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This drug is an intra-articular injectable combination consisting of two corticosteroids, dexamethasone (8mg) and methylprednisolone (80mg), and a local anesthetic, bupivacaine (5ml 0.25%). It is utilized as a standard-of-care control treatment for the non-operative management of moderate to severe knee osteoarthritis in clinical trials conducted by the Cappagh National Orthopaedic Hospital. Dexamethasone and methylprednisolone act as potent anti-inflammatory agents by activating glucocorticoid receptors, while bupivacaine provides immediate pain relief by blocking voltage-gated sodium channels. This specific formulation is evaluated against novel treatments like polyacrylamide hydrogels to determine comparative efficacy in delaying the need for surgical intervention.
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