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Precautions and Warnings With Triamcinolone Nasal Spray

You should talk to your healthcare provider about precautions and warnings with triamcinolone nasal spray before starting the drug. Prior to using it, let your healthcare provider know if you have any current infections, allergies, or sores in your nose. Precautions and warnings with triamcinolone nasal spray also include being aware that it may slow growth rate in children, suppress the immune system, and delay healing.

Triamcinolone Nasal Spray: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using triamcinolone nasal spray (Nasacort® AQ, Nasacort® Allergy 24HR) if you have:
 
  • Tuberculosis, herpes, or any other infections
  • Not had chickenpox or the measles (and have not been vaccinated against them)
  • Recently had nasal surgery
  • Sores or injury to the inside of your nose
  • Any allergies, including allergies to food, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
Make sure to tell your healthcare provider about all other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 

Specific Precautions and Warnings With Triamcinolone Nasal Spray

Warnings and precautions to be aware of prior to using triamcinolone nasal spray include the following:
 
  • The medication can suppress the body's ability to make natural steroids. Usually, this happens when too much triamcinolone nasal spray is used. In such circumstances, the drug should be stopped slowly to give your body a chance to begin making natural steroids again.
     
  • If you are switching from an oral steroid to triamcinolone nasal spray (which is a nasal steroid), your healthcare provider should slowly decrease your dose of the oral steroid. Stopping an oral steroid too quickly can be dangerous.
     
  • As mentioned, triamcinolone nasal spray is a steroid and may suppress the immune system. Although this is more likely to occur with oral steroids, it is still possible with nasal steroids. Taking steroids may put you at a higher risk for infections. Certain infections (such as chickenpox or the measles) may be more dangerous if you are taking triamcinolone nasal spray. Let your healthcare provider know right away if you are exposed to chickenpox or the measles, especially if you have not had these infections and have not been vaccinated against them. In rare cases, triamcinolone nasal spray can lead to yeast infections in the nose and throat as a result of its suppressive action on the immune system.
     
  • Like all steroids, triamcinolone nasal spray may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about a slow growth rate in your child.
     
  • Before starting triamcinolone nasal spray, be sure to tell your healthcare provider if you have any type of infection. Also, let your healthcare provider know if you have ever had tuberculosis or a herpes infection of the eye, as the medication may weaken the immune system, allowing these infections to become worse.
     
  • Corticosteroids such as triamcinolone nasal spray can delay healing. Therefore, if you have had recent nasal surgery or nasal sores, you should wait until healing has occurred before using triamcinolone nasal spray. Also, corticosteroids can cause nosebleeds and nasal sores or irritation.
     
  • Triamcinolone nasal spray is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not currently known (see Nasacort AQ and Pregnancy).
     
  • It is unknown whether triamcinolone (the active ingredient in triamcinolone nasal spray) passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Nasacort AQ and Breastfeeding).
     
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