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**Physician EZ Use Joint Tunnel and Trigger Kit** is an Asclemed USA co-packaged prescription drug kit containing ammonia, lidocaine hydrochloride, triamcinolone acetonide, and povidone-iodine. Triamcinolone acetonide is a long-acting synthetic glucocorticoid that activates the glucocorticoid receptor to suppress inflammatory signaling; lidocaine provides local anesthesia through reversible inhibition of voltage-gated sodium channels; povidone-iodine is used as a topical antiseptic; and ammonia is supplied as an inhalant component. The triamcinolone suspension component is labeled for intramuscular and intra-articular administration, including short-term adjunctive treatment of inflammatory rheumatic and musculoskeletal conditions such as acute gouty arthritis, bursitis, tenosynovitis, epicondylitis, rheumatoid arthritis, and osteoarthritis synovitis. The DailyMed label identifies the product as an unapproved drug whose labeling has not been approved by FDA. ([dailymed.nlm.nih.gov](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e25cfc22-29ba-473f-88c4-3c88e9f6863b))
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