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Injectable CorticosteroidAka: Corticosteroid Injection, Intra-articular Corticosteroid

See Also
1. Joint Injection
Short-Acting Injectable Corticosteroids
1. Cortisone
  1. Relative Potency: 0.8 (25 mg)
  2. Dosing
    1. Tendon Sheath and bursas: 20-50 mg
    2. Small Joints: 10-25 mg
    3. Large Joints: 50-125 mg
2. Hydrocortisone
  1. Relative Potency: 1.0 (20 mg)
  2. Supplied: 25 mg/ml, 50 mg/ml
  3. Dosing
    1. Tendon Sheath and bursas: 8-40 mg
    2. Small Joints: 8-20 mg
    3. Large Joints: 40-100 mg
Intermediate-Acting Injectable Corticosteroids
1. Prednisone
  1. Relative Potency: 3.5 (5 mg)
2. Prednisolone tebutate (Hydeltra)
  1. Supplied: 20 mg/ml
  2. Relative Potency: 4 (5 mg)
  3. Dosing
    1. Tendon Sheath and bursas: 4-10 mg
    2. Small Joints: 2-5 mg
    3. Large Joints: 10-25 mg
3. Triamcinolone and Methylprednisolone
  1. Preparations
    1. Triamcinolone (Aristocort, Aristospan, Kenalog)
    2. Methylprednisolone acetate (Depo-Medrol)
  2. Relative Potency: 5 (4 mg)
  3. Supplied: 20 mg/ml, 40 mg/ml
  4. Dosing
    1. Tendon Sheath and bursas: 4-10 mg
    2. Small Joints: 2-5 mg
    3. Large Joints: 10-25 mg
Long-Acting: Dexamethasone and Betamethasone
1. Preparations
  1. Dexamethasone sodium phosphate (Decadron)
  2. Betamethasone (Celestone Soluspan)
2. Relative Potency: 25 (0.6 mg)
3. Supplied: 4 mg/ml, 6 mg/ml, 8 mg/ml
4. Dosing
  1. Tendon Sheath and bursas: 1.5-3.0 mg
  2. Small Joints: 0.8-1.0 mg
  3. Large Joints: 2-4 mg
Reference
1. Leversee (1986) Prim Care 13:572

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.