Elephant Formulary

© 2003-17 Susan K. Mikota DVM and Donald C. Plumb, Pharm.D. Published by
Elephant Care International
www.elephantcare.org

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Triamcinolone Acetonide

Elephant specific information, if available, is in blue.

Note: For more information refer to the monograph: Glucocorticoids, General Information or to the manufacturer’s product information.

 

Chemistry – Triamcinolone acetonide, a synthetic glucocorticoid, occurs as slightly odor­ous, white to cream-colored, crystalline powder with a melting point between 290 – 294°C. It is practically insoluble in water, very soluble in dehydrated alcohol and slightly soluble in alcohol. The commercially available sterile suspensions have a pH range of 5-7.5.

 

Storage/Stability/Compatibility – Triamcinolone acetonide products should be stored at room temperature (15-30°C); the injection should be protected from light.

 

Doses –

Horses:

For glucocorticoid effects:

a)   0.1 – 0.2 mg/kg IM or SQ; 3 – 6 mg subconjunctivally. (Robinson 1987)

b)   0.011 – 0.022 mg/kg PO bid;

0.011 – 0.022 mg/kg IM or SQ;

6 – 18 mg intra-articularly or intrasynovially, may repeat after 3-4 days; (Package inserts; Vetalog® Powder and Injection—Solvay)

 

Dosage Forms/Preparations/Approval Status/Withdrawal Times – All require a  pre­scription (Rx).

 

Veterinary-Approved Products: Note: marketing status of oral preparations is in ques­tion.

Triamcinolone Tablets 0.5 mg, 1.5 mg; Vetalog® Tablets (Fort Dodge), generic. Approved for use in dogs and cats

 

Triamcinolone Acetonide Oral Powder 15 gram packets containing 10 grams of triam­cinolone acetonide.; Vetalog® Oral Powder (Fort Dodge). Approved for use in horses.

 

Triamcinolone acetonide suspension for injection 2 mg/ml; 6 mg/ml ; Vetalog® Parenteral Veterinary  (Fort Dodge); Generic. (Rx). Approved for use in dogs, cats, and horses.

 

Human-Approved Products include:

Triamcinolone Tablets 1 mg, 2 mg, 4 mg, 8 mg; Aristocort® (Fujisawa); Generic (Rx)

 

Triamcinolone Oral Syrup 4 mg/5ml Kenacort® (Apothecon); (Rx)

 

Triamcinolone Acetonide Sterile Suspension for injection 3 mg/ml, 10 mg/ml, 40 mg/ml; many tradenames; Generic, (Rx)

 

Many topical preparations are available, alone and in combination with other agents and inhaled products are also approved.