Trialon IM/IA Injection | ePharma
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Trialon IM/IA Injection

Generic: Triamcinolone Acetonide

Type: Injection

Pack Size: 1 Pc

Triamcinolone acetonide 40mg/ml: i.m. Inj is indicated for short-term relief in cases of:

  1. Acute gouty arthritis
  2. Bursitis
  3. Osteoarthritis and rheumatoid arthritis with synovitis
  4. Epicondylitis
  5. Tenosynovitis

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Discount Price: ৳ 73
MRP: ৳ 75.3 3% Off

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✅ Description:

Trialon IM/IA Injection | Triamcinolone Acetonide 40 mg/ml

  • Intramuscular Use:
    When oral corticosteroids are not suitable, Trialon injection is indicated in the following conditions for systemic treatment:
  • Rheumatic Disorders: Short-term treatment during acute episodes of conditions such as acute gouty arthritis, acute rheumatic carditis, ankylosing spondylitis, psoriatic arthritis, and both adult and juvenile rheumatoid arthritis.
  • Allergic Conditions: Severe or disabling allergies unresponsive to standard treatment, including asthma, atopic/contact dermatitis, drug allergies, serum sickness, seasonal or perennial allergic rhinitis, and transfusion reactions.
  • Dermatological Disorders: Effective in severe skin conditions such as pemphigus, Stevens-Johnson syndrome, exfoliative erythroderma, dermatitis herpetiformis, and mycosis fungoides.
  • Endocrine Disorders: Used in primary or secondary adrenocortical insufficiency (with mineralocorticoids if needed), congenital adrenal hyperplasia, hypercalcemia in malignancy, and subacute thyroiditis.
  • Gastrointestinal Diseases: Helps manage critical phases of ulcerative colitis and Crohn’s disease.
  • Hematological Disorders: Indicated in autoimmune hemolytic anemia, Diamond-Blackfan anemia, pure red cell aplasia, and certain cases of thrombocytopenia.
  • Neoplastic Diseases: For palliative care in lymphomas and leukemias.
  • Neurological Disorders: Acute flare-ups of multiple sclerosis, and management of cerebral edema due to brain tumors or surgery.
  • Ophthalmic Conditions: For severe inflammatory eye diseases such as uveitis, sympathetic ophthalmia, and temporal arteritis.
  • Renal Disorders: Used in idiopathic nephrotic syndrome and lupus nephritis for inducing remission.
  • Respiratory Disorders: Treats conditions such as berylliosis, severe sarcoidosis, eosinophilic pneumonia, and disseminated tuberculosis (with anti-TB drugs).
  • Miscellaneous: Indicated in trichinosis with systemic involvement and tuberculous meningitis (alongside anti-TB therapy).
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✔️ Pharmacology

Triamcinolone Acetonide is a synthetic glucocorticoid with potent anti-inflammatory properties. This formulation is not water-soluble and is designed for intramuscular or intra-articular administration. It provides long-lasting effects, with adrenal suppression beginning within 24–48 hours post-dose and returning to normal within 30–40 days. Its mechanism includes reducing inflammation and modulating the immune response.

✔️ Side Effects
  • Allergic: Anaphylaxis, angioedema
  • Cardiovascular: Hypertension, arrhythmias, CHF
  • Dermatologic: Acne, atrophy, purpura, rash
  • Endocrine: Cushingoid features, menstrual irregularities, glucose intolerance
  • GI: Peptic ulcers, pancreatitis, abdominal distension
  • Musculoskeletal: Osteoporosis, muscle wasting, tendon rupture
  • Neurological: Mood swings, psychosis, headache, increased intracranial pressure
  • Ophthalmic: Cataracts, glaucoma, possible vision loss with periocular use
✔️ Dosage & Administration

General Use

  • Initial dose: 2.5–100 mg/day, tailored to patient condition and severity.
  • Strict aseptic technique is essential. Shake the vial well before use.

Intramuscular (Systemic)

  • Typical adult dose: 60 mg deeply into the gluteal muscle.
  • Range: 20–80 mg based on response and duration of effect.
  • Pediatric dose: 0.11–1.6 mg/kg/day in 3–4 divided doses.

Intra-articular (Local)

  • Smaller joints: 2.5–5 mg
  • Larger joints: 5–15 mg, up to 40 mg
  • Total maximum dose for multiple joints: up to 80 mg

Pediatric: Increased risk of adrenal suppression and growth delay.

Geriatric: May exhibit heightened sensitivity to side effects; monitor closely.

✔️ Drug Interactions
  • Electrolyte depleters (e.g., diuretics, amphotericin B): Risk of hypokalemia and heart complications.
  • Antidiabetics: May need dosage adjustments due to corticosteroid-induced hyperglycemia.
  • Anticoagulants (e.g., warfarin): Monitor coagulation parameters closely.
  • Macrolide antibiotics, ketoconazole, estrogens: May increase corticosteroid levels.
  • Hepatic enzyme inducers may reduce the effectiveness of corticosteroids.
  • NSAIDs: Increased GI risks; monitor for ulcers.
  • Vaccines: Reduced vaccine efficacy and risk of infection from live vaccines.
  • Cyclosporine: Enhanced toxicity; risk of convulsions.
✔️ Contraindications

Known hypersensitivity to triamcinolone or formulation components.

Not recommended for intramuscular use in idiopathic thrombocytopenic purpura.

✔️ Pregnancy & Lactation

Pregnancy Category C: Use only if benefits outweigh potential fetal risks.

Lactation: Corticosteroids may pass into breast milk and affect infant development. Use with caution in nursing mothers.

✔️ Precautions
  • Use the lowest effective dose for the shortest duration.
  • Taper dosage gradually to prevent adrenal insufficiency.
  • Monitor for psychiatric symptoms, increased intraocular pressure, bone demineralization, and GI bleeding.
  • Avoid intra-articular injection in infected joints. Confirm asepsis before administration.
  • Special care in cardiac, renal, diabetic, and osteoporotic patients.
✔️ Storage Conditions

Store below 25°C.

Keep away from light and freezing.

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Check our pricing section for Trialon IM/IA Injection price in Bangladesh. After Submitting Order, You may receive phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

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At ePharma, we’re committed to providing accurate and accessible health information. However, all content is intended for informational purposes only and should not replace medical advice from a qualified physician. Please consult your healthcare provider for personalized guidance. We aim to support, not substitute, the doctor-patient relationship.

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