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BNSSG Paediatric Joint Formulary
10.4 Soft tissue and joint disorders
Last edited: 07-02-2024
First line drugs |
Second line drugs |
Specialist drugs |
Secondary care drugs |
10.4.1 Local inflammation of joints and soft tissue
Corticosteroids
Prednisolone (TLS Amber Specialist Recommended)
- In children with rheumatic diseases corticosteroids should be reserved for specific indications (e.g. when other therapies are unsuccessful or while waiting for DMARDs to take effect) and should be used only under the supervision of a specialist
Alternative:
Methylprednisolone (TLS Red)
Local Corticosteroid Injections
Triamcinolone acetonide (Kenalog®) (TLS Red)
10.4.2 Soft tissue disorders
Enzymes
Hyaluronidase (TLS Red)
10.4.3 Sarcoidosis
Infliximab (TLS Red)
- NHSE SSC2596 Infliximab for refractory sarcoidosis (excluding neurosarcoidosis)