dexamethasone with preservatives...

[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?

 

[paindoc007]

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.

 

[Drd105]

Zero. Use whatever you want. Particulate embolization in an interlaminar epidural isn’t a thing.

thank you so much!

 

[lobelsteve]

Preservative bad if you go IT. Don't go IT.

 

[Drd105]

Preservative bad if you go IT. Don't go IT.

will pray today is not the day that happens!

 

[Ducttape]

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.

 

[epidural man]

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?

I would say 1.

Risk is not zero - but very small.

 

[RoloTomassi]

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.

 

[deleted875186]

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?

 

[Ducttape]

read your package inserts.

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

New England Compounding Center meningitis outbreak - Wikipedia

en.wikipedia.org

oh and a follow up:

Former Owner of Defunct New England Compounding Center Resentenced to 14 Years in Prison in Connection with 2012 Fungal Meningitis Outbreak

BOSTON – The former owner of the now-defunct New England Compounding Center (NECC) was resentenced today in federal court in Boston in connection with the 2012 nationwide fungal meningitis outbreak. The defendant was resentenced after the First Circuit Court of Appeals affirmed his criminal...

www.justice.gov