CINGAL PLUS 88mg/4ml (22mg/ml) is a product that is a whitish, opaque, sterile solution of cross-linked hyaluronic acid (HA) gel and triamcinolone hexacetonide (TH) – a corticosteroid – as an excipient.
CINGAL PLUS is a biocompatible and non-pyrogenic substance. There is no physical or chemical interaction between the cross-linked hyaluronic acid contained in the preparation and triamcinolone hexacetonide, because the micronized particles of triamcinolone hexacetonide are suspended in a viscoelastic gel and remain in the product as a separate solid phase.
– alleviating the symptoms of joint dysfunctions, including arthritis (reducing pain);
– preparation in a single-dose package – one injection.
Hypersensitivity to active substances or any excipients contained in the preparation.
Diagnosed systemic coagulation disorders, active tuberculosis, herpes keratitis, acute psychosis, systemic mycoses and parasites (strongyloidiasis infection).
Do not inject if the joint is infected or severely inflamed, and do not inject if there is active disease or skin infection at or near the injection site.
The product should not be used in patients with hypersensitivity to hyaluronic acid and other ingredients contained in the product.
Do not use in children, pregnant women and breastfeeding mothers.
Do not inject intravenously or extra-articularly.
1 pre-filled syringe of 4 ml
88mg/4ml (22mg/ml) cross-linked hyaluronic acid HA; dibasic sodium phosphate 0.15%, monobasic sodium phosphate monohydrate 0.03%; triamcinolone hexacetonide (TH) 4.5 mg/ml, polysorbate 80 0.22%, sorbitol 5.30%.
HOW TO USE:
The required amount of the preparation is injected into the selected joint space using a sterile, disposable hypodermic needle of an appropriate size. The sterile needle must be attached to the syringe with the preparation. For injections into the knee joint, it is recommended to use an 18-21 gauge needle.
The final decision regarding the selection of a needle for a given procedure is made by the doctor.