部份中文KENALOG-40处方资料（仅供参考）
中文通用名称：曲安奈德
英文通用名称：Triamcinolone Acetonide
中文其它名称：去炎舒松, 确炎舒松A, 去炎松缩酮, 去炎松A, 曲安舒松, 曲安缩松, 康纳可A, 康宁克通-A, 康纳乐, 康宁乐, 氟羟氢化泼尼松缩丙酮, 丙炎松, 丙酮氟羟泼尼松龙, 丙酮去炎松, 丙酮缩去炎松, 丙酮缩去炎舒松, 宁康, 康宁克通A, 确炎松A, 康灯乐, 曲安奈德气雾剂, 曲安奈德注射液, 痛息通, 艾福达, 曲安奈德鼻喷雾剂, 星瑞克, 颐静, 珍德, 集美高, 曲安奈德口腔软膏, 曲安奈德凝胶, 安西诺隆, 宁科
英文其它名称：Acetospan, Vetalog, Trymex, Tramacin, Triacet, Rineton, Rineton A, Kenacort-A, Kenalog, Adcortyl A, Aristocort Acetonide, Aristoderm, Kenalig, Kenacort, Triamcindone Acetonide, Nincort, TAA, Aftach, Triamcinolone Acetate, Triamcinolone Acetonide Injection, Triamcinolone Acetonide Nasal Spray, Azmacort, Triamcinolone Acetonide Aerosol, Triamcinolone Acetonide Dental Paste, Triamcinolone Acetonide Gel
产品分类：代谢及内分泌系统用药\肾上腺皮质激素\糖皮质激素
适应症
适用于各种过敏性及炎症性疾病。
1.外用于过敏性皮炎、神经性皮炎、湿疹、银屑病及脂溢性皮炎等皮质激素治疗有效的疾病。
2.注射剂可用于支气管哮喘、过敏性鼻炎、肩周炎、腱鞘炎、急性扭伤、类风湿关节炎等。也可用于瘢痕疙瘩、囊肿性痤疮、盘状红斑狼疮、斑秃等小面积损害的局部注射。
3.鼻喷雾剂可用于预防和治疗常年性、季节性过敏性鼻炎和血管舒缩性鼻炎。
用法用量
成人
*常规剂量
*肌内注射
1.一般症状：一次20-100mg，一周1次。
2.支气管哮喘：一次40mg，每3周注射1次，5次为一疗程，症状较重者可用80mg。
3.过敏性鼻炎：一次40mg，每3周注射1次，5次为一疗程。
*皮下注射
用量酌情决定，一般为2.5-5mg。对皮肤病，可于皮损部位或分数个部位注射，每处剂量为0.2-0.3mg。一日剂量不超过30mg，一周总量不超过75mg。
*关节腔内注射
用量酌情决定，一般为2.5-5mg。
*下鼻甲注射
用于过敏性鼻炎，鼻腔先喷1%利多卡因液表面麻醉后，在双下鼻甲前端各注入20mg，一周1次，4-5次为一疗程。
*扁桃体穴或颈前甲状骨旁注射
用于支气管哮喘，一周1次，5次为一疗程，注射前先用少量普鲁卡因局麻。
*局部外用
用本药软膏涂于患处，并轻揉片刻，一日2-3次。
*经眼给药
一日1-4次。
*经鼻给药
1.鼻喷雾剂：一次每侧鼻孔0.11mg，一日1次，症状得到控制时，可降至每侧鼻孔0.055mg，一日1次。
2.醋酸盐鼻喷雾剂：建议用量为一日1次，一次每鼻孔0.12mg(1揿)。一日总量不超过0.48mg(4揿)。
儿童
*常规剂量
*肌内注射
用于支气管哮喘时，6-12岁儿童为成人剂量的1/2，3-6岁儿童为成人剂量的1/3。
*经鼻给药
1.鼻喷雾剂：(1)6-12岁儿童，一次每侧鼻孔0.055mg，一日1次；一日最大剂量为一次每侧鼻孔0.11mg，一日1次。(2)12岁以上儿童同成人。
2.醋酸盐鼻喷雾剂：12岁以上儿童同成人。
任何疑问，请遵医嘱！
给药说明
1.不宜静脉注射，局部注射时不应太浅，每次用药总量不要过多。
2.长期外用，可致耐药性。
3.对并发细菌或真菌感染的皮肤病，应与相应的抗细菌或抗真菌药合用。鼻腔和鼻窦伴有细菌感染者使用本药鼻喷雾剂时，应同时进行抗菌治疗。
4.对严重过敏性鼻炎病人，尤其是伴有过敏性眼部症状者使用本药鼻喷雾剂时应同时接受其它药物治疗。
5.本药潴钠作用微弱，不宜用于肾上腺皮质功能减退的替代治疗。
6.全身性用药改为局部用药可能伴随肾上腺功能衰竭症状，如关节、肌肉疼痛，疲劳和抑郁。以前长期使用激素治疗者改为局部用药时应特别注意控制急性肾衰竭的发生。对患有哮喘以及别的需长期使用皮质激素药物的患者，系统皮质激素过快的降低，可能引起症状的恶化。
7.本药过量时全身性肾上腺皮质激素效果如高类固醇和肾抑制可能产生。一旦发生，应该逐渐停药。
不良反应
1.长期、大面积使用本药可出现库欣综合征，表现为皮肤萎缩、毛细血管扩张、多毛、毛囊炎、痤疮、满月脸、高血压、骨质疏松、精神抑郁、伤口愈合不良以及增加对感染的易患性等。偶尔还可引起变态反应性接触性皮炎。
2.注射时常见的不良反应有全身性荨麻疹、支气管痉挛、月经紊乱、视力障碍，少数病人出现双颊潮红现象。在皮损内局部注射可引起皮肤萎缩、出血或溃疡，并易吸收而引起全身性作用；在关节腔内注射可能引起关节损害。
3.本药鼻喷雾剂可见鼻、咽部干燥或烧灼感，喷嚏或鼻出血、咳嗽、咽炎、鼻炎、头痛等，极少数病人可能发生鼻中隔穿孔，罕见鼻、咽部白念珠菌感染(一旦发生应给予适当治疗并停药)。
4.长期用于眼部可引起眼内压升高。
注意事项
1.禁忌症
(1)对本药成分及其它糖皮质激素过敏。
(2)全身或局部细菌或病毒感染(如病毒性、结核性或急性化脓性眼病，病毒性皮肤病)。
(3)严重的精神病或有既往史者不宜使用。(以下均为不宜使用)
(4)癫痫。
(5)活动性消化性溃疡。
(6)新近接受胃肠吻合术。
(7)骨折。
(8)角膜溃疡。
(9)肾上腺皮质功能亢进。
(10)高血压。
(11)糖尿病。
(12)较重的骨质疏松。
2.慎用
(1)肾功能不全。
(2)青光眼。
(3)呼吸道活动性结核病。
(4)未治疗的真菌病。
(5)鼻中隔溃疡、鼻部手术或创伤后慎用本药喷雾剂。
3.药物对儿童的影响
对正在使用免疫抑制剂治疗的儿童，对感染比健康儿童更为敏感，严重者可能产生致命的作用(如水痘或麻疹)。儿童不宜使用局部注射，6岁以下儿童不宜使用本药鼻喷雾剂。
4.药物对妊娠的影响
动物实验显示本药有制畸性，但人类临床实验尚不明确，孕妇慎用。美国药品和食品管理局(FDA)对本药的妊娠安全性分级为C级。
5.药物对哺乳的影响
本药是否可分泌入乳汁中尚不明确，但其它肾上腺皮质激素可进入乳汁，哺乳期妇女慎用。
6.用药前后及用药时应当检查或监测
长期应用糖皮质激素者，应定期检查以下项目：
(1)血糖、尿糖或糖耐量试验，尤其是糖尿病或有糖尿病倾向者。
(2)血电解质及大便隐血。
(3)血压和骨质疏松的相关检查，老年人尤其应注意。
(4)已经全身应用糖皮质激素类药物并造成肾上腺功能损伤者，改用本药鼻喷雾剂局部治疗时，应注意检查垂体-肾上腺系统的功能。
完整资料附件：https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=e25cfc22-29ba-473f-88c4-3c88e9f6863b
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KENALOG SPRAY 63GM  RIAMCINOLONE ACETONIDE  RANBAXY LABORATORIES INC  10631-0093-62     
KENALOG SPRAY 100GM  TRIAMCINOLONE ACETONIDE  RANBAXY LABORATORIES INC  10631-0093-07        
KENALOG-10 10MG/ML 5ML MDV 1/EA TRIAMCINOLONE ACETONIDE  BRISTOL-MYERS SQUIBB COMPANY  00003-0494-20            
KENALOG-10 VIAL 10MG 5ML TRIAMCINOLONE ACETONIDE  ER SQUIBB & SONS LLC  00003-0494-20        
KENALOG-40 40MG/ML 10ML MDV 1/EA TRIAMCINOLONE ACETONIDE  BRISTOL-MYERS SQUIBB COMPANY  00003-0293-28            
KENALOG-40 40MG/ML 1ML SDV 1/EA TRIAMCINOLONE ACETONIDE  BRISTOL-MYERS SQUIBB COMPANY  00003-0293-05            
KENALOG-40 40MG/ML 5ML MDV 1/EA  TRIAMCINOLONE ACETONIDE  BRISTOL-MYERS SQUIBB COMPANY  00003-0293-20           
KENALOG-40 VIAL 40MG 10ML TRIAMCINOLONE ACETONIDE  ER SQUIBB & SONS LLC  00003-0293-28       
KENALOG-40 VIAL 40MG/ML 1ML TRIAMCINOLONE ACETONIDE  ER SQUIBB & SONS LLC  00003-0293-05           
KENALOG-40 VIAL 40MG/ML 5ML TRIAMCINOLONE ACETONIDE  ER SQUIBB & SONS LLC  00003-0293-20            
KENALOG SPRAY 63GM  TRIAMCINOLONE ACETONIDE  SUN PHARMACEUTICALS  10631-0093-62
KENALOG SPRAY 100GM  TRIAMCINOLONE ACETONIDE  SUN PHARMACEUTICALS  10631-0093-07 
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Kenalog-40 suspension
Generic Name: triamcinolone (TRYE-am-SIN-oh-lone)
Brand Name: Kenalog-40
Kenalog-40 suspension is used for:
Treating inflammation in a number of different disorders, such as arthritis, bursitis, or tendonitis. It may also be used to treat asthma, allergic reactions, skin problems, or chronic pain. It may also be used for other conditions as determined by your doctor.
Kenalog-40 suspension is a corticosteroid. Exactly how it works to decrease irritation and swelling is not known, but it has a wide range of effects at the cell level. This relieves the discomfort caused by inflammation.
Do NOT use Kenalog-40 suspension if:
•you are allergic to any ingredient in Kenalog-40 suspension
•you have a systemic fungal infection or a malaria infection in the brain
•you have an active herpes infection in the eye
•you are treating idiopathic thrombocytopenic purpura (a certain bleeding problem)
Contact your doctor or health care provider right away if any of these apply to you.
Before using Kenalog-40 suspension:
Some medical conditions may interact with Kenalog-40 suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
•if you are pregnant, planning to become pregnant, or are breast-feeding
•if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
•if you have allergies to medicines, foods, or other substances
•if you have a bacterial or fungal infection; a viral infection (eg, chickenpox, shingles); measles; tuberculosis (TB); a parasitic, amebae, or worm infection; or a herpes infection of the eye
•if you have unexplained diarrhea, inflammation of the esophagus, stomach or bowel problems (eg, ulcer, inflammation, blockage, perforation), or recent stomach or bowel surgery
•if you have a history of heart problems (eg, congestive heart failure), recent heart attack, high blood pressure, blood clotting problems, diabetes, cataracts, glaucoma, increased eye pressure, kidney problems, liver problems (eg, cirrhosis), mood or mental problems, a seizure disorder (eg, epilepsy), thyroid problems, or a recent brain injury
•if you have osteoporosis (weak or brittle bones) or you are at risk of osteoporosis (eg, women past menopause)
•if you have had joint surgery or a positive TB skin test, or if you have recently had a vaccination
•if you have spent time in the tropics
•if you have myasthenia gravis and take anticholinesterases (eg, pyridostigmine)
Some MEDICINES MAY INTERACT with Kenalog-40 suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:
•Amphotericin B, digoxin, or diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium and heart problems (eg, enlarged heart, irregular heartbeat, heart failure) may be increased
•Cyclosporine because the risk of seizures may be increased
•Anticoagulants (eg, warfarin) because an increase or decrease of their effects may occur
•Azole antifungals (eg, itraconazole, ketoconazole), estrogens, hormonal contraceptives (birth control pills), or macrolide antibiotics (eg, clarithromycin) because they may increase the risk of Kenalog-40 suspension's side effects
•Barbiturates (eg, phenobarbital), carbamazepine, cholestyramine, hydantoins (eg, phenytoin), or rifampin because they may decrease Kenalog-40 suspension's effectiveness
•Aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or ritodrine because the risk of their side effects may be increased by Kenalog-40 suspension
•Anticholinesterases (eg, pyridostigmine) or isoniazid because their effectiveness may be decreased by Kenalog-40 suspension
This may not be a complete list of all interactions that may occur. Ask your health care provider if Kenalog-40 suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Kenalog-40 suspension:
Use Kenalog-40 suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.
•Kenalog-40 suspension is usually given as an injection at your doctors office, hospital, or clinic. If you will be using Kenalog-40 suspension at home, a health care provider will teach you how to use it. Be sure you understand how to use Kenalog-40 suspension. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
•Kenalog-40 suspension is only for injection into a muscle or a joint. Do not inject Kenalog-40 suspension into a vein or into an infected or unstable joint.
•Do not use Kenalog-40 suspension if it is discolored, or if the vial is cracked or damaged.
•Shake well before each use.
•Your doctor may change your prescription to medicine you take by mouth. If this occurs, be sure that you understand the dosing schedule and follow it exactly.
•Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
•If you miss a dose of Kenalog-40 suspension, contact your doctor right away.
Ask your health care provider any questions you may have about how to use Kenalog-40 suspension.
Important safety information:
•Kenalog-40 suspension may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
•If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections or to anyone who has TB.
•If you are on long-term therapy, you may have withdrawal symptoms if you suddenly stop using Kenalog-40 suspension. Contact your doctor right away if you have muscle and joint pain, exhaustion, or depression. Do not suddenly stop using Kenalog-40 suspension or change your dose without talking with your doctor or pharmacist.
•If you are on long-term therapy, contact your doctor right away in the event of situations of physical stress (eg, injury, surgery, infection, loss of blood electrolytes). You may need additional fast-acting steroids to help your body handle these situations.
•Tell your doctor or dentist that you take Kenalog-40 suspension before you receive any medical or dental care, emergency care, or surgery.
•Kenalog-40 suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Kenalog-40 suspension for a few days before the tests.
•Do not receive a live vaccine (eg, measles, mumps) while you are using Kenalog-40 suspension. Talk with your doctor before you receive any vaccine.
•Serious health problems have happened when corticosteroids, including Kenalog-40 suspension, have been given into the spine (epidural). These include paralysis, blindness, stroke, and sometimes death. Safety and effectiveness of corticosteroids given into the spine have not been confirmed. Corticosteroids are not approved for this use. Discuss any questions or concerns with your doctor.
•Lab tests, including blood pressure checks, bone density, and eye exams, may be performed while you use Kenalog-40 suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
•Diabetes patients - Kenalog-40 suspension may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
•Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Kenalog-40 suspension.
•Kenalog-40 suspension has benzyl alcohol in it. Do not use it in NEWBORNS or INFANTS. It may cause serious and sometimes fatal nervous system problems and other side effects.
•Caution is advised when using Kenalog-40 suspension in CHILDREN; they may be more sensitive to its effects.
•PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Kenalog-40 suspension while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use Kenalog-40 suspension, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Kenalog-40 suspension:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Acne; changes in appetite; constipation; diarrhea; difficulty sleeping; headache; heartburn; nausea; restlessness; sweating; trouble sleeping; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty swallowing or breathing; tightness in the chest; swelling of the mouth, face, hands, legs, eyes, throat, lips, or tongue; unusual hoarseness); depression; fainting; fast, slow, or irregular heartbeat; joint stiffness or pain; mood or mental changes; muscle pain or weakness; numbness or tingling in the hands or feet; pain, redness, or swelling at the injection site; personality changes; seizures; severe or persistent headache or dizziness; shortness of breath; signs of infection (eg, fever, chills, sore throat); slow wound healing; swelling of the ankles, hands, legs, or feet; unusual weight gain, especially in the face; vision changes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.
Proper storage of Kenalog-40 suspension:
Store Kenalog-40 suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, light, and moisture. Do not freeze. Keep Kenalog-40 suspension, as well as syringes and needles, out of the reach of children and away from pets.
General information:
•If you have any questions about Kenalog-40 suspension, please talk with your doctor, pharmacist, or other health care provider.
•Kenalog-40 suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
•If your symptoms do not improve or if they become worse, check with your doctor.
•Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take Kenalog-40 suspension or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Kenalog-40 suspension. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Kenalog-40 suspension. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Kenalog-40 suspension.