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Triamcinolone vs. Extina

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Triamcinolone (Triderm, Kenalog) and ketoconazole (Extina) are both topical prescription medications used to treat skin conditions, but they belong to different drug classes. Triamcinolone is a corticosteroid used to treat inflammatory skin conditions like eczema and psoriasis by reducing inflammation and irritation. It comes in various forms, such as creams, ointments, lotions, and sprays, and is typically applied 2 to 4 times a day. On the other hand, ketoconazole is an azole antifungal used to treat seborrheic dermatitis and comes as a foam that is applied twice daily. Both medications can cause burning as well as a rash at the application site. Triamcinolone is not suitable for long-term use, especially in children, due to the risk of adrenal suppression and skin thinning, whereas ketoconazole is not approved for use in children under 12 years old.

Triamcinolone

 

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Ketoconazole foam

(Extina)

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Summary for Triamcinolone

Prescription only

Triamcinolone is a topical corticosteroid used to treat different inflammatory skin conditions, like eczema psoriasis, or skin allergies, in adults and children. It works by reducing inflammation, redness, and irritation. The medication is available in various formulations, such as cream, ointment, lotion, and topical spray. Depending on the formulation, it's typically applied between 2 to 4 times a day. Side effects are rare, but can include burning, itching, and dryness at the application site.

Indications for Triamcinolone

  • Inflammatory skin conditions

Pros and Cons for Triamcinolone

Pros

  • Symptoms typically start to improve within a few days
  • Many formulations to choose from, such as ointment, cream, lotion, and spray
  • Might have less side effects compared to oral steroids that you take by mouth

Cons

  • For short-term use only
  • Children might absorb more of this medication, raising the risk of side effects
  • Needs to be applied multiple times a day

Common Side Effects for Triamcinolone

  • Burning
  • Itching
  • Skin irritation
  • Dry skin

Warnings for Triamcinolone

  • Reduced adrenal gland function
  • Skin infection
  • Skin problems

Summary for Extina

Prescription only

Ketoconazole foam (Extina) is an azole antifungal. It's used to treat seborrheic dermatitis in people 12 years and older. The foam is applied to the affected area(s), such as face and scalp, twice a day. Typically, a treatment lasts 4 weeks. One of the more common side effect of ketoconazole foam (Extina) is burning sensation at the application site.

Indications for Extina

Pros and Cons for Extina

Pros

  • Applied directly to the skin
  • Has few side effects
  • Stored at room temperature

Cons

  • Applied twice daily
  • Might need to use for 4 weeks
  • Not approved for children under 12 years old

Common Side Effects for Extina

  • Rash from sun-sensitivity (17%)
  • Burning-sensation at application site (10%)
  • Other reactions at application site (6%)

Warnings for Extina

  • Allergic rash
  • Flammable product

Prices with our coupons for Triamcinolone vs. Extina

Price Card Drug Icon
Triamcinolone1 jar / 430g of 0.05%
$68.06$805.30
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Price Card Drug Icon
Ketoconazole1 can / 50g of 2%
$150.60$587.64
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