Drug General Information (ID: DDIH9MTNSA)
  Drug Name Triamcinolone Drug Info Castor oil Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antiinflammatory Agents Nutritional Supplements
  Structure

 Mechanism of Triamcinolone-Castor oil Interaction (Severity Level: Moderate)
     Increased risk of hypokalemia Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Triamcinolone Castor oil
      Mechanism Hypokalemia Increases the risk of hypokalemia (laxatives can cause loss of electrolytes)
      Key Mechanism Factor 1
Factor Name Hypokalemia
Factor Description Hypokalemia is a condition in which the amount of potassium in your blood is lower than normal. If you are mildly hypokalemic, you may not have any signs or symptoms, but severe hypokalemia may have the following symptoms: fatigue, constipation, frequent or heavy urination, muscle cramps or skin tingling, muscle weakness, and a fast or irregular heartbeat.
      Mechanism Description
  • Increased risk of hypokalemia by the combination of Triamcinolone and Castor oil 

Recommended Action
      Management In general, laxatives should only be used on a short-term, intermittent basis in recommended dosages. During concomitant therapy with corticosteroids, particularly if fludrocortisone or large doses of a glucocorticoid or adrenocorticotropic agent is given, patients should be counseled to recognize potential signs and symptoms of hypokalemia such as fatigue, myalgia, and muscle weakness. If maintenance of bowel regularity is required, patients should be advised to exercise and increase fiber in the diet and/or consider the use of bulk-forming laxatives.

References
1 Chin RL "Laxative-induced hypokalemia." Ann Emerg Med 32 (1998): 517-8. [PMID: 9774942]
2 Muller-Lissner SA "Adverse effects of laxatives: fact and fiction." Pharmacology 47 (1993): 138-45. [PMID: 8234421]
3 Leach MJ, Page AT. Herbal medicine for insomnia: A systematic review and meta-analysis. Sleep Med Rev. 2015 Dec;24:1-12.