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I know this is forbidden in the UK but, often a larger volume of fluid is useful in MSK steroid injections.

Are there any vehicles we can mix with to increase the volume of fluid? I am sure that I read somewhere that water for injection is permissible. Would injectable saline be as well?

I have sent an email to the MHRA for their advice, but they "aim to reply within 18 working days".

With thanks

 

I use glucose prolotherapy and increase the volume of fluid with traumeel or zeel, although the knee is the only place I would use up to 10ml.
I know you can use saline, but I do believe it is illegal to mix as this creates a new solution that you are unlicensed to use! However, I'm sure it is done.

Angela

 

Thanks for the reply AngieR. I know mixing (usually with LA) is done standardly by most who inject steroid as there are many more positives to it than negatives against. The only negative I can think of is the legality issue. My problem has come up because I am writing a research proposal around a particular injection that is usually done in practice (by medics) with a mix of steroid and LA. The LA in this case is just to give volume of liquid, another vehicle such as saline would do just as well.

Given that I am a Pod I don't want to make any legality based blunders in the write up.