23 Feb 2012

Self Medication Guide For Common Illnesses

Read this leaflet carefully before taking your medicine. Ask your pharmacist or doctor if you have any further questions about your medicine.


1.  Generic Name or Active Ingredient:

     Triamcinolone (Nasal spray)

2.  Uses:

     Available as a nasal spray for the treatment of allergic rhinitis and sinusitis.


3.  How This Medicine Works:

     It is a corticosteroid which works by decreasing inflammation in the nose, thus reducing nasal



4.  Do Not Use This Medicine If:

     ·      You are allergic to triamcinolone or any other ingredient in this medication.

     ·      The patient is a child aged below 6 years.


5.  Before You Start To Use This Medicine:

     ·    Inform your pharmacist or doctor if you are allergic to any other medications.

     ·    Inform your pharmacist or doctor if you suffer from tuberculosis (TB); liver, kidney, intestinal, or

          heart disease; diabetes; an underactive thyroid gland; high blood pressure; mental illness;

          myasthenia gravis; osteoporosis; herpes eye infection; seizures; ulcer or any other health


    ·     Inform your pharmacist or doctor if you are or plan to get pregnant, or are breastfeeding.

    ·     Consult a doctor before using this medicine in children.


6.    Using With Other Medication:

       Inform your doctor or pharmacist if you are taking any other medication, vitamins, herbal

       preparations or supplements as they may interfere with this medicine.


7.  How To Use This Medicine:

     Follow the directions on your medication label carefully, and ask your pharmacist to explain any part you do not understand. (hyperlink DIS). [Video]


a)    How to use

        i.    Shake the bottle well and remove the outer cap.

        ii.    Blow your nose gently to clear your nasal passages.

        iii.   Close one nostril by placing a finger gently against one side of your nose. Tilt your head

               forward slightly and insert the nozzle of the spray into the other nostril, taking care to keep the

               bottle upright.

        iv.   Breathe in through your nose and push down firmly on the collar of the container to

              administer one spray, then breathe out through your mouth. Repeat this process again in the

              same nostril for a second dose.

        v.    Repeat steps (iii) and (iv) above in the other nostril.

        vi.    Wipe the nozzle with a clean tissue and replace the cap.

        vii.    Avoid blowing your nose for 15 minutes after inhaling the prescribed dose.


b)   When to use

         ·     Usually 1 spray in each nostril once daily.

         ·     Follow the directions given by your pharmacist or doctor.


c)    How long to use

         ·     Continue using as long as advised by your pharmacist or doctor.

         ·     Triamcinolone nasal spray controls the symptoms of rhinitis but does not cure them.

         ·     It may take up to one week before you experience the full benefit of triamcinolone.


d)   If you forget to use

      Use it as soon as you remember. If it is almost time for your next dose, wait until then to take the

      medicine. Do not double the dose.


8.  While Using This Medicine:


   a)    Things you should do:

         ·      Use triamcinolone spray as directed.

         ·      Consult your doctor if your symptoms do not get better within 3 weeks of treatment with



b)   Things you must NOT do:

          ·     Do not use more or less of it or use it more often than prescribed by your doctor.

          ·     Do not stop using triamcinolone without talking to your doctor.

          ·     Triamcinolone nasal spray is only for use in the nose. Do not swallow the nasal spray and be

                careful not to spray it in your eyes.

          ·     Do not share your medication with anyone else.


In case of overdose, seek immediate medical attention.


9.  Side Effects:

      All medicines may have some unwanted side effects. Sometimes they are serious, but most of the

     time they are not. Tell your doctor or pharmacist if you have any side effects which are severe or


      Possible side effects:

      ·   Headache

     ·    Nasal irritation, burning or stinging

     ·    Pain or dryness inside the nose

     ·    Nosebleed

     ·     Sore throat

     ·     Sneezing

     ·     Heartburn

     ·     Stomach pain

     ·     Diarrhoea


10. Storage and disposal:

      ·     Store at room temperature and in a dry place.

      ·     Keep away from direct sunlight.

      ·     Keep out of reach of children.

      ·     Do not use after the expiry date has passed.

      ·     Return any unused or expired medication to the nearest pharmacy.


1.    Website:

2.    Micromedex Healthcare Series 2.0

3.    Lexicomp’s Drug Information Handbook 19th edition

4.    Malaysian Index of Medical Specialities  2011

5.    British National Formulary Vol. 60