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- What is methylprednisolone, and how does it work (mechanism of action)?
- What brand names are available for methylprednisolone?
- Is methylprednisolone available as a generic drug?
- Do I need a prescription for methylprednisolone?
- What are the uses for methylprednisolone?
- What are the side effects of methylprednisolone?
- What is the dosage for methylprednisolone?
- Is methylprednisolone safe to take if I'm pregnant or breastfeeding?
- What else should I know about methylprednisolone?
What is methylprednisolone, and how does it work (mechanism of action)?
Methylprednisolone family of products include methylprednisolone, methylprednisolone acetate (Medrol, Depo-medrol), and methylprednisolone sodium acetate (Solu-medrol). They will be called methylprednisolone in this monograph. They are synthetic (man-made) corticosteroids. Corticosteroids are naturally-occurring chemicals produced by the adrenal glands located adjacent to the kidneys. Corticosteroids affect metabolism in various ways and modify the immune system. Corticosteroids also block inflammation and are used in a wide variety of inflammatory diseases affecting many organs. The FDA approved methylprednisolone in October 1957.
What brand names are available for methylprednisolone?
Medrol, Depo-Medrol, Solu-Medrol, A-Methapred
What are the uses for methylprednisolone?
Methylprednisolone is used to achieve prompt suppression of inflammation. Examples of inflammatory conditions for which methylprednisolone is used include:
- rheumatoid arthritis,
- systemic lupus erythematosus,
- acute gouty arthritis,
- psoriatic arthritis,
- ulcerative colitis, and
- Crohn's disease.
Severe allergic conditions that fail conventional treatment also may respond to methylprednisolone. Examples include:
Chronic skin conditions treated with methylprednisolone include:
What are the side effects of methylprednisolone?
Adverse effects of methylprednisolone depend on dose, duration and frequency of administration. Short courses of methylprednisolone are usually well-tolerated with few, mild side effects. Long term, high doses of methylprednisolone may produce predictable and potentially serious side effects. Whenever possible, the lowest effective doses of methylprednisolone should be used for the shortest length of time to minimize side effects. Alternate day dosing also can help reduce side effects.
Side effects of methylprednisolone and other corticosteroids range from mild annoyances to serious irreversible bodily damage. Commonly reported side effects include:
- fluid retention,
- weight gain,
- high blood pressure,
- potassium loss,
- muscle weakness,
- puffiness of the face,
- hair growth on the face,
- thinning and easy bruising of the skin,
- peptic ulceration,
- worsening of diabetes,
- irregular menses,
- growth retardation in children,
- convulsions, and
- psychic disturbances.
Important psychic disturbances may include:
Quick GuideRheumatoid Arthritis (RA) Symptoms & Treatment
What is the dosage for methylprednisolone?
Dosage requirements of corticosteroids vary among individuals and the diseases being treated. In general, the lowest effective dose is used. The oral dose range is 2-60 mg daily depending on the disease. Depo-medrol doses are 10-80 mg injected into muscle every 1-2 weeks, and Solu-medrol doses are 10-250 mg intravenous or intramuscular injections up to 6 times daily. The initial dose should be adjusted based on response. Corticosteroids given in multiple doses throughout the day are more effective but also more toxic than the same total daily dose given once daily, or every other day.
Oral methylprednisolone should be taken with food.
Is methylprednisolone safe to take if I'm pregnant or breastfeeding?
: Methylprednisolone has not been adequately evaluated in pregnant women.
Methylprednisolone has not been adequately evaluated in nursing mothers.
What else should I know about methylprednisolone?
What preparations of methylprednisolone are available?
Tablets: 4, 8, 16, 24, and 32 mg. Injectable suspension: 20, 40, and 80 mg/ml. Powder for Injection: 40, 125, 500, 1000, and 2000 mg.
How should I keep methylprednisolone stored?
Methylprednisolone preparations should be kept at room temperature, from 20 C to 25 C (68 F to 77 F).
Reference: FDA Prescribing Information
Quick GuideRheumatoid Arthritis (RA) Symptoms & Treatment
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Cortisone InjectionCortisone injections are used to treat small areas of inflammation or widespread inflammation throughout the body. There is minimal pain from these injections, and relief from the pain of inflammation occurs rapidly.
Epidural Steroid InjectionAn epidural steroid injection is a common procedure to treat spinal nerve irritation that causes chronic low back pain and/or leg pain (radicular pain). Disc herniation is also treated with epidural steroid injections. Epidural injections are also used to treat nerve compression in the neck (cervical radiculopathy).The procedure is quick and simple.
Gout (Gouty Arthritis)Buildup of uric acid crystals in a joint causes gouty arthritis. Symptoms and signs include joint pain, swelling, heat, and redness, typically of a single joint. Gout may be treated with diet and lifestyle changes, as well as medication.
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Rheumatoid ArthritisRheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
Take the RA QuizHow is rheumatoid arthritis different from other forms of arthritis, such as osteoarthritis and gout? Take the Rheumatoid Arthritis (RA) Quiz to rest your RA IQ.
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Temporomandibular Joint Syndrome (TMJ)Temporomandibular joint (TMJ) syndrome is a disorder that causes symptoms like pain, clicking, and popping of the jaw. TMJ is caused by injury to the temporomandibular joint. Stress, poor posture, jaw trauma, genetic predisposition, and inflammatory disorders are risk factors for the condition. A variety of self-care measures (application of ice, use of over-the-counter pain medication, massage, relaxation techniques) and medical treatment options (dental splint, Botox, prescription medications, surgery) are available to manage TMJ. The prognosis of TMJ is good with proper treatment.