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Description
Nasal corticosteroids (kor-ti-ko-STER-oids) are cortisone-like medicines. They belong to the family of medicines called steroids. These medicines are sprayed or inhaled into the nose to help relieve t he stuffy nose, irritation, and discomfort of hay fever, other allergies, and other nasal problems. These medicines are also used to prevent nasal polyps from growing back after they have been removed by surgery.

Overdose
Acne; blurred vision; bone fractures; excess hair growth in females; fullness or rounding of the face, neck, and trunk; high blood pressure; impotence in males ; increased urination or thirst; lack of menstrual periods; menstrual changes; muscle wasting and weakness

What special precautions should I follow?
The use of triamcinolone acetonide may cause a yeast-like fungal infection in the mouth and throat (Nasacort) or nose and throat (Nasacort and Nasacort AQ). If you suspect a fungal infection, notify y our doctor. Treatment with antifungal medication may be necessary.

People using steroid medications such as these are more susceptible to infection. Chickenpox and measles, for example, can be far more serious for children and for adults who have not had them. Try to avoid exposure, but if you are exposed, inform your doctor. Medication may be needed.

If your child is using any of these medications, your doctor will watch to be sure he or she is growing properly.

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.

Side Effects
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;

Possible food and drug interactions when taking this medication
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)¡XEphedrine, phenobarbital, and rifampin may decrease the blood levels of nasal corticosteroids, such as dexamethasone, warranting an increase in corticosteroid dose


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