Do NOT use Kenalog-40 Suspension if:
- you are allergic to any ingredient in Kenalog-40 Suspension
- you have a systemic fungal infection or a malaria infection in the brain
- you are using Kenalog-40 Suspension as an intramuscular injection to treat a certain bleeding disorder (idiopathic thrombocytopenic purpura)
Contact your doctor or health care provider right away if any of these apply to you.
Before using Kenalog-40 Suspension:
Some medical conditions may interact with Kenalog-40 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 a bacterial or fungal infection; a viral infection (eg, chickenpox, shingles); measles; tuberculosis (TB); a parasitic, amebae, or worm infection; or a herpes infection of the eye
- if you have unexplained diarrhea, inflammation of the esophagus, ulcers, colitis, stomach or bowel problems (eg, inflammation, blockage, perforation), or recent stomach or bowel surgery
- if you have a history of heart problems (eg, congestive heart failure), recent heart attack, high blood pressure, blood clotting problems, diabetes, cataracts, glaucoma, increased eye pressure, kidney problems, liver problems (eg, cirrhosis), mood or mental problems, a seizure disorder (eg, epilepsy), thyroid problems, or weak or brittle bones (osteoporosis)
- if you have had joint surgery or a positive TB skin test, or if you have recently had a vaccination
- if you have myasthenia gravis and take anticholinesterases (eg, pyridostigmine)
Some MEDICINES MAY INTERACT with Kenalog-40 Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Amphotericin B, digoxin, or diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium and heart problems (eg, enlarged heart, irregular heartbeat, heart failure) may be increased
- Cyclosporine because the risk of seizures may be increased
- Anticoagulants (eg, warfarin) because an increase or decrease of their effects may occur
- Azole antifungals (eg, itraconazole, ketoconazole), estrogens, hormonal contraceptives (birth control pills), or macrolide antibiotics (eg, clarithromycin) because they may increase the risk of Kenalog-40 Suspension’s side effects
- Barbiturates (eg, phenobarbital), carbamazepine, cholestyramine, hydantoins (eg, phenytoin), or rifampin because they may decrease Kenalog-40 Suspension’s effectiveness
- Aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or ritodrine because the risk of their side effects may be increased by Kenalog-40 Suspension
- Anticholinesterases (eg, pyridostigmine) or isoniazid because their effectiveness may be decreased by Kenalog-40 Suspension
This may not be a complete list of all interactions that may occur. Ask your health care provider if Kenalog-40 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.
Important safety information:
- Kenalog-40 Suspension may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
- If you have not had chickenpox, shingles, or measles, avoid contact with anyone who does. Tell your doctor right away if you are exposed to anyone who has these infections or to anyone who has TB.
- If you are on long-term therapy, you may have withdrawal symptoms if you suddenly stop using Kenalog-40 Suspension. Contact your doctor right away if you have muscle and joint pain, exhaustion, or depression. Do not suddenly stop using Kenalog-40 Suspension or change your dose without talking with your doctor or pharmacist.
- If you are on long-term therapy, contact your doctor right away in the event of situations of physical stress (eg, injury, surgery, infection, or loss of blood electrolytes). You may need additional fast-acting steroids to help the body handle these situations.
- Tell your doctor or dentist that you take Kenalog-40 Suspension before you receive any medical or dental care, emergency care, or surgery.
- Kenalog-40 Suspension may interfere with skin allergy tests. If you are scheduled for a skin test, talk to your doctor. You may need to stop taking Kenalog-40 Suspension for a few days before the tests.
- Do not receive a live vaccine (eg, measles, mumps) while you are using Kenalog-40 Suspension. Talk with your doctor before you receive any vaccine.
- Lab tests, including blood pressure checks, bone density, and eye exams, may be performed while you use Kenalog-40 Suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Diabetes patients – Kenalog-40 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-40 Suspension.
- Kenalog-40 Suspension has benzyl alcohol in it. Do not use it in NEWBORNS. It may cause serious and sometimes fatal nervous system problems and other side effects.
- Caution is advised when using Kenalog-40 Suspension in CHILDREN; they may be more sensitive to its effects.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Kenalog-40 Suspension while you are pregnant. It is not known if Kenalog-40 Suspension is found in breast milk. If you are or will be breast-feeding while you use Kenalog-40 Suspension, check with your doctor. Discuss any possible risks to your baby.