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Triamcinolone

Triamcinolone is a corticosteroid (steroid anti-inflammatory medicine) used as injections, nasal spray, skin products and mouth paste to calm inflammation, allergic reactions and certain skin, joint, eye and mouth conditions.

Brand names AristocortKenacortKenalogOraloneTriderm +11 more
Drug class Corticosteroid
Rx/OTC Forms 6
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026 Content updated Oct 2, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 149 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

Other forms & routes:
Nasal Topical
Triamcinolone at a glance The quick version — the full detail is in the Patient Information Guide below.
Dr. Brian Staiger, PharmD, BCPS
The Pharmacist’s Take By · Clinical pharmacist · Written

Triamcinolone is a corticosteroid (a steroid anti-inflammatory) that calms inflammation and allergic reactions, used as a joint, muscle or eye injection, nasal spray, skin cream and mouth paste; it is an older standby, on the market since about 1958 and available generically. Skin, nose and joint forms are usually well tolerated, and people mostly notice soreness where it was injected, headache, or a rise in blood sugar if they have diabetes. Infection is the one to watch, because steroids weaken the immune system and can mask it, so report fever or a treated joint that turns much more painful and swollen. Repeated injections or long courses can also raise blood pressure, thin bones and shift mood.

Clinical pearls

  • Tell surgeons and dentists about recent steroid injections or long use, since your body may need extra steroid cover for surgery.
  • Prime the nasal spray before first use, and again if it has gone unused for more than two weeks.
  • Ritonavir, itraconazole, ketoconazole and clarithromycin can raise triamcinolone levels and side effects, so mention it to whoever prescribes them.
  • If you have never had chickenpox or measles or their vaccines, tell your doctor right away about any exposure.
How we write & review this content — our editorial policy →
How you get itPrescription and over the counter
Comes asTopical cream, ointment or gel, Injection, Nasal spray +3
Earliest FDA record1957
Companies listing it with the FDA75
FDA label last updatedJan 28, 2026
FDA’s strongest warning (boxed)None on the label

Patient information guide A plain-language walkthrough of Triamcinolone, written from its FDA label.

What Triamcinolone is used for

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Triamcinolone is used for different conditions depending on the product and route.

  • Kenalog-40, Kenalog-80 and triamcinolone acetonide injectable suspension (intramuscular): severe allergic conditions such as asthma, atopic dermatitis, contact dermatitis, drug reactions, allergic rhinitis, serum sickness and transfusion reactions. Also certain skin diseases (such as pemphigus and severe erythema multiforme) and endocrine disorders, when oral therapy is not feasible.
  • Kenalog-10 and triamcinolone acetonide (intra-articular or soft tissue): short-term add-on treatment for acute gouty arthritis, bursitis, tenosynovitis, epicondylitis, rheumatoid arthritis and osteoarthritis joint inflammation.
  • Kenalog-10 and triamcinolone acetonide (intralesional): alopecia areata, discoid lupus, keloids, certain inflamed skin lesions, psoriatic plaques, and ganglia.
  • Triesence (eye injection): sympathetic ophthalmia, temporal arteritis, uveitis, eye inflammation unresponsive to topical steroids, and visualization during vitrectomy.
  • Oralone, Kourzeq and triamcinolone dental paste: temporary relief of oral inflammatory and ulcerative lesions from trauma.
  • Triamcinolone cream, ointment, lotion and topical aerosol: relief of inflammation and itching from corticosteroid-responsive dermatoses.

How Triamcinolone works

▾

Triamcinolone acetonide is a corticosteroid that calms inflammation and adjusts immune activity. It binds to and activates the glucocorticoid receptor inside cells. This switches on anti-inflammatory signals such as lipocortins.

It also blocks the release of arachidonic acid and the making of prostaglandins and leukotrienes, which fuel inflammation.

Triamcinolone dosage

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How triamcinolone is used depends on the product. Follow your prescriber's directions and the label.

  • Injections are given by a healthcare professional, and dosing is individualized to the condition and your response.
  • Triesence is injected into the eye using strict aseptic technique.
  • Triamcinolone ointment is applied as a thin film two to three times daily. An occlusive dressing may be used for conditions like psoriasis.
  • Nasal spray bottles must be primed before first use and again if unused for more than 2 weeks.

Dosing details from the FDA-approved label

From the Triamcinolone prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.

  • Systemic (initial dose)
    • The suggested initial dose is 60 mg, injected deeply into the gluteal muscle
    • Dosage is usually adjusted within the range of 40 mg to 80 mg, depending upon patient response and duration of relief
    • Some patients may be well controlled on doses as low as 20 mg or less.
  • Hay fever or pollen asthma
    • A single injection of 40 mg to 100 mg
    • For patients not responding to pollen administration and other conventional therapy; remission may last throughout the pollen season.
  • Acute exacerbations of multiple sclerosis
    • Daily doses of 160 mg of triamcinolone for a week followed by 64 mg every other day for one month
  • Pediatric patients
    • Range of initial doses is 0.11 mg/kg/day to 1.6 mg/kg/day in 3 or 4 divided doses (3.2 mg/m2 bsa/day to 48 mg/m2 bsa/day)
    • Initial dose may vary depending on the specific disease entity being treated.
  • Intra-articular administration, smaller joints (initial dose)
    • 2.5 mg to 5 mg
    • Maximum: For adults, doses up to 10 mg for smaller areas have usually been sufficient.
    • Depends on the specific disease entity; a single injection is frequently sufficient, but several may be needed.
  • Intra-articular administration, larger joints (initial dose)
    • 5 mg to 15 mg
    • Maximum: For adults, doses up to 40 mg for larger areas have usually been sufficient; single injections into several joints, up to a total of 80 mg, have been given.
    • Depends on the specific disease entity being treated.
  • General initial dose range (all conditions)
    • May vary from 2.5 mg to 100 mg per day depending on the specific disease entity being treated
    • In overwhelming, acute, life-threatening situations, dosages exceeding the usual dosages may be justified.
Read the label’s full dosing text

DOSAGE AND ADMINISTRATION Apply a thin film of the 0.1% Triamcinolone Acetonide Ointment, as appropriate, to the affected area two to three times daily. Occlusive Dressing Technique Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions. Apply a thin film of ointment to the lesion, cover with a pliable nonporous film, and seal the edges. If needed, additional moisture may be provided by covering the lesion with a dampened clean cotton cloth before the nonporous film is applied or by briefly wetting the affected area with water immediately prior to applying the medication. The frequency of changing dressings is best determined on an individual basis. It may be convenient to apply Triamcinolone Acetonide Ointment under an occlusive dressing in the evening and to remove the dressing in the morning (i.e., 12-hour occlusion). When utilizing the 12-hour occlusion regimen, additional ointment should be applied, without occlusion, during the day. Reapplication is essential at each dressing change. If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy instituted.

Occlusive Dressing Technique Occlusive dressings may be used for the management of psoriasis or other recalcitrant conditions. Apply a thin film of ointment to the lesion, cover with a pliable nonporous film, and seal the edges. If needed, additional moisture may be provided by covering the lesion with a dampened clean cotton cloth before the nonporous film is applied or by briefly wetting the affected area with water immediately prior to applying the medication. The frequency of changing dressings is best determined on an individual basis. It may be convenient to apply Triamcinolone Acetonide Ointment under an occlusive dressing in the evening and to remove the dressing in the morning (i.e., 12-hour occlusion). When utilizing the 12-hour occlusion regimen, additional ointment should be applied, without occlusion, during the day. Reapplication is essential at each dressing change. If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy instituted.

Read the full Dosage and Administration section on DailyMed →

Triamcinolone side effects

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Side effects vary by product and route. Reported ones include:

Common side effects

  • Sinusitis, cough and bruising (reported with the extended-release knee injection ZILRETTA)
  • Joint swelling or joint pain at the injection site
  • Injection site pain
  • Headache
  • Muscle spasms
  • Increased blood glucose in people with diabetes
  • Increased appetite, nausea, weight gain
  • Higher blood sugar in people with diabetes

When to get medical help

  • Get emergency help for signs of a serious allergic reaction, such as swelling of the face or throat, trouble breathing or a widespread rash.
  • Call your doctor if a treated joint becomes much more painful and swollen, or you have fever and feel unwell. This could be a joint infection.
  • Report fever or other signs of infection. Steroids can hide or worsen infections.
  • Report new or worsening mood changes, severe depression, or unusual behavior.
  • Call your doctor about vision changes, eye pain or high eye pressure.
  • Report black stools, severe stomach pain or other signs of a stomach or bowel problem.
  • Tell your doctor right away if you are exposed to chickenpox or measles and have not had them or been vaccinated.
  • Report swelling, rapid weight gain or a rise in blood pressure.

Triamcinolone warnings and precautions

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  • Not for spinal injection: epidural or intrathecal steroid injections have caused serious nerve problems, including paralysis, stroke and death.
  • Serious allergic reactions: anaphylaxis, including death, has been reported with triamcinolone injection.
  • Infection risk: steroids lower resistance and can hide infection signs. Avoid exposure to chickenpox and measles if not immune. Hepatitis B and tuberculosis can reactivate.
  • Adrenal suppression: your body's own steroid production may drop and stay low for months. Extra steroid coverage may be needed during stress.
  • Joint injections: can cause joint infection or damage. Avoid injecting an infected site.
  • Other effects: higher blood pressure, fluid retention, bone thinning, raised eye pressure, cataracts, glaucoma, stomach or bowel perforation, and mood changes.
  • Benzyl alcohol: some injections contain it, which can be toxic to newborns, especially premature infants.
  • Do not use live vaccines during immunosuppressive steroid doses.

Triamcinolone interactions

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Triamcinolone can interact with many medicines. Check with your pharmacist before combining.

  • Strong CYP3A4 inhibitors (ketoconazole, ritonavir, itraconazole, clarithromycin): raise triamcinolone levels and side effects.
  • Warfarin: response may be reduced, so clotting tests need monitoring.
  • Diabetes medicines: steroids can raise blood sugar.
  • Diuretics and amphotericin B: may lower potassium.
  • Digitalis medicines: low potassium raises the risk of arrhythmias.
  • Aspirin and NSAIDs: more stomach side effects.
  • Cyclosporine: both drugs may become stronger, with convulsions reported.
  • Phenytoin, carbamazepine, rifampin, barbiturates: can lower steroid levels.
  • Cholestyramine: may increase steroid clearance.
  • Estrogens and macrolide antibiotics: may increase steroid effect or lower clearance.
  • Vaccines and skin tests: responses may be reduced, and live vaccines should be avoided.

Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.

🌿124 supplements and herbs with documented Triamcinolone interactions, ranked by severity Check Triamcinolone against a supplement or herb →

Before taking Triamcinolone

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  • Do not use if allergic to triamcinolone, other corticosteroids or any ingredient.
  • Tell your doctor about any infection, tuberculosis, hepatitis B or herpes in the eye.
  • Use caution with heart failure, high blood pressure, kidney problems, diabetes, osteoporosis or psychiatric illness.
  • Tell your doctor about stomach ulcers, diverticulitis or ulcerative colitis.
  • Pregnancy: human data are limited, and animal studies showed fetal harm at relevant exposures.
  • Breastfeeding: corticosteroids appear in breast milk and may reduce milk production.
  • Children: growth and other effects need monitoring. Benzyl alcohol in some injections is a concern for newborns.
  • Older adults: no overall differences were seen, though some may be more sensitive.

Triamcinolone overdose

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Acute overdose is treated with supportive and symptom-based care. For long-term overdose in people who need ongoing steroids for severe disease, the dose may be lowered temporarily, or alternate-day treatment may be used. If you think too much was used, contact your doctor or poison control.

What Triamcinolone does in the body

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After a single intramuscular injection of immediate-release triamcinolone, adrenal suppression begins within 24 to 48 hours and usually returns to normal in 30 to 40 days. Corticosteroids may also raise blood glucose. With the extended-release knee injection ZILRETTA, adrenal suppression began within 12 to 24 hours and returned to normal within 30 to 42 days.

How your body processes Triamcinolone

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ZILRETTA is an extended-release form that releases triamcinolone slowly from tiny microspheres. After a knee injection, it produced much lower peak blood levels than immediate-release triamcinolone. Its half-life was longer, about 634 hours compared with about 147 hours for the immediate-release form.

How to store Triamcinolone

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Store at 20-25°C (68-77°F) .

Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

124

Supplements & herbs that interact with Triamcinolone

124 supplements and herbal products have documented interactions with Triamcinolone in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 3
  • Moderate · 102
  • Minor · 19
ACTIVATED CHARCOAL Major LILY-OF-THE-VALLEY Major ST. JOHN'S WORT Major ACTIVE HEXOSE CORRELATED COMPOUND (AHCC) Moderate ALDER BUCKTHORN Moderate ALFALFA Moderate AMERICAN GINSENG Moderate ANDROGRAPHIS Moderate +116 more
Every supplement checked against Triamcinolone — ranked by severity The full interaction hub: 3 major · 102 moderate · 19 minor · every one linked to its full report. Check Triamcinolone against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

8

Nutrient depletion considerations

Triamcinolone has been associated with lower levels of 8 nutrients in the clinical literature. This does not mean a deficiency will occur — it means these may be worth discussing with your pharmacist or healthcare provider, especially with long-term use.

Evidence & significance mix
  • Higher significance · 1
  • Moderate · 5
  • Unrated · 2
ZINC Insignificant Depletion CALCIUM Moderate Depletion CHROMIUM Moderate Depletion MAGNESIUM Moderate Depletion POTASSIUM Moderate Depletion VITAMIN D Moderate Depletion SELENIUM Insufficient Evidence STRONTIUM Insufficient Evidence
See the full Triamcinolone nutrient depletion report

Educational information from a licensed clinical database (Natural Medicines) — not medical advice. Do not start or stop medications or supplements without professional guidance.

Triamcinolone: pharmacist answers to common questions

Quick, plain-English answers to the questions patients ask most about Triamcinolone — the kind of thing our pharmacy team would talk through with you at the counter.

What is triamcinolone used for?

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It depends on the product. Injections treat severe allergic conditions, joint inflammation, certain skin problems and eye inflammation. Creams and ointments calm itchy, inflamed skin, and dental paste eases mouth sores from trauma.

How do I use it?

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Injections are given by a healthcare professional. Ointment is applied as a thin film to the affected area two to three times daily. Nasal spray bottles need priming before first use. Follow your prescriber's directions and the label.

What side effects should I expect?

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Possible effects include injection site pain, joint swelling, headache, muscle spasms, cough, sinusitis and bruising. People with diabetes may see higher blood sugar. Tell your doctor if side effects bother you.

When should I call my doctor?

▾
Call right away for signs of an allergic reaction, fever or infection, a very painful and swollen joint, vision changes, or mood changes. Also report black stools, severe stomach pain, or swelling and fast weight gain.

Can I take it with my other medicines?

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Many medicines interact with triamcinolone. Examples include ketoconazole, ritonavir, warfarin, diabetes medicines, diuretics and NSAIDs. Tell me about everything you take so we can check.

Is it safe in pregnancy or while breastfeeding?

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Human data are limited, and animal studies showed fetal harm. Corticosteroids can pass into breast milk and may lower milk supply. Talk with your doctor about weighing the benefits and risks.

Is Triamcinolone available over the counter?

▾
Both. Some Triamcinolone products are sold over the counter and others need a prescription. According to their FDA listings, the nasal spray form is sold over the counter and the topical cream, ointment or gel, injection and inhaler forms need a prescription. The package says which kind you have. Your pharmacist can tell you which product is right for you.

When was Triamcinolone first available?

▾
The earliest FDA record we hold for Triamcinolone is from 1957: its first approval in Drugs@FDA or its earliest product listing in the NDC Directory, whichever is older. Many older medicines were in use before their first formal FDA approval, so this is the earliest date on record, not necessarily when Triamcinolone was first used.

Who makes Triamcinolone?

▾
75 companies currently list Triamcinolone products in the FDA's NDC Directory, including Bryant Ranch Prepack, A-S Medication Solutions, Proficient Rx LP. That count includes repackagers and distributors as well as manufacturers (companies that sell only the raw ingredient are not counted), so fewer companies actually make it; the label on your bottle names the one that supplied yours.

Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

More about Triamcinolone on HelloPharmacist

📊Triamcinolone supplement interactions124 checked — ranked by severity 🌿Drug & Supplement CheckerTriamcinolone vs. vitamins & herbs 💬Ask a PharmacistFree answer, usually < 24h 🔎NDC & pricing lookupFind Triamcinolone NDCs & costs 🅰️Browse Drugs A–ZLook up any medication
Detailed data & references for Triamcinolone Forms & strengths, pricing, billing codes, manufacturers, safety reports and sourcing — the data behind the page. Most people can stop here. Each section below opens on a tap.

Triamcinolone forms and strengths (how it comes)

Triamcinolone is available in 6 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Topical cream, ointment or gel

Dental · On the skin
Brands Kourzeq Oralone Triamcinolone Acetonide Triderm
How this form is used
What it may be used for
  • Triamcinolone Acetonide cream, ointment and lotion products relieve inflammation and itching from corticosteroid-responsive dermatoses.
  • Oralone and Kourzeq dental pastes are used as adjunctive treatment and temporary symptom relief for oral inflammatory lesions and ulcerative lesions from trauma.
Important instructions
  • Triamcinolone Acetonide ointment is applied as a thin film to the affected area two to three times daily.
  • Triamcinolone Acetonide ointment may be used under an occlusive dressing for psoriasis or other stubborn conditions, as directed.
Available strengths 7 strengths
0.1 mg/0.1 g 0.25 mg/g 0.25 mg/mL 0.5 mg/g 1 mg/g 1 mg/mL
Show 1 more strength Show fewer strengths
5 mg/g
320 FDA-listed product records ⓘ

Injection

By injection · In the eye · Into a joint · Into a muscle · Intra-Arterial · Intralesional · Soft Tissue
Brands Hexatrione Triamcinolone Acetonide Triesence Xipere
How this form is used
What it may be used for
  • Kenalog-40 and Kenalog-80 are used intramuscularly for severe allergic conditions, certain skin diseases and endocrine disorders when oral therapy is not feasible.
  • Kenalog-10 is used in joints and soft tissue for short-term relief of conditions such as bursitis and rheumatoid arthritis, and in skin lesions for alopecia areata and keloids.
  • Triesence is used in the eye for uveitis, sympathetic ophthalmia, temporal arteritis, and for visualization during vitrectomy.
Important instructions
  • Kenalog-40 and Kenalog-80 dosing is individualized to the condition and response, and is given by a healthcare professional.
  • Kenalog-40 and Kenalog-80 contain benzyl alcohol; the label warns against injection into a vein, and the gluteal area is preferred over the deltoid to limit local tissue atrophy.
  • Triesence requires strict aseptic technique, and the vial is shaken vigorously for 10 seconds before use.
Available strengths 7 strengths
10 mg/mL 32 mg 40 mg/2 mL 40 mg/mL 80 mg/mL 200 mg/5 mL
Show 1 more strength Show fewer strengths
400 mg/10 mL
134 FDA-listed product records ⓘ

Nasal spray

In the nose
Brands Nasacort Triamcinolone acetonide
How this form is used
Important instructions
  • Children's Triamcinolone Acetonide Nasal Spray: prime a new bottle before first use by shaking it and pressing the nozzle until a fine mist appears.
  • Children's Triamcinolone Acetonide Nasal Spray: prime the bottle again if it has not been used for more than 2 weeks.
  • Children's Triamcinolone Acetonide Nasal Spray: blow your nose gently, then shake the bottle before use.
Available strengths 1 strength
55 mcg
44 FDA-listed product records ⓘ

Spray

By mouth
How this form is used
What it may be used for
  • Triamcinolone Acetonide Topical Aerosol relieves inflammation and itching from corticosteroid-responsive dermatoses.
Available strengths 2 strengths
55 mcg 0.55 mg/g
4 FDA-listed product records ⓘ

Inhaler

On the skin
Brands Triamcinolone Acetonide
Available strengths 1 strength
0.147 mg/g
2 FDA-listed product records ⓘ

Oral suspension

By mouth
Available strengths 1 strength
40 mg/mL
1 FDA-listed product record ⓘ

Triamcinolone on the U.S. market: products, makers and brands

How Triamcinolone appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

75 companies list 268 Triamcinolone product records with the FDA, mostly as topical cream, ointment or gel, injection, nasal spray; the earliest marketing or approval year on record is 1957. Brand names on the directory include Aristocort, Kenacort, Kenalog and 13 more; the rest are generics.

6
Dose forms ⓘ
75
Labelers (makers, repackagers, distributors)
36
Brand names
268
FDA-listed product records ⓘ
1957
Earliest FDA record ⓘ

FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

Also listed with the FDA, not a patient dose form: Powder (35) · Kit (6) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Bryant Ranch Prepack11%
A-S Medication Solutions9%
Proficient Rx LP6%
NuCare Pharmaceuticals,Inc.5%
Preferred Pharmaceuticals Inc.4%
Asclemed USA, Inc.4%
Other makers60%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

How widely Triamcinolone is used (Medicaid data)

A general measure of how commonly Triamcinolone is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Triamcinolone is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

5,724,276
Medicaid prescriptions filled (Q1–Q4 2025)
$83.5M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Triamcinolone prescribed? Of the 1,601 medications we measure, Triamcinolone ranks #34 by Medicaid prescriptions — more than 98% of them.

Where Triamcinolone ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5
Total prescriptions — #34 of 1,601
#29 Metoprolol 5,974,670 Rx #30 Clonidine 5,852,758 Rx #31 Semaglutide 5,813,664 Rx #32 Pantoprazole 5,789,599 Rx #33 Quetiapine 5,743,048 Rx #34 Triamcinolone 5,724,276 Rx #35 Methylphenidate 5,663,940 Rx #36 Semaglutide Injection 5,616,018 Rx #37 Amoxicillin / Clavulan... 5,453,053 Rx #38 Prednisone 5,404,950 Rx #39 Montelukast 5,399,653 Rx

Utilization by Triamcinolone product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

The 1 mg/mL topical cream is the most-dispensed Triamcinolone product — about 33% of these Medicaid prescriptions.

triamcinolone acetonide 1 MG/ML Topical Cream Most dispensed

1,884,538 Medicaid prescriptions (Q1–Q4 2025) 33% of Triamcinolone prescriptions shown $21.8M gross reimbursement (before rebates) ≈ $12 per prescription (gross)

Summed across the 31 of 152 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1014314

triamcinolone acetonide 0.001 MG/MG Topical Ointment

1,461,206 Medicaid prescriptions (Q1–Q4 2025) 26% of Triamcinolone prescriptions shown $18.5M gross reimbursement (before rebates) ≈ $13 per prescription (gross)

Summed across the 22 of 57 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085636

triamcinolone acetonide 40 MG/ML Injectable Suspension

759,297 Medicaid prescriptions (Q1–Q4 2025) 13% of Triamcinolone prescriptions shown $13.3M gross reimbursement (before rebates) ≈ $18 per prescription (gross)

Summed across the 18 of 52 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085754

1 ML triamcinolone acetonide 40 MG/ML Injection

283,078 Medicaid prescriptions (Q1–Q4 2025) 5% of Triamcinolone prescriptions shown $6M gross reimbursement (before rebates) ≈ $21 per prescription (gross)

Summed across the 15 of 44 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1792144

triamcinolone acetonide 0.25 MG/ML Topical Cream

268,688 Medicaid prescriptions (Q1–Q4 2025) 5% of Triamcinolone prescriptions shown $2.6M gross reimbursement (before rebates) ≈ $9.84 per prescription (gross)

Summed across the 14 of 42 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085644

triamcinolone acetonide 10 MG/ML Injectable Suspension

240,626 Medicaid prescriptions (Q1–Q4 2025) 4% of Triamcinolone prescriptions shown $2.1M gross reimbursement (before rebates) ≈ $8.85 per prescription (gross)

Summed across the 2 of 3 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085750

triamcinolone acetonide 0.00025 MG/MG Topical Ointment

227,545 Medicaid prescriptions (Q1–Q4 2025) 4% of Triamcinolone prescriptions shown $2.7M gross reimbursement (before rebates) ≈ $12 per prescription (gross)

Summed across the 12 of 17 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085633

triamcinolone acetonide 5 MG/ML Topical Cream

223,794 Medicaid prescriptions (Q1–Q4 2025) 4% of Triamcinolone prescriptions shown $3.1M gross reimbursement (before rebates) ≈ $14 per prescription (gross)

Summed across the 5 of 29 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085686

triamcinolone acetonide 0.005 MG/MG Topical Ointment

115,833 Medicaid prescriptions (Q1–Q4 2025) 2% of Triamcinolone prescriptions shown $1.8M gross reimbursement (before rebates) ≈ $16 per prescription (gross)

Summed across the 3 of 13 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085640

triamcinolone acetonide 0.055 MG/ACTUAT Metered Dose Nasal Spray

99,808 Medicaid prescriptions (Q1–Q4 2025) 2% of Triamcinolone prescriptions shown $1.7M gross reimbursement (before rebates) ≈ $17 per prescription (gross)

Summed across the 7 of 67 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1797913

triamcinolone acetonide 0.001 MG/MG Oral Paste

77,844 Medicaid prescriptions (Q1–Q4 2025) 1% of Triamcinolone prescriptions shown $2M gross reimbursement (before rebates) ≈ $26 per prescription (gross)

Summed across the 4 of 19 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085728

triamcinolone acetonide 1 MG/ML Topical Lotion

40,427 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $991,332 gross reimbursement (before rebates) ≈ $25 per prescription (gross)

Summed across the 4 of 10 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085745

triamcinolone acetonide 0.0005 MG/MG Topical Ointment

15,231 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $2.1M gross reimbursement (before rebates) ≈ $141 per prescription (gross)

Summed across the 5 of 11 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1090641

triamcinolone acetonide 0.25 MG/ML Topical Lotion

14,101 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $413,258 gross reimbursement (before rebates) ≈ $29 per prescription (gross)

Summed across the 1 of 7 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085741

triamcinolone acetonide 32 MG Injection

6,293 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $4M gross reimbursement (before rebates) ≈ $639 per prescription (gross)

Summed across the 1 of 4 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1947131

1 ML triamcinolone acetonide 80 MG/ML Injection

3,411 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $59,141 gross reimbursement (before rebates) ≈ $17 per prescription (gross)

Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2168095

triamcinolone acetonide 80 MG/ML Injectable Suspension

2,202 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $13,602 gross reimbursement (before rebates) ≈ $6.18 per prescription (gross)

Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2168081

triamcinolone acetonide 0.147 MG/ML Topical Spray

301 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $54,948 gross reimbursement (before rebates) ≈ $183 per prescription (gross)

Summed across the 2 of 10 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1085736

0.9 ML triamcinolone acetonide 40 MG/ML Injection

53 Medicaid prescriptions (Q1–Q4 2025) <1% of Triamcinolone prescriptions shown $41,566 gross reimbursement (before rebates) ≈ $784 per prescription (gross)

Summed across the 1 of 5 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2585221

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Triamcinolone, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 149 of 544 listed Triamcinolone NDCs with Medicaid activity.

Compare Triamcinolone products

A representative set of FDA-listed product records for Triamcinolone — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Showing 107 of 268 products — FDA National Drug Code Directory. See every product, package size and price: browse all 268 Triamcinolone NDCs →

Triamcinolone recall history

A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.

The FDA’s enforcement reports list 6 Triamcinolone recalls since July 2021. Three of them are still ongoing or began in the last six months and are listed first. A recall names specific lots from one company, so check the lot number on your own bottle rather than assuming every product is affected; your pharmacist can check whether your supply came from an affected lot.

Ongoing Class II Jun 12, 2024 · PACIRA PHARMACEUTICALS INC
Failed Dissolution Specifications - did not meet the acceptance criteria for IVR Level 3 testing at 9 months 2-8¿C followed by 6 weeks at 25¿C
  • Zilretta (triamcinolone acetonide extended-release injectable suspension), 32 mg per vial, Rx only, Manufactured for: Pacira Pharmaceuticals Inc., San Diego, CA 92121, NDC 65250-003-01 (carton) NDC 6… Lots: Lot 23-9006; Expiry Date: MAR 2025 FDA record D-0567-2024 →
Ongoing Class II May 7, 2024 · PACIRA PHARMACEUTICALS INC
Failed Stability Specifications - at 12 months 2-8 degrees C followed by 6 weeks at 25 degrees C.
  • Drug Vial Label: Zilretta¿ (triamcinolone acetonide extended-release injectable suspension), 32 mg per vial, Rx only, Manufactured for: Pacira Pharmaceuticals Inc., San Diego, CA 92121, NDC 65250-001… Lots: Lot: 082657 (kit 23-9004), Exp: July 2024. FDA record D-0546-2024 →
Ongoing Class II Sep 28, 2023 · Eugia US LLC
Presence of Particulate Matter: A product complaint of a piece of glass was identified in a vial. The piece of glass appears to be roughly 1 cm x 0.5 cm inside the vial.
  • Triamcinolone Acetonide Injectable Suspension, USP, 400 mg per 10 mL (40mg/mL), 10 mL Multiple Dose Vial, Rx Only, For Intramuscular or Intra-articular use only, Shake Well, Not for IV/ID, intraocula… Lots: Lot #: 3TC22010, Exp 11/30/2024 FDA record D-0041-2024 →
Class II Sep 12, 2022 · Completed · Direct Rx
CGMP Deviations: Product complaints reporting the product to have a gritty texture and lack of effectiveness.
  • Triamcinolone Acetonide cream, 0.1%, 80 g tube, Rx only, Packaged and Distributed By: Direct Rx, Dawsonville, GA 30534, Dist. By Perrigo, Allegan, MI 49010, NDC 72189-330-80. Lots: Lot: 12JY2216, Exp. 2/29/24 FDA record D-1535-2022 →
Class II Aug 17, 2022 · Terminated · Padagis US LLC
CGMP Deviations: Product complaints reporting the product to have a gritty texture and lack of effectiveness.
  • Triamcinolone Acetonide Cream USP, 0.1%, 80 g tube, Rx Only, Manufactured By Perrigo, Bronx, NY 10457, Distributed By Perrigo, Allegan, MI 49010, NDC 45802-064-36. Lots: Lot 2CT0486 , Exp 02/29/2024 FDA record D-1497-2022 →
Class II Apr 13, 2022 · Terminated · Mckesson Medical-Surgical Inc. Corporate Office
cGMP deviations: Temperature abuse
  • Triamcinolone Acetonide cream, USP, 0.1% ,15 grams tube, Rx only, MFG: Sandoz Pharma, NDC 0168-0004-15 Lots: McKesson Medical-Surgical (MMS) is not able to identify the particular lot number received by a particular consignee for the recalled prescription products. Each letter includes the date it was distributed to customers and the dates that i… FDA record D-1106-2022 →

Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Triamcinolone RxCUI 10759 10 dose forms · 29 strengths
  1. Dose form (SCDF) Injectable Suspension RxCUI 96818 In current FDA listings
    Clinical drug / strength (SCD) acetonide 10 MG/ML RxCUI 1085750 acetonide 3 MG/ML RxCUI 1085985 acetonide 40 MG/ML RxCUI 1085754 acetonide 80 MG/ML RxCUI 2168081 diacetate 25 MG/ML RxCUI 1085666 diacetate 40 MG/ML RxCUI 1085680 hexacetonide 20 MG/ML RxCUI 1085996
  3. Dose form (SCDF) Metered Dose Nasal Spray RxCUI 1797903 In current FDA listings
    Clinical drug / strength (SCD) acetonide 0.05 MG/ACTUAT RxCUI 1797904 acetonide 0.055 MG/ACTUAT RxCUI 1797913
  4. Dose form (SCDF) Oral Paste RxCUI 10760 In current FDA listings
    Clinical drug / strength (SCD) acetonide 0.001 MG/MG RxCUI 1085728
  5. Dose form (SCDF) Oral Tablet RxCUI 96819 No current FDA listing
    Clinical drug / strength (SCD) 1 MG RxCUI 198301 4 MG RxCUI 198303
  6. Dose form (SCDF) Prefilled Syringe RxCUI 727885 No current FDA listing
    Clinical drug / strength (SCD) 1 ML triamcinolone acetonide 40 MG/ML RxCUI 1086275
  10. Dose form (SCDF) Topical Spray RxCUI 377376 No current FDA listing
    Clinical drug / strength (SCD) acetonide 0.147 MG/ML RxCUI 1085736 acetonide 0.15 MG/ML RxCUI 1805709

Look up RxCUI 10759 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

💵 What Triamcinolone costs pharmacies (NADAC benchmark)

The national average invoice price pharmacies pay for the drug itself, from CMS's NADAC survey (data as of Sep 30, 2026). This is a supply-cost benchmark — not a retail price and not what you'd pay at the counter.

FormStrengthPharmacy acquisition benchmark
Cream · Topical 1 mg/g $0.025–$0.102 per gram NDC details & price history
Cream · Topical 5 mg/g $0.190 per gram NDC details & price history
Cream · Topical 0.25 mg/g $0.053–$0.120 per gram NDC details & price history
Ointment · Topical 1 mg/g $0.046–$0.116 per gram NDC details & price history
Ointment · Topical 5 mg/g $0.275 per gram NDC details & price history
Ointment · Topical 0.25 mg/g $0.074 per gram NDC details & price history
Injection, Suspension · Intra-articular, Intramuscular 40 mg/mL $6.79–$9.15 per mL NDC details & price history
Injection, Suspension · Intra-articular, Intramuscular 400 mg/10 mL $4.78 per mL NDC details & price history
Injection, Suspension · Intra-articular, Intramuscular 200 mg/5 mL $6.38 per mL NDC details & price history
Injection, Suspension · Intra-articular, Intramuscular 80 mg/mL $17.87 per mL NDC details & price history
Why show this? Your out-of-pocket cost depends on insurance, pharmacy markup, and discounts — but the acquisition benchmark tells you whether the medication itself is inexpensive or costly, which strengths cost more per dose, and whether a cash-price quote is in a reasonable range. Each row links to the NDC-level record with its full price history.

Source: CMS National Average Drug Acquisition Cost (NADAC), a survey of retail pharmacy invoice prices. Benchmarks shown are the range across package sizes of a representative product for each form and strength — other manufacturers' products may differ.

Triamcinolone brand names

Triamcinolone is sold under 16 brand names in the FDA directory — Aristocort, Kenacort, Kenalog, Oralone and others. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

Aristocort Kenacort Kenalog Oralone Triderm Triesence Trianex AllerNaze Nasacort Genesis Zilretta Aller-Cort Hexatrione Xipere Kourzeq triamcinolone acetonide

Who makes Triamcinolone: manufacturers and labelers

75 companies list Triamcinolone products with the FDA. By number of product records, the largest are Bryant Ranch Prepack, A-S Medication Solutions, Proficient Rx LP. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

Bryant Ranch Prepack 30 A-S Medication Solutions 24 Proficient Rx LP 16 NuCare Pharmaceuticals,Inc. 14 Preferred Pharmaceuticals Inc. 12 Asclemed USA, Inc. 11 Remedyrepack Inc. 11 Amneal Pharmaceuticals LLC 9 NorthStar RxLLC 9 Padagis Israel Pharmaceuticals Ltd 9 Direct_Rx 8 Macleods Pharmaceuticals Limited 7 Cosette Pharmaceuticals, Inc. 6 E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC 5 Sportpharm LLC 5 Sun Pharmaceutical Industries, Inc. 4 Alembic Pharmaceuticals Inc. 3 Alembic Pharmaceuticals Limited 3 Ascend Laboratories, LLC 3 Crown Laboratories 3 Dr. Reddy's Laboratories Inc 3 E.R. Squibb & Sons, L.L.C. 3 Glenmark Pharmaceuticals Inc., USA 3 Long Grove Pharmaceuticals, LLC 3

…and 51 more on the FDA NDC directory.

Triamcinolone drug class (RxNorm)

Triamcinolone belongs to the Corticosteroid class.

Pharmacologic class Corticosteroid
Drug family (ATC) Corticosteroids for local oral treatment, Corticosteroids, Corticosteroids, moderately potent (group II)
How it works Corticosteroid Hormone Receptor Agonists

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

Sources for this Triamcinolone page

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Jan 28, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Triamcinolone.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Triamcinolone after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
149
Finished products in the current FDA directory
268
Companies listing them (makers, repackagers, distributors)
75
FDA labeler codes behind them ⓘ
80
Linked representative label ⓘ
E. Fougera & Co. a division of Fougera Pharmaceuticals Inc.
Linked label effective
Jan 28, 2026
Composite sections available
16
Linked SPL Set ID
92a1ded0-8e1a-4994-9c8a-89e84fc85c94
Linked SPL Document ID
c8c77210-0a99-47c9-8fe3-0f1531110ffa
Open the linked representative label on DailyMed ↗

How this page is built

HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. E. Fougera & Co. a division of Fougera Pharmaceuticals Inc. is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →