What is the treatment regimen for a child with a rash using Kenalog (triamcinolone acetonide) cream and when to follow up?

Parent Information for Kenalog (Triamcinolone Acetonide) Cream Treatment

What is Kenalog Cream?

Kenalog (triamcinolone acetonide) cream is a topical corticosteroid used to reduce inflammation, redness, and itching in various skin rashes that respond to steroid treatment. 1

How to Apply the Cream

• Apply a thin layer to the affected area 2-3 times daily, or as directed by your child's doctor 1
• Gently rub the cream into the skin until it disappears 1
• Wash your hands before and after applying the medication 1
• Do not apply to the face, diaper area, or skin folds unless specifically instructed by your doctor, as these areas absorb more medication and have higher risk of side effects 2
• Avoid covering the treated area with tight bandages or diapers unless your doctor tells you to do so 2

Expected Timeline for Improvement

• Most inflammatory skin conditions begin improving within 2-3 days of starting treatment 3
• Continue using the medication for the full course prescribed, even if the rash looks better 1
• Do not use continuously for more than 2-3 weeks without checking back with your doctor 2

When to Follow Up

Schedule a follow-up appointment if:

• The rash has not improved after 3-5 days of treatment 4
• The rash worsens or spreads despite treatment 2
• You notice skin thinning, stretch marks, or changes in skin color at the application site 2
• Your child develops signs of infection (increased redness, warmth, pus, or fever) 2
• The rash returns quickly after stopping the medication 1

Important Safety Information

Watch for these side effects and contact your doctor if they occur:

• Skin thinning or stretch marks at the application site 2
• Increased hair growth where the cream is applied 2
• Acne or small bumps developing in the treated area 2
• Changes in skin color (lighter or darker patches) 2

Special precautions for children:

• Use the minimum amount needed to control the rash, as children absorb more steroid through their skin than adults 2
• Prolonged use can affect growth and hormone function in children 2
• Consider taking breaks from treatment if long-term use is needed 2

When to Stop Using the Cream

• Stop immediately if your child develops an allergic reaction (severe itching, hives, swelling, or difficulty breathing) and seek emergency care 5
• Do not stop abruptly if used for more than 2 weeks; your doctor may want to taper the frequency gradually 2

Storage and Handling

• Store at room temperature away from heat and moisture 1
• Keep out of reach of children 1
• Do not use past the expiration date 1