Hayfever steroid injections consent

Hay fever injections

Hay Fever Injections: What you need to know!

Please read carefully.

Kenalog: Important information

Each Kenalog injection contains Triamcinolone acetonide 40mg/1ml as the active ingredient.

  • Triamcinolone acetonide belongs to a group of medicines called corticosteroids (steroids).
  • The principal effect of corticosteroids is to reduce the body’s inflammatory & allergic response and they are used very commonly for many serious medical conditions.
  • An injection of Kenalog is approximately equivalent to the effects you would get from taking a 5mg tablet of Prednisolone every day for about 3 weeks.
  • Kenalog injections, like all steroids can cause unwanted side-effects although these are rare at the dose levels administered for the treatment of hay fever.
  • The unique issue with a Kenalog injection that differentiates it from oral steroids is that once the injection is administered the effects can last for 3 weeks or more, whereas with tablets the effects are gone within 24 hours or less.
  • This is the main reason NHS guidelines have identified this method of administering steroids as a problem, as there are occasions when the body needs its immune system at full strength.
  • Kenalog is still officially licensed for the treatment of severe hay fever in the UK (even though it is no longer used in the NHS) and continues to be routinely administered to patients in most other countries around the world.
  • A Kenalog injection does not cure hay fever. It temporarily suppresses the immune system enough to take away the symptoms in most people who need it.
  • Relief from symptoms will last between 3 - 8 weeks, but ultimately this is not guaranteed, as there are too many factors out of our control including the weather and pollen count.
  • Treatment can be repeated up to three times a year, with a minimum of 40-days in between, any further injections will be charged at the normal price.

    • Potential risks and side effects

    Serious possible adverse effects

    Anaphylactic allergic reactions are very rarely reported

    You must contact a doctor IMMEDIATELY (by going to an Accident & Emergency department) if you notice any of the following symptoms of an anaphylactic reaction

  • Swelling of the face, lips or throat
  • Breathing difficulties
  • Skin itching, redness or a rash
  • Sticky black stools
  • Severe abdominal pain
  • Vomiting blood

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    Common potential side effects

  • Reduced immunity, leaving you more susceptible to infections - please social distance for 5 days following treatment
  • Injection site reactions such redness, tenderness or bruising
  • Headache
  • Joint stiffness

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    Rare potential side effects

  • Skin changes (acne, dryness, redness, bruising, discoloration)
  • Increased hair growth, or thinning hair
  • Nausea, bloating, appetite changes
  • Stomach or side pain
  • Cough, runny or stuffy nose
  • Sleep problems (insomnia)
  • A wound that is slow to heal
  • Sweating more than usual
  • Changes in your menstrual periods
  • Infection or sterile abscess formation at the site of injection
  • Skin colour changes (hypopigmentation) at the site of injection (see image below)
  • Dimpling of skin caused by loss of fat under the skin at the site of injection (see image below)

    •  

    Possible psychological effects of all steroids

    All steroids, including Kenalog, can occasionally cause mental health problems although this is usually associated with much higher doses of steroid than what is given in a Kenalog injection.

    If you experience any of the symptoms listed below, please contact your doctor straight away.

  • Feeling depressed, including thinking about suicide
  • Feeling high (mania), or moods that go up and down
  • Feeling anxious, or having problems sleeping, difficulty in thinking or being confused and losing your memory
  • Feeling, seeing or hearing things which do not exist

    • Your details:

    Medical questionnaires

    Please tick any of the conditions below that apply to you

    You are not eligible for hay fever steroid injections. Please contact with your GP. 

    Do you have any other medical conditions?
    Do you suffer from hay fever?
    Please tick all hayfever symptoms you are currently experiencing :
    Are you currently taking any medication for hay fever?
    Are you taking any other medication?
    Have you ever received a Kenalog injection?
    Have you ever had any adverse reactions to injections?

    Consent

    ♦ I have read and understood all the information above.

    ♦ I have given truthful answers to all questions, and I understand that giving misleading responses may put my health at risk.

    ♦ I consent to treatment for allergic rhinitis and hayfever symptoms by an intramuscular injection of Kenalog 40mg if I am found to be suitable.

    ♦ I consent to an intramuscular injection of Kenalog given into the upper-outer quadrant of my buttock.

    ♦ I consent to have this website store my submitted information so they can respond to my inquiry

    UNDERSTOOD & AGREED

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