I use a mixture of % Chirocaine which is a local anaesthetic that has two roles. It helps to numb the shoulder (which explains why sometimes your pain can go pretty much straight away) and it increases the volume of the injection to 10mls which helps spread the steroid across the whole of the tendon area. The steroid I use is called Depomedrone and I use 80 mg. That is only 2mls in volume and given by itself could just disappear into the fat or other tissues unless it is absolutely in the exact spot and that’s why I add the local anaesthetic – to get a bigger volume which is much more effective.
Significant changes (increase or decrease) in the plasma concentrations of progestin have been noted in cases of co-administration with HIV protease inhibitors (decrease [., nelfinavir, ritonavir, darunavir/ritonavir, (fos)amprenavir/ritonavir, lopinavir/ritonavir, and tipranavir/ritonavir] or increase [., indinavir and atazanavir/ritonavir])/HCV protease inhibitors (decrease [., boceprevir and telaprevir]) or with non-nucleoside reverse transcriptase inhibitors (decrease [., nevirapine, efavirenz] or increase [., etravirene]). These changes may be clinically relevant in some cases.
I had three injections all of which worked for a few days to two weeks then stopped. The excruciating pain returned and only Vicoden 5 mg 3-4 times a day controlled the pain. Vicoden at that dose is the lowest dose prescribed. it worked perfectly for several years and doctors refused to prescribed opioids for fear of losing their license. My sister recently died of throat cancer and she complained constantly of pain. She died with unrelieved pain. As a cancer patient she was prescribed Morphine 2 mg. every 6 hours. That is beyond ridiculous but keeps our doctor’s license safe. Our doctors are violating their Hippocratic oath – Do No Harm. They had added a caveat “except when the government is breathing down your neck. Then the patient be damned. I am glad this helped you Randy. I don’t know your clinical status but I am sure it differs from mine. Do you have severe and crippling arthritis?