Uses
Allergic Rhinitis
Symptomatic treatment of seasonal or perennial allergic rhinitis.
Dosage and Administration
General
- For therapeutic effectiveness, use at regular intervals.
Administration
Intranasal Administration
Administer by nasal inhalation using a metered-dose nasal spray pump.
Shake inhaler gently immediately prior to use.
Prior to initial use, the metered-dose pump spray must be primed with 5 actuations or until a fine mist appears. Prime pump after a period of nonuse (i.e., > 2 weeks) by actuating once.
Clear nasal passages prior to administration.
Tilt the head slightly forward, insert the spray tip into one nostril, and point the tip toward the back of the nose. Pump the drug into one nostril while holding the other nostril closed and concurrently inspire through the nose. Repeat this procedure for the other nostril.
Dosage
After priming, nasal spray pump delivers about 55 mcg of triamcinolone acetonide per metered spray and about 30 or 120 metered doses per 6.5-g or 16.5-g container, respectively.
Once optimal symptomatic relief is achieved, reduce dosage gradually to the lowest effective level.
Intranasal triamcinolone acetonide should not be continued beyond 3 weeks in the absence of adequate symptomatic improvement.
Pediatric Patients
Seasonal Allergic Rhinitis
Intranasal Inhalation
Children 6–11 years of age: Initially 55 mcg (1 spray) in each nostril once daily (110 mcg total). May be increased to 110 mcg (2 sprays) in each nostril once daily (220 mcg total).
Children ≥12 years of age: 110 mcg (2 sprays) in each nostril once daily (220 mcg total).
Perennial Allergic Rhinitis
Intranasal Inhalation
Children 6–12 years of age: Initially 55 mcg (1 spray) in each nostril once daily (110 mcg total). Maximum, 110 mcg (2 sprays) in each nostril once daily (220 mcg total).
Children ≥12 years of age: Initially 110 mcg (2 sprays) in each nostril once daily (220 mcg total).
Adults
Seasonal Allergic Rhinitis
Intranasal Inhalation
110 mcg (2 sprays) in each nostril once daily (220 mcg total).
Perennial Allergic Rhinitis
Intranasal Inhalation
110 mcg (2 sprays) in each nostril once daily (220 mcg total).
Prescribing Limits
Pediatric Patients
Seasonal or Perennial Allergic Rhinitis
Intranasal Inhalation
Children 6–12 years of age: Maximum 220 mcg (2 sprays in each nostril) daily.
Adults
Seasonal or Perennial Allergic Rhinitis
Intranasal Inhalation
Maximum 220 mcg (2 sprays in each nostril) daily.
Perennial Allergic Rhinitis
Intranasal Inhalation
Maximum 220 mcg (2 sprays in each nostril) daily.
Special Populations
Dosage in Hepatic Impairment
No specific dosage recommendations at this time.
Dosage in Renal Impairment
No specific dosage recommendations at this time.
Geriatric Patients
No specific dosage recommendations at this time.
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