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Medicine, Its Use And Remidies for Ailments - Adcortyl
Adcortyl (Ad-kor-till) is a medicine which is used in a Osteoarthritis and Rheumatoid arthritis.
Adcortyl contains triamcinolone acetonide.
Adcortyl is an injection that is usually given by a healthcare professional. The person responsible for giving you your medicine will make sure that you get the appropriate dose. If you feel that the medicine is making you feel unwell or you think it is not working, you should talk to someone who is involved in your care.
Adcortyl is a corticosteroid. Adcortyl works by preventing or reducing inflammation. It is used to treat a number of conditions that are characterised by excessive inflammation.
People who take corticosteroids for a long period of time are prone to infections as their immune system can become weak. These infections may be much more severe than they usually would be and the symptoms that would usually be used to identify such infections can be hidden. For this reason people who take Adcortyl must be careful to avoid exposure to infections such as chickenpox and measles whenever possible. If you have been exposed to chickenpox or measles, you must get immediate medical advice.
Adcortyl is an injection that is usually given by a healthcare professional. Adcortyl usually starts to work within a few hours of the injection. If Adcortyl is injected into a joint, and the joint feels much better after the injection, you need to take care not to overuse the joint.
Other information about Adcortyl:
- if you have been given a steroid warning card, make sure you carry it with you at all times while you are taking corticosteroids. These cards are normally given to you by your prescriber or by your pharmacist. If you are currently taking corticosteroids, or have taken them in the last year, you must tell everyone involved in prescribing you medicines and giving you medical treatment. This includes your doctor, dentist, nurse and pharmacist. You must ensure that they all know about your corticosteroid treatment
Is this medicine is suitable for you
Adcortyl is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.
Your prescriber may not prescribe this medicine if you:
- are aged under six years
- are allergic to any of the ingredients in the medicine
- are elderly
- are having a joint injected with Adcortyl and have an unstable joint or an infection or around the joint
- are postmenopausal
- have a family history of glaucoma
- have been exposed to chicken pox, measles or other infections
- have diabetes
- have diverticulitis
- have epilepsy
- have exanthematous disease
- have glaucoma
- have had an allergy to any medicine in the past
- have had myopathy caused by steroids
- have had psychoses caused by steroids
- have had recent surgery of the abdomen
- have heart problems
- have high blood pressure
- have infections
- have kidney problems
- have liver problems
- have metastatic cancer
- have myasthenia gravis
- have or have had affective disorders
- have or have had peptic ulcers
- have or have had tuberculosis
- have osteoporosis
- have pyschoses
- have thrombophlebitis
- have thyroid problems
Your prescriber may also arrange for you to have tests to check that:
- to check that this medicine is not having any undesired effects
Over time it is possible that Adcortyl can become unsuitable for some people. If at any time it appears that Adcortyl has become unsuitable, it is important that the prescriber is contacted immediately.
Side Effects
Some side-effects may be serious while others may only be a mild inconvenience. Very occasionally, certain side-effects can be beneficial.
Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.
The frequency of these side-effects is unknown
- acne
- adrenal problems
- amenorrhoea
- anaphylactic reactions
- angioedema
- appetite gain
- blood problems
- bone problems
- convulsions
- cushing-like symptoms
- delayed fracture healing
- depression
- diabetes or activation of diabetes
- ECG changes
- erythema of the face
- euphoria
- excessive growth of hair
- eye or eyesight problems
- fainting or brief loss of consciousness
- fluid retention
- gastrointestinal problems such as peptic ulcers and bleeding from peptic ulcers
- headaches
- heart problems
- hiding symptoms of infection
- increased need for insulin in people who have diabetes
- increased need for oral hypoglycaemics in people who have diabetes
- increased risk of getting bone fractures
- increased risk of getting infections which may become severe - some of these such as Chickenpox and measles may be fatal. If you get any symptoms of an infection or are exposed to Chickenpox or measles while taking Adcortyl, you must immediately seek medical advice
- indigestion
- irregular menstrual periods
- itching
- lupus or lupus-like problem
- may affect the results for certain tests
- metabolic problems
- muscle problems
- muscle wasting
- muscle weakness
- neuritis
- oesophagitis
- osteoporosis
- pancreatitis
- paraesthesiae
- petechia
- raised blood pressure
- raised intracranial pressure
- reactivation of tuberculosis
- reduced growth
- skin rash or rashes
- sleeping problems
- striae
- sweating
- tendon rupture
- thinning of the skin
- thromboembolism
- thrombophlebitis
- tiredness
- triamcinolone acetonide dependence
- unexplained or easy bruising of the skin
- urticaria
- vascular problems
- vertigo
- weight gain
- withdrawal symptoms can occur when this medicine is stopped. These include fever, muscle pain, joint pain, rhinitis,
- onjunctivitis, weight loss or painful itch skin. If the dose of Adcortyl is reduced too rapidly serious problems can occur including adrenal problems, low blood pressure or death
- worsening of epilepsy
- worsening of eye infections
- worsening of psychiatric problems
- wound healing problems
The following side effects are only known to occur when Adcortyl is injected into a joint
- dizziness
- flushing
- injection site problems such as abscesses, pain, irritation, skin colour changes or Charcot-like arthropathy
- post-injection flare
- worsening of joint discomfort
The following side effects are only known to occur when Adcortyl is injected into the skin
- abscess
- blindness - this is only known to occur when Adcortyl is injected around the face and head
- injection site problems such as discomfort and skin colour changes
If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away.
Taking other medicines
Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.
The following medicines may interact with Adcortyl:
- acetazolamide
- aminoglutethimide
- amphotericin B
- aspirin
- carbamazepine
- ciclosporin
- isoniazid
- ketoconazole
- phenytoin
- primidone
- rifampicin
The following types of medicine may interact with Adcortyl:
- anticholinesterases
- antidiabetics
- antihypertensives
- barbiturates
- digitalis glycosides
- diuretics
- human growth hormones
- liver enzyme inducers
- non-depolarising muscle relaxants
- non-steroidal anti-inflammatories
- oestrogens
- oral contraceptives
- oral anticoagulants
- potassium depleting medicines
- salicylates
- thyroid drugs
- vaccines
If you are taking Adcortyl and one of the above medicines or types of medicines, make sure your prescriber knows about it.
Complementary preparations and vitamins
Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.
Your prescriber can then advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins will have on your condition.
- there are no known interactions between Adcortyl and any complementary preparations or vitamins
If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.
Driving and operating machinery
Like all medicines Adcortyl can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.
Diet
Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.
- there are no specific foods that you must exclude from your diet when having Adcortyl
Alcohol
Alcohol can interact with certain medicines.
- there are no known interactions between alcohol and Adcortyl
Pregnancy
Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.
Careful consideration needs to be given to the risks and the benefits of using this medicine during pregnancy.
You need to discuss your specific circumstances with your doctor to make a decision about whether you are going to take this medicine during pregnancy. You should only have this medicine during pregnancy if your doctor thinks you need to take it. If the decision is that you should not have Adcortyl, then you should discuss whether there is an alternative medicine that you could take during pregnancy.
Breast Feeding
Certain medicines can pass into breast milk and may reach your baby through breast-feeding.
- this medicine may pass into breast milk
Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.
Ingredients
You should check that you are able to take the ingredients in your medicine, especially if you have any allergies.
Adcortyl contains:
- benzyl alcohol
- polysorbate 80
- sodium carboxymethylcellulose
- sodium chloride
- triamcinolone acetonide
- water
If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Adcortyl before, do not take Adcortyl. Talk to your prescriber, pharmacist or nurse as soon as possible.
Disclaimer - eHealth Treats does not endorse or recommend any commercial products, processes, or services. Consulting a Qualified Medical Practitioner is always recommended. eHealth Treats does not and should not be taken as a substitute for a Qualified Medical Practitioner.
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