Triamcinolone acetonide

Triamcinolone acetonide
IUPAC name (4aS,4bR,5S,6aS,6bS,9aR,10aS,10bS)-4b-fluoro-6b-glycoloyl-5-hydroxy-4a,6a,8,8-tetramethyl-4a,4b,5,6,6a,6b,9a,10,10a,10b,11,12-dodecahydro-2H-naphtho[2',1':4,5]indeno[1,2-d][1,3]dioxol-2-one
Identifiers
CAS number	76-25-5 Y
PubChem	6436
ChemSpider	6196 Y
UNII	F446C597KA Y
ChEMBL	CHEMBL1504 Y
Jmol-3D images	Image 1
SMILES O=C\1\C=C5/[C@@](/C=C/1)(C)[C@]2(F)[C@H]([C@H]3[C@](C[C@@H]2O)([C@@]4(OC(O[C@@H]4C3)(C)C)C(=O)CO)C)CC5
InChI InChI=1S/C24H31FO6/c1-20(2)30-19-10-16-15-6-5-13-9-14(27)7-8-21(13,3)23(15,25)17(28)11-22(16,4)24(19,31-20)18(29)12-26/h7-9,15-17,19,26,28H,5-6,10-12H2,1-4H3/t15-,16-,17-,19+,21-,22-,23-,24+/m0/s1 Y Key: YNDXUCZADRHECN-JNQJZLCISA-N Y InChI=1/C24H31FO6/c1-20(2)30-19-10-16-15-6-5-13-9-14(27)7-8-21(13,3)23(15,25)17(28)11-22(16,4)24(19,31-20)18(29)12-26/h7-9,15-17,19,26,28H,5-6,10-12H2,1-4H3/t15-,16-,17-,19+,21-,22-,23-,24+/m0/s1 Key: YNDXUCZADRHECN-JNQJZLCIBL
Properties
Molecular formula	C24H31FO6
Molar mass	434.5 g mol−1
Y (verify) (what is: Y/N?) Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa)
Infobox references

Triamcinolone acetonide is a synthetic corticosteroid used to treat various skin conditions and to relieve the discomfort of mouth sores. It is a more potent type of triamcinolone, being about 8 times as effective as prednisone.^{[citation needed]}

Medical use

Triamcinolone acetonide should not be used by those with tuberculosis or untreated fungal, bacterial, viral or herpes infections without consulting a doctor first. Very few side effects were noted in clinical trials. About 5% of patients had sore throats, and 2.1% suffered from increased coughing.^{[citation needed]} Overdosage is improbable, and the effects of such an overdose appear to be confined to gastrointestinal upset. The maximum dosage for both adults and children (age 6-12) is 220 mcg per day. Individuals with geographic tongue (benign migratory glossitis) can apply it at bedtime to the affected area which heals overnight.

Veterinary use

Triamcinolone acetonide is also used in veterinary medicine as an ingredient in topical ointments. A series of injections with triamcinolone acetonide or another corticosteroid may reduce keloid size and irritation. It is also used as a pre-inductor and/or inductor of birth in cows.