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A fixed combination of two corticosteroids, triamcinolone acetonide and dexamethasone sodium phosphate, with the local anesthetic bupivacaine. The corticosteroid components act primarily through agonism of the glucocorticoid receptor to suppress inflammatory gene transcription, reduce leukocyte trafficking, and decrease local edema and pain, while bupivacaine blocks voltage-gated sodium channels to produce prolonged local anesthesia. Based on the provided context, this appears to represent a compounded or locally administered steroid-anesthetic injection used for anti-inflammatory and analgesic purposes rather than a distinct widely branded proprietary asset.
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