{ "schema_version": 1, "kind": "condition", "id": "trigger-finger", "name": "Trigger Finger (Stenosing Tenosynovitis)", "category": "chronic", "sources": "Depo-Medrone with Lidocaine SmPC section 4.2 (eMC product 1081) · Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639) · Jeanmonod R, Tiwari V, Waseem M. Trigger Finger. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Last Update: February 5, 2024. Bookshelf ID: NBK459310, PMID: 29083657.", "review_status": "reviewed", "verified_against": "Depo-Medrone with Lidocaine SmPC section 4.2 (eMC product 1081) · Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639)", "verified_date": "2026-08", "treatments": [ { "id": 1760, "generic": "Methylprednisolone", "line": 1, "is_adjunct": false, "form": "injection", "strength_mg": 20.0, "adult_dose": "4-30 mg methylprednisolone acetate (with 1% lidocaine), or 5-10 mg triamcinolone acetonide using the 10 mg/mL preparation, injected into the flexor tendon sheath at the A1 pulley; single injection, may repeat once after 6-12 weeks", "adult_duration": "Single local injection", "dose_source": "Depo-Medrone with Lidocaine SmPC section 4.2 (eMC product 1081)", "rationale": "Corticosteroid sheath injection is the definitive non-surgical treatment of choice (~60-80% resolution rate), combined with nocturnal extension splinting.", "cautions": [ "Avoid intratendinous injection to prevent flexor tendon weakening or rupture.", "Transient elevation of blood glucose may occur in diabetic patients following corticosteroid injection.", "If 2 corticosteroid injections fail to resolve triggering, refer for surgical percutaneous or open A1 pulley release.", "Use the 10 mg/mL triamcinolone preparation for a short tendon sheath, not the 40 mg/mL - the stronger strength is not intended for this site." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Congenital trigger thumb in children requires pediatric orthopedic evaluation for splinting or surgical A1 release.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "M.P.A 40MG/ML VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AMOUN", "price_egp": 8.5, "pack_count": null, "unit_price": null, "strength_mg": 40.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "EPIZOLONE-DEPOT 40MG/ML 1 ML I.M. VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EIPICO", "price_egp": 39.0, "pack_count": null, "unit_price": null, "strength_mg": 40.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "SOLU-MEDROL 500MG I.M./I.V.VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PFIZER", "price_egp": 180.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "GLOBISOLONE 500MG I.V./I.M. LYOPHILIZED POWDER VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL PHARMACEUTICAL INDUSTRIES", "price_egp": 214.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "SOLU-MEDROL 1GM I.M./I.V.VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PFIZER", "price_egp": 360.0, "pack_count": null, "unit_price": null, "strength_mg": 1000.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "GLOBISOLONE 1GM I.V./I.M. LYOPHILIZED POWDER VIAL", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL PHARMACEUTICAL INDUSTRIES", "price_egp": 400.0, "pack_count": null, "unit_price": null, "strength_mg": 1000.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "METHYLPREDNISOLONE MYLAN 500MG 10 VIALS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MYLAN S.A.S-FRANCE > RAMCO", "price_egp": 1225.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "METHYLPREDNISOLONE MYLAN 1G 10 VIALS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MYLAN S.A.S-FRANCE > RAMCO", "price_egp": 2250.0, "pack_count": null, "unit_price": null, "strength_mg": 1000.0, "exact_strength": false, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "trigger-finger" }, { "id": 1761, "generic": "Naproxen", "line": 1, "is_adjunct": true, "form": "oral.solid", "strength_mg": 500.0, "adult_dose": "250-500 mg twice daily with food PRN for local inflammation and discomfort", "adult_duration": "7-14 days", "dose_source": "Naproxen 500 mg Tablets SmPC section 4.2 (eMC product 2639)", "rationale": "Adjunct NSAID added for symptomatic pain and inflammation relief in trigger finger; it does not mechanically release the constricted flexor tendon sheath, so it does not replace splinting, corticosteroid injection, or surgical release when needed.", "cautions": [ "Oral NSAIDs provide symptomatic relief but do not mechanically unlock flexor tendon sheath.", "Take with food to reduce gastric irritation.", "The weight fields are empty on purpose. The note already says naproxen is not for under-16s in this indication, but the numbers stayed behind it and the calculator went on drawing a dose for a 10 kg child. A withdrawn drug must not still have a working dose card." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Not recommended under 16 years for this indication - the product label restricts paediatric naproxen to juvenile idiopathic arthritis (10 mg/kg/day in two divided doses, child over 5 years). Use paracetamol or ibuprofen instead.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "ORGOPROXEN 500 MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ORGANOPHARMA > ORGANO", "price_egp": 16.0, "pack_count": 20, "unit_price": 0.8, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NAPROSYN 500 MG 10 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR > F.HOFFMAN LA ROCHE", "price_egp": 8.05, "pack_count": 10, "unit_price": 0.81, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NAPROFEN 500MG 10 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EL NILE.", "price_egp": 12.0, "pack_count": 10, "unit_price": 1.2, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NAPROFEN 500MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EL NILE.", "price_egp": 24.0, "pack_count": 20, "unit_price": 1.2, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "trigger-finger" } ] }