Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Triamcinolone acetonide
Drug ID BADD_D02272
Description Triamcinolone is a corticosteroid used to treat various inflammatory conditions in the body from allergic rhinitis to acute exacerbations of multiple sclerosis.[L8255] Triamcinolone can be used as a one time adjunct treatment of osteoarthritic knee pain,[L8264] or first line as a topical treatment of corticosteroid responsive dermatoses.[L8249] Triamcinolone is more commonly seen in the forms triamcinolone hexacetonide, triamcinolone acetonide, and triamcinolone diacetate.[L8246,L8249,L8252,L8255,L8258,L8261,L8264] Triamcinolone was granted FDA approval on 3 December 1957.[L8243] In October 2021, a suspension of triamcinolone acetonide was approved for suprachoroidal injection - the first suprachoroidal injection to receive FDA approval[L38973] - for the treatment of patients with macular edema associated with uveitis.[L38963]
Indications and Usage Triamcinolone hexacetonide injections are indicated for intralesional administration in alopecia areata, discoid lupus erythematosus, keloids, and necrobiosis lipoidica diabeticorum.[L8246] This formulation can also be used for localized hypertrophic infiltrated inflammatory lesions of granuloma annulare, lichen planus, lichen simplex chronicus, and psoriatic plaques.[L8246] Triamcinolone acetonide spray and cream are indicated for the treatment of inflammatory and pruritic manifestations of corticosteroid responsive dermatoses.[L8249,L8258] A triamcinolone acetonide 10mg/mL or 40mg/mL injection is indicated intra-articularly for acute gouty arthritis, acute and subacute bursitis, acute nonspecific tenosynovitis, epicondylitis, rheumatoid arthritis, and synovitis of osteoarthritis.[L8252,L8255] The same 10mg/mL injection is indicated by the intralesional route for the treatment of alopecia areata, discoid lupus erythematosus, keloids, necrobiosis lipoidica diabeticorum, and tumors of an aponeurosis or tendon.[L8252] This formulation can also be used for localized hypertrophic infiltrated inflammatory lesions of granuloma annulare, lichen planus, lichen simplex chronicus, and psoriatic plaques.[L8252] The 40mg/mL injection is indicated intramuscularly for controlling severe allergic conditions such as asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity, perennial or seasonal allergic rhinitis, serum sickness, and transfusion reactions; treatment of bullous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoides, pemphigus, Stevens-Johnson syndrome, congenital adrenal hyperplasia, hypercalcemia in cancer, nonsuppurative thyroiditis, autoimmune hemolytic anemia, Diamond-Blackfan anemia, pure red cell aplasia, secondary thrombocytopenia, trichinosis, tuberculous meningitis, acute exacerbations of multiple sclerosis or cerebral edema, sympathetic ophthalmia, temporal arteritis, uveitis, ocular inflammation, berylliosis, idiopathic eosinophilic pneumonias, symptomatic sarcoidosis, dermatomyositis, polymyositis, and systemic lupus erythematosus; adjunct treatment of adrenocortical insufficiency, regional enteritis, ulcerative colitis, fulminating or disseminated pulmonary tuberculosis, acute gouty arthritis, acute rheumatic carditis, ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis; palliative management of leukemia and lymphoma; induction of diuresis or remission of proteinuria in idiopathic nephrotic syndrome or lupus erythematosus.[L8255] A triamcinolone intravitreal injection is indicated for the treatment of sympathetic ophthalmia, temporal arteritis, uveitis, and ocular inflammatory conditions.[L8261] The intravitreal injection is also used for visualization during vitrectomy.[L8261] An extended release suspension is indicated intra-articularly for management of pain in osteoarthritis of the knee.[L8264] A triamcinolone acetonide suspension for injection into the suprachoroidal space is indicated for the treatment of macular edema associated with uveitis.[L38963]
Marketing Status approved; vet_approved
ATC Code D07AB09; D07XB02; C05AA12; S01BA05; R03BA06; R01AD11; A01AC01; H02AB08
DrugBank ID DB00620
KEGG ID D00983
MeSH ID D014222
PubChem ID 6436
TTD Drug ID Not Available
NDC Product Code 76420-085; 76420-222; 81298-5781; 46439-8703; 41167-5800; 41250-443; 0168-0006; 50090-3802; 51672-1335; 0316-0165; 61919-619; 63629-8782; 63629-8785; 64380-800; 67457-621; 68071-2743; 70518-2403; 70518-3373; 71205-009; 71205-033; 0713-0226; 0713-0229; 0713-0655; 0003-0293; 76003-1145; 82298-123; 16714-987; 36800-621; 45865-898; 50090-2244; 51672-1282; 53002-9770; 63629-8783; 68071-1872; 68788-7501; 68788-8350; 70121-1653; 70121-1654; 70752-140; 71205-108; 71205-627; 72162-1832; 81298-5783; 0003-0494; 49452-7900; 51552-0033; 16714-150; 33342-333; 41163-443; 0168-0002; 44118-711; 45802-045; 50090-0293; 50090-0295; 50090-2106; 55150-384; 0316-0175; 61919-650; 63187-661; 63629-2406; 63629-8780; 63629-8784; 67877-251; 68071-2339; 68071-2736; 70121-1049; 70121-1168; 70518-2285; 55150-385; 55910-280; 59088-730; 62011-0320; 0363-0811; 63187-025; 63187-214; 63629-2407; 63629-9573; 67877-318; 68788-7797; 70121-1651; 70518-2393; 70529-048; 0703-0245; 80425-0262; 12516-1508; 12516-1509; 57582-018; 65089-0008; 71161-135; 16714-267; 30142-443; 0113-0443; 40032-097; 0168-0004; 45802-055; 50090-1444; 52817-811; 53002-9333; 63187-870; 64380-901; 64980-320; 68071-1623; 68788-7048; 71205-451; 71565-040; 72189-039; 72189-277; 0703-0243; 0713-0228; 76420-203; 51927-0306; 10631-093; 21130-443; 33342-329; 33342-332; 35573-404; 45802-063; 45802-064; 50090-6533; 63629-8708; 64380-870; 67457-622; 67457-623; 68071-2294; 68788-8386; 70121-1657; 70752-130; 46439-8730; 62991-1156; 16714-985; 24470-922; 33342-331; 45802-817; 49035-443; 50090-0362; 50090-5980; 51672-1267; 0316-0170; 61919-594; 63629-9574; 64380-802; 67877-317; 68462-131; 68788-8356; 68788-8457; 70752-129; 0713-0676; 12516-1510; 67438-045; 24208-040; 42571-385; 0168-0003; 45802-049; 45802-065; 50090-0163; 50090-0256; 51672-1284; 53002-9120; 63187-053; 68462-797; 70000-0204; 70121-1655; 70518-3689; 70677-1023; 71205-038; 46439-8742; 49076-6701; 52128-173; 52945-068; 73301-011; 76420-162; 11673-717; 16714-140; 16714-268; 16714-986; 30142-813; 0168-0005; 45802-054; 51862-290; 53002-9334; 59088-733; 59779-746; 63187-495; 63629-8778; 63629-8781; 63981-443; 64380-801; 64980-429; 68788-7814; 70121-1169; 70518-2938; 71205-124; 72288-443; 0703-0241; 0713-0225; 74157-901; 76420-220; 0003-0315; 81298-5785; 22552-0032; 60722-3012; 16714-130; 33342-327; 46122-385; 50090-2658; 50090-6547; 53002-0151; 63629-8456; 63629-8707; 63629-8779; 63629-8841; 64380-871; 68462-798; 68788-7506; 70121-1652; 70518-1094; 71428-010; 0065-0543; 38779-0011; 51927-0134; 63275-9943; 33342-328; 37808-443; 45802-109; 46287-010; 49999-150; 50090-6211; 53002-9331
UNII F446C597KA
Synonyms Triamcinolone Acetonide | Acetonide, Triamcinolone | Cinonide | Tricort-40 | Tricort 40 | Tricort40 | Kenalog | Kenalog 40 | Azmacort | Kenacort A
Chemical Information
Molecular Formula C24H31FO6
CAS Registry Number 76-25-5
SMILES CC1(OC2CC3C4CCC5=CC(=O)C=CC5(C4(C(CC3(C2(O1)C(=O)CO)C)O)F)C)C
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Chorioretinopathy06.09.01.0060.000382%Not Available
Reaction to preservatives10.01.01.0240.000027%Not Available
Skin abrasion23.03.11.018; 12.01.06.010--Not Available
Soft tissue necrosis24.04.02.007; 15.03.02.0020.000060%
Treatment failure08.06.01.0170.000325%Not Available
Skin mass23.07.04.0140.000060%Not Available
Nail atrophy23.02.05.010--Not Available
Oropharyngeal discomfort22.12.03.015; 07.05.05.008--Not Available
Oropharyngeal pain22.12.03.016; 07.05.05.0040.000186%
Brain stem stroke24.04.06.024; 17.08.01.033--Not Available
Kounis syndrome24.04.04.020; 10.01.03.037; 02.02.02.0200.000027%Not Available
Bladder dysfunction20.03.03.002--Not Available
Gastrointestinal tract irritation07.08.03.008--Not Available
Sperm concentration abnormal13.20.04.007--Not Available
Periocular injection25.11.01.003--Not Available
Functional gastrointestinal disorder07.11.01.016--Not Available
Macular fibrosis06.09.03.0140.000055%Not Available
Hypothalamic pituitary adrenal axis suppression05.03.04.0070.000249%Not Available
Candida infection11.03.03.021--
Acanthosis23.01.04.0030.000060%Not Available
Bladder transitional cell carcinoma20.03.04.003; 16.08.01.002--Not Available
Normal newborn18.08.06.0010.000093%Not Available
Necrotising scleritis06.04.07.0040.000164%Not Available
Retinal infarction24.04.10.008; 06.10.01.0120.000027%Not Available
Choroidal infarction24.04.09.010; 06.10.03.0030.000068%Not Available
Parakeratosis23.03.03.0670.000087%Not Available
Embolia cutis medicamentosa24.01.01.030; 12.07.03.052; 08.02.03.0520.000068%Not Available
Optic disc disorder06.09.02.0040.000027%Not Available
Chorioretinal disorder06.09.03.0280.000027%Not Available
Necrotising retinitis24.04.10.006; 06.04.06.0120.000178%Not Available
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