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Precautions while Using this Medicine
Before using triamcinolone,
- tell your doctor and pharmacist if you are allergic to triamcinolone or any other drugs.
- if you have a nose infection or a fungal infection (other than on your skin), do not use triamcinolone without talking to your doctor.
- tell your doctor if you have or have ever had tuberculosis (TB); liver, kidney, intestinal, or heart disease; diabetes; an under active thyroid gland; high blood pressure; mental illness; myasthenia gravis; osteoporosis; herpes eye infection; seizures; or ulcers.
- tell your doctor if you are pregnant, plan to become pregn ant, or are breast-feeding. If you become pregnant while using triamcinolone, call your doctor.

Other Medicines
Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicines, such as:

- Ephedrine or
- Phenobarbital or
- Rifampin (e .g., Rifadin)—Ephedrine, phenobarbital, and rifampin may decrease the blood levels of nasal corticosteroids, such as dexamethasone, warranting an increase in corticosteroid dose

What side effects can this medication cause?
Check with your doctor as soon as possible if any of the following side effects occur:

- Bad smell; blindness; bloody mucus or unexplained nosebleeds; blurred or gradual loss of vision; b urning or stinging after use of spray or irritation inside nose (continuing); crusting, white patches, or sores inside nose; discharge or redness in eye, eyelid, or inner lining of the eyelid; eye pain; headache; hives ; light-headedness or dizziness; loss of sense of taste or smell; muscle pain; nausea or vomiting; ringing in the ears ; shortness of breath; skin rash; sore throat, co ugh, or hoarseness; stomach pains; stuffy, dry, or runny nose or watery eyes (continuing); swelling of eyelids, face, or lips;

Why is this drug prescribed?
Nasacort are metered-dose inhalers containing the anti-inflammatory steroid medication, triamcinolone acetonide; Nasacort AQ is a metered-dose pump spray. Nasacort is used as long-term therapy to cont rol bronchial asthma attacks. Nasacort and Nasacort AQ are prescribed to relieve the symptoms of hay fever and other nasal allergies. Nasacort is also used in the treatment of nasal polyps (projecting masses of tissue in the nose).

How should this medicine be used?
Before you use triamcinolone the first time, read the written instructions that come with it. Ask your doctor, pharmacist, or respiratory therapist to demonstrate the proper technique. Practice using the inhaler while in his or her presence

Before using triamcinolone, gently blow your nose to clear your nasal passages. Avoid blowing your nose for 15 minutes after inhaling the prescribed d ose.

What special precautions should I follow?
The presence of other medical problems may affect the use of corticosteroids. Make sure you tell your doctor if you have any other medical problems, especially:
- Amebiasis—Nasal corticosteroids may make this condition worse
- Asthma—Nasal corticosteroids may make this condition worse
- Diabetes mellitus (sugar diabetes)—Use of dexamethasone may decrease carbohydrate tolerance, wo ening blood glucose control and warranting an increase in insulin dosage
- Glaucoma—Long-term use of nasal corticosteroids may worsen glaucoma by increasing the pressure within the eye
- He pes simplex (virus) infection of the eye or
- Infections (virus, bacteria, or fungus)—Nasal corticosteroids may cover up the signs of these conditions