Drug and Therapeutics Bulletin 1999;37:17-18; doi:10.1136/dtb.1999.37317
Copyright © 1999 by the BMJ Publishing Group Ltd.

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Any place for depot triamcinolone in hay fever?

Relevant BNF section: 6.3.2

The prevalence of hay fever (seasonal allergic rhinitis) in the UK has been increasing; for instance, it doubled from 10 to 20 per 1000 people between the 1970s and 1980s.1 For a few patients with severe hay fever symptoms, it sometimes helps to give a systemic corticosteroid; one possible option is the injection of a long-acting corticosteroid, such as triamcinolone. We have previously concluded that systemic corticosteroids have only a limited role, that is, when complete control of severe symptoms is judged essential (e.g. for a wedding or exam).2 Here we reconsider the case for depot triamcinolone injections in the management of hay fever.




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S M S Nasser and P W Ewan
Lesson of the week: Depot corticosteroid treatment for hay fever causing avascular necrosis of both hips
BMJ, June 30, 2001; 322(7302): 1589 - 1591.
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