulder) and 0.5 mg\/kg for smaller joints (wrist, ankle, and elbow).\u00a0For hands and feet, 1-2 mg\/joint for metacarpophalangeal\/metatarsophalangeal joints (MCP\/MTP joints) and 0.6-1 mg\/joint for proximal interphalangeal joints (PIP joints) can be used.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have been given too much Trica<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has accidentally ingested the medicine, contact a doctor or hospital for an assessment of the risk and advice.\u00a0Show them the Trica package if possible.<\/p>\n\n\n\n<p>Overdose can cause changes in the skin around the injection site, such as when the time between&nbsp;injections&nbsp;at the same site is too short.&nbsp;If this occurs, healing may take several months due to the long-term effects of the drug.<\/p>\n\n\n\n<p>If you have further questions about this medicine, contact your doctor or pharmacist.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Side effects\u00a0depend on\u00a0the dose\u00a0and duration of treatment.\u00a0Side effects\u00a0that affect the whole body are rare but can occur as a result of repeated treatment in and around joints.\u00a0As with other intra-articular steroid treatments, transient inhibition of adrenocortical function has been observed during the first week after\u00a0injection.\u00a0This effect is enhanced by the simultaneous use of\u00a0corticotropin\u00a0or oral\u00a0steroids.<\/p>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>local reactions at the injection site such as\u00a0collections,\u00a0redness, pain, swelling, and tissue damage<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>injections\u00a0with too high a\u00a0dose\u00a0or too often in the same place can cause local thinning of the skin&#8217;s top two layers, the dermis, and subcutaneous tissue, causing thin skin.\u00a0Due to Trica&#8217;s long-term effects, it takes several months for the skin to return to normal.<\/li><li>vertigo\u00a0(dizziness or a feeling that everything is &#8220;spinning&#8221;).<\/li><\/ul>\n\n\n\n<p><strong>Very rare&nbsp;side effects&nbsp;(may affect up to 1 in 10,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>thromboembolism\u00a0(a blood clot that breaks loose and is carried with the blood to another\u00a0vessel\u00a0that becomes blocked)<\/li><li>formation of calcium deposits in and around the treated joint, tendon rupture (tearing of the tendon)<\/li><li>the skin becomes lighter or darker<\/li><li>severe\u00a0allergic reaction\u00a0causing difficulty breathing or dizziness<\/li><\/ul>\n\n\n\n<p><strong>Frequency not known (cannot be estimated from available data)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>heart failure, abnormal heart rhythm<\/li><li>high\u00a0blood pressure<\/li><li>loss of muscle mass,\u00a0osteoporosis\u00a0(bone fragility), death of bone tissue due to poor blood supply to the joint head of the upper arm or femur, spontaneous\u00a0fractures, symptoms similar to\u00a0neurogenic\u00a0joint disease<\/li><li>peptic ulcer\u00a0possibly followed by perforation and bleeding,\u00a0pancreatitis\u00a0(\u00a0inflammation\u00a0of the pancreas)<\/li><li>impaired wound healing, skin fragility, skin bruising and bruising, facial redness and\/or rash, increased sweating, red or purple skin discoloration, stretch marks, acne-like skin rash,\u00a0hives<\/li><li>increased\u00a0blood pressure\u00a0in the brain without any known cause usually after treatment, headache<\/li><li>insomnia (sleeplessness), depression (sometimes severe),\u00a0euphoria, mood swings, hallucinations, and delusions<\/li><li>irregular menstruation, bleeding in postmenopausal women, abnormal hair growth, Cushing-like symptoms (full moon face, fat accumulation on the trunk), impaired adrenal cortex function, or partially shrunken adrenal glands especially during periods of stress (eg, trauma,\u00a0surgery, or illness) reduced tolerance to sugars, activation of underlying\u00a0diabetes mellitus<\/li><li>cataract, excessive pressure in the eye (\u00a0glaucoma\u00a0), blurred vision<\/li><li>high levels of nitrogen in the blood due to the breakdown\u00a0of\u00a0proteins<\/li><li>worsening or masking of\u00a0infection\u00a0er<\/li><\/ul>\n\n\n\n<p>Rare cases of\u00a0a hypersensitivity reaction\u00a0may occur.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Additional side effects in children and adolescents<\/h2>\n\n\n\n<p>There is a risk of reduced growth in children.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Trica<\/h2>\n\n\n\n<p>The doctor, nurse, or pharmacist knows how to properly store the medicine.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date stated on the ampoule label and the outer carton after &#8220;Expiry date&#8221;.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not use this medicine if you notice any visible signs that the appearance of the medicine has changed.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to deal with medicines that are no longer used.\u00a0These measures will help to protect the environment.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is triamcinolone hexacetonide 20 mg\/ml.<\/li><li>1\u00a0ampoule\u00a0with 1 ml\u00a0solution for injection,\u00a0the suspension\u00a0contains 20 mg triamcinolone hexacetonide.<\/li><li>Other ingredients per 1 ml are sorbitol (E420) 455 g, polysorbate 80 4 mg, benzyl alcohol 9 mg, and water for injections.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Trica is a milky, white&nbsp;suspension<\/p>\n\n\n\n<p>Trica is available in packs of 1, 10, 12, and 50\u00a0ampoules.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<p>A colorless 1 ml&nbsp;glass ampoule&nbsp;.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Esteve Pharmaceuticals GmbH<\/p>\n\n\n\n<p>Hohenzollerndamm 150-151<\/p>\n\n\n\n<p>D-14199 Berlin<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>RIEMSER Pharma GmbH<\/p>\n\n\n\n<p>Bahnhofstrasse 44b<\/p>\n\n\n\n<p>D-17489 Greifswald<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p><strong>This medicine is approved in the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p>Finland, Denmark, Sweden, and Norway: Trica<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trica is given as an\u00a0injection\u00a0containing a medicine that is a\u00a0corticosteroid\u00a0.\u00a0Corticosteroids\u00a0are similar to a type of\u00a0hormone\u00a0produced naturally in the body by the adrenal glands.\u00a0Corticosteroid\u00a0one in Trica is called triamcinolone hexacetonide.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[26459,26464,26455,26456,26461,26463,26460,26458,26457,26462],"class_list":["post-25634","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-benefits-of-triamcinolone-hexacetonide","tag-benefits-of-trica","tag-triamcinolone-hexacetonide","tag-triamcinolone-hexacetonide-side-effects","tag-trica","tag-trica-side-effects","tag-what-is-ftrica","tag-what-is-triamcinolone-hexacetonide","tag-what-triamcinolone-hexacetonide-is-used-for","tag-what-trica-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25634","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=25634"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25634\/revisions"}],"predecessor-version":[{"id":25672,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/25634\/revisions\/25672"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=25634"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=25634"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=25634"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}