dexamethasone with preservatives...

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Drd105

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how bad would it be on a scale of 1-10 if I did a CESI with the dex with preservatives? someone ordered the wrong type of dex by mistake- advise please soon?
 
how bad would it be on a scale of 1-10 if I did a CESI with the dex with preservatives? someone ordered the wrong type of dex by mistake- advise please soon?

Zero. Use whatever you want. Particulate embolization in an interlaminar epidural isn’t a thing.
 
remember you use preservatives for any depomedrol injection, including polyethylene glycol. so, in a way, your CESI with dex would be no different from a preservative standpoint than someone else's CESI with depomedrol.

preservative free dex actually does contain a "preservative", but citric acid is not considered by the FDA to be a preservative.
 
Don't sweat it. Have had several patients that have said previous ESI done elsewhere resulted in CSF leak, PDPH. I'm sure at least some of these had some IT steroid with preservative. Never seen arachnoiditis from ESI.
 
remember you use preservatives for any depomedrol injection, including polyethylene glycol. so, in a way, your CESI with dex would be no different from a preservative standpoint than someone else's CESI with depomedrol.

preservative free dex actually does contain a "preservative", but citric acid is not considered by the FDA to be a preservative.
I thought depo came as preservative free?
 
read your package inserts.

the only truly preservative free depomedrol came from the New England Compounding Center.


oh and a follow up:
 
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