Injectable Corticosteroid

Aka: Injectable Corticosteroid, Corticosteroid Injection, Intra-articular Corticosteroid

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II. Medications: 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

III. Medications: 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

IV. Medications: 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

V. Reference

  1. Leversee (1986) Prim Care 13:572-99 [PubMed]

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