Brand Names: Adcortyl in Orabase, Kenalog, Kenacort, Trinolone and assorted variations thereof.
Generic Name: Triamcinolone Acetonide 0.1% Dental Paste.
For many people that suffer with mouth ulcers this stuff is the best, it is unfortunate that for reasons unknown it is no longer available in most countries. It is as if it has been subtly banned. There is no replacement.
Triamcinolone acetonide is a synthetic corticosteroid which possesses anti-inflammatory anti-pruritic, and anti-allergic action which may provide prompt relief of oral tenderness, pain, inflammation and ulceration. The emollient dental paste is an adhesive vehicle for applying medication to oral surfaces. This adhesive maintains the medication in close contact with the lesion and provides a protective covering which augments the effects of the steroid.
Before using triamcinolone consult your doctor if you have, or think you may have, any of these conditions:
• infection, including chicken-pox, herpes, measles, or tuberculosis
• stomach or intestinal disease
• an unusual or allergic reaction to triamcinolone, corticosteroids, other medicines, foods, dyes, or preservatives
...and/or if you are:
• a child
• pregnant or trying to get pregnant
Triamcinolone dental paste is mildly unpleasant sticky goo that is applied to sore places in the mouth. Use the paste after meals and over night. Use a cotton swab or a clean finger to press a small amount of paste on the area to be treated to form a smooth film. Do not rub the paste into the area or try to spread it because it will become crumbly and gritty.
Interactions between triamcinolone dental paste and other medicines are unlikely. However, consult your doctor if you are taking other medicines, including non-prescription medicines, nutritional supplements, or herbal products, or if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs etc.. These may affect the way the medicine works.
Side effects with triamcinolone include:
• blistering or signs of infection in the mouth
• burning or increased inflammation in the mouth
If you encounter either of these STOP using it and consult your doctor.
As with any medicines follow the directions on the prescription label or patient instructions.
Popular threads on the message board (particularly about the discontinuation and limited availability) can be seen here:
Dom Walton 2009