Prednisone and prednisolone are potent glucocorticoids and weak mineralocorticoids. Dexamethasone has no mineralocorticoid effect.

Steroids for Musculoskeletal Injections (intraarticular, periarticular, or soft tissue)

From AAFP article

Steroid Dosing and Equivalents

STEROID COMMON CONCENTRATION (MG PER ML) COMMON EQUIVALENT DOSE* (MG) APPROXIMATE DURATION OF ACTION (DAYS)

Methylprednisolone acetate (Depo-Medrol)

40 or 80

40

8

Triamcinolone acetonide (Kenalog)

10 or 40

40

14

Triamcinolone hexacetonide (Aristospan)

20

40

21

Dexamethasone acetate (Decadron LA)

8

8

8

Dexamethasone sodium (Decadron)

4

8

6

note: Steroid agents listed in order of prevalence of use.

*— Dose equivalent to 40 mg of methylprednisolone acetate or triamcinolone acetonide (the most commonly used intra-articular steroid)

Choosing Topical Steroids

Choosing Topical Steroids

 

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