Some patients may also elect to also use minoxidil on the patches at home on a daily basis. Steroid injections are easy to perform in the office setting and don’t require a great deal of supplies. The main side effects of a single session of steroid injections include: Steroid related side effects are still quite uncommon even in patients who receive many many steroid injections (i.e. Triamcinolone acetonide is a type of corticosteroid which is different than anabolic steroids ( a common source of confusion and fear for the patient). ... but it is an option for many. You are incorrect that this technique does not work. Infection If experienced, these tend to have a Less Severe expression 1. Be sure to carefully review your concerns with your dermatologist. Steroid injections can be repeated in 4-6 weeks. This is to ensure that there is no bacterial contamination. Doses that can be used range from 2.5 mg per mL to up to 10 mg per mL. It could be very frustrating yet only causes stress when people make it a point to remind you your hair is falling out.” Many patients with alopecia areata will do extremely well with use of topical steroids and minoxidil. However, if patients don’t regrowth hair with these treatments, steroid injections are often a very good option. At first I didn't think anything of it. Other patients will ask if they are going to be getting ‘needles.’ All patents in these cases are referring to the same thing - the use of medications known as corticosteroids to stop the immune reaction that is at the heart of what is causing the alopecia areata. I got an appointment with a dermatologist and was told This enhances safety, limits atrophy and allows one to feel more comfortable using three FULL 2.5 mg/mL syringes with each visit. While I was deployed in Iraq I recieved kenalog injections intra-muscularly 40-60mg every 2 months until bald spots started filling back in. Injections have since stopped as it just was no longer working. It's not perfect, but it's getting there really quick. Accessed 26th Feb 2012. This is often because physicians are trying to limit side effects. “I received kenalog/lidocaine injections in my c spine (neck) three months on (once a month shot) and six months off. I was prescribed Clobetasol and Monoxidil topicals—which I used religiously twice a day for 6 weeks with no progress. “I started losing my hair suddenly about 6 years ago during some very stressful times in my life. The cortisone injections helped them grow back what they lost and at the same time their Alopecia Areata went into spontaneous remission & has remained that way. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If experienced, these tend to have a Severe expression 1. At first it was just a little . such as monthly injections for 4-6 months). The following information is NOT intended to endorse any particular medication. I've lost 40% of my beard over the past few months and nothing is helping, including Kenalog.” I’ve now completed 4 sessions and the Doctor is quite pleased and we’re going to once a month going forward. Using 2.5 mg per mL rather than 5 mg per mL is highly advised as it enhances safety a great deal. This is to again enhance safety. At one point I recovered 90% of my hair back only to lose my hair once again. Using too much Kenalog-40 is not likely to cause serious problems. I noticed I had a bald spot in the middle of my head the size of a dime then it grew bigger & bigger, to the point that I had to find out what it was. And then one fine day in October my hair started falling out. Some patients will enquire about ‘steroid injections’, others will ask about “Kenalog injections” (a popular brand name). Systemic side effects of triamcinolone injections. “I had alopecia for 5 months before I received any treatment . The result is poor regrowth and a conclusion (eventually) by the patient and doctor that “steroid injections didn’t work.” The patient then often moves on to strong and stronger medications with more and more potential side effects. These include 1) topical class I steroids like clobetasol propionate 2) topical minoxidil (ie. “I got diagnosed with Alopecia February of 2019. No side effects, really minimally uncomfortable and definitely worth it to see those bare areas filling in!! I also noticed that my joints felt weaker when taking it.” Look at my pictures at age 4 where I was almost AT and 2 years later. However, as I will mention in the sections below, I strongly believe that use of 2.5 mg per mL concentrations will reduce the chance of side effects and this concentration is definitely the starting point for dermatologists and non dermatologists alike. 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