PATIENT INFORMATION LEAFLET
ADCORTYL™
INTRA-ARTICULAR/INTRADERMAL INJECTION 10
mg/ml
Triamcinolone acetonide
Your doctor has prescribed Adcortyl injection for
you. This leaflet gives a summary of information about your medicine. If you
want to know more, or are not sure about anything, ask your doctor or
pharmacist.
REMEMBER: This medicine is for YOU.
Only a doctor can prescribe it. Never give
it to anyone else. It may harm them even if they
have the same symptoms as you
Q. WHAT IS IN
ADCORTYL INTRA-ARTICULAR/INTRADERMAL (IA/ID) INJECTION?
A. Adcortyl IA/lD injection contains triamcinolone
acetonide which is a member of the group of medicines known as steroids. The
injection contains triamcinolone acetonide 10mg/ml and is supplied in 1.0 ml
glass ampoules or 5ml glass vials. The other ingredients are benzyl alcohol,
polysorbate 80, sodium carboxymethylcellulose, sodium chloride and water.
UK PRODUCT
LICENCE
Held by: E R Squibb & Sons Limited, 141-149
Staines Road, Hounslow TW3 3JA
IRISH PRODUCT
AUTHORISATION
Held by: Bristol-Myers Squibb Pharmaceuticals Ltd,
Dublin, Ireland
MANUFACTURER
Bristol-Myers Squibb GmbH, Donaustauferstrasse 378,
D-93055 Regensburg,
Germany
Q. WHAT IS THIS
MEDICINE FOR?
A. Adcortyl IA/ID injection is for the treatment of
joint pain, swelling and stiffness in inflammatory disorders such as rheumatoid
arthritis. It is also used to treat various forms of allergic dermatitis, skin
overgrowths such as thickened scar tissue, and patchy baldness, which is
usually reversible.
BEFORE RECEIVING
YOUR MEDICINE
Q. Should I be receiving Adcortyl IA ID injection?
A. You should not receive this medicine if you have ever
had an allergic reaction to similar medicines or to any of the ingredients in
Adcortyl IA ID injection. You should not receive this medicine if you are
suffering from an infection unless your doctor has also prescribed a treatment
for the infection.
Q. Is there anything else I should discuss with my
doctor before receiving Adcortyl IA/ID injection?
A. Check with your doctor before receiving Adcortyl IA
ID injection if you have had any recent infection, tuberculosis (TB), bowel
disorders, an ulcer blood clots cancer, thin (brittle) bones, high blood
pressure or heart failure, mental disorders, epilepsy, myasthenia gravis or
glaucoma (increased pressure in your eyes).
Q. What if I have been in contact with someone who has
Chickenpox or Shingles?
A. Tell your doctor immediately if you have not had
chickenpox yourself as these diseases can be dangerous to patients taking
steroid medicines as the steroids suppress your body's natural immune
responses.
Q. Can I be immunised (vaccinated)?
A. While you are being treated with this medicine (or if
you have recently stopped a course of treatment) do not have any immunisation
without consulting your doctor.
Q. What if I am pregnant or think I may be pregnant?
What if I am planning to become pregnant? What if I am breast-feeding?
A. You should make sure you discuss this with your
doctor as soon as possible before receiving Adcortyl IA/ID injection.
Q. What if I have had problems with my kidneys, liver or
thyroid?
A. Remind your doctor as the dose of Adcortyl may need
to be adjusted.
Q. Can I take other medicines?
A. Do not take aspirin while receiving Adcortyl IA/ID
injection if you have blood disorders. Always tell your doctor about all other
medicines you are taking, even those you have bought at a pharmacy or other
places, e.g. supermarket. Some medicines used to treat epilepsy, tuberculosis
or breast cancer can reduce the effectiveness of Adcortyl. On the other hand,
Adcortyl can affect the action of some medicines used to treat diabetes, high
blood pressure or to thin the blood.
Q. Is it all right to take exercise?
A. You must take care not to over-use a joint which
feels better after you receive Adcortyl IA ID injection as the joint will still
need to recover from the inflammation which caused your symptoms.
Continued
Q Is it all right to drive?
A This medicine does not usually affect your ability to
drive but it can affect your eyesight. Tell your doctor immediately if you have
any pain in the eyes or visual disturbances.
Q. Is it all right to drink alcohol?
A There is no known interaction between Adcortyl and
alcohol.
Q. What if I am diabetic?
A. Remind your doctor as your insulin dose may need to
be changed
Q. Who should I tell that I have received this
injection?
A. Your doctor or pharmacist will have given you a
Steroid Treatment Card with your prescription or medicine. YOU SHOULD ALWAYS
CARRY THIS CARD WITH YOU as it must be shown to any of the following persons:
Doctor or
Nurse - before
having any surgery or emergency treatment or if any new treatment is prescribed.
Dentist - before
having any dental surgery Pharmacist - before buying
any medicines
Optician - it
is advisable to have regular eye tests.
ADMINISTRATION
OF YOUR MEDICINE
Q. How will Adcortyl IA/ID injection be given and how
often?
A. The effect of the injection will vary from patient to
patient and further injections may be given when symptoms return and not at
regular intervals.
Use in
inflammatory joint disorders:
The dose of injection to be given into a joint or
into a tendon sheath depends upon the size of the joint to be treated and the
seventy of the condition. Doses of 2.5-5 mg (0.25-0.5 ml) for smaller joints
and 5-15 mg (0.5-1.5 ml) for larger joints usually give relief of symptoms.
This medicine should not be used for injection into the Achilles tendon.
Use in allergic
dermatitis:
The dose is usually 2-3 mg (0.2-0.3 ml) depending on
the size of the problem area of the skin but no more than 5 mg (0.5 ml) should
be injected at any one site. If several sites are injected the total dose given
should not exceed 30 mg (3 ml). Further doses may be given if necessary at one
or two week intervals.
Children: Adcortyl IA/ID is not
recommended for children under 6 years of age. It may be given to older
children but the dose is adjusted according to their size and weight and is
always kept as low as possible for the shortest possible time.
During times of illness or stress, patients on
long-term treatment may require the addition of oral steroid tablets or, if
they have recently finished a course of Adcortyl IA/ID injections, may need to
start taking oral steroid tablets for a while.
Q. How long should I continue receiving Adcortyl IA/ID
injection?
A. Your doctor will advise you whether it is wise for
you to have further injections. Treatment with steroids is usually kept as
short as possible and must not be stopped abruptly. Joints may become
permanently damaged by repeated injections over a long period of time.
When the treatment is stopped you may notice flu-like symptoms,
runny nose or itchy eyes or skin.
UNDESIRABLE
EFFECTS
Q. Are there any unwanted effects of Adcortyl IA/ID
injection?
A. All medicines may cause some unwanted or
"side" effects. Some which can occur with steroid treatment are as
follows. Tell your doctor immediately if you get ulcer pains in your stomach or
severe pain in your abdomen. Patients have reported increased appetite, weight
gain, indigestion, sickness, feeling tired or weak. Steroid treatment may cause
increased risk of infection, thinning of bones or tendons causing fractures or
torn muscles, water retention, irregular heart beat, high blood pressure or
blood clots. Skin disorders or eye problems, including glaucoma and cataracts,
may occur and wounds or broken bones may be slow to heal . Treatment with
steroids can stop the body from producing some hormones and may slow or stop
children's growth rate If you are female. your periods may become irregular.
Elevation or depression of mood. sleeplessness and severe headaches have been
reported.
In particular, when Adcortyl IA/ID is injected into a joint you
may notice some indentation appearing after a while in the surrounding area.
Similarly, injections given under the skin may cause slight changes in skin
colour around the site of injection. These changes should disappear in time.
Tell your doctor or pharmacist if you notice any other
troublesome side effects.
LOOKING AFTER
YOUR MEDICINE
Adcortyl IA ID injection will be kept in the
pharmacy until it is given to you by your doctor or nurse. It should be kept at
room temperature (below 25°C) and not allowed to freeze. It should not be used
after the expiry date shown on the outer packaging.
DATE OF LAST
REVISION
August 1995 C80002GB 68005D 12/95