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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;

How to Use
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.

Drug Interactions
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

Overdosage
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

Other medical problems
Breast-feeding¡XUse of dexamethasone is not recommended in nursing mothers, since dexamethasone passes into breast milk and may affect the infant's growth.
It is not known whether beclomethasone, b desonide, flunisolide, XX or triamcinolone passes into breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Levels of mome tasone are not measurable in breast milk, thus exposure is expected to be low. Mothers who are taking these medicines and wish to breast-feed should discuss them with their doctor.

Precautions while Using this Medicine
Check with your doctor:

- if signs of a nose, sinus, or throat infection occur.
- if your symptoms do not improve within 7 days (for dexamethasone) or within 3 weeks (for beclomethasone , budesonide, flunisolide, Nasacort, mometasone, or triamcinolone).
- if your condition gets worse.


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