{"id":60954,"date":"2024-02-28T07:17:39","date_gmt":"2024-02-28T07:17:39","guid":{"rendered":"https:\/\/medsname.com\/tricort\/"},"modified":"2026-04-30T10:23:40","modified_gmt":"2026-04-30T10:23:40","slug":"tricort","status":"publish","type":"product","link":"https:\/\/medsbase.com\/sv\/product\/tricort\/","title":{"rendered":"Tricort"},"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 Tricort?<\/h3>\n<p style=\"margin:0;\"><strong>Tricort<\/strong> \u00e4r ett tablettpreparat fr\u00e5n Cipla som inneh\u00e5ller <strong>triamcinolone acetonide 4 mg tablets<\/strong> &mdash; a medium-potency synthetic <strong>glukokortikoid<\/strong> with strong anti-inflammatory and immunosuppressive activity and <strong>almost no mineralocorticoid (fluid-retaining) effect<\/strong>. Used for systemic anti-inflammatory therapy across rheumatoid arthritis, lupus, asthma, IBD, vasculitis, allergic reactions and other inflammatory and autoimmune conditions. Standard adult anti-inflammatory dose: <strong>4&ndash;48 mg\/day<\/strong> in 1&ndash;4 divided doses, titrated to response. Triamcinolone 4 mg is approximately equivalent to prednisolone 5 mg (potency ratio ~5). <strong>Avbryt aldrig abrupt efter mer \u00e4n 2\u20133 veckors daglig anv\u00e4ndning<\/strong> &mdash; the drug suppresses the body&#39;s own cortisol production (HPA-axis suppression) and abrupt withdrawal can precipitate adrenal crisis. Always taper under medical supervision. Common side effects: weight gain, raised blood sugar, raised blood pressure, mood change, bone loss, increased infection risk, cataract.<\/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 Tricort?<\/h2>\n<p>Tricort is an oral tablet manufactured by Cipla 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>Tricort is Cipla&#39;s branded generic triamcinolone tablet &mdash; a stocked alternative to Kenacort across the same 4 mg strength. Available in 30, 60, 90 and 180 tablet packs. Same active ingredient and same clinical role as Kenacort tab; choice between them is usually based on price and pack-size availability.<\/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 triamcinolone instead of prednisolone?<\/strong> Triamcinolone has <strong>almost no mineralocorticoid (fluid-retaining, sodium-retaining) effect<\/strong> compared with prednisolone or hydrocortisone. This makes it a sensible oral choice in patients with poorly-controlled hypertension, congestive heart failure, severe oedema, or known intolerance of fluid retention on prednisolone. The trade-off is a slightly higher rate of muscle weakness (steroid myopathy) at high doses, particularly in older patients.<\/p>\n<h2 class=\"wp-block-heading\">How Does Tricort 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 (oral): symptomatic relief within <strong>timmar till 1\u20132 dagar<\/strong> for most inflammatory conditions. Peak anti-inflammatory effect within 4&ndash;72 hours.<\/p>\n<h2 class=\"wp-block-heading\">Anv\u00e4ndningsomr\u00e5den och indikationer<\/h2>\n<p>Tricort is used across a wide range of inflammatory and autoimmune conditions. Because of its very low mineralocorticoid activity, it is particularly useful when fluid retention or sodium retention is a concern.<\/p>\n<ul>\n<li><strong>Reumatoid artrit<\/strong> &mdash; bridge therapy during DMARD initiation, or low-dose maintenance adjunct<\/li>\n<li><strong>Systemisk lupus erythematosus (SLE)<\/strong> &mdash; flare management<\/li>\n<li><strong>Asthma exacerbations and severe asthma maintenance<\/strong><\/li>\n<li><strong>Severe allergic reactions, urticaria, angioedema, atopic dermatitis flare<\/strong><\/li>\n<li><strong>Inflammatorisk tarmsjukdom vid f\u00f6rv\u00e4rring<\/strong> (Crohn&#39;s, ulcerative colitis)<\/li>\n<li><strong>Polymyalgia rheumatica<\/strong> &mdash; medium-dose induction with slow taper<\/li>\n<li><strong>Pemphigus vulgaris and other bullous skin diseases<\/strong><\/li>\n<li><strong>Vasculitis, sarcoidosis, autoimmune hepatitis<\/strong><\/li>\n<li><strong>Adrenocortical insufficiency<\/strong> &mdash; rarely first choice (hydrocortisone is preferred for replacement)<\/li>\n<\/ul>\n<p>Tricort is <strong>inte<\/strong> appropriate for: undiagnosed joint pain, isolated mild eczema (topicals first), or any condition where shorter-acting prednisolone is preferred for tighter dose-titration.<\/p>\n<h2 class=\"wp-block-heading\">Tricort Dosage and How to Take<\/h2>\n<p>Tricort is supplied at <strong>4 mg tablets<\/strong>. Adult anti-inflammatory dosing typically ranges from 4 to 48 mg per day in 1&ndash;4 divided doses, titrated to clinical response.<\/p>\n<h3 class=\"wp-block-heading\">Typical starting doses by 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;\">Tillst\u00e5nd<\/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;\">Astma\/KOL-exacerbation<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">32&ndash;48 mg\/day<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">5\u20137 dagar, ingen uts\u00e4ttning beh\u00f6vs<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Polymyalgia rheumatica<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">12&ndash;16 mg\/day<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">L\u00e5ngsam uts\u00e4ttning \u00f6ver 18\u201324 m\u00e5nader<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Rheumatoid arthritis (low-dose)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">4\u20136 mg\/dag<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Bridge during DMARD initiation<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">SLE flare<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">16&ndash;48 mg\/day<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Trappa ner till l\u00e4gsta effektiva dos<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">IBD flare<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">32&ndash;48 mg\/day<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Trappa ned under 8\u201312 veckor<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Allvarlig allergisk reaktion<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">32&ndash;40 mg\/day<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">3\u20135 dagar<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">How to Take Tricort Properly<\/h3>\n<ol>\n<li><strong>Ta den fulla dagliga dosen p\u00e5 morgonen tillsammans med frukost<\/strong> (vanligtvis 07\u201309). Morgondosering efterliknar kroppens naturliga kortisoltopp, minimerar HPA-axelsuppression och minskar s\u00f6mnbesv\u00e4r.<\/li>\n<li><strong>Ta alltid tillsammans med mat<\/strong> &mdash; substantially reduces gastric irritation.<\/li>\n<li><strong>Sv\u00e4lj tabletterna hela med vatten.<\/strong> Tabletter kan delas om de \u00e4r sk\u00e5rade.<\/li>\n<li><strong>Avbryt aldrig abrupt efter mer \u00e4n 2\u20133 veckor<\/strong> of daily use. Taper under medical supervision.<\/li>\n<li><strong>B\u00e4r alltid med dig en steroidkort<\/strong> if taking Tricort for more than 3 weeks &mdash; alerts emergency clinicians to your HPA-suppression risk.<\/li>\n<li><strong>Skydd f\u00f6r benen fr\u00e5n b\u00f6rjan<\/strong> &mdash; calcium 1,000&ndash;1,200 mg\/day + vitamin D 800&ndash;1,000 IU\/day. For courses &gt; 3 months at 6 mg\/day or higher, consider a bisphosphonate from day one in post-menopausal women and older men.<\/li>\n<li><strong>\u00d6vervaka blodsocker, blodtryck, vikt.<\/strong> Steroids raise all three; pre-existing diabetes usually needs temporary insulin or oral-hypoglycaemic adjustment.<\/li>\n<li><strong>Undvik levande vacciner<\/strong> at &ge; 16 mg\/day of triamcinolone (= 20 mg prednisolone equivalent) for 2+ weeks, and for 3 months after stopping.<\/li>\n<li><strong>Tell every healthcare provider you take Tricort<\/strong> \u2014 s\u00e4rskilt f\u00f6re operation eller anestesi.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Stopping Tricort &mdash; Why Tapering Matters<\/h2>\n<p>Exogena kortikosteroider h\u00e4mmar hypotalamus-hypofys-binjurebark-axeln (HPA-axeln) \u2014 hj\u00e4rnan slutar signalera till binjurebarken att producera kortisol eftersom den tillf\u00f6rda medicinen g\u00f6r jobbet. N\u00e4r behandlingen varar tillr\u00e4ckligt l\u00e4nge f\u00f6r att h\u00e4mningen ska intr\u00e4ffa, atrofierar binjurebarken och beh\u00f6ver veckor till m\u00e5nader f\u00f6r att \u00e5terh\u00e4mta sig. Om medicinen avbryts abrupt har patienten ingen kortisol \u2014 en livshotande binjurebarkkris kan f\u00f6lja.<\/p>\n<ul>\n<li><strong>Behandlingar kortare \u00e4n 2\u20133 veckor<\/strong> i vilken dos som helst \u2014 kan vanligtvis avbrytas utan uts\u00e4ttning.<\/li>\n<li><strong>Alla behandlingar l\u00e4ngre \u00e4n 3 veckor<\/strong>, or any course above 32 mg\/day for more than 1 week &mdash; requires a supervised taper.<\/li>\n<li><strong>Typisk uts\u00e4ttning<\/strong>: reduce by 10&ndash;20% of current dose every 1&ndash;2 weeks until reaching physiological replacement (~5 mg prednisolone equivalent), then 1 mg every 2&ndash;4 weeks.<\/li>\n<li><strong>Om abstinenssymtom uppst\u00e5r<\/strong> (tr\u00f6tthet, illam\u00e5ende, ledv\u00e4rk, yrsel, \u00e5terkomst av sjukdom), g\u00e5 tillbaka en niv\u00e5 och trappa ner l\u00e5ngsammare.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Side Effects of Tricort<\/h2>\n<p>Side effects of oral triamcinolone closely mirror those of other systemic glucocorticoids and are dose- and duration-dependent.<\/p>\n<p><strong>Korttid (dagar till veckor):<\/strong><\/p>\n<ul>\n<li>\u00d6kad aptit, viktuppg\u00e5ng<\/li>\n<li>Hum\u00f6rh\u00f6jning, ibland agitation, s\u00f6mnl\u00f6shet, psykos (h\u00f6gre doser)<\/li>\n<li>F\u00f6rh\u00f6jt blodsocker (kan avsl\u00f6ja diabetes)<\/li>\n<li>Halsbr\u00e4nna och dyspepsi<\/li>\n<li>Akneutbrott<\/li>\n<li>Mensoregelbundenhet<\/li>\n<\/ul>\n<p><strong>Mellankortid (veckor till m\u00e5nader):<\/strong><\/p>\n<ul>\n<li>Cushingoid utseende \u2014 m\u00e5nansikte, central fetma, buffelhumpa<\/li>\n<li>Thinning of skin, easy bruising, striae<\/li>\n<li><strong>Steroid myopathy &mdash; proximal leg weakness<\/strong> (more common with triamcinolone than with prednisolone)<\/li>\n<li>\u00d6kad mottaglighet f\u00f6r bakteriella, virala och svampinfektioner<\/li>\n<li>Cataract (especially posterior subcapsular) and raised intraocular pressure<\/li>\n<li>Avaskul\u00e4r nekros i femurkapitet<\/li>\n<\/ul>\n<p><strong>L\u00e5ngsiktigt (m\u00e5nader till \u00e5r):<\/strong><\/p>\n<ul>\n<li>Osteoporosis and fragility fractures<\/li>\n<li>Persisterande diabetes mellitus<\/li>\n<li>Adrenal atrophy and HPA suppression<\/li>\n<li>Tillv\u00e4xth\u00e4mning hos barn<\/li>\n<li>Sv\u00e5r immunosuppression med opportunistisk infektion (Pneumocystis, TB-reaktivering)<\/li>\n<\/ul>\n<p><strong>S\u00e4llsynt men allvarlig \u2013 s\u00f6k akut utredning:<\/strong><\/p>\n<ul>\n<li>GI-bl\u00f6dning eller perforation (s\u00e4rskilt vid samtidig NSAID-anv\u00e4ndning)<\/li>\n<li>Sv\u00e5r psykisk reaktion, psykos, mani<\/li>\n<li>Sv\u00e5r infektion, TB-reaktivering, disseminerad VZV<\/li>\n<li>Bibringarkris under\/efter uts\u00e4ttning<\/li>\n<li>Pl\u00f6tsliga synf\u00f6r\u00e4ndringar \u2014 m\u00f6jligt steroidglaukom<\/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. <\/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<\/ul>\n<h2 class=\"wp-block-heading\">Contraindications &mdash; Who Should NOT Receive Tricort<\/h2>\n<ul>\n<li>Known hypersensitivity to triamcinolone, the vehicle (tablet excipients), 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>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>under 25\u00b0C<\/strong>, skyddat fr\u00e5n ljus och fukt.<\/li>\n<li>F\u00f6rvara tabletter i originalblisterf\u00f6rpackningen tills anv\u00e4ndning.<\/li>\n<li>F\u00f6rvara inte i badrummet \u2014 fukt f\u00f6rkortar h\u00e5llbarheten.<\/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\">Why is Tricort chosen over prednisolone?<\/h3>\n<p>Triamcinolone has almost no mineralocorticoid (sodium- and water-retaining) effect, while prednisolone has a small but clinically relevant one. In a patient with poorly-controlled hypertension, congestive heart failure, severe oedema, or a history of fluid retention on prednisolone, triamcinolone is a sensible alternative at equivalent anti-inflammatory dose. The trade-off is a slightly higher rate of steroid myopathy at high or prolonged dose, which is why prednisolone remains the default for most indications.<\/p>\n<h3 class=\"wp-block-heading\">What is the equivalent dose of Tricort to prednisolone?<\/h3>\n<p>Triamcinolone 4 mg is roughly equivalent to prednisolone 5 mg, methylprednisolone 4 mg, hydrocortisone 20 mg, and dexamethasone 0.75 mg in anti-inflammatory potency. When switching between oral steroids, use this conversion to keep the anti-inflammatory dose the same.<\/p>\n<h3 class=\"wp-block-heading\">Why must I take Tricort in the morning?<\/h3>\n<p>Endogenous cortisol peaks between 6 and 9 a.m. Morning dosing mimics this natural pattern, suppresses the HPA axis less than evening dosing, and reduces insomnia. Once-daily morning dosing is standard; twice- or thrice-daily dosing is reserved for severe disease at the cost of more HPA suppression.<\/p>\n<h3 class=\"wp-block-heading\">Why can&#39;t I just stop Tricort if I feel better?<\/h3>\n<p>After more than 2&ndash;3 weeks of daily dosing, the adrenal glands stop making their own cortisol because the pituitary sees plenty of it arriving from the tablet. If you stop abruptly, the adrenal glands cannot switch back on fast enough &mdash; you have no cortisol for hours to days, which can cause an adrenal crisis (collapse, low blood pressure, severe nausea, confusion, potentially death). Always taper under medical supervision.<\/p>\n<h3 class=\"wp-block-heading\">How do I protect my bones on Tricort?<\/h3>\n<p>B\u00f6rja med kalcium 1 000\u20131 200 mg\/dag + vitamin D 800\u20131 000 IE\/dag fr\u00e5n dag ett. F\u00f6r behandlingar som f\u00f6rv\u00e4ntas vara l\u00e4ngre \u00e4n 3 m\u00e5nader med 6 mg\/dag eller mer b\u00f6r ett veckovis bisfosfonat (alendronat eller risedronat) eller \u00e5rlig zoledronsyra \u00f6verv\u00e4gas fr\u00e5n b\u00f6rjan hos postmenopausala kvinnor och \u00e4ldre m\u00e4n \u2014 v\u00e4nta inte p\u00e5 en DEXA-skanning. Viktb\u00e4rande tr\u00e4ning, r\u00f6kstopp, m\u00e5ttlig alkoholkonsumtion och tillr\u00e4ckligt proteinintag hj\u00e4lper alla.<\/p>\n<h3 class=\"wp-block-heading\">Will Tricort give me diabetes?<\/h3>\n<p>Corticosteroids raise blood glucose and can unmask latent diabetes or worsen existing diabetes. Expect fasting glucose to rise within days of starting any moderate-dose course. Check fasting glucose or HbA1c before starting; monitor during; be ready to up-titrate oral hypoglycaemics or add temporary insulin. Steroid-induced diabetes from a short course usually resolves within weeks of tapering off; long-term use can cause persistent diabetes.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol on Tricort?<\/h3>\n<p>Moderate alcohol (up to 1&ndash;2 units\/day) is generally safe on short-to-medium steroid courses, but combined steroid + NSAID + alcohol is a major risk factor for GI bleed. Higher alcohol intake during long-term steroid therapy also increases the risk of avascular necrosis of the hip. Keep alcohol low during any steroid course &mdash; and avoid entirely if taking concomitant NSAIDs or with a history of GI bleed.<\/p>\n<h3 class=\"wp-block-heading\">What if I get an infection while on Tricort?<\/h3>\n<p>Steroids suppress both the immune response and the outward signs of infection (fever may be blunted, symptoms less obvious). Any unexplained fever, productive cough, new pain, severe fatigue or malaise on Tricort should be reviewed promptly. During acute illness you may need a temporary DOSE INCREASE (&ldquo;stress dose&rdquo;) rather than a dose reduction &mdash; your prescriber should have given you sick-day rules. Do not stop the steroid when you are ill.<\/p>\n<h3 class=\"wp-block-heading\">Can I have live vaccines on Tricort?<\/h3>\n<p><strong>Nej, inte vid immunosuppressiva doser.<\/strong> Live vaccines (MMR, varicella, yellow fever, BCG, live nasal flu, live Zostavax) are contraindicated at triamcinolone 16 mg\/day or more for 2 weeks or longer, and for 3 months after stopping. Inactivated vaccines &mdash; annual flu jab, pneumococcal, COVID-19, recombinant Shingrix, HPV &mdash; are fine and recommended. Plan travel vaccinations and Shingrix before starting a prolonged course.<\/p>\n<h3 class=\"wp-block-heading\">What is a steroid card and do I need one?<\/h3>\n<p>A steroid card is a small card you carry that states you are on long-term corticosteroid therapy. It warns emergency clinicians and anaesthetists that you have HPA-axis suppression and may need stress-dose steroid cover during surgery, trauma or severe illness. You should carry one if you have been on any oral corticosteroid for more than 3 weeks, or after any IM depot in the previous 6 weeks. Pharmacies can issue one on request.<\/p>\n<h3 class=\"wp-block-heading\">Varf\u00f6r best\u00e4lla fr\u00e5n MedsBase<\/h3>\n<p>Tricort 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 Tricort does not suit your situation, the following options are available in this category:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/sv\/kenacort\/\">Kenacort (Triamcinolone 4 mg, Abbott) \u2014 same molecule, different brand<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/kenacort-injection\/\">Kenacort Injektion (Triamcinolon acetonid 10\/40 mg\/mL) \u2014 IM\/IA-dep\u00e5<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/wysolone\/\">Wysolone (Prednisolon 5\/10\/20 mg, Wyeth) \u2014 mest f\u00f6rskrivna prednisolon<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/medrol\/\">Medrol (Metylprednisolon 4\/8\/16 mg, Pfizer) \u2014 n\u00e5got mer potent<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/sv\/betnesol-tab\/\">Betnesol Tab (Betamethason 0,5 mg) \u2014 l\u00e5ngverkande fluorsteroid<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Minskar inflammation<br \/>\n\u2705 Lindrar kl\u00e5da<br \/>\n\u2705 Behandlar hud\u00e5kommor<br \/>\n\u2705 Lindrar irritation<br \/>\n\u2705 Fr\u00e4mjar l\u00e4kning<\/p>\n<p>Tricort contains Triamcinolone.<\/p>","protected":false},"featured_media":60955,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3897,3141,3223],"product_tag":[4725,4952],"class_list":{"0":"post-60954","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-triamcinolone","10":"product_tag-tricort","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product\/60954","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=60954"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media\/60955"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/media?parent=60954"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_brand?post=60954"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat?post=60954"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_tag?post=60954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}