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|Kenalog Suspension

Kenalog Suspension

Kenalog Suspension is used for:

Treating inflammation in a number of different disorders, such as arthritis, bursitis, or tendonitis. It may also be used to treat asthma, allergic reactions, skin problems, or chronic pain. It may also be used for other conditions as determined by your doctor.

Kenalog Suspension is a corticosteroid. The precise way it works to decrease irritation and swelling is not known, but it has a wide range of effects at the cell level. This relieves the discomfort caused by inflammation.

Do NOT use Kenalog Suspension if:

• you are allergic to any ingredient in Kenalog Suspension
• you are currently taking mifepristone
• you have a systemic fungal infection
• you are scheduled to have a smallpox vaccination or other vaccinations/immunizations

Contact your doctor or health care provider right away if any of these apply to you.

Before using Kenalog Suspension:

Some medical conditions may interact with Kenalog Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have or have been recently exposed to a bacterial, fungal, parasitic, ameba, or viral infection, especially measles, chickenpox, shingles, tuberculosis (TB), or herpes simplex of the eye
• if you have been recently vaccinated, or have had a positive TB skin test
• if you have cancer, epilepsy or seizures, heartburn, stomach problems (eg, ulcers), intestinal problems (eg, colitis, diverticulitis, obstruction, perforation, recent intestinal surgery), heart problems or a recent heart attack, congestive heart failure, high blood pressure, blood clotting problems, diabetes, eye problems (eg, cataracts, glaucoma), liver problems, kidney problems, thyroid problems, weak or brittle bones (osteoporosis), or muscle problems (eg, myasthenia gravis)

Some MEDICINES MAY INTERACT with Kenalog Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Barbiturates (eg, phenobarbital), carbamazepine, fluconazole, hydantoins (eg, phenytoin), lithium, rifampin, or thioamines (eg, propylthiouracil) because they may decrease Kenalog Suspension"s effectiveness
• Clarithromycin, itraconazole, oral contraceptives (birth control pills), or midazolam because the risk of side effects, such as nervous system or adrenal gland problems, may be increased
• Anticholinesterases (eg, pyridostigmine), anticoagulants (eg, warfarin), mifepristone, nondepolarizing muscle relaxants (eg, vecuronium), ritodrine, or sympathomimetics (eg, albuterol, amphetamine, pseudoephedrine) because the risk of their side effects may be increased by Kenalog Suspension
• Anticholinesterases (eg, pyridostigmine), anticoagulants (eg, warfarin), interleukin-2, or nondepolarizing muscle relaxants (eg, vecuronium) because their effectiveness may be decreased by Kenalog Suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if Kenalog Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Kenalog Suspension:

Use Kenalog Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Kenalog Suspension is usually given as an injection at your doctors office, hospital, or clinic. If you will be using Kenalog Suspension at home, a health care provider will teach you how to use it. Be sure you understand how to use Kenalog Suspension. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Do not inject Kenalog Suspension into a vein, muscle, or unstable joint.
• Do not use Kenalog Suspension if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
• Shake well before each use.
• Your doctor may change your prescription to medicine you take by mouth. If this occurs, be sure that you understand the dosing schedule and follow it exactly.
• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
• If you miss a dose of Kenalog Suspension, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
• If you miss a dose of Kenalog Suspension and you are taking it every other day, use the missed dose the following morning. Then skip 1 day and go back to you regular dosing schedule of using a dose every other day.

Ask your health care provider any questions you may have about how to use Kenalog Suspension.

Important safety information:

• Follow the diet program given to you by your health care provider.
• Tell your doctor or dentist that you take Kenalog Suspension before you receive any medical or dental care, emergency care, or surgery.
• Kenalog Suspension may lower the ability of your body to fight infection, especially if you use it for a long period of time. Avoid contact with people who have colds or infections. If you are exposed to chickenpox, measles, or TB while you are taking Kenalog Suspension or during the 12 months after stopping Kenalog Suspension, call your doctor. Tell your doctor if you have an injury or notice signs of infection like fever, sore throat, rash, or chills for up to 12 months after you stop using Kenalog Suspension.
• Do not receive a live vaccine (eg, measles, mumps) while you are taking Kenalog Suspension. Talk with your doctor before you receive any vaccine.
• Diabetes patients - Kenalog Suspension may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Corticosteroids may affect growth rate in CHILDREN and teenagers in some cases. They may need regular growth checks while they use Kenalog Suspension.
• Kenalog Suspension should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Kenalog Suspension while you are pregnant. It is not known if Kenalog Suspension is found in breast milk. Do not breast-feed while taking Kenalog Suspension.

If you are on long-term therapy, you may have WITHDRAWAL symptoms (eg, muscle and joint pain, exhaustion, depression) if you suddenly stop taking Kenalog Suspension. Do not stop therapy abruptly or change dosage without asking your pharmacist or doctor.

Possible side effects of Kenalog Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Acne; changes in appetite; constipation; diarrhea; difficulty sleeping; headache; heartburn; nausea; restlessness; sweating; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in eyesight; changes in mood; fever or chills; muscle pain or weakness; pain, redness, or swelling at the injection site; seizures; slow wound healing; sore throat.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Store Kenalog Suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, light, and moisture. Keep Kenalog Suspension, as well as syringes and needles, out of the reach of children and away from pets.

General information:

• If you have any questions about Kenalog Suspension, please talk with your doctor, pharmacist, or other health care provider.
• Kenalog Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Kenalog Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.