CARICORT 1ML INJ
— Product

CARICORT 1ML INJ

TRIAMCINOLONE 40MG

CARICORT 1ML INJ is an injection of triamcinolone acetonide 40 mg, a long-acting corticosteroid given by intramuscular, intra-articular or intralesional injection. It is used for inflammatory joint disease, bursitis and tendonitis, severe allergic conditions, and inflammatory skin lesions such as keloids and localised dermatoses.

01

Benefits

  • The depot formulation provides sustained anti-inflammatory effect over weeks from a single injection.
  • Intra-articular injection delivers concentrated relief to an inflamed joint with limited systemic exposure.
  • Effective in bursitis, tendonitis and epicondylitis where localised inflammation is the problem.
  • Intralesional injection flattens keloid and hypertrophic scars and clears localised inflammatory skin lesions.
  • A useful option in severe allergic conditions where a sustained systemic effect is needed and adherence to oral steroid is uncertain.
02

Side effects

Not everyone gets these. Most are mild and settle as the course finishes.

Common
  • Rise in blood glucose
  • Flushing of the face
  • Insomnia or restlessness
  • Temporary increase in pain at the injection site in the first day or two
Less common
  • Skin thinning, dimpling or loss of pigment at the injection site
  • Mood disturbance or agitation
  • Fluid retention and a rise in blood pressure
  • Menstrual irregularity
Stop and get medical help if any of these occur
  • Fever, spreading redness, swelling or increasing pain in an injected joint — this may be septic arthritis
  • Severe abdominal pain, or black or tarry stools
  • Marked confusion, agitation or psychotic symptoms
  • Very high blood glucose with thirst, frequent urination and drowsiness
  • Sudden inability to bear weight on an injected joint, or tendon rupture
03

Precautions

  • For administration by a qualified healthcare professional only, using strict aseptic technique for joint injection.
  • Contraindicated in systemic fungal infection, and absolutely contraindicated where there is infection in or near the joint or lesion to be injected.
  • Never inject directly into a tendon — this risks rupture. Injection is around the tendon sheath, not into the tendon substance.
  • Limit repeat intra-articular injections at any one joint, typically to no more than three or four a year; repeated injection damages cartilage.
  • Raises blood glucose. Diabetic patients need closer monitoring and often a temporary increase in their usual therapy.
  • Corticosteroids mask the signs of infection and impair the response to it.
  • Repeated depot dosing suppresses the adrenal axis and can cause the full range of systemic steroid effects — this is not a harmless local treatment.
  • Use with caution in uncontrolled hypertension, heart failure, peptic ulcer disease, osteoporosis, glaucoma and psychiatric illness. Live vaccines are contraindicated.