What is Kenalog-40?Kenalog-40 is a synthetic corticosteroid medicine. Kenalog-40 is used when your adrenal glands do not make enough hormones that help your body respond to stress or regulate your blood pressure and water and salt intake. Kenalog-40 can also be used for conditions affecting many different parts of your body, including your skin, stomach or intestines, blood, nervous system, eyes, kidneys, lungs, or glands. In addition, this medication can be used to treat severe allergies, sudden worsening of multiple sclerosis, arthritis, lupus, or certain cancers. Kenalog-40 can be administered intramuscularly (injected into the muscle) or intra-articularly (injected into the joint).
What is the most important information I should know about Kenalog-40?Kenalog-40 can cause increased blood pressure, holding onto salt and water in your body, or decreased blood potassium levels. Your doctor will check your blood pressure and electrolyte levels (chemicals that are important for the cells in your body to function, such as sodium and potassium) while you are receiving Kenalog-40.
Kenalog-40 can mask some signs of infection, making it difficult for your doctor to diagnose it. Also, Kenalog-40 can lower your resistance to infections and make them harder to treat. Tell your doctor if you develop fever or other signs of infection.
Do not expose yourself to chickenpox or measles while you are receiving Kenalog-40. This can be very serious and even fatal in children and adults who have not had chickenpox or measles. Also, Kenalog-40 can reactivate an inactive case of tuberculosis (a bacterial infection that affects the lungs).
Cataracts (clouding of the eye's lens), glaucoma (high pressure in the eye), other eye problems, or eye infections can occur while you are receiving Kenalog-40.
Kenalog-40 contains benzyl alcohol as a preservative. Benzyl alcohol can cause toxicity in your newborn baby. This should not be used in preterm or newborn babies.
Intra-articular injection of Kenalog-40 can cause damage to your joint tissues. Your doctor will examine your joint fluid to see if it is infected. Tell your doctor if you notice an increase in pain, swelling, further restriction of joint motion, fever, or discomfort.
Who should not take Kenalog-40?Your doctor will not administer Kenalog-40 to you if you are allergic to it or any of its ingredients. Also, your doctor will not administer Kenalog-40 intramuscularly if you have idiopathic thrombocytopenic purpura (a bleeding disorder due to an abnormally low level of platelets [type of blood cells that form clots to help stop bleeding]).
What should I tell my doctor before I take the first dose of Kenalog-40?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Kenalog-40. Also, talk to your doctor about your complete medical history, especially if you have any infections, cataracts, glaucoma, certain eye infections, tuberculosis, heart problems, high blood pressure, kidney or liver problems, thyroid problems, psychiatric conditions, ulcerative colitis (inflammatory disease of the large intestine), other intestinal problems, stomach ulcers, osteoporosis (thin, weak bones), myasthenia gravis (a disease characterized by long-lasting fatigue and muscle weakness), traumatic brain injury, diabetes, or are under stress (such as trauma, surgery, or severe illness).
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
Adults: Your doctor will administer the appropriate dose for you based on your condition or response.
Children: Your doctor will administer the appropriate dose for your child, based on their weight and condition.
How should I take Kenalog-40?Your doctor will administer Kenalog-40 to you.
What should I avoid while taking Kenalog-40?Do not miss your scheduled follow-up appointments with your doctor. It is important to check your progress.
What are possible food and drug interactions associated with Kenalog-40?If Kenalog-40 is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to tell your doctor if you are taking any of the following prior to treatment with Kenalog-40: aminoglutethimide, amphotericin B, antidiabetic medications (such as glipizide, insulin, or metformin), aspirin, barbiturates (such as phenobarbital), birth control pills, blood thinners (such as warfarin), carbamazepine, certain antibiotics (such as erythromycin), cholestyramine, cyclosporine, digoxin, diuretics (water pills) (such as ethacrynic acid or furosemide), estrogen, isoniazid, ketoconazole, phenytoin, rifampin, or vaccines (such as smallpox vaccine).
What are the possible side effects of Kenalog-40?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: acne (pimples), allergic reactions, decrease in blood potassium levels, depression, eye problems, headache, heart problems, high blood sugar levels, impaired wound healing, increase in blood pressure, intestinal or stomach problems, muscle weakness, nausea, osteoporosis, rash, seizures, swelling, weight gain
Can I receive Kenalog-40 if I am pregnant or breastfeeding?The effects of Kenalog-40 during pregnancy and breastfeeding are unknown. Kenalog-40 can be found in your breast milk if you receive it while breastfeeding. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
What should I do if I miss a dose of Kenalog-40?Kenalog-40 should be given under special circumstances determined by your doctor.
How should I store Kenalog-40?Your doctor will store this medication for you.