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MEDROL DOSEPAK
Corticosteroid-responsive disorders
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Drug Name:

MEDROL DOSEPAK Rx

Generic Name and Formulations:
Methylprednisolone 4mg; unit-of-use 21 scored tabs.

Company:
Pfizer Inc.

e-Prescribe this drug via Surescripts


Therapeutic Use:

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Indications for MEDROL DOSEPAK:

Steroid-responsive disorders.

Adults and Children's Dose:

See literature. 4–48mg daily.

See Also:

DEPO-MEDROL

MEDROL

SOLU-MEDROL

Pharmacological Class:

Glucocorticoid.

Contraindications:

Systemic fungal infections. Live vaccines. Depo-Medrol: also premature infants, intrathecal administration. Solu-Medrol: also premature infants.

Warnings/Precautions:

Tuberculosis. Latent amebiasis. Strongyloides infestation. Hypothyroidism. Ocular herpes simplex. Cirrhosis. Renal insufficiency. If exposed to chickenpox or measles, consider prophylactic passive immune therapy. Ulcerative colitis if perforation pending. Peptic ulcer. Diverticulitis. Intestinal anastomoses. Myasthenia gravis. Hypertension. Osteoporosis. Diabetes. Kaposi's sarcoma. Supplement with additional steroids in physiologic stress. Avoid abrupt cessation. May increase risk and mask signs of infection. May cause electrolyte imbalances, adrenocortical insufficiency, psychotic derangements. Alternate, intermittent, or single-daily doses at 8AM minimize adrenal suppression. Use lowest effective dose. Monitor weight, growth, fluid and electrolyte balance. Intrasynovial: avoid previously infected or unstable joints. Pregnancy. Nursing mothers.

Interactions:

Potentiated by CYP3A4 inhibitors (eg, troleandomycin, ketoconazole). Antagonized by CYP3A4 inducers (eg, barbiturates, phenytoin, rifampin). Avoid cyclosporine and aspirin in hypoprothrombinemia. May antagonize anticoagulants (monitor). May need to adjust dose of antidiabetic agents.

Adverse Reactions:

HPA axis suppression, increased susceptibility to infection, glaucoma, cataracts, secondary infections, hypokalemia, hypocalcemia, hypernatremia, hypertension, CHF, psychic disorders, myopathy, osteoporosis, peptic ulcer, dermal atrophy, increased intracranial pressure, carbohydrate intolerance. Parenteral: atrophy, flare at site; intrasynovial: septic arthritis.

How Supplied:

Tabs 2mg—100; 8mg, 32mg—25; 16mg—50; Dosepak—21; Depo-Medrol 20mg/mL (5mL)—1; 40mg/mL (5mL, 10mL)—1, 25; 80mg/mL (5mL)—1, 25; Solu-Medrol single-dose vial 40mg (1mL)—1, 25; 125mg (2mL)—25; 500mg (4mL), 1g (8mL)—1; Multi-dose vial 500mg (8mL), 1g (16mL)—1

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