{"id":60935,"date":"2024-02-28T07:16:28","date_gmt":"2024-02-28T07:16:28","guid":{"rendered":"https:\/\/medsname.com\/kenacort-injection\/"},"modified":"2026-04-30T10:23:40","modified_gmt":"2026-04-30T10:23:40","slug":"kenacort-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/sv\/product\/kenacort-injection\/","title":{"rendered":"Kenacort-injektion"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Kenacort Injection?<\/h3>\n<p style=\"margin:0;\"><strong>Kenacort-injektion<\/strong> is a sterile depot suspension from Abbott Healthcare containing <strong>triamcinolone acetonide<\/strong> p\u00e5 <strong>10 mg\/mL and 40 mg\/mL vials<\/strong>, supplied for <strong>intramuscular (IM) or intra-articular (IA) injection<\/strong>. Triamcinolone acetonide is highly insoluble &mdash; once injected it forms a microcrystalline depot that releases active drug slowly over <strong>2&ndash;6 weeks<\/strong>, giving prolonged anti-inflammatory effect from a single injection. Common uses: <strong>intra-articular injection<\/strong> for knee, shoulder and small-joint inflammation in osteoarthritis or rheumatoid arthritis; <strong>intramuscular depot<\/strong> for severe seasonal allergic rhinitis, dermatologic flares, asthma exacerbations not requiring hospitalisation; <strong>intralesional injection<\/strong> for hypertrophic scars, keloids, alopecia areata, localised psoriasis. <strong>Joint-injection limits<\/strong>: no more than <strong>3&ndash;4 injections per joint per year<\/strong>, no more than <strong>one injection every 3 months<\/strong> per joint &mdash; more frequent use accelerates cartilage damage. Local side effects include skin atrophy and depigmentation around the injection site, fat atrophy at IM sites, post-injection joint flare, and (rarely) septic arthritis. Systemic effects mimic oral steroids in proportion to the cumulative dose absorbed.<\/p>\n<\/div>\n<p><!-- medsbase-specialist-strip --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u2695 Specialistsuperviserad medicin \u2014 klinisk \u00f6vervakning kr\u00e4vs.<\/strong> Detta \u00e4r ett allvarligt immunmodulerande l\u00e4kemedel med specifika krav p\u00e5 f\u00f6rbehandlingsscreening, svart l\u00e5da-varningar och obligatorisk laboratorie\u00f6vervakning. Det b\u00f6r ordineras och \u00f6vervakas av en reumatolog, gastroenterolog, dermatolog eller annan specialist med erfarenhet av dess anv\u00e4ndning. <strong>inte<\/strong> sj\u00e4lvordinerar, sj\u00e4lvjusterar dosen eller startar\/stoppar utan ordinerande l\u00e4kares riktlinjer. Ge alltid din behandlande l\u00e4kare din nuvarande f\u00f6rskrivning innan du best\u00e4ller fr\u00e5n MedsBase.<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f6f8;border:1px solid #e1e4e8;border-radius:4px;padding:14px 18px;margin:18px 0;display:flex;flex-wrap:wrap;gap:14px;font-size:0.95em;\"><span>\u2705 <strong>WHO-GMP-certifierad<\/strong> tillverkare<\/span><span>\ud83d\udce6 <strong>Diskret f\u00f6rpackning<\/strong><\/span><span>\ud83c\udf0d <strong>V\u00e4rldsvid leverans<\/strong><\/span><span>\ud83d\udcac <a href=\"\/sv\/reviews\/\">1,400+ kundrecensioner<\/a><\/span><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Varje best\u00e4llning omfattas av v\u00e5r <a href=\"https:\/\/medsbase.com\/sv\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 om din f\u00f6rs\u00e4ndelse inte anl\u00e4nder inom 20 arbetsdagar, skickar vi om den.<\/p>\n<h3>Varf\u00f6r best\u00e4lla fr\u00e5n MedsBase<\/h3>\n<p>V\u00e5ra generiska l\u00e4kemedel kommer fr\u00e5n WHO-GMP-certifierade tillverkare och skickas v\u00e4rldsvidt i diskreta, enkla f\u00f6rpackningar \u2014 inget l\u00e4kemedelsnamn p\u00e5 f\u00f6rs\u00e4ndelsens utsida. Kortbetalningar hanteras via en reglerad betalningsprocessor (kontoutdrag visar en reglerad kortbetalningsprocessor \u2014 aldrig \u201cMedsBase\u201d eller n\u00e5got l\u00e4kemedelsnamn). Krypto och SEPA-bank\u00f6verf\u00f6ring accepteras ocks\u00e5. Varje best\u00e4llning backas upp av v\u00e5r Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What Is Kenacort Injection?<\/h2>\n<p>Kenacort Injection is a depot suspension for intramuscular and intra-articular injection manufactured by Abbott Healthcare containing <strong>triamcinolone acetonide<\/strong> \u2014 en syntetisk kortikosteroid i glukokortikoidklassen. Glukokortikoider \u00e4r de mest kraftfulla bredspektruma antiinflammatoriska och immunsuppressiva l\u00e4kemedlen som finns, med effekter p\u00e5 n\u00e4stan alla v\u00e4vnader och organsystem.<\/p>\n<p>Kenacort Injection is the original Indian-market injectable triamcinolone acetonide depot from Abbott Healthcare. The <strong>10 mg\/mL strength<\/strong> is used for small-joint intra-articular injection and intralesional dermatology (alopecia, scars). The <strong>40 mg\/mL strength<\/strong> is used for intramuscular depot, large-joint intra-articular (knee, shoulder) and high-dose intralesional treatment of keloid scars.<\/p>\n<p>Triamcinolone 4 mg is approximately equivalent to prednisolone 5 mg (potency ratio ~5). The physiological daily cortisol output of a healthy adult is approximately 5&ndash;7.5 mg of prednisolone-equivalent &mdash; any dose above that is &ldquo;supraphysiological&rdquo; and begins to suppress the hypothalamic-pituitary-adrenal (HPA) axis.<\/p>\n<p><strong>Why a depot suspension?<\/strong> Triamcinolone acetonide is far less water-soluble than the sodium-phosphate or sodium-succinate esters used for IV steroids. Once injected, it forms microscopic crystals that dissolve over weeks, providing sustained low-dose glucocorticoid release without the daily-dosing burden of oral therapy. This is ideal for joint inflammation (where an injection inside the joint capsule keeps the drug locally concentrated), severe seasonal allergy (one IM injection covers most of the pollen season), and dermatology (localised intralesional injection of keloids, alopecia patches, hypertrophic scars).<\/p>\n<h2 class=\"wp-block-heading\">How Does Kenacort Injection Work?<\/h2>\n<p>Triamcinolone enters cells, binds the <strong>den intracellul\u00e4ra glukokortikoidreceptorn<\/strong>, och receptor-l\u00e4kemedelskomplexet transporteras till cellk\u00e4rnan d\u00e4r det \u00e4ndrar transkriptionen av hundratals gener. Slutresultatet \u00e4r en bred d\u00e4mpning av den inflammatoriska kaskaden:<\/p>\n<ul>\n<li><strong>H\u00e4mmar proinflammatoriska cytokiner<\/strong> (IL-1, IL-6, TNF-\u03b1, IFN-\u03b3) och kemokiner.<\/li>\n<li><strong>Stabiliserar lysosomala membran<\/strong>, vilket minskar fris\u00e4ttningen av proteolytiska enzymer i v\u00e4vnaden.<\/li>\n<li><strong>H\u00e4mmar fosfolipas A<sub>2<\/sub><\/strong> via lipokortin, vilket avsk\u00e4r prostaglandin- och leukotrienv\u00e4garna uppstr\u00f6ms.<\/li>\n<li><strong>Minskar kapill\u00e4rpermeabiliteten<\/strong> och v\u00e4vnads\u00f6dem.<\/li>\n<li><strong>H\u00e4mmar B- och T-lymfocytfunktion<\/strong> och cirkulerande lymfocytantal (relativ lymfopeni).<\/li>\n<li><strong>Minskar eosinofil och basofil aktivitet<\/strong>, vilket delvis f\u00f6rklarar den snabba effekten vid astma, allergi och eosinofila tillst\u00e5nd.<\/li>\n<\/ul>\n<p>Clinical onset (depot IM\/IA): noticeable improvement within <strong>24\u201348 timmar<\/strong> for joint inflammation; peak effect at 7&ndash;14 days. Total duration of useful effect: <strong>2&ndash;6 weeks<\/strong> (joint), <strong>3\u20136 veckor<\/strong> (IM depot for allergic rhinitis), <strong>2&ndash;3 months<\/strong> (intralesional in keloid scars).<\/p>\n<h2 class=\"wp-block-heading\">Anv\u00e4ndningsomr\u00e5den och indikationer<\/h2>\n<p>Kenacort Injection is used wherever sustained local or systemic glucocorticoid effect is wanted from a single injection.<\/p>\n<h3 class=\"wp-block-heading\">Intra-articular (IA) injection &mdash; into a joint<\/h3>\n<ul>\n<li><strong>Osteoarthritis flare<\/strong> of knee, shoulder, hip, ankle, small joints &mdash; typical effect 4&ndash;8 weeks<\/li>\n<li><strong>Rheumatoid arthritis monoarticular flare<\/strong> &mdash; useful when only 1&ndash;2 joints are active<\/li>\n<li><strong>Crystal arthropathies<\/strong> (gout, pseudogout) &mdash; selected cases after diagnostic aspiration<\/li>\n<li><strong>Bursitis, tendinitis, plantar fasciitis, trigger finger, carpal tunnel syndrome<\/strong> (peri-articular)<\/li>\n<li><strong>Frozen shoulder (adhesive capsulitis)<\/strong><\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Intramuscular (IM) depot &mdash; gluteal injection<\/h3>\n<ul>\n<li><strong>Severe seasonal allergic rhinitis (hay fever)<\/strong> &mdash; controversial; one 40&ndash;80 mg IM depot can cover most of the pollen season but carries cumulative steroid burden equivalent to several weeks of oral prednisolone<\/li>\n<li><strong>Severe atopic dermatitis or contact dermatitis flare<\/strong> &mdash; when topicals and a short oral course are insufficient<\/li>\n<li><strong>Asthma exacerbation in patients who cannot take or tolerate oral steroids<\/strong><\/li>\n<li><strong>Acute exacerbation of inflammatory disease in patients with poor oral compliance<\/strong><\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Intralesional injection &mdash; into the lesion<\/h3>\n<ul>\n<li><strong>Keloid and hypertrophic scars<\/strong> &mdash; 10&ndash;40 mg\/mL injected directly into the scar, repeated every 3&ndash;6 weeks for several cycles<\/li>\n<li><strong>Alopecia areata<\/strong> &mdash; 5&ndash;10 mg\/mL injected into the patch, repeated every 4&ndash;6 weeks<\/li>\n<li><strong>Plackpsoriasis<\/strong> &mdash; selected resistant lesions<\/li>\n<li><strong>Discoid lupus, lichen planus, granuloma annulare, necrobiosis lipoidica<\/strong><\/li>\n<\/ul>\n<p>Kenacort Injection is <strong>inte<\/strong> appropriate for: routine first-line management of osteoarthritis (lifestyle, weight, physiotherapy and NSAIDs first), septic arthritis (steroid is contraindicated until infection cleared), spinal injection (has been associated with rare but devastating cord infarction &mdash; best avoided in favour of soluble preparations), or any joint that has been injected within the past 3 months.<\/p>\n<h2 class=\"wp-block-heading\">Kenacort Injection Dosage and How to Use<\/h2>\n<p>Kenacort Injection is supplied at <strong>10 mg\/mL and 40 mg\/mL vials<\/strong>. Dose depends entirely on the indication and the route &mdash; this is a <strong>specialist or trained-clinician procedure<\/strong>, not for self-administration.<\/p>\n<h3 class=\"wp-block-heading\">Typical adult doses by route and indication<\/h3>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Route &amp; indication<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Triamcinolone dose<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Anteckningar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Knee or shoulder IA injection<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">40 mg (large joint)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Max 3&ndash;4 \/ joint \/ year. Min 3 months between injections.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Small joint IA (interphalangeal, etc.)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5&ndash;10 mg<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Use the 10 mg\/mL strength for accurate small-volume dosing.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Bursitis, tendinitis<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">10&ndash;40 mg peri-articular<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid intra-tendinous injection (rupture risk).<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">IM depot for hay fever \/ dermatitis<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">40&ndash;80 mg gluteal IM<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Use the 40 mg\/mL strength. Single injection per season; repeat sparingly.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Intralesional keloid \/ hypertrophic scar<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">10&ndash;40 mg\/mL into the lesion<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Repeated every 3&ndash;6 weeks; total 4&ndash;6 cycles.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Intralesional alopecia areata<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5&ndash;10 mg\/mL into the patch<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Repeated every 4&ndash;6 weeks. Avoid if &gt; 50% scalp involved.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">How Kenacort Injection Is Administered<\/h3>\n<ol>\n<li><strong>Aseptic technique throughout<\/strong> &mdash; skin prep with chlorhexidine or povidone-iodine, sterile gloves, single-use needles.<\/li>\n<li><strong>Shake the vial well<\/strong> immediately before drawing up &mdash; this is a suspension, not a solution; the active drug settles and must be re-dispersed.<\/li>\n<li><strong>Use a new needle to draw up and a fresh needle to inject<\/strong> &mdash; reduces skin-flora seeding into a joint.<\/li>\n<li><strong>For IA injection<\/strong>: confirm needle position (aspiration of synovial fluid or anatomical landmarks; ultrasound guidance increasingly preferred). Aspirate effusion first if present, then inject. Some clinicians mix triamcinolone with 1&ndash;2 mL of 1% lidocaine without epinephrine for immediate symptomatic relief.<\/li>\n<li><strong>For IM depot<\/strong>: use the dorsogluteal or ventrogluteal site, deep IM with 21G or 22G needle 1.5&ndash;2 inches long. Z-track technique reduces skin\/subcutaneous leakage and the resulting fat-atrophy and depigmentation.<\/li>\n<li><strong>For intralesional injection<\/strong>: dilute appropriately, use 27G or 30G needle, inject into the dermis or directly into the lesion (NOT subcutaneous &mdash; risk of fat atrophy and depigmentation in surrounding skin).<\/li>\n<li><strong>Warn the patient about post-injection flare<\/strong> &mdash; up to 5% of patients have a paradoxical 6&ndash;48 hour increase in joint pain after IA injection, due to a crystal-induced inflammatory response. Treat with NSAIDs or paracetamol; settles spontaneously.<\/li>\n<li><strong>Dokumentera<\/strong>: site, dose, vial batch and expiry, technique, complications. Important for joint-injection-frequency limits.<\/li>\n<li><strong>NEVER inject into a joint with possible septic arthritis<\/strong> &mdash; if the joint is hot, swollen, very painful, the patient is febrile, or the joint history is unclear, aspirate and send fluid for urgent culture FIRST. Triamcinolone into a septic joint is catastrophic.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Repeat Injections and Cumulative Steroid Burden<\/h2>\n<p>A single IM depot of 40&ndash;80 mg triamcinolone delivers roughly the systemic equivalent of 50&ndash;100 mg of prednisolone over the following 3&ndash;4 weeks &mdash; comparable to a moderate oral course. Patients receiving repeated IM depots (for example, every pollen season) accumulate the same total steroid exposure as a low-dose oral steroid taken continuously.<\/p>\n<ul>\n<li><strong>Joint injections<\/strong>: max 3&ndash;4 injections per joint per year, min 3 months between injections to the same joint. Patients receiving multiple joints should still respect total annual cumulative dose.<\/li>\n<li><strong>IM depot for allergic rhinitis<\/strong>: single injection per pollen season is the recommended ceiling. Annual repeat is acceptable; multiple injections per season should not be done.<\/li>\n<li><strong>Patients on regular IM depot<\/strong> develop the same long-term steroid risks as oral users: osteoporosis, cataract, raised glucose, raised BP, and HPA suppression. Bone-density screening and BP\/glucose monitoring should be considered for anyone receiving more than 2&ndash;3 IM depots per year for several years.<\/li>\n<li><strong>HPA suppression after a single IM depot<\/strong> can persist for 2&ndash;6 weeks &mdash; relevant if the patient becomes ill or needs surgery within that window. A steroid card is sensible.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Side Effects of Kenacort Injection<\/h2>\n<p>Side effects fall into <strong>local<\/strong> (at the injection site) and <strong>systemic<\/strong> (from absorbed drug). Local effects are unique to depot injection; systemic effects mirror oral steroid use in proportion to cumulative dose.<\/p>\n<p><strong>Local &mdash; common:<\/strong><\/p>\n<ul>\n<li><strong>Skin atrophy and hypopigmentation<\/strong> &mdash; dimpled, pale, slightly indented skin around the injection site, especially with superficial intralesional injection in dark-skinned patients. Develops over 4&ndash;12 weeks; may be permanent.<\/li>\n<li><strong>Subcutaneous fat atrophy<\/strong> &mdash; particularly with IM depot when injection is too superficial. The Z-track technique and deep IM placement reduce risk.<\/li>\n<li><strong>Post-injection flare<\/strong> &mdash; 1&ndash;5% of intra-articular injections produce a paradoxical 6&ndash;48 hour increase in joint pain. Settles spontaneously; treat with NSAIDs.<\/li>\n<li><strong>Telangiektasi<\/strong> at the injection site (visible small blood vessels)<\/li>\n<li><strong>Local sterile abscess<\/strong> (s\u00e4llsynt)<\/li>\n<\/ul>\n<p><strong>Local &mdash; serious (rare):<\/strong><\/p>\n<ul>\n<li><strong>Septic arthritis<\/strong> from joint injection &mdash; estimated risk 1 in 10,000 to 1 in 50,000. Presents as severe joint pain, fever, redness 24&ndash;72 hours after injection. <strong>Surgical emergency.<\/strong><\/li>\n<li><strong>Tendon rupture<\/strong> from peri-tendinous injection &mdash; weight-bearing tendons (Achilles, patellar) are most at risk; avoid injection directly into tendon body<\/li>\n<li><strong>Cartilage damage with repeated joint injection<\/strong> &mdash; basis of the 3-injection-per-year limit<\/li>\n<\/ul>\n<p><strong>Systemic &mdash; from absorbed drug:<\/strong><\/p>\n<ul>\n<li>Transient hyperglycaemia (especially in diabetes) for 1&ndash;3 weeks after IM depot<\/li>\n<li>Facial flushing for 24&ndash;48 hours after injection<\/li>\n<li>Mensoregelbundenhet<\/li>\n<li>Mood change, insomnia for the first 1&ndash;2 weeks<\/li>\n<li>HPA suppression for 2&ndash;6 weeks after a single IM depot<\/li>\n<li>Cumulative effects (osteoporosis, cataract) with repeated injections over years<\/li>\n<\/ul>\n<p><strong>S\u00e4llsynt men allvarlig \u2013 s\u00f6k akut utredning:<\/strong><\/p>\n<ul>\n<li>Severe joint pain, fever, redness 24&ndash;72 hours after IA injection &mdash; <strong>septic arthritis until proven otherwise<\/strong><\/li>\n<li>Sudden vision change after periorbital injection &mdash; possible retinal embolism (very rare with triamcinolone but reported)<\/li>\n<li>Anaphylaxis to drug or vehicle &mdash; the polysorbate or benzyl alcohol in the suspension can cause hypersensitivity<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Varningar och f\u00f6rsiktighets\u00e5tg\u00e4rder<\/h2>\n<ul>\n<li><strong>Aktiv eller obehandlad infektion<\/strong> \u2014 steroider d\u00f6ljer tecken p\u00e5 infektion och f\u00f6rs\u00e4mrar utfall. Anv\u00e4nd inte vid odiagnostiserad feber. Etablerad infektion kan ibland fortfarande kr\u00e4va steroid (t.ex. allvarlig COVID-19) men endast efter specialists bed\u00f6mning.<\/li>\n<li><strong>Latent TB<\/strong> \u2014 screening f\u00f6re varje l\u00e5ngvarig eller upprepad behandling; \u00f6verv\u00e4g isoniazidprofylax vid positivt utfall.<\/li>\n<li><strong>Diabetes<\/strong> \u2014 f\u00f6rv\u00e4nta en betydande f\u00f6rs\u00e4mring; \u00f6ka dosen av orala hypoglykemiska medel eller insulin under behandlingsperioden.<\/li>\n<li><strong>Hypertoni, hj\u00e4rtsvikt<\/strong> &mdash; triamcinolone has minimal mineralocorticoid effect, so fluid retention is less than with prednisolone, but BP can still rise via direct vascular effects.<\/li>\n<li><strong>Peptisk ulcussjukdom, tidigare GI-bl\u00f6dning, samtidig NSAID-behandling<\/strong> \u2014 ordna en PPI vid alla behandlingar av m\u00e5ttlig till l\u00e5ng varaktighet.<\/li>\n<li><strong>Osteoporosrisk<\/strong> \u2014 s\u00e4rskilt relevant f\u00f6r patienter som f\u00e5r upprepade IM-dep\u00e5er eller l\u00e5ngvarig oral behandling.<\/li>\n<li><strong>Glaukom och katarakt<\/strong> \u2014 periorbital injektion kan s\u00e4rskilt \u00f6ka det intraokul\u00e4ra trycket; \u00e5rlig oftalmologisk uppf\u00f6ljning f\u00f6r l\u00e5ngtidsanv\u00e4ndare.<\/li>\n<li><strong>Psykiatrisk historik<\/strong> \u2014 h\u00f6g dos intraven\u00f6st eller oralt steroid kan utl\u00f6sa mani, depression, psykos. Anv\u00e4nd den l\u00e4gsta effektiva dosen; varna patienten och familjen.<\/li>\n<li><strong>Graviditet<\/strong> &mdash; triamcinolone crosses the placenta; considered compatible with pregnancy when indicated for serious maternal disease, but routine elective use should be deferred. IM depot is not advisable in pregnancy because of the long, uncontrollable exposure window.<\/li>\n<li><strong>Amning<\/strong> \u2014 sm\u00e5 m\u00e4ngder g\u00e5r \u00f6ver i mj\u00f6lken; kliniskt obetydligt vid typiska antiinflammatoriska doser. Efter IV-puls, undvik amning i 4 timmar efter en 1 g infusion f\u00f6r att minimera exponering f\u00f6r barnet.<\/li>\n<li><strong>Barn<\/strong> \u2014 tillv\u00e4xth\u00e4mning \u00e4r en verklig risk vid l\u00e5ngvarig anv\u00e4ndning; \u00f6vervaka l\u00e4ngd och vikt, anv\u00e4nd l\u00e4gsta effektiva dos under kortast m\u00f6jliga tid.<\/li>\n<li><strong>\u00c4ldre<\/strong> \u2014 h\u00f6gre risk f\u00f6r osteoporos, diabetes, infektion, psykiatriska effekter. L\u00e4gre doser och kortare behandlingsperioder n\u00e4r m\u00f6jligt.<\/li>\n<li><strong>Levande vacciner<\/strong> &mdash; contraindicated at immunosuppressive doses (oral &ge; 16 mg\/day triamcinolone or equivalent for 2+ weeks; IM depot acts as continuous immunosuppressive exposure for 4&ndash;6 weeks per dose). Inactivated vaccines (flu, pneumococcal, COVID-19, recombinant Shingrix) are fine.<\/li>\n<li><strong>Anticoagulation<\/strong> &mdash; uninterrupted warfarin or DOAC is usually safe for IM and IA injection in stable patients, but discuss with the prescriber if INR is unstable. Use the smallest possible needle and apply firm pressure after withdrawal.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindications &mdash; Who Should NOT Receive Kenacort Injection<\/h2>\n<ul>\n<li>Known hypersensitivity to triamcinolone, the vehicle (polysorbate 80, benzyl alcohol), or any related corticosteroid<\/li>\n<li>Systemisk svampinfektion (om inte specifikt t\u00e4ckt av antimykotisk behandling)<\/li>\n<li>Obehandlad aktiv bakteriell, viral, mykobakteriell eller parasit\u00e4r infektion utan l\u00e4mplig behandling<\/li>\n<li>Nyligen administrerad levande vaccinering vid immunosuppressiva doser<\/li>\n<li>Cerebral malaria (kortikosteroider f\u00f6rs\u00e4mrar utfall)<\/li>\n<li><strong>Septic arthritis or possible septic arthritis &mdash; absolute contraindication to intra-articular injection<\/strong><\/li>\n<li>Joint instability or unstable fracture at the injection site<\/li>\n<li>Skin infection at the proposed injection site<\/li>\n<li>Allergy to the local anaesthetic if combined<\/li>\n<li>Sv\u00e5r, instabil psykiatrisk st\u00f6rning utan psykiatrisk sambehandling (relativ)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">L\u00e4kemedelsinteraktioner<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Kombinera med<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Effekt<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Vad man ska g\u00f6ra<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">NSAID (ibuprofen, diclofenac, naproxen)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Betydande \u00f6kad risk f\u00f6r GI-ulceration och bl\u00f6dning<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">F\u00f6rskriv en PPI samtidigt; undvik l\u00e5ngvarig kombination.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Warfarin, DOACs<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Varierande INR-f\u00f6r\u00e4ndring; \u00f6kad risk f\u00f6r GI-bl\u00f6dning<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00d6vervaka INR oftare vid dos\u00e4ndringar.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Diabetesmediciner<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Steroider h\u00f6jer blodsockret avsev\u00e4rt<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">R\u00e4kna med 1,5\u20133 g\u00e5nger h\u00f6gre insulinbehov under behandlingen; titrera upp perorala l\u00e4kemedel.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Antihypertensiva medel, diuretika<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Steroider h\u00e5ller kvar v\u00e4tska och h\u00f6jer blodtrycket<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00d6vervaka blodtryck; \u00f6ka dosen av antihypertensiva vid behov.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kaliumf\u00f6rlustande l\u00e4kemedel (tiazider, loopdiuretika, amfotericin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive hypokalaemia &mdash; increases cardiac risk<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontrollera kalium f\u00f6re behandling; tillf\u00f6r vid behov.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Starka CYP3A4-h\u00e4mmare (ketokonazol, ritonavir, klaritromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Raise triamcinolone levels and prolong effect<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Var uppm\u00e4rksam p\u00e5 f\u00f6rst\u00e4rkta biverkningar av steroider; \u00f6verv\u00e4g l\u00e4gre dos.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Starka CYP3A4-inducerare (rifampicin, fenytoin, karbamazepin, johannes\u00f6rt)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Lower triamcinolone levels &mdash; loss of disease control<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kan beh\u00f6va 2\u20133 g\u00e5nger h\u00f6gre steroiddos; specialistutv\u00e4rdering.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Levande vacciner (MPR, vattkoppor, gula febern, BCG, levande nasalt influensavaccin, levande Zostavax)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Risk f\u00f6r spridd vaccinstammsinfektion<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindicerat vid immunosuppressiva doser, och i 3 m\u00e5nader efter avslutad behandling. Inaktiverade vacciner och rekombinant Shingrix \u00e4r s\u00e4kra.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Digoxin<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Hypokalemi fr\u00e5n steroider \u00f6kar risken f\u00f6r digoxinf\u00f6rgiftning<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00d6vervaka kalium och digoxinniv\u00e5.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Andra immunosuppressiva l\u00e4kemedel (metotrexat, azatioprin, cyklosporin, biologiska l\u00e4kemedel, JAK-h\u00e4mmare)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additiv infektionsrisk<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kombinationer \u00e4r vanliga och ofta n\u00f6dv\u00e4ndiga \u2014 specialist\u00f6vervakning och \u00f6verv\u00e4gande av infektionsprofylax.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">F\u00f6rvaringsinstruktioner<\/h2>\n<ul>\n<li>F\u00f6rvara vid rumstemperatur, <strong>15\u201325\u00b0C<\/strong>, skyddad fr\u00e5n ljus. Frys inte.<\/li>\n<li>Shake the vial thoroughly immediately before drawing up &mdash; this is a suspension; the active drug settles on standing.<\/li>\n<li>Once the vial is opened or punctured, use within the labelled in-use period (typically up to 24 hours when refrigerated, depending on local guidance).<\/li>\n<li>Discard any vial showing visible clumping that does not redisperse on shaking.<\/li>\n<li>H\u00e5ll utom r\u00e4ckh\u00e5ll f\u00f6r barn.<\/li>\n<li>Anv\u00e4nd inte efter utg\u00e5ngsdatumet p\u00e5 f\u00f6rpackningen.<\/li>\n<li>L\u00e4mna oanv\u00e4nd produkt till apotek f\u00f6r f\u00f6rst\u00f6ring \u2014 spol inte ner eller sl\u00e4ng i hush\u00e5llssopor.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Relaterade alternativ p\u00e5 MedsBase<\/h2>\n<p>Andra l\u00e4kemedel som anv\u00e4nds vid inflammatorisk och autoimmun behandling som finns i sortimentet tillsammans med denna produkt:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/sv\/barinat\/\"><strong>Barinat (baricitinib 2 \/ 4 mg) \u2014 JAK1\/2-h\u00e4mmare f\u00f6r RA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/tofe\/\"><strong>Tofe (tofacitinib 5 mg) \u2014 JAK1\/3-h\u00e4mmare f\u00f6r RA, UC, PsA<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/azoran\/\"><strong>Azoran (azathioprin 50 mg) \u2014 klassisk immunosuppressiv DMARD<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/lefuheal\/\"><strong>Lefuheal (leflunomid) \u2014 oral DMARD f\u00f6r reumatoid artrit<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/conimune-me\/\"><strong>Conimune ME (cyklosporin) \u2014 kalkineurinh\u00e4mmare<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/wysolone\/\"><strong>Wysolone (prednisolon 5 \/ 10 \/ 20 mg) \u2014 oral kortikosteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/medrol\/\"><strong>Medrol (methylprednisolon 4 \/ 8 \/ 16 mg) \u2014 oral kortikosteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/predniheal\/\"><strong>Predniheal (prednisolon) \u2014 oral kortikosteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/hisone\/\"><strong>Hisone (hydrokortison) \u2014 fysiologisk ers\u00e4ttningssteroid<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/budez-cr\/\"><strong>Budez CR (budesonid) \u2014 tarmriktad kortikosteroid f\u00f6r Crohns sjukdom<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/kenacort\/\"><strong>Kenacort (triamcinolon) \u2014 systemisk kortikosteroid<\/strong><\/a><\/li>\n<\/ul>\n<p>Utforska hela <a href=\"https:\/\/medsbase.com\/sv\/anti-inflammatory-autoimmune-care\/\">Antiinflammatorisk och autoimmun v\u00e5rd<\/a> kategori.<\/p>\n<h2 id=\"faqs\">Vanliga fr\u00e5gor<\/h2>\n<h3 class=\"wp-block-heading\">How long does a single Kenacort Injection injection last?<\/h3>\n<p>For intra-articular injection, useful symptomatic relief usually lasts <strong>4\u20138 veckor<\/strong>, occasionally longer (some patients in osteoarthritis report several months). For IM depot in seasonal allergic rhinitis, the systemic effect lasts <strong>3\u20136 veckor<\/strong>. For intralesional injection in keloid scars, individual injections are repeated every 3&ndash;6 weeks for several cycles. Effect duration is not strictly proportional to dose &mdash; the suspension dissolves at a set rate, so doubling the dose doubles the absorbed dose but does not double the duration.<\/p>\n<h3 class=\"wp-block-heading\">How often can I have a joint injection of Kenacort Injection?<\/h3>\n<p>The widely-accepted limits are <strong>maximum 3&ndash;4 injections per joint per year<\/strong>, with at least <strong>3 m\u00e5nader<\/strong> between injections to the same joint. More frequent use accelerates cartilage degradation and the underlying disease. Different joints can be injected at different times, but cumulative total annual triamcinolone dose should still be respected to avoid systemic steroid burden equivalent to chronic oral therapy.<\/p>\n<h3 class=\"wp-block-heading\">What is post-injection flare?<\/h3>\n<p>About 1&ndash;5% of patients have a paradoxical 6&ndash;48 hour increase in joint pain after intra-articular triamcinolone &mdash; sometimes severe enough to mimic septic arthritis. The cause is a sterile inflammatory response to the microcrystalline drug. It settles spontaneously within 1&ndash;2 days. Treat with rest, ice, and oral NSAIDs or paracetamol. <strong>If the flare lasts longer than 72 hours, is associated with fever or spreading redness, or seems disproportionate, get same-day medical review<\/strong> &mdash; rare but real risk of septic arthritis.<\/p>\n<h3 class=\"wp-block-heading\">Why does my skin go pale after Kenacort Injection injection?<\/h3>\n<p>Triamcinolone can cause local hypopigmentation (lightening of skin tone) and skin atrophy (a slight indentation or thinning) at the injection site. The risk is highest with intralesional or superficial subcutaneous injection, in dark-skinned patients, and with repeated injections to the same area. The change usually develops over weeks to months and may persist for many months or be permanent. Deep IM injection (gluteal, with Z-track technique) and accurate intra-lesional placement reduce but do not eliminate the risk. Tell the prescriber if it happens after a previous injection.<\/p>\n<h3 class=\"wp-block-heading\">Can I drive after a joint injection?<\/h3>\n<p>Yes, if no local anaesthetic is used and you feel fit. If the injection was combined with lidocaine (commonly added to small-joint or peri-tendinous injections), avoid driving for at least 1&ndash;2 hours, and arrange a lift if a major weight-bearing joint (knee, ankle) was injected &mdash; brief loss of motor control is theoretically possible. Avoid heavy weight-bearing on the injected joint for 24&ndash;48 hours to give the suspension time to settle into the joint capsule.<\/p>\n<h3 class=\"wp-block-heading\">Kommer sprutan att h\u00f6ja mitt blodsocker?<\/h3>\n<p>Yes &mdash; expect a transient rise in blood glucose for 1&ndash;3 weeks after IM depot, and a smaller rise after IA injection. In well-controlled diabetes the rise may be 2&ndash;5 mmol\/L; in poorly-controlled diabetes it can be much larger. Tell your diabetes team about the injection so insulin or oral agents can be temporarily up-titrated. Most patients do not need a permanent change; the effect resolves as the depot is exhausted.<\/p>\n<h3 class=\"wp-block-heading\">Can I have an IM Kenacort Injection injection in pregnancy?<\/h3>\n<p>IM depot triamcinolone is generally avoided in pregnancy because the long, uncontrollable exposure window cannot be reversed if a problem arises. Short oral steroid courses are preferred when systemic glucocorticoid is needed in pregnancy. Single intra-articular injection for incapacitating joint pain has been used safely in selected cases, but the decision should be made by an obstetrician familiar with the case.<\/p>\n<h3 class=\"wp-block-heading\">Should I have my IM depot for hay fever every season?<\/h3>\n<p>This is debated. A single IM depot of 40&ndash;80 mg can be very effective for severe seasonal allergic rhinitis, but it delivers systemic glucocorticoid exposure equivalent to several weeks of oral prednisolone &mdash; with all the same risks (osteoporosis, cataract, glucose intolerance, HPA suppression). Modern guidelines (BSACI, EAACI) recommend trying intranasal steroid + oral antihistamine + sublingual immunotherapy first, and reserving IM depot for severe cases unresponsive to those. If repeated annually for many years, bone-density screening is sensible.<\/p>\n<h3 class=\"wp-block-heading\">When should I worry after an injection?<\/h3>\n<p>Seek same-day review if any of the following develops 24&ndash;72 hours after injection: <strong>severe joint pain disproportionate to the procedure, fever, spreading redness or warmth at the injection site, joint that becomes hot and difficult to move, generalised feeling of being unwell.<\/strong> These can indicate septic arthritis &mdash; a surgical emergency. Mild post-injection flare is usually settled within 48 hours; anything worse or longer warrants urgent assessment.<\/p>\n<h3 class=\"wp-block-heading\">Varf\u00f6r best\u00e4lla fr\u00e5n MedsBase<\/h3>\n<p>Kenacort Injection is supplied through a WHO-GMP certified manufacturer with full COA documentation. We ship worldwide in plain, discreet packaging, and every order is covered by our <a href=\"\/sv\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a>. Din betalningsbeskrivning vid kortbetalning visar den reglerade betalningsprocessorn (en reglerad kortbetalningsprocessor), aldrig \u201cMedsBase\u201d eller n\u00e5got medicinnamn.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Andra antiinflammatoriska och autoimmuna l\u00e4kemedel<\/h3>\n<p>If Kenacort Injection does not suit your situation, the following options are available in this category:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/sv\/solu-medrol\/\">Solu-Medrol (Methylprednisolone IV 40\/125\/500 mg) \u2014 high-dose IV pulse<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/kenacort\/\">Kenacort (Triamcinolone 4 mg) \u2014 oral version of the same molecule<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/tricort\/\">Tricort (Triamcinolone 4 mg, Cipla) \u2014 oral triamcinolone<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/wysolone\/\">Wysolone (Prednisolon 5\/10\/20 mg, Wyeth) \u2014 oralt kortikosteroid<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/medrol\/\">Medrol (Methylprednisolone 4\/8\/16 mg, Pfizer) \u2014 oral methylprednisolone<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Minskar inflammation<br \/>\n\u2705 Relieves pain quickly<br \/>\n\u2705 Treats various conditions<br \/>\n\u2705 Fr\u00e4mjar l\u00e4kning<br \/>\n\u2705 Minimiserar svullnad<\/p>\n<p>Kenacort Injection contains Triamcinolone.<\/p>","protected":false},"featured_media":60936,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3897,3141,3223],"product_tag":[4723,4951,4725],"class_list":{"0":"post-60935","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-inflammatory-autoimmune-care","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-kenacort","10":"product_tag-kenacort-injection","11":"product_tag-triamcinolone","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product\/60935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/comments?post=60935"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media\/60936"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media?parent=60935"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_brand?post=60935"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat?post=60935"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_tag?post=60935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}