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The Enigma of Intramuscular Triamcinolone and Its Versatility as a Safe and Effective Dermatologic Therapy
Douglas Robins1, Vivek Vemugunta2
1Dr. Robins is with the Department of Dermatology at the University of Florida in Jacksonville, Florida.
Abstract:
Intramuscular triamcinolone acetonide (IMT) has been used for the past 60 years, but a recent survey of 800 dermatologists showed that 55% use it rarely or not at all, primarily because of fear of adverse events. With a unique mechanism of action vs. other systemic corticosteroids, a relatively low dose, and short half-life, IMT can produce a long-term clinical anti-inflammtatory effect. This paper presents an argument for the efficacy of IMT with proper, safe use. In addition, this paper will discuss many of the clinical conditions for which IMT can be effective.
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