Kenalog (Triamcinolone Acetonide)

Kenalog general information

What is Kenalog used for?

Kenalog in Orobase is used to treat inflammatory lesions in the mouth, including mouth ulcers and sores caused by trauma to the lining of the mouth (oral mucosa) or gums. Kenalog is a topical treatment prepared in a special soothing, protective dental paste that allows the medication to stay in place when applied to the affected area of the mouth and helps to the reduce pain of inflammation caused by irritation of the ulcer or sore. Kenalog in Orobase treats the inflammation while allowing the lesion to heal.

How does Kenalog work?

Kenalog in Orobase contains triamcinalone a synthetic glucocorticoid corticosteroid, similar to the naturally occurring cortisol and its metabolite hydrocortisone, with potent anti-inflammatory, anti-allergic and anti-pruritic (reduces itching) properties. Corticosteroids are hormones that are naturally produced by the adrenal glands and are involved in regulation of many functions including control of inflammatory and immune responses. Triamcinalone in Kenalog inhibits the production of inflammatory chemicals, like prostaglandins and leukotrienes, from inflammatory cells at specific sites such as a mouth ulcer. This reduces the swelling, redness and pain associated with inflammation. The dental paste that supports triamcinalone in Kenalog in Orobase helps keep the medication at the affected site so that it can be absorbed into the inflamed tissue without being washed away and at the same time protects the ulcer or lesion while it heals.

What does Kenalog contain?

Kenalog in Orobase contains the active ingredient triamcinolone acetonide 1mg/gm (0.1%) in emollient dental paste that is used to treat mouth ulcers. It also contains gelatine, pectin, carboboxymethylcellulose, sodium in Plastibase® (Plasticized Hydrocarbon Gel), a polyethylene and mineral oil gel base.

Treating mouth ulcers with Kenalog

Kenalog in Orobase contains triamcinalone a synthetic moderately potent corticosteroid that is used as a topical treatment for inflammatory lesions in the mouth, including mouth ulcers and sores caused by trauma to the lining of the mouth (oral mucosa) or gums. Triamcinalone in Kenalog has anti-inflammatory, anti-allergic and anti-pruritic (reduces itching) properties and inhibits the production of inflammatory chemicals, like prostaglandins and leukotrienes, from inflammatory cells at specific sites such as a mouth ulcer. This reduces the swelling, redness and pain associated with inflammation. The dental paste that supports triamcinalone in Kenalog in Orobase helps keep the medication at the affected site so that it can be absorbed into the inflamed tissue without being washed away and at the same time protects the ulcer or lesion while it heals.

What are the side effects of Kenalog?

The most commonly reported side effects when using Kenalog in Orobase include: skin irritation at the site of application. General systemic effects are less likely but may still occur and include suppression of adrenal glands, which produce endogenous (naturally occurring) corticosteroids, and may stop working efficiently, growth retardation in children, decreased bone mineral density, decreased resistance to infection, thinning of the skin.

When should Kenalog not be used?

You should not use Kenalog in Orobase if you:

• are allergic to triamcinalone or any ingredients in Kenalog
• are pregnant or are breastfeeding
• have a viral fungal or bacterial infection on your mouth or throat or have tuberculosis of the skin
• have a peptic ulcer
• have diabetes without discussion with your doctor as Kenalog can increase blood sugar
• are taking medicines that may interact with Kenalog, including: the anticonvulsants phenytoin, carbamazepine and primidone, anti-inflammatories such as diclofenac, ibuprofen, the antibacterial rifampicin,
• are taking diuretic medicines such as the thiazides or frusemide, these may cause increased loss of potassium when taken with Kenalog in Orobase

How should Kenalog be used?

You should use your Kenalog in Orobase by applying a small dab with your finger to the affected area once daily preferable at bedtime. Apply just enough to form a thin film over the lesion and do not rub in. If the lesion is severe you may be advised to apply 2-3 times a day after meals. You should continue to use your Kenalog in Orobase for up to 7 days or until the lesion is healed and if there is no improvement within this time you should seek advice from your health professional.

How long should you use Kenalog?

You should continue to use your Kenalog in Orobase for up to 7 days or until the lesion is healed and if there is no improvement within this time you should seek advice from your health professional.

Missed dose of Kenalog

If you miss a dose of Kenalog take it as soon as you remember, unless it is time to take the next dose, then skip the missed dose. Do not take a double dose.

How should Kenalog be stored?

You should store your Kenalog below 25°C in a cool dry place.