Depo Medrol

The recommended dose of methylprednisolone varies widely depending on the condition being treated, response to the medication, the form of the medication being used, the age and size of the person using the medication, and individual circumstances.

The dose of the tablet form may range from 4 mg to 48 mg of methylprednisolone daily, or even much higher depending on the specific condition being treated.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Injectable medications are given either into a muscle, into a joint, or into a vein by a qualified health professional.

Taking Depo Medrol (Methylprednisolone-acetate) with food will help to prevent stomach upset.

It is important to take Depo Medrol (Methylprednisolone-acetate) exactly as prescribed by your doctor. If you miss a dose of the medication, take it as soon as you remember and then go back to your regular schedule. However, if it almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Depo Medrol (Methylprednisolone-acetate) at room temperature, protect it from freezing, and keep it out of the reach of children.

If you miss an appointment to receive methylprednisolone, contact your doctor as soon as possible to reschedule your appointment.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

In addition to its desired action, this medication may cause some adverse effects, notably: it may cause sleep disturbances or insomnia; it may cause nausea or, rarely, vomiting; it could cause water retention and swelling; it may cause redness and swelling at the injection site. Each person may react differently to a treatment. If you think this medication may be causing adverse effects (including those described here, or others), talk to your health care professional. He or she can help you to determine whether or not the medication is the source of the problem.

Multidose Vials

20 mg
Each mL of sterile suspension contains methylprednisolone acetate 20 mg. Nonmedicinal ingredients: dibasic sodium phosphate, monobasic sodium phosphate, polyethylene glycol, polysorbate 80, sodium chloride to adjust tonicity, and benzyl alcohol as a preservative. When necessary, pH was adjusted with sodium hydroxide and/or hydrochloric acid. Vials of 5 mL.

40 mg
Each mL of sterile suspension contains methylprednisolone acetate 40 mg. Nonmedicinal ingredients: dibasic sodium phosphate, monobasic sodium phosphate, polyethylene glycol, polysorbate 80, sodium chloride to adjust tonicity, and benzyl alcohol as a preservative. When necessary, pH was adjusted with sodium hydroxide and/or hydrochloric acid. Vials of 2 and 5 mL.

80 mg
Each mL of sterile suspension contains methylprednisolone acetate 80 mg. Nonmedicinal ingredients: dibasic sodium phosphate, monobasic sodium phosphate, polyethylene glycol, polysorbate 80, sodium chloride to adjust tonicity, and benzyl alcohol as a preservative. When necessary, pH was adjusted with sodium hydroxide and/or hydrochloric acid. Vials of 5 mL.

Single Use Vials

40 mg
Each mL of sterile suspension contains methylprednisolone acetate 40 mg. Nonmedicinal ingredients: myristyl gamma picolinium chloride (MGPC), polyethylene glycol, and sodium chloride to adjust the tonicity. When necessary, pH was adjusted with sodium hydroxide and/or hydrochloric acid. Vials of 1 mL.

80 mg
Each mL of sterile suspension contains methylprednisolone acetate 80 mg. Nonmedicinal ingredients: myristyl gamma picolinium chloride (MGPC), polyethylene glycol, and sodium chloride to adjust the tonicity. When necessary, pH was adjusted with sodium hydroxide and/or hydrochloric acid. Vials of 1 mL.

Methylprednisolone should not be used by anyone who:

• is allergic to methylprednisolone or to any of the ingredients of the medication
• has Chickenpox
• has Cushing's syndrome
• has herpes simplex keratitis
• has systemic (in the blood) fungal infections
• has Tuberculosis
• has vaccinia (reaction to Smallpox vaccine)
• is being treated with a live or live-attenuated vaccine
• has idiopathic thrombocytopenic purpura (and receiving Depo Medrol (Methylprednisolone-acetate) as an intramuscular injection)

Some strengths and brands of methylprednisolone may contain lactose from cow’s milk. If you are allergic to cow’s milk protein, talk to your doctor.

The injectable form of methylprednisolone should not be injected into the brain or spine.

There may be an interaction between methylprednisolone and any of the following:

• Aldesleukin
• amphotericin B
• antacids (aluminum hydroxide, calcium carbonate, magnesium hydroxide) with oral methylprednisolone only
• Aprepitant
• Asa (acetylsalicylic acid)
• azole antifungals (e.g., itraconazole, ketoconazole, Voriconazole)
• BCG
• birth control pills
• blood pressure medications (e.g., Metoprolol, Diltiazem, Ramipril, Losartan)
• Calcitriol
• Carbamazepine
• Celecoxib
• Ceritinib
• Cholestyramine (with oral methylprednisolone only)
• Cobicistat
• Colestipol (with oral methylprednisolone only)
• conivaptan
• Cyclophosphamide
• Cyclosporine
• diabetes medications (e.g., chlorpropamide, Glyburide, insulin, Metformin, Rosiglitazone)
• Denosumab
• Desmopressin
• diuretics (water pills; e.g., Furosemide, Hydrochlorothiazide)
• Donepezil
• echinacea
• Enzalutamide
• estrogens
• Fingolimod
• Galantamine
• HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., delavirdine, efavirenz, etravirine, nevirapine)
• HIV protease inhibitors (e.g., atazanavir, indinavir, ritonavir, saquinavir)
• hyaluronidase
• Idelalisib
• Indacaterol
• isoniazid
• Leflunomide
• macrolide antibiotics (e.g., clarithromycin, erythromycin)
• mifepristone
• Mitotane
• muscle relaxants (e.g., atracurium, pancuronium, rocuronium)
• Natalizumab
• nefazodone
• nonsteroidal anti-inflammatory medications (NSAIDs; e.g., celecoxib, Ibuprofen, Naproxen)
• Phenobarbital
• Phenytoin
• Pimecrolimus
• Pimozide
• primidone
• pyridostigmine
• Quetiapine
• quinidine
• quinolone antibiotics (e.g., ciprofloxacin, levofloxacin, Norfloxacin)
• rifabutin
• rifampin
• Rivastigmine
• Stiripentol
• Tacrolimus (topical)
• testosterone
• Tofacitinib
• tuberculosis vaccine (BCG)
• vaccines (e.g., vaccines for Measles, Mumps, rubella)
• Warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Depo Medrol (Methylprednisolone-acetate). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Depo Medrol (Methylprednisolone-acetate).

Blood Clots: Depo Medrol (Methylprednisolone-acetate) may increase the chance of blood clot formation, causing a reduction of blood flow to the organs or extremities.

If you have a history of clotting you may be at increased risk of experiencing blood clot-related problems such as heart attack, Stroke, or clots in the deep veins of your leg. If you experience symptoms such as sharp pain and swelling in the leg, difficulty breathing, chest pain, blurred vision, or difficulty speaking, contact your doctor immediately.

Depression: Corticosteroids have been known to cause mood swings and symptoms of depression. If you have depression or a history of depression, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed. If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking Depo Medrol (Methylprednisolone-acetate), contact your doctor as soon as possible.

Diabetes: Methylprednisolone may cause a loss of control of diabetes by increasing blood glucose (sugar). If you have diabetes, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed. You may need to check your blood glucose levels more often.

Eye problems: Prolonged use of methylprednisolone may cause Glaucoma with possible damage to the optic nerves or it may produce cataracts. It may also increase the risk of Eye Infections due to fungi or viruses. Report any change in vision, eye pain, eye irritation, redness, or discharge to your doctor as soon as possible.

Fluid and electrolyte balance: Depo Medrol (Methylprednisolone-acetate) may cause electrolyte imbalances (changes in the levels of certain salts in the blood). If you notice Dry Mouth, thirst, weakness, fatigue, muscle pain and cramps, fast heartbeat, or decreased urination, see your doctor.

Heart disease: Methylprednisolone may cause an elevation of blood pressure, salt and water retention, and increased excretion of potassium. People with heart disease should be monitored by their doctor while taking Depo Medrol (Methylprednisolone-acetate). People with heart disease should discuss with their doctor how Depo Medrol (Methylprednisolone-acetate) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Infections: Corticosteroids can reduce your body's ability to fight infections and may hide signs of infection that is developing. If you have had tuberculosis in the past, methylprednisolone may cause the infection to return. If you experience signs of infection such as sore throat, fever, sneezing, or coughing, contact your doctor as soon as possible.

Kidney Disease: Methylprednisolone may not clear from the body at the expected rate in cases where the kidney is not working properly. If you have reduced kidney function or kidney disease, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Liver function: Methylprednisolone may not clear from the body at the expected rate in cases where the liver is not working properly. If you have reduced liver function or liver disease, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Methylprednisolone may also cause harm to the liver. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.

Myasthenia Gravis: Myasthenia gravis is a condition that causes specific muscle weakness. Methylprednisolone can cause muscle wasting or decreasing muscle. If you have myasthenia gravis, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Ocular herpes simplex: People who have the herpes simplex virus affecting their eye should be monitored by their doctor while taking methylprednisolone, as the medication may cause damage to the cornea.

Osteoporosis (bone disease): Methylprednisolone causes the body to lose calcium and may cause osteoporosis to develop or worsen. If you have osteoporosis or are at risk of developing osteoporosis, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Pancreatitis: Corticosteroids can cause the pancreas to become inflamed. Report signs of pancreatitis such as abdominal pain on the upper left side, back pain, nausea, fever, chills, rapid heartbeat, or swollen abdomen to your doctor immediately.

Skin test injection: Methylprednisolone, like other corticosteroids, can cause false negative test results (i.e., tuberculosis or allergy) by reducing the body's reaction to the test serum.

Stomach ulcer: Methylprednisolone may cause stomach ulcers to worsen or develop. If you have stomach problems or a history of stomach problems, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Stress: A dosage adjustment of methylprednisolone may be required for anyone subjected to unusual stress.

Underactive Thyroid (Hypothyroidism): Methylprednisolone may not clear from the body at the expected rate when a person is hypothyroid. As a result, the effects of the medication may be increased. If you have hypothyroidism, discuss with your doctor how Depo Medrol (Methylprednisolone-acetate) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Depo Medrol (Methylprednisolone-acetate), and whether any special monitoring is needed.

Vaccines: People receiving immunosuppressive doses of corticosteroids should not receive live or live-attenuated (modified) vaccines, as there is a risk of infection and poor immune response to the vaccine.

Pregnancy: Depo Medrol (Methylprednisolone-acetate) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Depo Medrol (Methylprednisolone-acetate), contact your doctor immediately.

Breast-feeding: Depo Medrol (Methylprednisolone-acetate) passes into breast milk. If you are a breast-feeding mother and are taking methylprednisolone, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding

Children: The active ingredient in Depo Medrol (Methylprednisolone-acetate), methylprednisolone, belongs to the family of medications known as corticosteroids. Children may be more likely to experience the side effects encountered by using this class of medication for long periods of time (e.g., slowing down of growth, delayed weight gain). The use of Depo Medrol (Methylprednisolone-acetate) by children should be limited to the smallest dose that will be effective. Discuss with your doctor the risks and benefits of the use of Depo Medrol (Methylprednisolone-acetate) for children.

This medication must be administered by a health professional.