Abstract
Eight patients with rheumatoid arthritis received an intra-articular injection of either 50 mg or 100 mg of prednisolone acetate into the knee joint. After the injection plasma levels of prednisolone were measured by radioimmunoassay and plasma cortisol levels were estimated fluorimetrically. Peak prednisolone levels were reached at between 2 and 4 hours after the intra-articular injection at both dosage levels, though the peak was higher with the larger dose. The 50 mg dose did not have any effect on the plasma cortisol level at 24 or 48 hours, but there was some suppression of plasma cortisol levels for up to 48 hours after the 100 mg dose.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bain L. S., Jacomb R. G., Wynn V. Parenteral administration of 6-alpha-methylprednisolone-21-acetate. II. Absorption and duration of effect. Ann Phys Med. 1967 May;9(2):49–54. [PubMed] [Google Scholar]
- DIXON A. S., BYWATERS E. G. L. The effect of intra-articular injection of cortisone acetate and of hydrocortisone acetate in rheumatoid arthritis. Clin Sci. 1953 Feb;12(1):15–31. [PubMed] [Google Scholar]
- Koehler B. E., Urowitz M. B., Killinger D. W. The systemic effects of intra-articular corticosteroid. J Rheumatol. 1974 Mar;1(1):117–125. [PubMed] [Google Scholar]
- MATTINGLY D. A simple fluorimetric method for the estimation of free 11-hydroxycorticoids in human plasma. J Clin Pathol. 1962 Jul;15:374–379. doi: 10.1136/jcp.15.4.374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- OKA M. Absorption of acetates of hydrocortisone, delta 1-hydrocortisone and cortisone from the joint cavity into the circulation. J Clin Endocrinol Metab. 1958 Jul;18(7):755–763. doi: 10.1210/jcem-18-7-755. [DOI] [PubMed] [Google Scholar]
