Substitutes and analogues of "Kenalog": reviews and comparisons

Helps to remove inflammation, cope with severe attacks of allergy medicine "Kenalog". It is widely used in medicine. The drug is a hormonal glucocorticoid agent, but, unlike similar drugs, it rarely causes side effects. If nevertheless, against the background of the application of this tool, negative reactions have arisen, then analogues are prescribed, "Ketalog" in this case is canceled.

Composition and form of production

The preparation "Kenalog" is available in the form of tablets and suspension for injections.

One tablet of the medication contains 4 mg of the active ingredient of triamcinolone. As auxiliary substances are involved: magnesium stearate, starch, lactose monohydrate, talcum, povidone.

The ampoule can contain 10 mg or 40 mg of triamcinolone acetonide. As additional components were used: benzyl alcohol, polysorbate, sodium carboxymethylcellulose, sodium chloride, and water for injection. Do not always contain similar constituent substances analogs.

"Kenalog" is produced in Slovenia by the Krka company. In the tablet form of release, 50 capsules are contained in one package. If the drug is in ampoules, then there are five of them in a cardboard box. Ampoules produce 10 or 40 ml.

The cost of tablets is 250-300 rubles, ampoules - about 450-500 rubles. Not always cheaper analogs. "Kenalog", for example, costs less than "Diprospan".

Indications and contraindications

Analogues "Kenalog", if necessary, can always be replaced. This drug is prescribed for shock of various origins. It can be cardiogenic shock, traumatic, burn, surgical or toxic. In this case, "Kenalog" is used when the treatment does not work.

The drug "Kenalog" (analogues and their use in the treatment of diseases of the musculoskeletal system gives a tangible result) is prescribed for allergies that take place in severe form. Assign a medication for anaphylactoid reactions, including with blood transfusion and anaphylactic shock. Indication for use is asthmatic status, rheumatoid arthritis, as well as bronchial asthma.

The drug is used for systemic pathologies of connective tissue. The purpose is a thyrotoxic crisis and an acute stage of development of adrenal insufficiency. Doctors use "Kenalog" for acute hepatitis and hepatic coma, as well as for intoxication of the body with cauterizing fluids. The agent is recommended for the prevention of scar scarring and for reducing the inflammatory process.

The medication is used intraarticularly with diseases such as synovitis, tendonitis, traumatic arthritis and bursitis.

The drug is used for intramuscular and intradermal administration with total and alopecia areata, flat lichen, keloid scars, psoriasis, ring-shaped granuloma, and also limited neurodermatitis.

Contraindication to the use of the drug "Kenalog" (analogs and their use in medical practice is allowed, instead of the drug, if the latter is poorly tolerated by the patient) are the acute stages of psychoses in amnesia. You can not prescribe a drug in the active stage of tuberculosis, with myasthenia, which is accompanied by various neoplasms with the appearance of metostases, duodenal ulcer and stomach, diverticulitis, hypertension. Do not use the drug in the Itenko-Cushing syndrome, thrombosis, diabetes, renal insufficiency and embolism, which is in the anamnesis.

Prohibition to use is osteoporosis, all kinds of hidden infectious foci, syphilis, and also amyloidosis. It is not recommended to use the medicine in the presence of fungal diseases, infections caused by viruses, including Varicella zoster, Herpes simplex. Contraindications are amoebial infections, tuberculosis and gonococcal arthritis, poliomyelitis. Prohibition to use the drug is the period of vaccination, skin lesions that are of an infected nature, as well as lymphadenitis, which manifested itself after BCG vaccination.

The drug is not prescribed for children under 16 unless there is an acute need. Do not apply it during the first five months of pregnancy. The continued use of the "Kenalog" during pregnancy can slow the development and growth of the fetus, cause adrenal atrophy in the unborn child. The drug penetrates into breast milk. Therefore, during treatment, they should interrupt breastfeeding.

Kenalog: instructions for use

Analogues, as well as "Kenalog", should be appointed by a doctor and only in cases of acute necessity, since these drugs are hormonal. The medicine "Kenalog" has two forms of release: a suspension for injection and tablets.

Tablets are given to adults at 4-16 mg per day. This dose is divided into 2 or 3 doses. After improving the patient's condition, the dosage is gradually reduced by 1-2 mg after 2-3 days. Thus, they reach the use of a maintenance amount of the drug equal to 1 mg in knocking, and then completely abolish the drug.

Before using "Kenalog" ampoules (analogues have a similar effect and have a similar pattern of application), they should be shaken well. The drug should not be administered intravenously and subcutaneously.

With symptomatic indications for adults, a suspension of 40 mg is intramuscularly administered. This dosage is used at the beginning of drug treatment. Injection is administered slowly, once every four weeks. If the patient has transferred the first injection well, then the drug is subsequently pricked every 2-4 weeks for 40-80 mg. If necessary, a single dose may be increased to 100 mg. To avoid subcutaneous atrophy, the drug is injected into the muscle tissue deeply. After injection, an alcoholic napkin is applied to the injection site.

Seasonal fever and other allergic pathologies are eliminated once a year, with one injection of 40 mg, during the pollen season. If there is a need for several injections, then they are administered at an interval of four weeks.

Dosage for intra-articular injection is determined by the parameters of the joint itself and the severity of the development of the disease. For adults and children over 12 years of age, the dose for small joints is taken up to 10 mg, for the average - up to 20 mg, large - up to 20 or 40 mg. If several joints are affected at once, the amount of the medicine is increased up to 80 mg. To quickly remove the symptoms of the disease, "Kenalog" can be administered together with a local anesthetic that does not contain a vasoconstrictor. Injections are set so that no depot of the drug is formed in the subcutaneous adipose tissue. The preparation should be administered with complete disinfection. Before the joint injection, the skin is prepared in the same way as for surgical intervention. You can reuse the medication after two weeks.

If the drug is injected directly into the lesion (for example, with bursitis, exostosis and inflammatory condition of the periosteum), then from 10 to 40 mg for the adult population and in children from the age of twelve. It depends on the area of the lesion and the location of the pathology. When you administer the drug in an amount of less than 10 ml, you should use the ampoules "Kenalog" of 10 mg. The drug is diluted with sodium chloride solution and fan-shaped into the zone with maximum pain. It is necessary to avoid the formation of a large drug depot. It is allowed to mix "Kenalog" with a local anesthetic.

In exostosis therapy, the drug is injected with a thick cannula, after the procedure of suctioning the contents and directly into the cyst space. It is permissible to reuse injections after two weeks.

If a shot is injected into a site with subcutaneous lesions, 40 mg of the solution is diluted with a local anesthetic, without a vasoconstrictor component. Injection is placed horizontally in the area located between the skin and the subcutaneous layer. This is done to obtain anesthesia of the infiltrate. Choose a dosage of 1 mg per 1 cm ^{2 of} affected skin. If several foci are treated at the same time, the single dosage should not exceed 30 mg for adults and 10 mg for children.
With keloids, the drug in a dose of 40 ml, without diluting, is injected directly into the scar. You can not put the medicine subcutaneously. Repeated use is possible after two weeks. The duration of medication treatment depends on the severity of the disease, its development and, as a rule, is determined by the doctor.

The medicine can be used as a single (hay fever), and for several years (bronchial asthma in a severe stage of development). If after 3-5 injections there are no signs of improvement, the drug is canceled and the analogs in ampoules or tablets are prescribed instead of the "Kenalog" medication.

Reviews about the preparation "Kenalog"

He notes that it is necessary to use the instructions for use only on the prescription of the doctor "Kenalog". Reviews (analogues if necessary always help to choose the attending physician) argue that the medicine absorbs the subcutaneous scars, helps remove the halyazions (they disappear after 1-2 weeks after the injection), saves from pain in the waist, joints and with humeroscapular periarthritis. Injections with "Kenalog" are done with a calcaneal spur and bronchial asthma.

Among the negative aspects of the hormonal composition of the drug "Kenalog" reviews (analogues have a similar effect and also contain hormones). Patients say that the drug can cause uterine bleeding and bring down the menstrual cycle. After using it, there are stomach pains, heartburn and nausea. Does not give the desired effect with seasonal allergies.

Analogues

If the preparation "Kenalog" is not suitable for treatment, analogues in ampoules and tablets can easily replace it. The most popular substitutes are the following medicines:

• "Flosteron." Produced in Slovenia in the form of suspensions for injection. Five ampoules cost about 200 rubles.
• Depo-Medrol. It is manufactured in Belgium in the form of injectable suspensions. The price of one bottle is 70-100 rubles.
• "Solu-Medrol." It is produced in the USA in the form of a lyophilizate for the preparation of an injection solution. The price of a bottle of 250 ml with a solvent is 400 rubles.
• Dexamethasone. It is available in the form of tablets, eye drops and a solution for the preparation of injections. Ten tablets cost about 40 rubles, eye drops 10 ml - 60 rubles, and 4 ampoules of 1 ml -130-140 rubles. The medicine is produced in Belarus, Ukraine, Russia and Slovenia.
• "Polcortolon." Produced in the form of tablets and ointments. Fifty tablets cost 350-400 rubles. It is produced in Poland.
• The Triacort. Produced in Russia in the form of ointment. Tuba 10 g costs about 100 rubles.
• Fluorocort. It is made in Hungary. Ointment. It costs from 150 to 200 rubles.
• Medrol. Country of origin - Italy. Produced in tablets. Thirty pills cost 150 rubles.
• "Cortef". Produced in Canada. Pills. The price of one hundred capsules is about 400 rubles.
• "Diprospan". It is manufactured in Belgium in the form of ampoules for injections and in disposable syringes. The price of one ampoule is 200 rubles.

These and other drugs can become a worthy alternative to the Kenalog. Analogues and substitutes should be selected by a doctor, after a thorough assessment of the patient's condition.

Analog "Solu-Medrol"

When there are negative reactions, we are always ready to replace the medicine "Kenalog 40" with analogues. One of these drugs is "Solu-Medrol." The active substance of the drug is methylprednisolone. A drug is prepared in the form of a lyophilizate for the preparation of an injection solution.

Assign the drug for severe endocrine diseases, rheumatic pathologies, systemic connective tissue diseases and skin ailments. Helps with severe allergies and inflammatory processes with eye damage. Effective in diseases of the gastrointestinal tract and pathologies of the respiratory tract. The medicine has many other indications for use.

The medical tool has only positive reviews. Patients note that "Solu-Medrol" helps in the most desperate situations, such as multiple sclerosis, rheumatoid arthritis and others. After its application, pain quickly passes.

With multiple sclerosis, the condition improves after a week of daily use of the drug. Someone says that with frequent use, the hormone does not work as effectively as the first time, but it still helps.

Which is better, "Solu-Medrol" or "Kenalog", only the doctor will say, having assessed the patient's state of health.

The Russian analogue "Triacort"

The drug "Triacort" in some cases can replace the medicine "Kenalog" (analogues act in a similar way, and sometimes more effective than this drug). The active substance of the drug is triamcinolone acetonide. It is produced only in the form of ointment.

"Triacort" has a pronounced anti-inflammatory, antipruritic and antiallergic qualities. Used for diseases of the skin, such as eczema, dermatitis, psoriasis, allergic manifestations. It can be used only externally, unlike the "Kenalog", which has a wider range of uses and is used not only locally, but also intramuscularly, intraarticularly.

Patients have a good opinion about this drug. It is said that in a matter of days it can remove allergic dermatitis. Helps with eczema and psoriasis. With skin pathologies, "Triacort" can replace "Kenalog".

Analogues (the dosage of drugs replacing the "Kenalog" should be selected by the doctor) may have different forms of release. If for the replacement of the medicine "Kenalog" you need drugs that are administered or injected, then "Triacort" will not work, you need to choose another medication.

Substitute Polkortolon

Are able to replace, if necessary, the preparation "Kenalog 40" analogs. The most common is "Polcortolon". The drug is similar to the "Kenalog" for the active substance. Produced in the form of an aerosol, tablets and ointment. Medication is not used for injections. This is its main difference from the "Kenalog".

Indications for use are allergic reactions, pathologies of the endocrine system, diseases of the musculoskeletal system. Apply medicine for skin ailments, rheumatism, connective tissue diseases and other pathologies. "Polcortolon", as well as "Kenalog", has a wide range of applications.

Patients note that the drug helps to cope with eczema, dermatitis and other allergic rashes. Patients with bronchial asthma take this medicine permanently. There are people who note the occurrence of side effects after the application of "Polcortolone".

Diprospan

The medicine "Kenalog" is an analog of "Diprospan". Both drugs are related to synthetic hormonal agents. Distinguish active components, in "Diprospan" active substance - dipropionate betamethasone. "Kenalog" is a medicine of the last generation, it has larger crystals, which, with frequent application, can destroy cartilaginous tissue. When treating the same diseases, "Diprospan" gives more effectiveness than "Kenalog", but it costs more.

The drug "Diprospan" is produced only as a suspension for injections. It is packed into glass ampoules and disposable syringes. The testimony is the same as that of the Kenalog.

The drug has antiallergic, immunosuppressive, desensitizing, anti-inflammatory, anti-shock and antitoxic properties. It is released from pharmacies only by prescription. Well tolerated by patients, but sometimes can cause side effects.

Most patients are satisfied with the effectiveness of this medication. It is used for allergies to pollen, dermatitis, psoriasis, eczema, rheumatoid arthritis, heel spur, arthrosis. People warn that with prolonged use of the drug can cause serious side effects. In these cases, it is replaced with "Kenalog 40". The analogue of "Diprospan" allows to continue the treatment that has been started.

"Dexamethasone" - a substitute for "Kenalog"

Analogues "Kenalog" (the instruction to this medicine warns about contraindications and possible side effects) has, they are sold in almost every pharmacy. As a rule, they are appointed by doctors. The drug "Dexamethasone" can replace this medicine. The product is available in the form of tablets, drops for the eyes and in injectable form. The active substance is dexamethasone. Contains fluorine atom. It is characterized by immunosuppressive, anti-inflammatory, desensitizing and anti-allergic action.

The drug is well tolerated by patients. He is often alternated with "Kenalog" and "Diprospan". Which of these drugs is better, the doctor decides while treating. "Dexamethasone" patients are used in conjunctivitis, including in children. The medication is prescribed for multiple sclerosis, hives, allergic rashes and angioedema. Use the remedy for cold, high fever, and when other medicines are powerless. It is irreplaceable for patients with bronchial asthma, eczema.