Triamcinolone acetonide is a potent fluorinated corticosteroid with rapid anti-inflammatory, antipruritic, and antiallergic actions.

The combined action of the antibiotics Neomycin and Gramicidin provides comprehensive antibacterial therapy against a wide range of Gram-positive and Gram-negative bacteria, including those microorganisms responsible for most bacterial skin infections.

Nystatin is an antifungal agent, active against a wide range of yeast-like fungi, including Candida albicans. The topical treatment of superficial bacterial infections, cutaneous candidosis, and dermatological conditions known to respond to topical steroid therapy when threatened or complicated by bacterial or candidal superinfections.

These include: atopic eczema, contact eczema, follicular eczema, infantile eczema, otitis externa, anogenital pruritus (pruritus ani et vulvae), nummular eczema, post-traumatic infective eczema, seborrheic or flexural eczema, neurodermatitis, and psoriasis.

Each gram of cream/ointment contains the following:

• Triamcinolone Acetonide BP 1 mg
• Neomycin (as sulphate) BP 2.5 mg
• Gramicidin BP 0.25 mg
• Nystatin BP 100,000 units

This medication is a combination of antibiotic, antifungal, and steroid used on the skin to treat an infection and relieve associated itching and swelling.

Adults and children: Apply to the affected areas two to four times daily.

Elderly: Natural thinning of the skin occurs in the elderly, hence corticosteroids should be used sparingly and for short periods of time.

This medication is for topical use only. Clean and dry the affected area. Rub a small amount on the affected area of the skin. Do not bandage, wrap or cover the area treated unless you are instructed to do so by your doctor. Do not use large amount,apply this more often or use this for a longer period than directed. Use carefully if applying to the face. Avoid contact with the eyes and mouth.

If you miss a dose, apply it as soon as remembered; do not use if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not 'double-up' the dose to catch up.

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of:

• other products for the skin (e.g., corticosteroids/antiseptics)
• aminoglycoside antibiotics (e.g., gentamicin, tobramycin)
• corticosteroids taken by mouth (e.g., prednisone)

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Tuberculous, viral lesions of the skin (e.g., herpes simplex and varicella).Fungal lesions not susceptible to nystatin.Facial rosacea, acne vulgaris, or perioral dermatitis.Not to be applied to the external auditory canal in patients with perforated tympanic membranes. Do not use on extensive areas to reduce the risk of systemic absorption and neomycin-induced ototoxicity.Not recommended for children under 1 year of age.

This medication may cause burning, itching, redness, or a rash. Notify your doctor if these effects continue or become bothersome.

Pregnancy Category – Not Classified. The FDA has not yet classified the drug into a specified pregnancy category.

This drug should be used carefully in those patients who have a hypersensitivity reaction to the mentioned combination preparation.

Triamcinolone & Combined preparations

Store at room temperature (15° to 30°C). Do not freeze. Keep away from heat and light. Keep the tube tightly closed, and keep all medicines out of the reach of children.