Pronunciation:

trye-am-SIN-oh-lone a-SEET-oh-nide

Brand Names:

• Xipere

Dosage Forms:

• Suspension

Classifications:

Therapeutic—

Endocrine-Metabolic Agent

Pharmacologic—

Triamcinolone

Uses of This Medicine:

Triamcinolone suprachoroidal injection is used to treat macular edema associated with uveitis (redness, pain, or swelling of the eye). Macular edema is swelling in the back of the eye and may cause vision loss.

This medicine is to be given only by or under the direct supervision of your doctor.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies—

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children—

Appropriate studies have not been performed on the relationship of age to the effects of triamcinolone suprachoroidal injection in the pediatric population. Safety and efficacy have not been established.

Older adults—

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of triamcinolone suprachoroidal injection in the elderly.

Breast-feeding—

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Other medicines—

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Desmopressin
• Rotavirus Vaccine, Live

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Aldesleukin
• Aspirin
• Atazanavir
• Balofloxacin
• Bemiparin
• Besifloxacin
• Carbamazepine
• Ceritinib
• Ciprofloxacin
• Cobicistat
• Cosyntropin
• Darunavir
• Enoxacin
• Ethinyl Estradiol
• Fleroxacin
• Flumequine
• Gatifloxacin
• Gemifloxacin
• Levofloxacin
• Lomefloxacin
• Lutetium Lu 177 Dotatate
• Macimorelin
• Moxifloxacin
• Nadifloxacin
• Nadroparin
• Nirmatrelvir
• Norfloxacin
• Ofloxacin
• Pazufloxacin
• Pefloxacin
• Prulifloxacin
• Ritonavir
• Rufloxacin
• Sargramostim
• Somatrogon-ghla
• Sparfloxacin
• Tosufloxacin
• Upadacitinib

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Alcuronium
• Atracurium
• Auranofin
• Fosphenytoin
• Gallamine
• Hexafluorenium
• Licorice
• Metocurine
• Phenytoin
• Primidone
• Saiboku-To

Other interactions—

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems—

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Fungal eye infection or
• Herpes infection of the eye, active or
• Mycobacterial eye infection or
• Vaccinia (smallpox) eye infection or
• Varicella (chickenpox) eye infection—Should not be used in patients with these conditions.

• Herpes infection of the eye, history of or
• Thyroid problems (eg, overactive or underactive thyroid)—Use with caution. May make these conditions worse.

Proper Use of This Medicine:

Your eye doctor (ophthalmologist) will give you this medicine in a hospital or clinic. It is given as a shot into the eye.

Precautions While Using This Medicine:

Your eye doctor will want to check your progress at regular visits, especially during the first few days after you receive this medicine, to make sure this medicine is working properly and to check for unwanted effects.

Serious eye problems (eg, cataracts, glaucoma, detached retina, eye infection or swelling) may occur after receiving this medicine. Check with your eye doctor right away if you have a change in vision or the eye becomes red, sensitive to light, or painful. Also, tell your doctor if you feel an increased pressure in the eye.

This medicine may cause endocrine problems (eg, HPA axis suppression, Cushing syndrome, high blood sugar). These problems may occur if you are receiving this medicine for a long time or if you suddenly stopped receiving it. Talk with your doctor if you have any concerns about this.

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common

Blindness

blurred vision

change in vision

eye pain

increased pressure in the eye

loss of vision

seeing flashes or sparks of light

seeing floating spots before the eyes, or a veil or curtain appearing across part of vision

Less common

Bloody eye

change in color vision

difficulty seeing at night

drooping upper eyelids

increased sensitivity of the eyes to sunlight

painful irritation of the clear front part of the eye

swelling or redness of the eye or inside of the eyelids

tearing

Incidence not known

Backache

darkening of the skin

diarrhea

dizziness

dry mouth

facial hair growth in females

fainting

flushed, dry skin

fractures

fruit-like breath odor

full or round face, neck, or trunk

increased hunger

increased thirst or urination

irritability

loss of appetite

loss of sexual desire or ability

menstrual irregularities

mental depression

muscle wasting

nausea

sweating

trouble breathing

unexplained weight loss

unusual tiredness or weakness

vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Headache

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.