Triamcinolone nasal Uses, Side Effects & Warnings (2024)

Generic name: triamcinolone (nasal) [TRYE-am-SIN-oh-lone]
Brand names: Nasacort Allergy 24HR, Nasacort AQ, Nasacort, Tri-Nasal, Nasacort HFA, Children's Nasacort Allergy 24HR
Dosage form: nasal spray (55 mcg/inh)
Drug class: Nasal steroids

Medically reviewed by on Dec 25, 2023. Written by Cerner Multum.

What is triamcinolone nasal?

Triamcinolone nasal (for the nose) is a steroid medicine used to treat sneezing, itching, and runny or stuffy nose caused by seasonal allergies or hay fever.

Triamcinolone nasal may also be used for purposes not listed in this medication guide.

Triamcinolone nasal side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Triamcinolone may cause serious side effects. Call your doctor at once if you have:

  • fever, chills, body aches, flu symptoms;

  • nosebleeds; or

  • blurred vision, tunnel vision, eye pain, or seeing halos around lights.

Triamcinolone nasal can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using triamcinolone.

Less serious side effects may be more likely, and you may have none at all.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Related/similar drugs

prednisone, hydroxyzine, fluticasone nasal, montelukast, cetirizine, promethazine, Zyrtec


Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Before taking this medicine

You should not use triamcinolone if you are allergic to triamcinolone.

Ask a doctor or pharmacist if this medicine is safe to use if you have ever had:

  • an eye infection;

  • glaucoma or cataracts;

  • ulcers in your nose; or

  • surgery or injury to your nose.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Triamcinolone nasal should not be given to a child younger than 2 years old.

How should I use triamcinolone nasal?

Use exactly as directed on the label, or as prescribed by your doctor.

Do not take by mouth. Triamcinolone nasal is for use only in your nose.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Shake the nasal spray well just before each use. Before your first use, prime the nasal spray pump by spraying the medicine into the air until a fine mist appears. If the nasal spray has not been used for longer than 2 weeks, prime it by spraying the medicine into the air until a fine mist appears.

Stop using triamcinolone and call your doctor if your symptoms do not improve after 7 days.

Do not share the nasal spray with another person, or you could spread germs or disease.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Triamcinolone dosing information

Usual Adult Dose for Allergic Rhinitis:

Initial dose: 220 mcg (2 sprays) in each nostril once a day, until symptoms improve
Maintenance dose: 110 mcg (1 spray) in each nostril once a day

Usual Pediatric Dose for Allergic Rhinitis:

2 to under 6 years old: 110 mcg (1 spray) into each nostril once a day

6 to under 12 years old: 110 mcg (1 spray) in each nostril once a day
-If symptoms do not improve, may increase to 220 mcg (2 sprays) in each nostril once a day; reduce to one spray when symptoms improve.

12 years and older:
Initial dose: 220 mcg (2 sprays) in each nostril once a day, until symptoms improve
Maintenance dose: 110 mcg (1 spray) in each nostril once a day

-Some products are not approved for pediatric use; the manufacturer product information should be consulted.
-Adults should supervise use in children.
-Do not use for more than 2 months a year as growth rate may be slowed.

Detailed Triamcinolone nasal dosage information

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of triamcinolone nasal is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using triamcinolone nasal?

Avoid getting triamcinolone in your eyes.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using triamcinolone nasal.

What other drugs will affect triamcinolone nasal?

Ask a doctor or pharmacist before using triamcinolone with any other medications, especially:

  • steroid medicine for asthma, allergies or skin rash.

This list is not complete. Other drugs may affect triamcinolone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Triamcinolone nasal drug interactions (more detail)

More about triamcinolone nasal

  • Check interactions
  • Compare alternatives
  • Reviews (96)
  • Side effects
  • Dosage information
  • During pregnancy
  • Drug class: nasal steroids
  • Breastfeeding
  • En español

Patient resources

  • Triamcinolone (Nasal) advanced reading

Other brands

Nasacort Allergy 24HR, Nasacort AQ, Allernaze

Professional resources

  • Triamcinolone (EENT) monograph
  • Triamcinolone Nasal Spray (FDA)

Other brands

Nasacort, Nasacort Allergy 24HR, Nasacort AQ

Related treatment guides

  • Allergic Rhinitis
  • Allergies

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circ*mstances.

Medical Disclaimer

Copyright 1996-2024 Cerner Multum, Inc. Version: 10.03.

Triamcinolone nasal Uses, Side Effects & Warnings (2024)


Triamcinolone nasal Uses, Side Effects & Warnings? ›

This medicine may increase your risk of having some unwanted effects in the nose. Check with your doctor right away if you or your child have bloody mucus, sores inside the nose, unexplained nosebleeds, or a whistling sound when you breathe while you are using this medicine.

Is triamcinolone good for sinuses? ›

Triamcinolone is used to prevent and treat seasonal and year-round allergy symptoms (such as stuffy/runny nose, itchy eyes/nose/throat, sneezing). Triamcinolone belongs to a class of drugs known as corticosteroids. It works by reducing swelling (inflammation) in the nasal passages.

Can you use triamcinolone acetonide nasal spray daily? ›

Adults and teenagers—Two sprays in each nostril once a day. Your doctor may adjust your dose if needed. Each spray contains 55 micrograms (mcg) of triamcinolone. Children 6 to 12 years of age—One spray in each nostril once a day.

Who should not take triamcinolone? ›

Before taking triamcinolone,

tell your doctor if you have or have ever had liver, kidney, intestinal, or heart disease; diabetes; an underactive thyroid gland; high blood pressure; mental illness; myasthenia gravis; osteoporosis; herpes eye infection; seizures; tuberculosis (TB); or ulcers.

Who should not use Nasacort? ›

If you have an eye infection, glaucoma, or cataracts, talk to your healthcare provider before starting Nasacort (triamcinolone acetonide). This medication can cause or worsen these eye conditions.

Does triamcinolone acetonide nasal spray have side effects? ›

This medicine may increase your risk of having some unwanted effects in the nose. Check with your doctor right away if you or your child have bloody mucus, sores inside the nose, unexplained nosebleeds, or a whistling sound when you breathe while you are using this medicine.

What is the best nasal steroid for sinusitis? ›

The combination of nasal wash and nasal steroid sprays can be highly effective for many patients with nasal and sinus problems. Several steroid nasal sprays are available and include: Flonase®, Veramyst® (fluticasone) Nasacort AQ®, Nasacort® (triamcinolone)

What happens if you use a steroid nasal spray for too long? ›

Intranasal steroid sprays are safe for long-term use, and there is little evidence to indicate they cause significant systemic side effects. However, patients with chronic rhinitis who might use them for long periods should be advised to use them only intermittently and at the lowest dose that controls their symptoms.

Is triamcinolone the same as Flonase? ›

Flonase contains fluticasone and Nasacort contains triamcinolone; these are both glucocorticoid corticosteroids that help to relieve congestion, sneezing, postnasal drip, and other allergy symptoms, including eye symptoms.

What happens if I use too much triamcinolone? ›

If too much triamcinolone builds up in your body, you might experience more serious side effects, such as joint pain, blood sugar changes, or fainting. Speak with your provider if you have any side effects while you're using triamcinolone.

What are the complications of triamcinolone? ›

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

What areas to avoid when using triamcinolone? ›

Covering the skin that is treated with triamcinolone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions. Avoid using this medication on your face, near your eyes, or on body areas where you have skin folds or thin skin.

Can triamcinolone raise blood pressure? ›

This medicine may increase your risk for high blood pressure, edema, and electrolyte imbalances. Check with your doctor right away of you have blurred vision, dizziness, nervousness, headache, pounding in the ears, slow or fast heartbeat, or swelling of the hands, ankles, feet, or lower legs.

What is the safest nasal spray? ›

The bottom line

Common examples include Flonase, Nasacort, and Astepro. They're safe for both adults and children to use every day. Just be sure to follow the recommended dosage. Let your provider know if you need to use these nasal sprays long-term.

Is it bad to use steroid nasal spray? ›

Nasal corticosteroid sprays are safe for all adults. Some types are safe for children (age 2 and older). Pregnant women can safely use corticosteroid sprays. Your provider will recommend which ones have the best safety record in pregnancy.

What nasal spray has the least side effects? ›

Of the different types of allergy nasal sprays, saline nasal spray is known to cause the fewest side effects because it does not contain any medication.

Is triamcinolone a decongestant? ›

TRIAMCINOLONE (trye am SIN oh lone) treats allergy symptoms such as sneezing, itching, and runny or stuffy nose. It works by decreasing inflammation in your nose, making it easier to breathe. It belongs to a group of medications called nasal steroids.

Where should you not put triamcinolone? ›

Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water. If you or your child are using the spray form on or near the face, protect your nose to avoid breathing it in and make sure that your eyes are covered.

Why can you not put triamcinolone on your face? ›

The skin around the face and eyes is very thin and more at risk for side effects. Up to 7% of a steroid cream can be absorbed into your bloodstream from the face and up to 30% if applied to the eyelids or genital region.


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