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Two medicines, side by side

Budesonide vs triamcinolone

Budesonide and triamcinolone are both labeled for allergies and asthma. Drugs@FDA records approvals of budesonide since 1994 and of triamcinolone since 1957. Pharmacies paid $0.498 per budesonide DR 3 mg capsule and $0.0452 per gram (Triamcinolone 0.1% cream) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Budesonide's other strengths are brand-only: $3.29 per mL (Eohilia 2 mg/10 mL packet). Triamcinolone's other strengths are brand-only: $2.33 per mL (Kenalog-10 50 mg/5 mL vial).

Check it at the source: the budesonide FDA label on DailyMed (effective October 11, 2019); the triamcinolone FDA label on DailyMed (effective January 28, 2026).

Highlights of the budesonide record

Budesonide (Pulmicort) · label of October 11, 2019

Used for

From the label: indications

PULMICORT RESPULES ® is an inhaled corticosteroid indicated for: • Maintenance treatment of asthma and as prophylactic therapy in children 12 months to 8 years of age ( 1 ) Limitations of Use: Not indicated for the relief of acute bronchospasm ( 1 ) 1.1 Maintenance Treatment of Asthma PULMICORT RESPULES is indicated for the maintenance treatment of asthma and as prophylactic therapy in children 12 months to 8 years of age. […]

On the market

Earliest approval on file
February 14, 1994
Generic labelers
30 labelers
Pharmacy cost
$0.498 per capsule

Supply and safety

Shortage
No current entry
Recalls
9

Highlights of the triamcinolone record

Triamcinolone (Kenalog) · label of January 28, 2026

Used for

From the label: indications

Topical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.

On the market

Earliest approval on file
December 3, 1957
Generic labelers
73 labelers
Pharmacy cost
$0.0452 per gram

Supply and safety

Shortage
Listed; available
Recalls
27

Source: FDA drug labels via openFDA (Budesonide label of October 11, 2019, Triamcinolone label of January 28, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do budesonide and triamcinolone differ on the record?

Both are in FDA's class corticosteroids.

Generics: budesonide since 2008; triamcinolone since 1972 (Drugs@FDA).

BudesonideTriamcinolone
Labeled forAsthma, Allergies, Crohn's disease and ulcerative colitisAsthma, Eczema (atopic dermatitis), Anemia, Leukemia, lymphoma and myeloma, Allergies, Fever, Pain, Osteoarthritis
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)Budesonide is an anti-inflammatory corticosteroid that exhibits potent glucocorticoid activity and weak mineralocorticoid activity.n/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)February 14, 1994December 3, 1957
First generic approvedNovember 18, 2008April 26, 1972
Generic labelers (NDC)30 labelers73 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.498 per capsule (Budesonide DR 3 mg capsule)$0.0452 per gram (Triamcinolone 0.1% cream)
12-month price change-3%-18%
Boxed warningNoNo
Shortage nowNo current entryListed; available
Recalls recorded927
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)58,57531,591
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to budesonide
every medicine labeled for the same conditions