Inflammatory joint diseases
Adult: As triamcinolone acetonide: 5-10 mg (smaller joints); up to 40 mg (larger joints). Max total: 80 mg as a single inj into several sites for multiple joint involvement. As triamcinolone hexacetonide: 2-6 mg (smaller joints); 5-10 mg (medium-sized joints); 10-20 mg (larger joints). Administration into a single joint at intervals of 3-4 weeks as needed.
Child: 3-12 years As triamcinolone hexacetonide: With juvenile idiopathic arthritis: 0.5 mg/kg (smaller joints); 1 mg/kg (larger joints). For hands and feet, 1-2 mg (metacarpophalangeal/metatarsophalangeal joints); 0.6-1 mg (proximal interphalangeal joints).
Child: 3-12 years As triamcinolone hexacetonide: With juvenile idiopathic arthritis: 0.5 mg/kg (smaller joints); 1 mg/kg (larger joints). For hands and feet, 1-2 mg (metacarpophalangeal/metatarsophalangeal joints); 0.6-1 mg (proximal interphalangeal joints).
Intradermal
Inflammatory skin conditions
Adult: As triamcinolone acetonide: 1-3 mg/site. Max: 5 mg/site. Max total: 30 mg if several sites of inj used. As triamcinolone diacetate: 5-25 mg in divided doses, injected as no more than 100 mcg/cm2 of skin surface area. As triamcinolone hexacetonide: Up to 500 mcg/in2 (approx 80 mcg/cm2) of affected skin.
Intramuscular
Symptomatic control for hay fever
Adult: As triamcinolone acetonide: 40-100 mg as a single dose.
Intramuscular
Suppression of allergic and inflammatory disorders
Adult: As triamcinolone acetonide: Initially, 40 mg via deep inj into gluteal muscle, repeat if needed.
Child: 6-12 years Same as adult dose.
Child: 6-12 years Same as adult dose.
Intravitreal
Inflammatory eye disorders
Adult: As triamcinolone acetonide: Initially, 4 mg as a single dose, with subsequent doses as needed.
Intravitreal
Visualisation during vitrectomy
Adult: As triamcinolone acetonide: 1-4 mg.
Mouth/Throat
Mouth ulceration
Adult: As 0.1% triamcinolone acetonide paste: Press small amount (approx 0.6 cm) into the lesion without rubbing until a thin film develops, may require larger amount to cover some lesions. Apply at bedtime and, if necessary, 2 or 3 times daily, preferably after meals. Re-evaluate if recovery does not occur after 7 days of treatment.
Nasal
Treatment and prophylaxis of allergic rhinitis
Adult: As triamcinolone acetonide: Initially, 2 sprays (110 mcg) into each nostril once daily, reduced to 1 spray (55 mcg) into each nostril once daily when under control.
Child: As triamcinolone acetonide: 2-5 years Max: 1 spray (55 mcg) into each nostril once daily; 6-12 years 1 spray (55 mcg) into each nostril once daily, may increase to 2 sprays (110 mcg) into each nostril once daily for severe symptoms.
Child: As triamcinolone acetonide: 2-5 years Max: 1 spray (55 mcg) into each nostril once daily; 6-12 years 1 spray (55 mcg) into each nostril once daily, may increase to 2 sprays (110 mcg) into each nostril once daily for severe symptoms.
Periarticular
Bursitis, Tendinitis
Adult: As triamcinolone hexacetonide: 10-20 mg.
Topical/Cutaneous
Corticosteroid-responsive dermatoses
Adult: As 0.025-0.5% triamcinolone acetonide cream/lotion/ointment: Apply to affected area 2-4 times daily.