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The eMC  

Last Updated 22 Jul 2013

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Kenalog Intra-articular / Intramuscular 40mg/1ml suspension for injection vials

Kenalog (Ken-ah-log) is a medicine which is used in a number of conditions. Kenalog contains triamcinolone acetonide. It is supplied by E. R. Squibb & Sons Limited.

The information in this Medicine Guide for Kenalog varies according to the condition being treated and the particular preparation used.

Kenalog Intra-articular / Intramuscular 40mg/1ml suspension for injection vials

Information specific to Kenalog Intra-articular / Intramuscular 40mg/1ml suspension for injection vials when used in Asthma

Your medicine

Kenalog is a corticosteroid. Kenalog works by preventing or reducing inflammation. It is used to treat a number of conditions that are characterised by excessive inflammation.

Kenalog suppresses the immune system and so can be used to treat autoimmune diseases. It can also be used in the treatment of certain types of cancers.

People who take corticosteroids for a long period of time are prone to infections as their immune system can become weak. These infections may be much more severe than they usually would be and the symptoms that would usually be used to identify such infections can be hidden. For this reason people who have Kenalog must be careful to avoid exposure to infections such as chickenpox and measles whenever possible. If you have been exposed to chickenpox or measles, you must seek immediate medical advice.

Other information about Kenalog:

  • if you have been given a steroid warning card, make sure you carry it with you at all times while you are taking corticosteroids. These cards are normally given to you by your prescriber or by your pharmacist. If you are currently taking corticosteroids, or have taken them in the last year, you must tell everyone involved in prescribing you medicines and giving you medical treatment. This includes your doctor, dentist, nurse and pharmacist. You must ensure that they all know about your corticosteroid treatment
  • when Kenalog is injected into a joint, it will usually take a few hours to work. After your injection you need to take care not to overuse the joint even if it feels much better

Kenalog is usually given to you by a healthcare professional. The person responsible for giving you your medicine will make sure that you get the right dose.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber or someone involved in your medical care.

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When to take your medicine

The person with responsibility for giving you your medicine will make sure that you have your medicine at the prescribed times.

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How to take your medicine

This medicine will be given to you as an injection. If you have any concerns about this medicine or how this will be given to you, talk to someone who is involved in your medical care.

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Taking too much of your medicine

Having extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems.

In the case of Kenalog, the person who is responsible for giving you your medicine will make sure that you are given the correct dose.

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Stopping your medicine

Some people experience withdrawal symptoms when they stop having this medicine. The person in charge of your medical care will decide when to stop giving you this medicine and how best to minimise any withdrawal symptoms.

If you have any concerns about this, talk to someone who is involved in your care.

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Looking after your medicine

As Kenalog will be given to you as an injection, it will usually be stored by the medical team.

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Whether this medicine is suitable for you

Kenalog is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child under the age of six years.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to confirm that this is the right dose
  • to check that this medicine is not having any undesired effects

Over time it is possible that Kenalog can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Kenalog has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

The frequency of these side-effects is unknown

The following side effects are only known to occur when Kenalog is injected into a joint

  • feeling dizzy
  • injection site problems such as abscesses, pain, skin colour changes, irritation or Charcot-like arthropathy
  • post-injection flare
  • worsening of joint discomfort

The following side effects are only known to occur when Kenalog is injected into a muscle

  • injection site problems such as abscesses, pain, skin colour changes or Charcot-like arthropathy

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

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Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Kenalog:

The following types of medicine may interact with Kenalog:

If you are taking Kenalog and one of the above medicines or types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Kenalog.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

Like all medicines Kenalog can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Kenalog:

  • there are no specific foods that you must exclude from your diet when having Kenalog
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Alcohol

Alcohol can interact with certain medicines.

In the case of Kenalog:

  • there are no known interactions between alcohol and Kenalog
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

Careful consideration needs to be given to the risks and the benefits of using this medicine during pregnancy.

You need to discuss your specific circumstances with your doctor to make a decision about whether you are going to take this medicine during pregnancy. You should only take this medicine during pregnancy if your doctor thinks you need to take it. If the decision is that you should not have Kenalog, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Kenalog:

  • this medicine may pass into breast milk

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. Some may be used to prolong the life of the medicine.

Kenalog contains:

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Kenalog before, do not have Kenalog. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Kenalog, Version 10, last updated 22 Jul 2013