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Diprospan - instructions for use, analogs, reviews and release forms (suspension or solution in injections in injections in ampoules (including for intra-articular administration)) of a drug for the treatment of inflammation in adults, children and pregnancy »Page 2

Diprospan - instructions for use, analogs, reviews and release forms (suspension or solution in injection injections in ampoules (including for intra-articular administration)) of the drug for the treatment of inflammation in adults, children and in pregnancy

In this article, you can read the instructions for using the drug Diprospan. There are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors specialists on the use of Diprospan in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Diprospan in the presence of existing structural analogs.Use for the treatment of inflammatory diseases in adults, children, as well as during pregnancy and lactation.

 

Diprospan - Glucocorticosteroid (GCS) drug, has a high glucocorticoid and minor mineralocorticoid activity. The drug has anti-inflammatory, antiallergic and immunosuppressive effect, and also has a pronounced and diverse effect on various types of metabolism.

 

Pharmacokinetics

 

Betamethasone sodium phosphate (the active substance of the drug Diprospan) is readily soluble in water and after a / m injection rapidly undergoes hydrolysis and is almost immediately absorbed from the injection site, which provides a rapid onset of therapeutic action. Virtually completely eliminated within one day after administration. It is excreted mainly by the kidneys.

 

Indications

 

Treatment in adult conditions and diseases in which GCS therapy allows to achieve the necessary clinical effect (it must be taken into account that in some diseases SCS therapy is complementary and does not replace standard therapy):

  • diseases of the musculoskeletal system and soft tissues, incl. Rheumatoid arthritis, osteoarthrosis, bursitis, ankylosing spondylitis, epicondylitis, cocciogeny, torticollis, ganglionic cyst, fasciitis;
  • allergic diseases, incl. bronchial asthma, hay fever (hay fever), allergic bronchitis, seasonal or all-the-year-round rhinitis, drug allergy, serum sickness, reactions to insect bites;
  • dermatological diseases, including atopic dermatitis, coin-like eczema, neurodermatitis, contact dermatitis, severe photodermatitis, urticaria, lichen planus, alopecia areata, discoid lupus erythematosus, psoriasis, keloid scars, pemphigus vulgaris, cystic acne;
  • systemic connective tissue diseases, including systemic lupus erythematosus, scleroderma, dermatomyositis, nodular periarteritis;
  • hemoblastoses (palliative therapy of leukemia and lymphomas in adults, acute leukemia in children);
  • primary or secondary insufficiency of the adrenal cortex (with simultaneous simultaneous application of mineralocorticoids);
  • other diseases and pathological conditions requiring systemic GCS therapy (adrenogenital syndrome, regional ileitis,pathological changes in blood, if necessary, the use of GCS).

 

Forms of release

 

Suspension for injection (including for the introduction of the inside of the joint).

 

Solution for injections (injections in ampoules).

 

Instructions for use and how to use them

 

Intramuscular, intraarticular, periarticular, intra-abdominal, intradermal, interstitial and intraluminal injections. The small dimensions of the crystals of Betamethasone dipropionate allow the use of needles of small diameter (up to 26 calibers) for intradermal administration and administration directly to the lesion site.

 

The drug is administered with a disposable syringe using needles (0.5x25 mm and 0.8x50 mm) included in the kit.

 

DO NOT INSERT INSIDE! DO NOT INSERT!

 

Strict compliance with the rules of asepsis is mandatory when applying Diprospan. Shake the syringe before use.

 

The dosage regimen and the mode of administration are set individually, depending on the indications, the severity of the disease and the patient's response.

 

With systemic therapy, the initial dose of Diprospan is in most cases 1-2 ml. The introduction is repeated as necessary, depending on the patient's condition.

 

Intramuscular injection of SCS should be carried out deep in the muscle, while choosing large muscles and avoiding entering other tissues (to prevent tissue atrophy).

 

The drug is administered intramuscularly:

 

  • in severe conditions requiring emergency measures; the initial dose is 2 ml;
  • with various dermatological diseases; as a rule, it is sufficient to administer 1 ml of a suspension of Diprospan;
  • with diseases of the respiratory system. The onset of the drug occurs within a few hours after an intravenous injection of the suspension. With bronchial asthma, hay fever, allergic bronchitis and allergic rhinitis, a significant improvement is achieved after the introduction of 1-2 ml of Diprospan;
  • with acute and chronic bursitis, the initial dose for the IM is 1-2 ml of the suspension. If necessary, several repeated injections are carried out.

 

If a satisfactory clinical response does not occur after a certain period of time, Diprospan should be withdrawn and another therapy prescribed.

 

With local administration, simultaneous application of a local anesthetic is necessary only in rare cases.If desired, 1% or 2% solutions of procaine hydrochloride or Lidocaine without methyl paraben, propylparaben, phenol and other similar substances are used. In this case, the mixing is carried out in a syringe, first by typing in the syringe from the vial the required dose of a suspension of Diprospan. Then the required amount of local anesthetic is taken from the ampoule into the same syringe and shaken for a short period of time.

 

In the case of acute bursitis (sub-deltoid, subscapular, elbow and prenadalovenous), the introduction of 1-2 ml of the suspension into the synovial bag alleviates the pain and restores the mobility of the joint for several hours. After relieving the exacerbation of chronic bursitis, smaller doses of the drug are used.

 

In acute tenosynovitis, tendinitis and peritendinitis, one injection of Diprospan improves the patient's condition; when chronic - the injection is repeated depending on the patient's reaction. It is necessary to avoid the introduction of the drug directly into the tendon.

 

Intra-articular administration of Diprospan in a dose of 0.5-2 ml relieves pain, limiting the mobility of joints in rheumatoid arthritis and osteoarthritis within 2-4 hours after administration.The duration of the therapeutic effect varies considerably and can be 4 or more weeks. The recommended dose of the drug when injected into large joints is 1 to 2 ml; in the middle - 0.5-1 ml; in small - 0.25-0.5 ml.

 

Recommended single doses of the drug (with the interval between administrations 1 week) for bursitis: with 0.25-0.5 ml of homozygliness (as a rule, 2 injections are effective), with spurs - 0.5 ml, with restriction of mobility of the big toe - 0.5 ml, with synovial cyst - 0.25-0.5 ml, with tenosynovitis - 0.5 ml, with acute gouty arthritis - 0.5-1.0 ml. For most injections, a tuberculin syringe with a 25 gauge needle is suitable. After reaching the therapeutic effect, the maintenance dose is selected by gradually reducing the dose of betamethasone administered at appropriate intervals. The reduction is continued until the minimum effective dose is reached.

 

If there is a threat of a stressful situation (not related to the disease), it may be necessary to increase the dose of Diprospan. The cancellation of the drug after prolonged therapy is carried out by a gradual dose reduction.

 

Monitoring of the patient's condition is carried out, at least,during the year after the end of long-term therapy or use in high doses.

 

Side effect

  • fluid retention in tissues;
  • chronic heart failure (in predisposed patients);
  • increased blood pressure;
  • muscle weakness;
  • loss of muscle mass;
  • osteoporosis;
  • compression fracture of the spine;
  • aseptic necrosis of the head of the femoral or humerus;
  • pathological fractures of tubular bones;
  • ruptures of tendons;
  • erosive and ulcerative lesions of the gastrointestinal tract with possible subsequent perforation and bleeding;
  • flatulence;
  • impaired wound healing;
  • atrophy and thinning of the skin;
  • petechiae, ecchymosis;
  • increased sweating;
  • steroid acne;
  • stria;
  • propensity to develop pyoderma and candidiasis;
  • convulsions;
  • increased intracranial pressure with edema of the optic disc (more often at the end of therapy);
  • dizziness;
  • headache;
  • euphoria;
  • mood changes;
  • depression (with severe psychotic reactions);
  • increased irritability;
  • insomnia;
  • violation of the menstrual cycle;
  • secondary adrenal insufficiency (especially during the period of stress in case of illness, trauma, surgical intervention);
  • the Itenko-Cushing syndrome;
  • decrease in carbohydrate tolerance;
  • violation of intrauterine development;
  • delay in growth and sexual development in children;
  • increased intraocular pressure;
  • glaucoma;
  • weight gain;
  • anaphylactic reactions;
  • shock;
  • angioedema;
  • lowering blood pressure;
  • flow of blood to the face after injection (or intra-articular injection).

 

Contraindications

  • hypersensitivity to betamethasone or other components of the drug, or other SCS;
  • systemic fungal infections;
  • intravenous or subcutaneous administration;
  • with intra-articular injection: unstable joint, infectious arthritis;
  • introduction into infected cavities and into the intervertebral space;
  • children's age up to 3 years (presence in the composition of benzyl alcohol);
  • violations of coagulation (including treatment with anticoagulants).

 

Application in pregnancy and lactation

 

Due to the lack of controlled studies of the safety of the use of Diprospan during pregnancy, the use of the drug in pregnant women or in women of childbearing age requires a preliminary assessment of the intended benefit and potential risk to the mother and fetus.Newborns, whose mothers received therapeutic doses of GCS during pregnancy, should be under medical supervision (for early detection of signs of adrenal insufficiency).

 

If it is necessary to appoint Diprospan during lactation, the issue of stopping breastfeeding should be addressed, taking into account the importance of therapy for the mother (due to possible side effects in children).

 

special instructions

 

The dosage regimen and the mode of administration are set individually, depending on the indications, the severity of the disease and the patient's response.

 

The dose should be as small as possible, and the period of application as short as possible. The initial dose is selected until the necessary therapeutic effect is achieved. If after a sufficient period of time the therapeutic effect is not observed, the drug is canceled by gradually reducing the dose of Diprospan and selecting another appropriate method of treatment.

 

After reaching the therapeutic effect, the maintenance dose is selected by gradually reducing the dose of betamethasone administered at appropriate intervals. The reduction is continued until the minimum effective dose is reached.

 

If there is a threat of a stressful situation (not related to the disease), it may be necessary to increase the dose of Diprospan. The cancellation of the drug after prolonged therapy is carried out by a gradual dose reduction.

 

The patient's condition is monitored for at least a year after the end of long-term therapy or at high doses.

 

The introduction of the drug into soft tissues, into the lesion and inside the joint can, with pronounced local action, simultaneously lead to systemic action. Given the likelihood of developing anaphylactoid reactions with parenteral administration of GCS, the necessary precautions should be taken before administering the drug, especially if the patient has anamnestic indications of allergic reactions to medicines.

 

Diprospan contains two active substances - betamethasone derivatives, one of which - betamethasone sodium phosphate - quickly penetrates into the systemic bloodstream. When the appointment of Diprospan should take into account the possible systemic action of the rapidly dissolving fraction of the drug.

 

Against the background of the use of Diprospan, mental disorders are possible (especially in patients with emotional instability or susceptibility to psychosis).

 

When appointing Diprospan, patients with diabetes mellitus may need to correct hypoglycemic therapy.

 

Patients receiving glucocorticosteroids should not be vaccinated against smallpox. Other immunizations should not be performed in patients receiving SCS (especially at high doses), because of the possibility of developing neurological complications and low response immune response (absence of antibody formation). However, immunization is possible with replacement therapy (for example, with primary adrenal insufficiency).

 

Patients receiving Diprospan in doses suppressing immunity should be warned about the need to avoid contact with patients with chicken pox and measles (especially important when prescribing the drug to children).

 

When using Diprospan, it should be borne in mind that SCS can mask the signs of an infectious disease, as well as reduce the body's resistance to infections. The appointment of Diprospan with active tuberculosis is possible only in cases of fulminant or disseminated tuberculosis in combination with adequate antituberculous therapy.When appointing Diprospan, patients with latent tuberculosis or with a positive reaction to tuberculin should decide on the issue of preventive antituberculous therapy. In the preventive use of rifampin, acceleration of hepatic clearance of betamethasone should be considered (dose adjustment may be required).

 

In the presence of fluid in the joint cavity, the septic process should be excluded. A marked increase in soreness, swelling, an increase in the temperature of surrounding tissues, and a further limitation of joint mobility are indicative of infectious arthritis. When confirming the diagnosis, antibacterial therapy should be prescribed.

 

Repeated injections into the joint with osteoarthritis may increase the risk of joint destruction. The introduction of SCS into the tendon tissue gradually leads to rupture of the tendon. After successful intra-articular therapy, the patient should avoid overloading the joint.

 

Prolonged use of GCS can lead to posterior subcapsular cataract (especially in children), glaucoma with possible damage to the optic nerve and may contribute to the development of secondary eye infection (fungal or viral).It is necessary to conduct an ophthalmological examination periodically, especially in patients receiving Diprospan for more than 6 months.

 

With increasing blood pressure, fluid retention and sodium chloride in tissues and increasing the excretion of potassium from the body (less likely than using other GCS), patients are recommended a diet with restriction of table salt and additionally prescribed potassium-containing drugs. All GCSs increase the excretion of calcium.

 

With the simultaneous use of Diprospans and cardiac glycosides or preparations that affect the electrolyte composition of the plasma, control of the water-electrolyte balance is required.

 

Caution is prescribed Acetylsalicylic acid in combination with diprospan in hypoprothrombinemia.

 

The development of secondary adrenocortical insufficiency due to too rapid cancellation of SCS is possible within a few months after the end of therapy. In case of occurrence or threat of occurrence of a stressful situation during this period, therapy with Diprospan should be resumed and at the same time a mineralocorticoid drug should be prescribed (due to a possible violation of the secretion of mineralocorticoids). The gradual elimination of GCS can reduce the risk of developing secondary adrenal insufficiency.

 

Against the background of the use of GCS, a change in the mobility and the number of spermatozoa is possible. With prolonged therapy with GCS, it is advisable to consider the possibility of switching from parenteral to oral GCS, taking into account the evaluation of the "benefit / risk" ratio.

 

Pediatric Use

 

Children who are being treated with Diprospan (especially long-term therapy) should be carefully monitored for possible lag in the growth and development of secondary adrenal insufficiency.

 

Drug Interactions

 

With the simultaneous administration of phenobarbital, rifampin, phenytoin or ephedrine, it is possible to accelerate the metabolism of the drug with a decrease in its therapeutic activity.

 

With the simultaneous use of GCS and estrogens, dosage adjustment may be required (because of the risk of overdose).

 

With the combined use of diprospan and potassium-releasing diuretics, the likelihood of developing hypokalemia increases.

 

Simultaneous use of GCS and cardiac glycosides increases the risk of arrhythmia or digitalis intoxication (due to hypokalemia). Diprospan may increase the excretion of potassium caused by amphotericin B.With the combined use of Diprospan and indirect anticoagulants, changes in blood coagulation that require dose adjustment are possible.

 

When combined use of GCS with non-steroidal anti-inflammatory drugs or with ethanol and ethanol-containing drugs, an increase in the incidence or intensity of erosive-ulcerative gastrointestinal lesions is possible.

 

When combined, GCS can reduce the concentration of salicylates in the blood plasma.

 

Simultaneous administration of GCS and somatotropin can lead to a slower absorption of the latter (avoiding the administration of beta-metazone doses exceeding 0.3-0.45 mg / m2 body surface per day).

 

Analogues of the drug Diprospan

 

Structural analogs for the active substance:

  • Acriderm;
  • Beloderm;
  • Betazon;
  • Betamethasone;
  • Betamethasone valerate;
  • Betamethasone dipropionate;
  • Betliben;
  • Betnoveit;
  • Kuterid;
  • Flosteron;
  • Celestoderm-B;
  • Celeston.

Similar medicines:

Other medicines:
Reviews (186):
Visitors
elen izmailova
Hello. I suffer from diffuse hair loss for several years. Appealed to different specialists, trichologists, dermatologists, was examined, the tests were normal, the cause of hair loss was not found. The last dermatologist whom I visited assigned me a 1 dip of diprospan. I read the instruction: diprospan is used for focal alopecia and dermatological diseases. Neither one nor the other I do not. The drug is serious and has many side effects. I doubt if I need to apply it in the absence of explicit evidence?
Administrators
admin
elen izmailova, Well, I can not see you, evaluate your medical history and analyzes (maybe there are borderline states that lead to hair loss), how can I cancel or recommend in this case Diprospan. I would have a good examination of the GIT and liver, if other tests are really normal. A diprospan Yes, it is used by dermatologists to treat alopecia, sometimes it is pierced locally in the centers of hair loss, sometimes systemically and injected intramuscularly.But this last resort and it is left to the last resort.
Visitors
Chinara
Hello! At me have found out ahillobursit (an achilles tendon bursitis). I am ill or sick 3 weeks. During this time, two injections were administered by Diprospan (with a break of 3-4 days). The improvement occurred after the 2nd injection. At night after a nyxis, insomnia, depression and so on.
The question is: should I do another injection, or should I wait, and can I choose something more sparing?

Administrators
admin
Chinara, Continue treatment as recommended by your doctor. For three injections, the majority of patients do not experience irreversible consequences and a depressed mood, and insomnia must leave as soon as discontinue treatment with Diprospan. I can not prescribe a remedy remotely remotely because the degree of inflammation is not clear and there are already positive results of the therapy, I usually advise my patients to go to the end in such cases.
Visitors
Selena
Hello.So many reviews I read and in the pharmacy I was intimidated that Diprospan is a terrible drug. So, please, tell us what is the main harm, as a hormonal drug, it can cause the body as a whole, what is its main danger? And please, tell me more exactly how much 1 dose of Diprospan is in the body, and then everywhere I read in different ways from 2-3 days. up to 7-10 days? Thank you for your reply.
Administrators
admin
SelenaSomeone reads reviews and dies of their illnesses, and someone fulfills the prescriptions of doctors and recovers, and without consequences, even from the use of Diprospan. No doctor will not torture a patient with a long intake of hormonal drugs, as he is well aware of the possible consequences. But the negative consequences or side effects appear in a small number of patients. Since the negative is written more than about the positive - we have a final negative information background about the drug. All people are different and all drugs work differently, some of the harmless vitamins anaphylaxis up to a lethal outcome, someone has months of hormone treatment without a trace.

The period of excretion of Diprospan from the human body is more than 10 days from the moment of administration.
Guests
Tatyana
Diprospan took off the wild pains in the knee joint. Three injections were done, with a difference of a week. Another doctor said that such injections should be done once in three months - that's understand who is right, although they are both doctors. And yet, that, the second doctor said that the consequences after the injection are irreversible - the bones become brittle, the glazing of the joint occurs. Currently, I constantly feel a burning sensation inside the joint, burning like nettles.
Visitors
Stas
Hello! I used diprospan for nesting alopecia for 5 consecutive weeks for 1 ml. intramuscularly. The face was very swollen, although I have not applied it for 3 weeks already. Tell me, how long will it take for me?
Administrators
admin
Stas, Within 1 month must pass the possible consequences of using a hormonal drug, if this does not happen - it makes sense to see a doctor to diagnose the problems and the appointment of treatment. I understand it was only 5 injectionsDiprospana for 5 weeks - this is a small dosage and the duration of treatment and affect the overall condition of this treatment should not be. Perhaps the cause of puffiness of the face is in something else.
Visitors
Stas
admin, Thank you) Tell me, is the rash on the chest, shoulders and back - this is also the consequences of taking Diprospan? Has begun in 1 week after the termination or ending of reception of this preparation. There is no itching and burning.
Administrators
admin
Stas, Skin changes as side effects of taking hormonal drugs are quite possible. Given the nature of the changes and the period (3 weeks after receiving Diprospan) it is reasonable to now ask the doctor to begin to intelligent endocrinologist to evaluate the nature of the changes to it, and to pass the necessary tests.
Guests
Alla
Good evening, I have postpartum inflamed hip over two months (accumulated fluid - on results of US), erythrocyte sedimentation rate, 15. I did not give any other tests, I breast-feed the baby. The doctor put diprospan in the joint, and said that you can feed. At home reading the instructions, I understand that it is impossible. Day decant.When can I resume GW? Thank you in advance.
Visitors
Viktor Neo
And at me, on the contrary, only from one injection of Дипроспана the state of a skin has sharply improved. Two days after the injection, almost completely disappeared from the face and heads of acne. The skin has become more smooth and supple. He put a shot from seasonal allergies - pollinosis.
Administrators
admin
Alla, From the joint, the penetration of medicinal substances into the bloodstream and the systemic effect on the body is minimal. Thus, your doctor is right when she said that you can continue breastfeeding immediately after intra-articular injection of Diprospan. A drug is withdrawn from the body only for 10 days and even longer, so that one day of decantation will not give anything, but in your case it does not matter.
Guests
Angelica
Good afternoon. For more than 20 years I suffer from chronic allergies (regular sneezing from April to December, especially when it's windy). Antihistamines do not help, read about diprospan, I want to try, but it's scary somehow.Advise something. Very much I am excruciated from an allergy.
Administrators
admin
AngelicaIn addition to consulting an allergist, I especially do not help you in this situation, because if antihistamines do not help, then you can ask the question of where the allergy comes from and whether it is allergic. Diprospan and other hormonal drugs in case of ineffectiveness of other therapy of allergic manifestations are the drugs of choice, but should be prescribed by a doctor.
Guests
Victoria
Hello! I have rheumatoid arthritis. I take methotrexate 5 mg once a week. A month ago she put an intra-articular injection of diprospans. The pain left at once, flew a month as on the wings, now because of the loads, apparently, the pain returned and not only in the knee, throughout the body.
Visitors
sava
Hello. My diagnosis: UZ-signs of scar changes of soft tissues with point calcification in the lateral parts of the joint. Signs of tendovaginitis tendon of the long flexor of the thumb. Tendopathy of the tendons of the peroneal muscles.
Appointed diprospan. How true is therapy and can it be treated with other medications? (not hormonal) There are problems of the gastrointestinal tract (esophagitis).
Administrators
admin
sava, One ultrasound can not be diagnosed - a clinic, a medical history is also important. If tendovaginitis (we start from the existing one), then Diprospan is used, including in combination with physiotherapy, limb immobilization. Initially, non-steroidal anti-inflammatory drugs are usually prescribed (there are many of these medicines and dose them depending on the degree of inflammatory process), but the patient has problems with the gastrointestinal tract, so the question of their application at the discretion of the treating doctor.
Visitors
Lyudmila 77
Hello! My sister was diagnosed with a meniscus injury (orthopedic traumatologist consulted with a surgeon). Have given time to think: either an operative intervention, or an injection of diprospan into the knee. Four years ago, with pain in the knee, they already put a dip of diprospan. And her doctor warned that from the injections of diprospane may eventually degenerate cartilaginous tissue,and in such cases, such treatment is recommended for the elderly. My sister is 38 years old. It is very difficult to make the right choice. Please advise what to do in this situation? Thank you.
Administrators
admin
Lyudmila 77The risk of complications of surgical intervention is always higher than intraarticular injection. This is purely technical from a variety of cases, and not specifically the situation of your sister. If the doctors give the patient the choice of treatment methods, then they have no clear decision and they do not. I would advise you to find out a different opinion from a third-party traumatologist and then make your choice.
Visitors
Sholpan
Hello! I am 35 years old. In August, I suffer from an allergy to wormwood. Already 4 th year lays a nose, watery eyes, pershit throat. I put a dip Diprospan, it helps. I want to ask you a question, I wanted to become pregnant in the future, will this injection affect the baby's fetus? Thank you.
Administrators
admin
SholpanIf you do this regularly it can quite affect.This is a probability, like when taking any medicine, and even more so if it's Diprospan. Maybe to begin with it is necessary to be limited to antihistamine means or than it is easier. I would address to the allergist, early to you still to be loaded with hormones on a regular basis.
Visitors
ELENA V
Hello! I am 56 years old. I have 14 years of bronchial asthma. I got sick right after my mother's funeral. The professor immediately offered Symbicort. Several times I was in the hospital. Drugs with prednisolone of day 2-3 were put and immediately it became better. Then she began to self-medicate. As soon as she started to suffocate, she did 2-3 days for prednisolone and could breathe. At first it was enough for 2-2.5 months, then for a month, and then for a couple of weeks. The pulmonologist offered to use Foradyl Combi instead of Prednisolone. For a while it helped, but the dose increased every time. But to Prednisolon still sometimes resorted. Since last year, he began to experience interruptions, and then he disappeared altogether. In the pharmacy I was offered to try Diprospan instead of Prednisolone. Has bought or purchased. She did 3 injections (3 days) and was just struck by the result.I have chronic sinusitis and for several years there was no sense of smell. Each summer I did 5-6 punctures of each maxillary sinus (doctors insisted on surgery), 2-3 times a year was treated with antibiotics. After injections, my nose breathed freely, the sense of smell returned, and for almost 1.5 months I did not use any medications for bronchial asthma. This was the first remission in 14 years. But then the nasal breathing again became difficult, and behind it the lung. I had one ampoule of Diprospan (I was at the dacha), I injected. Everything happened again. The nose breathes and the lungs too. Advise, how should I be? My nose on corticoids is about 30 years old already. I have a vasomotor allergic rhinitis, but the allergen has not been identified. Perfume can not stand washing powder (from personal observations). Tablets from an allergy I drink every day for years. Can I use Diprospan from time to time?
Administrators
admin
ELENA V, You yourself all know by treatment, judging by the description of your medical history. I can not advise you such a strong medicine as a method of self-treatment. In general, you understand ...
Visitors
ELENA V
Thank you. And you want to be healthy ...
Visitors
tatbar2006
Good afternoon. I have pain in the groin when walking, with legs sideways, it's painful to squat and raise my leg to my chest. On the x-ray of the hip joint, the doctor puts coxarthrosis 1 degree, but doubts that pain from coxarthrosis. Since nothing is already helping, I was given a shot of Diprospan near the hip joint. On the fourth day the pain was almost gone. And on the sixth day I started to return again. Could this be due to bathing in cold water and a small amount of wine that I allowed myself on the fifth day? Or does not this drug suit me and I need another treatment?
Administrators
admin
tatbar2006, This means that the problem in the hip joint is and somewhere there is inflammation, which was temporarily stopped by Diprospan, which is a powerful anti-inflammatory agent. It is necessary to continue preobsledovanie and determine the cause of pain, then to work with this clear localization of pain.
Guests
Dilnaz
Is it true that diprospan leads to infertility?
Administrators
admin
Dilnaz, No. Glucocorticosteroid preparations, which include Diprospan, are used in infertility therapy regimens in patients who are shown this treatment.
Guests
oxana kravchenko
Hello. In November and 3 weeks later in December 2014, I was pricked into the right shoulder joint by diprospan. Until today, I dig myself, plant, try not to get too heavy with loads, but the hand works. It sometimes podnyvaet, but within reasonable limits. Such treatment was appointed by a surgeon traumatologist on the basis of a picture, I do not remember the diagnosis, a build-up in the joint. Yesterday I pricked from an allergy. Ambrosia kolositsya, suffer for 24 years, grass, fluff, wool, poplar, which can be excluded from contact. Breathing was immediately at the exit from the hospital, there was almost no sneezing, my eyes calmed down. I hope that there will be enough for 6 months. After a stab in the joint, the allergy returned to the end of summer 2015, and the tablets from the allergy drank, something now they did not at all, neither day nor night, nor sleep, nor work and stomach is not very like.Side: heat, insomnia, headache. For today it suits me, it helps, but I will use it as an extreme measure, in the spring I will start again with tablets.
Guests
Zarema
Hello. Has read through, that the preparation can be pricked directly in a place of localization of a pain. Such question - at me an allergy on a house dust whether it is possible to apply it or him in the form of drops or it is obligatory to do or make injections?
Administrators
admin
Zarema, The solution and suspension of the drug Diprospan is allowed to use only as injections. Instillation in the form of drops with allergies will not have any effect, well, except as a placebo. About local use was due to the use of inflammation in the focus (injections in the inflamed joint or other place of inflammation or pain localization).
Visitors
Claudia Ivanovna
Hello! I have a polyvalent drug allergy, allergic rhinitis, pollinosis, polyarthritis, arthrosis and stomach ulcer. This is a small part of the disease. Weight 92 kg with a height of 164 cm.From arthrosis and arthritis, I am saved by the fact that twice a year the stakes are twice a year with amelotex, movalis or arthrosan in tandem with milgamma or kombilipen, as the doctor appoints, I do not take self-medication. But here is the problem with allergy. At the moment, appointed citrine and allergodyl. From tablets, a persistent hypnotic effect. In the afternoon, I'm like a sleepy fly, and at night I can not fall asleep, from sneezing sneezing, burning. The doctor says that he does not know what else to appoint me, we've tried everything. Indeed, all the pills and drops are in my medicine chest, I do not throw them away, I write on the boxes, what was the reaction after the reception, so as not to step on the same rake a second time. But one day I was cured of allergies for ten years! In 1995, there was an allergy attack in the village, a rural doctor took him off with a prenizolone injection, and then prescribed histoglobulin from 0.1 ml (+ 0.1 ml every other day) to 1 ml and then down to 0.1 ml, plus the same time they did blood transfusion, so-called autotherapy. For ten years I did not know what an allergy was! In 2005, a son died and sores climbed like mushrooms after a rain. From allergies are constantly stuffy nose, headache, bitterness in the mouth, a bad dream, I am snoring myself, hardly falling asleep.Has asked the allergist to appoint or nominate histaglobulin, after all he really helped or assisted me for a long time, she with sarcasm has asked: Who from us the doctor? And appointed diprospan. Do you think it worth to do it? And is it not better to appoint histaglobulin? Find a doctor from a small rural hospital!)) Thank you for your time.
Administrators
admin
Claudia Ivanovna, Understand what helped you then, the injection of hormone prednisolone or histaglobulin introduced according to the scheme is difficult. I would have replaced the whole scheme if it had a positive effect, and now you have been prescribed Diprospan (a similar hormone as in the past), but whether it will be difficult to say the effect of such a monotherapy. If everything is so incomprehensible with the rest of the medicine for allergies, then it is quite obvious that there is no simple solution to the problem. I would consult another doctor on your problem, because your allergist is not motivated in your health and goes the easy way.
Guests
Irina
I'm saving myself only with diprospane for many years.A terrible allergy to the pollen of various herbs (ragweed, quinoa, etc.), and also suffer from arthritis of the knee joints. While one injection is enough to feel good. I'm glad that helps. The only thing that scares me, I do not know what it can do. One treat, the other cripple. But let's not talk about the sad, well, that there is this drug.
Guests
Victoria
The doctor prescribed 1 mg diprospan, while saying one ampoule for a month is enough for back pain. Nothing of the kind - did not help at all (
Guests
Marina Valentinovna
Hello! I am 57 years old. I have protrusions in all parts of the spine. Has addressed to the neurologist. The doctor appointed an MRI. Based on the results of the examination, treatment is prescribed: mid-oculm - 10 days. Then diprospan: 3 pricks a day after 3 days, only 9 injections in the buttocks. Plus omeprazole. Further, after 2 weeks, a long-term treatment with a chondroprotector is planned. I no doubt followed appointments, since relief came at once, although I read about side effects, and they were observed: increased sweating, small swelling.Doubts emerged after talking with my mother, who treated a sick shoulder with this drug: 1 shot a week. Only 3 injections. Did not you give me a lot? After reading the reviews on your site and your comments on them, I came to the conclusion that it's better not to panic, but to follow the treatment planned. Thank you very much for the clear and useful comments!
Visitors
miss.vip_777
Diprospan should not be injected into the knee joint at all! This leads to the destruction of the joint itself, and in the end - to the replacement of the artificial joint. The advice of a wise traumatologist. Anesthetize them, they anesthetize, and what will happen to the person in the end? Think about yourself in the future.
Visitors
Alexandra 51
Hello! 3 months ago have made an injection of diprospana under the eye (seriously inflamed nerve). The edema of the nerve was gone. A month later, at the injection site, a small depression appeared. In one and a half the depression became more noticeable, it has a pink color. For two months its size has not changed. Very visible. It did not hurt, there were no sensations at all. The hospital said that, probably, the tissue went into negative.Feeling the skin in that place has become thinner and, as if, the fat layer has dissolved. Most likely, the injection was wrong. Perhaps it was necessary to make the needle longer and deeper. Doctors raise their hands, they say that it is necessary to clean, of course, because it can be seen. Offer to prick there hyaluronic acid. Is this hollow not going to pass? Fabrics do not grow back? It is terrible to prick with hyaluron. I am 22.
Administrators
admin
Alexandra 51, This man-made influence and most likely the fabric will not return, although it happens in different ways. If there is a possibility to wait - wait a year, let the place of a prick finally stabilize and it will be visible, it is necessary to do an injection of the corrector or not. Hyaluronka is a biopolymer, a natural substance of the human body, so there is no particular danger, the whole question is the professionalism of the person who injects.
Visitors
Lyudmila
Hello! I am 53 years old. 3 months ago, I had a sharp pain in the appendage region, but I was at this moment was not in my city, but on vacation, I had to take pain with ibuprofen (I took 3 tablets 5 days, after 10 days the course was repeated 2 more times).Acute pain was already within a day or two after the first course, the pain became quite tolerable, at rest does not bother. But when walking for more than 30-50 minutes, the leg began to limp and hurt sensibly. When I was able to contact the therapist after 1.5 months, I was prescribed ultrasound with hydrocortisone and applications with dimexide. I bought silicone heels in shoes (they became much more comfortable), and I slept for 3 weeks in a felt boots (according to a popular recipe). The condition has not improved, it is also quite tolerable, it's better something worse. On the x-ray of the foot, a rear spur is defined in the projection of the calcaneus of the calcaneus. But it hurts me not there, but under the heel and even the vault itself where it joins with the heel. The therapist directed me to a consultation with a traumatologist who diagnosed the plantar bursitis and prescribed diprospan with lidocaine 2 pricks along the longitudinal arch (with an interval of 1 week). The question I have is this - now I have almost no pain - or walk was less compared to the summer, or the treatment still worked, or maybe the prick was scared. Do I need to take an injection? Maybe better in the pool and exercise room with physio? Or, if not cured, everything again can get worse?
Administrators
admin
LyudmilaThe doctor decides and you. You can try to make warming up and laser therapy as elements of physiotherapy. The pool will not help. LFK must be watched. The injection will most likely solve the problem radically, but it all depends on the extent of the lesion and the severity of the pain syndrome. Perhaps the severity of the problem has already subsided and you can abandon the injection.
Guests
Galina
The injection in the heel from the spur is very, very painful and I did it 10 years ago. Now this year in August, I again strongly ached in the heel and the picture showed a hook in the heel. I took a shot of Diprospan. It became easier, but the pain did not go away at all. And now I hardly move, I step on my heel like a nail, a sharp pain. Tomorrow I'll go again to the injection.
Visitors
Masyanya
Good afternoon. The doctor prescribed 2 ml of diprospans for pain in the joints, the pain did not go away, but the general condition worsened, the muscle weakness was severe, emaciated by 4 kg, the depression, the disgusting state, read that diprospan persists in the body for up to 3 months, when these sensations pass these side effects? Thank you.
Administrators
admin
MasyanyaEveryone has different, but if the injection of Diprospan was single, it will pass quickly, within a week. With long courses of treatment, the hormone can maintain its negative effect for a month.
Guests
Evelina
Listen, this is horror-horror-horror, but how to be a patient who is not the first year on diprospan. They have withdrawal syndrome, and our beautiful state decided not to buy the drug? And there are no worthy analogs?
Administrators
admin
EvelinaWhile I do not see such a problem, there is a Diprospan on sale. If hard times come, we will treat them with analogues and reduce dosages also on analogues, the party and the government will not leave the other way. Analogues for the active substance are written at the end of the instructions to the drug.
Guests
Rome
I have a diagnosis of X-ray "Bone exostosis" of the elbow joint. I was assigned a blockade of diprospan. Today they made the first injection with lidocaine, but after an hour and a half I felt sick (blood pressure dropped, I had to call an ambulance). The condition is satisfactory, but not perfect.
Visitors
Ivanovna
I am 70 years old. I have arthrosis of the foot. The surgeon suggested Diprospan, but I'm concerned about the side effects of this drug, because I already have osteoporosis in severe form and glaucoma, and maybe 1-2 injections - is it okay or should not I aggravate my glaucoma and osteoporosis? Thank you.
Administrators
admin
Ivanovna, For a complete answer, you need to know the stage of arthrosis. If the treatment with chondroprotectors (Arthra, Teraflex, Dona, Structum and others) lasts twice a year in regular years, plus at the time of aggravation and development of pain reaction, inflammation is no longer helped by non-steroidal anti-inflammatory drugs (Diclofenac, Voltaren, Arkoksia and many other means ), then the choice in favor of intra-articular injection of Diprospan can be considered adequate and justified, even taking into account the existing concomitant pathology. You can also consider intra-articular injections of so-called liquid prostheses or hyaluronic acid-based products, but the localization of the process and the size of the joint is already important here, whether these conditions will allow injection.
Visitors
oreshek
Good evening. Long stayed residual prepatellar bursitis after a dip of diprospan, rheumatologist offered diprospan. After the injection, the bursa became inflamed. The next day, the temperature rose to 37. Is it side effects or infection?
Administrators
admin
oreshek, It is better to address this question to a rheumatologist who injected, because the question is incomprehensible: bursitis from the injection of Diprospan and again offer to inject into the joint Diprospan? In general, something is confused, and even after clarification, we will only waste time to understand what's what. There may be many causes: inflammation, a layered common cold, an infection with an injection, other causes. It is necessary to look live.
Visitors
Konstantin555
Good day. The part of the tattoo has inflamed. The dermatologist has written out diprospan. After reading the feedback, the desire to put it off. Whether will tell or say there will be a benefit from a preparation? It's painful to put it in. plus to all I have chronic gastritis will not it get worse after the injection?
Administrators
admin
Konstantin555The problem is more cosmetic than the way you describe it. Perhaps Diprospan is still early. Refer to the tattoo master who did the tattoo, maybe he will advise you something sensible, they in their work with such periodically collide and know more. I can only suggest antibacterial ointments or creams to the inflamed area (Levomecol, Baneocin and others), but if the problem is serious, then the treatment will be comprehensive including using hormones as anti-inflammatory drugs and will not pay attention to gastritis.
Guests
Boris
Hello! I have sprains in the elbow joint. The doctor at an interval of one week made me two injections intrabursally. It helped. But I inadvertently gave a load and again inflammation and pain. Now the doctor has no one to do the injection. Question: Will the desired effect be achieved if done intramuscularly? Thank you!
Administrators
admin
Boris, The effect will be worse than intraarticular injection in your case.In addition, stretching ligaments is best treated by immobilization with a tire or gypsum, and not using hormonal anti-inflammatory drugs. In general, the answer is difficult to give, because the initial information in the question is not enough.
Guests
lead
Diprospan helped me for 3 months. Now again the pain.
Guests
Svetlana Zhuravleva
After the muscles were severed on the back a few hours later, the face became very red, the pressure slightly increased and it's been three days already.
Guests
Victoria
The son made an injection of diprospan from an allergy, had a runny nose, eyes watered, etc. After 2-3 days the whole body was covered with a rash.
Guests
Igor Zinkin
Hello. I'm 45 years old. Allergy to the breeze and the almo torment 4Z of the year. Pepperno last 15 years, with acute physical traits. Somehow I thought I would not survive. All the signs of the lamina were affected by the symptoms, while our patient did not presume to use the dipospan's sticks. It is lethal in the main when it is contaminated and further away from allergy. Ho me a little. The last year the first step was two leagues, and in the end it was close to the end of the cusp. B THIS YEAR DEYSTVIE PREVOGO DUTICE is already 18 days old.No illusions, ezzhu in Lec, on the fish, nasladozhayusch vecnoy! Long time to collect this information, but as soon as it does not. The oldest was a lot, I used to leave out of the house, I saw the Internet, I saw that there was something new in the light of allergy, and I live a full life. Ceichac goes the rain and I'm dying to the computer. Do not think that it's okay, you'll see this text and the other caits. I must inform you of this information. Forgive me for not having registered, I want to share as much as possible with a large number of allergy sufferers.
Visitors
Zhani
Hello. I did not find any feedback about the use of Diprospan against keloid scars. To me 25.03 have removed shchitovidki, the seam was accurate, cosmetic, but at an adhesion the cicatrix began to be formed. I think you understand that it does not look very nice. The doctor said that this is a feature of my body and suggested that in a week Dikspapan should be injected directly into this scar. I agreed, but now, after reading about a pile of side effects and contraindications, I'm in a state of confusion. I would like to know your opinion on the appropriateness and safety of this drug application! I am confused by a strict instruction in the instructions: "do not inject subcutaneously,"and I get it will be necessary just so and enter, if straight into the scar?
Administrators
admin
ZhaniThere is such a technique for applying Diprospan. Here, rather intradermal or interstitial injection, and not subcutaneous. Works with varying success. Sometimes, instead of a scar, atrophy may appear (that is, instead of a protuberance, a pit appears, it does not look very), one defect is changed to another. If the doctor has a lot of experience, you can trust and try, but if a small scar I would start with Kontraktubeksa, Fermencola and other similar drugs that are softer. In general, this issue can not be resolved remotely, consult on the spot with specialists, it is better for several.
Visitors
Denis74
Hello. My grandmother has osteoarthritis. She was hospitalized in the knee diprospan. The first 5 days were all right, after and already for a month she had just terrible pains all over her body, no pain reliever helps, does not sleep at night, the pain does not stop missing appetite, lost weight. Tell me, please, than it is possible to treat this all? The doctor said it was very hormonal because of this all so.
Administrators
admin
Denis74, Perhaps anything, as related to the injection of Diprospan, and not connected with the injection. Moreover, intra-articular injection in 99.9% of cases does not give a systemic reaction, excluding allergic reactions.

Doctor your grandmother do not have to show his psychic abilities on drugs charges, and start with an analysis of the general, biochemistry, hormones, because the same hypokalemia can trigger severe pain in the muscles, like the symptoms described above. Plus consultation of the neurologist, the nervous system can be loosened, can generally someone said that it is a strong medication, the brain and the rest of an old man thought: and psychosomatics we are treated by psychologists and psychiatrists in advanced cases. We must search for the cause of pain, and then treat it.
Visitors
Golib75
Hello. With aseptic necrosis, can diprospan be used? Were there any patients with this diagnosis who received this medicine?
Administrators
admin
Golib75, Diprospan can be used for aseptic necrosis of the joint, but this disease does not lend itself to conservative therapy.To reverse the development of the process, no modern medicine can yet.
Visitors
dolyaigor
Good afternoon. I was diagnosed two years ago with "The formation of a false joint on the right wrist of the wrist joint after an old fracture that did not grow together". An operation was performed, after which the doctors promised that the movement of the brush would be limited, but there would be no pain in the joint. Now I turned to the doctor with severe pain in the joint. After the roentgen, arthritis is diagnosed. Have registered injections Ketonal, cream Ketonal and procedures of electro-laser therapy. The result - for 10 days of treatment of pain only intensified. Yesterday, an injection was made in the joint of Diprospan, the pain is now gone. I'm afraid this is a temporary effect. What do you think is the further prospect of treatment?
Administrators
admin
dolyaigor, Pro prospects speak prematurely, and perhaps anything, some constantly pierce Diprospan, some grab a single injection of this remedy.
Guests
Verandax
Hello. Tell me, please, today I have to do a blockade of the elbow joint with Diprospan, and yesterday I started taking Furadonin, tk. caught a cold. Can I go to this procedure today?
Administrators
admin
Verandax, Can. With the combined use of Diprospan and Furadonin, no additional side effects should occur.
Guests
Bob
Prompt, doctors at a pain in a cervical department have registered 1 ampoule Diprospana + a heap of medicines and a physiotherapy. After a puncture of the hormone, it became easier for 10 days, then pain manifested itself. On the advice of another doctor, he did 3 more injections once a week for Diprospana (did not read the annotation, what consequences, etc. My mistake!)
Now I am very worried about the consequences, can take tests for hormones, consult an endocrinologist and take a course of cleaning, if possible. Please tell me how to proceed, very frightened of the possible consequences.
Administrators
admin
Bob, Too short-term course of Diprospan passed, so that there would be some consequences. Negative changes you would feel immediately, and if they are not, then everything went without consequences. The side effects described in the manual are rare, and they are infrequent, mainly with prolonged use of hormonal drugs.
Visitors
e_va89
Hello. At me on a lower eyelid there were at once two capsules of a haljazione together. After the injection of diprospan, only one of them dissolves. Whether it is possible to make repeatedly an injection, that the second also has resolved? Two months have passed since the first injection.
Administrators
admin
e_va89, It is possible, if your oculist recognizes such treatment necessary.

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