How to Use Triamcinolone (Triemsolne) Cream
Triamcinolone acetonide cream 0.1% should be applied to the affected area two to three times daily, rubbing in gently. 1
Application Instructions
Standard Application
- Apply a thin layer of triamcinolone cream to the affected area 2-3 times daily
- Use only enough to cover the affected area
- Gently rub the cream into the skin until it disappears
- Wash hands after application (unless treating the hands)
Occlusive Dressing Technique (for psoriasis or recalcitrant conditions)
- Apply a thin coating of cream to the lesion
- Cover with pliable nonporous film and seal the edges
- Additional moisture can be provided by:
- Covering with dampened clean cotton cloth before applying the film
- Briefly wetting the affected area with water before applying medication
- Dressing changes may be individualized, but a 12-hour occlusion regimen is common:
- Apply cream under occlusive dressing in the evening
- Remove dressing in the morning
- Apply additional cream without occlusion during the day 1
Duration of Treatment
- For plaque psoriasis (non-intertriginous areas): Class 1-3 topical corticosteroids like triamcinolone can be used for up to 4 weeks 2
- For scalp psoriasis: Topical corticosteroids can be used for a minimum of up to 4 weeks for initial and maintenance treatment 2
- Extended use beyond 12 weeks can be considered under careful physician supervision 2
Special Considerations
Anatomical Sites
- Face and intertriginous areas: Use with caution as these areas are at greater risk for skin atrophy, striae, and telangiectasia 2
- Oral lesions: For isolated oral lesions, triamcinolone acetonide 0.1% in adhesive paste can be applied directly to the affected area 2
Tapering
- Gradual reduction in frequency of use after clinical improvement is recommended to prevent rebound effects 2
Potential Side Effects
Common local adverse effects include:
- Skin atrophy
- Striae (stretch marks)
- Folliculitis
- Telangiectasia (visible small blood vessels)
- Purpura (discoloration due to bleeding under the skin) 2
Other potential adverse effects:
- May exacerbate acne, rosacea, perioral dermatitis, and tinea infections
- May occasionally cause contact dermatitis
- Rebound effect can occur with abrupt withdrawal 2
Contraindications
Triamcinolone should not be used:
- At sites of active infections (e.g., impetigo or herpes)
- In patients with previous hypersensitivity to triamcinolone
- For large area application in patients with active tuberculosis or systemic fungal infection
- In extensive plaque psoriasis, pustular psoriasis, or erythrodermic psoriasis without medical supervision 2
Monitoring
- Regular follow-up is recommended while on therapy
- If an infection develops during treatment with occlusive dressings, discontinue the occlusive dressing and initiate appropriate antimicrobial therapy 1
Remember that triamcinolone is a medium-potency topical corticosteroid that should be used as directed by your healthcare provider. Always follow specific instructions provided with your prescription.