Rheumatology Book

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Injectable Corticosteroid

Aka: Injectable Corticosteroid, Corticosteroid Injection, Intra-articular Corticosteroid
  1. See Also
    1. Joint Injection
  2. Preparations: 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
  3. Preparations: 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
  4. Preparations: Long-Acting: Dexamethasone and Betamethasone
    1. Preparations
      1. DexamethasoneSodium 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
  5. Reference
    1. Leversee (1986) Prim Care 13:572-99 [PubMed]

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