Keno Oral Paste

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Keno Oral Paste contains Triamcinolone acetonide 0.1% and is presented as a healthcare product. It is supplied in a pack size of 3g.

It is classified as a non-prescription medicine, so no prescription is needed to order it. Under Malaysian rules for medicine information, this page carries product, safety and handling information only.

You can consult a doctor or pharmacist online on DoctorOnCall about this product before or after you order. Every order is checked by a registered pharmacist before it is delivered. Always read the label and the leaflet supplied with the pack.

Directions for Use

Gently dry the affected area with a clean cotton swab, then apply a small dab of paste directly onto the ulcer using a clean fingertip or cotton bud, without rubbing, ideally after meals and before bedtime, so the paste is not immediately washed away by eating or drinking.

Storage Instructions

Store below 30°C in a dry place away from direct sunlight, keep the tube tightly closed after use, and keep out of reach of children.

Side Effects

  • Skin irritation, dryness, or redness (for topical forms)
  • Thinning of the skin with prolonged use
  • Headache or dizziness (especially with nasal or injectable forms)
  • Easy bruising or delayed wound healing
  • Increased risk of infections
  • Changes in mood or sleep patterns
  • Nosebleeds or sore throat (with nasal spray use)

Contraindications

  • Known hypersensitivity to triamcinolone acetonide or other corticosteroids
  • Mouth ulcers or lesions caused by untreated viral infections such as oral herpes
  • Fungal infections of the mouth such as oral thrush, unless directed by a doctor
  • Bacterial infections of the mouth without concurrent appropriate treatment

Drug / Food Interactions

  • No significant systemic drug interactions are typically reported with short-term topical oral use due to minimal systemic absorption
  • Avoid eating or drinking immediately after application to allow the paste to adhere and work effectively
  • Concurrent use of other oral corticosteroid products on the same area is generally not recommended without medical advice

Quick Tips

  • Apply after meals and before bedtime for the paste to stay in contact with the ulcer longer
  • Avoid rubbing the paste in, as this can reduce its adhesion and effectiveness
  • Do not use for longer than the recommended short course without medical advice
  • Maintain good oral hygiene while treating a mouth ulcer
  • See a doctor or dentist if the ulcer persists beyond 2 weeks or recurs frequently

Ingredients / Active Ingredients

  • Triamcinolone acetonide 0.1%
  • Carboxymethylcellulose sodium
  • Pectin
  • Gelatin
  • Plasticised hydrocarbon gel base

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

While most minor mouth ulcers heal on their own within one to two weeks, this paste can help reduce discomfort during healing; ulcers that are unusually large, very painful, slow to heal, or recurring frequently should be assessed by a doctor or dentist to rule out other underlying causes.

Frequently Asked Questions

Product Specifications

ClassificationNon-prescription
Ingredients / Active IngredientsTriamcinolone
Weight3g
DosageUse a small pea-sized or smaller amount sufficient to cover the ulcer, applied 2 to 3 times daily or as directed on the label, for a short course generally not exceeding 7 days for a single episode.
Shelf LifeUse before the expiry date printed on the tube and carton, and discard the product if it has changed in colour, texture, or smell.

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Important Medical Information

💊 Recommended Dosage:

Use a small pea-sized or smaller amount sufficient to cover the ulcer, applied 2 to 3 times daily or as directed on the label, for a short course generally not exceeding 7 days for a single episode.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to triamcinolone acetonide or other corticosteroids
  • Mouth ulcers or lesions caused by untreated viral infections such as oral herpes
  • Fungal infections of the mouth such as oral thrush, unless directed by a doctor
  • Bacterial infections of the mouth without concurrent appropriate treatment
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Skin irritation, dryness, or redness (for topical forms)
  • Thinning of the skin with prolonged use
  • Headache or dizziness (especially with nasal or injectable forms)
  • Easy bruising or delayed wound healing
  • Increased risk of infections
  • Changes in mood or sleep patterns
  • Nosebleeds or sore throat (with nasal spray use)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.