Acute or chronic renal impairment (Creatinin rise more than 3 units in the last 48 hours and/or GFR less than 30 mL/min) Chronic liver disease (Rise in LFTs more than 5 times and/or 3 times rise in LFTs in symptomatic patients and/or Child pugh C,D) Allergy to corticosteriods while being injected with extravasation and signs of anaphylactic shock. Patients with hyperglycemia Pregnancy and lactation

Acute or chronic renal impairment (Creatinin rise more than 3 units in the last 48 hours and/or GFR less than 30 mL/min) Chronic liver disease (Rise in LFTs more than 5 times and/or 3 times rise in LFTs in symptomatic patients and/or Child pugh C,D) Allergy to corticosteriods while being injected with extravasation and signs of anaphylactic shock. Patients with hyperglycemia Pregnancy and lactation