5mg a day was too much and he was having bad side effects, extreme lethargy, he stopped eating,and drinking and his diarrhea actually got worse. Half a pill ever other day was not enough his stool was normal the first day then back to diarrhea the second. Half a pill mg a day seems to be the formula that works for him. He tolerates it well,and his stool remains normal. Mischief is much more active and healthy now,and is actually gaining weight. I am very pleased. Like I said I think it saved his life. Also the drug is very inexpensive $10 bucks a month
The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.
Steroids have been long used in treatment of various skin disorders. Injecting steroids directly inside the keloid tissue, known as intra-lesional injection, is a commonly used method of treating small keloids. This treatment however, is only partially effective. Triamcinolone acetonide is the most commonly used drug for treatment of keloids. Dr. Sexton reported the efficacy of intra-dermal injection of this fluorinated prednisolone derivative in 1960 . Applied intralesionally, triamcinolone acetonide is one of the most widely used treatments for keloids, whether alone or in combination with another type of treatment. Steroid injections are not as effective as we would like them to be. About one third of patients give up treatment because of intense pain. About 15% of patients report worsening of their keloids following steroid injections.