Triamcinolone acetonide should not be used by those with tuberculosis or untreated fungal, bacterial, systemic viral or herpes simplex infections without consulting a doctor first. Few serious adverse effects were noted in clinical trials, with pharyngitis,rhinitis, headache and epistaxis being the more common ones.Overdosage is improbable, and the effects of such an overdose appear to be confined to gastrointestinal upset. The maximum dosage for both adults and children (age 6-12) is 220 mcg per day. Individuals with geographic tongue (benign migratory glossitis) can apply it at bedtime to the affected area which heals overnight.