Verify Triamcinolone

Drug JSON

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{
  "slug": "triamcinolone",
  "nameEn": "Triamcinolone",
  "nameTh": "ไตรแอมซิโนโลน",
  "class": "Corticosteroid — intermediate-acting glucocorticoid",
  "mechanism": "glucocorticoid สังเคราะห์ที่แรงกว่า prednisolone (~ ×5) ฤทธิ์ต้านการอักเสบและกดภูมิ; มีรูปฉีด acetonide ออกฤทธิ์ยาว (depot) สำหรับโรคผิวหนัง/ข้อ",
  "brandNamesTh": [
    "Vetalog",
    "Kenalog"
  ],
  "indications": [
    {
      "text": "ภาวะอักเสบและภูมิแพ้ (allergic dermatitis, pruritus), โรคภูมิคุ้มกัน, ฉีดเข้าข้อ/รอยโรคผิวหนังเฉพาะที่ ในสุนัขและแมว",
      "cites": [
        "merck-corticosteroid-h",
        "vca-triamcinolone"
      ]
    }
  ],
  "contraindications": [
    {
      "text": "ห้ามใช้ร่วม NSAID (แผล GI), ระวัง DM/ติดเชื้อ/ตั้งท้อง; ใช้นานเกิด iatrogenic Cushing + กด HPA axis — ค่อย ๆ ลด ห้ามหยุดกะทันหัน",
      "cites": [
        "merck-corticosteroid-h"
      ]
    }
  ],
  "sideEffects": [
    {
      "text": "PU/PD, เจริญอาหาร, น้ำหนักขึ้น, น้ำตาลสูง, เสี่ยงติดเชื้อ; การใช้ depot ซ้ำเพิ่มผลข้างเคียง systemic",
      "cites": [
        "vca-triamcinolone"
      ]
    }
  ],
  "dosages": [
    {
      "species": "canine",
      "indication": "Anti-inflammatory / allergic",
      "route": "PO",
      "dose": "0.11–0.22 mg/kg PO วันละครั้ง จนคุมอาการ แล้วค่อย ๆ ลดเหลือขนาดต่ำสุดวันเว้นวัน",
      "cites": [
        "merck-corticosteroid-h",
        "vca-triamcinolone"
      ]
    },
    {
      "species": "feline",
      "indication": "Anti-inflammatory / allergic",
      "route": "PO",
      "dose": "0.11–0.22 mg/kg PO วันละครั้ง แล้วค่อย ๆ ลด",
      "cites": [
        "vca-triamcinolone"
      ]
    }
  ],
  "citations": [
    {
      "id": "merck-corticosteroid-h",
      "type": "textbook",
      "title": "Glucocorticoids — MSD/Merck Veterinary Manual",
      "year": 2025,
      "url": "https://www.merckvetmanual.com/pharmacology/anti-inflammatory-agents/glucocorticoids",
      "note": "Authoritative veterinary pharmacology reference. Copyrighted, cited not mirrored.",
      "cid": null
    },
    {
      "id": "vca-triamcinolone",
      "type": "monograph",
      "title": "Triamcinolone — VCA Animal Hospitals",
      "url": "https://vcahospitals.com/know-your-pet/triamcinolone",
      "year": 2025,
      "note": "Clinical veterinary drug reference.",
      "cid": null
    },
    {
      "id": "wikipedia-triamcinolone",
      "type": "monograph",
      "title": "Triamcinolone — Wikipedia",
      "year": 2026,
      "url": "https://en.wikipedia.org/wiki/Triamcinolone",
      "note": "Tertiary cross-check for class + mechanism. CC BY-SA 4.0. Not sole authority.",
      "cid": null
    }
  ],
  "mirroredFrom": [
    {
      "id": "who-atc",
      "name": "WHO ATC/DDD Index",
      "url": "https://www.whocc.no/atc_ddd_index/",
      "asOfDate": "2026-05-30",
      "license": "WHO publication, free for use with attribution"
    }
  ],
  "mirrorCIDs": [],
  "codes": {
    "atc": {
      "code": "H02AB08",
      "name": "Triamcinolone",
      "level": 5
    }
  },
  "drafting": {
    "aiAssisted": false,
    "aiModel": null,
    "aiPromptHash": null,
    "humanReviewer": "palmzamak2547",
    "humanReviewedAt": "2026-05-30",
    "humanEditsRatio": null
  },
  "signatures": [],
  "reviewedBy": null,
  "lastUpdated": "2026-05-30",
  "version": 1,
  "changelog": [
    {
      "version": 1,
      "date": "2026-05-30",
      "summary": "New entry — clinical content compiled from cited authoritative sources (Merck Veterinary Manual / EMA-FDA labels / VSSO / ACVIM-AAHA / peer-reviewed), cross-checked. Every statement cited. Reviewed by palmzamak2547. Pending faculty canonical signature."
    }
  ]
}

Public keys used

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