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At a glance

Methylprednisolone Acetate is a potent corticosteroid used for inflammation, allergies, rheumatic disorders, skin and eye diseases, and joint pain.

Indications
  • Rheumatic Disorders (Rheumatoid Arthritis, Osteoarthritis, Gout)
  • Skin Diseases (Contact Dermatitis, Psoriasis, Pemphigus)
  • Allergies (Bronchial Asthma, Allergic Rhinitis)
  • Ophthalmic Diseases (Iritis, Keratitis)
  • Collagen Diseases (SLE, Dermatomyositis)
  • Hematologic Disorders
  • Neoplastic Diseases
  • Adrenocortical Insufficiency
Pharmacology

Methylprednisolone Acetate binds to and activates intracellular glucocorticoid receptors. Activated receptors bind to promoter regions of DNA, modifying transcription and protein synthesis. It inhibits leukocyte infiltration at the site of inflammation, interferes with mediators of inflammatory response, and suppresses humoral immune responses.

Dosage

Adult Dose:

  • Intra-articular: Small joints: 4-10 mg; Medium joints: 10-40 mg; Large joints: 20-80 mg. Repeat every 1-5 weeks.
  • Intralesional: 20-60 mg every 1-5 weeks (for dermatoses)
  • Intramuscular (Systemic): 10-80 mg every 1-2 weeks
  • Adrenogenital Syndrome: 40 mg IM every 2 weeks
  • Rheumatoid Arthritis Maintenance: 40-120 mg weekly IM
  • Acute Dermatitis (Poison Ivy): 80-120 mg single IM dose
  • Asthma/Allergic Rhinitis: 80-120 mg IM
Side effects

Common Side Effects:

  • Skin thinning
  • Increased risk of infection
  • Reduction in bone density
  • Weight gain
  • Mood changes
  • Upset stomach
  • Behavioral changes

Injection-related:

  • Congestive heart failure
  • Hypertension, sodium retention
  • Muscle weakness, osteoporosis
  • Peptic ulcer, abdominal distention
  • Convulsions, headache
  • Menstrual irregularities
  • Increased intraocular pressure, glaucoma
  • Allergic/hypersensitivity reactions
  • Urticaria, hyperpigmentation/hypopigmentation
Use in pregnancy

Use in Pregnancy (Category C): Possibly unsafe. Adequate human reproduction studies not done. Weigh benefits against potential risks.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not stop abruptly (risk of adrenal insufficiency)
  • Inform doctor if signs of infection occur
  • Do not receive live vaccines
  • Monitor blood glucose if diabetic
  • Caution in osteoporosis, mood disorders, hypertension, liver disease
  • Caution in ocular herpes simplex (corneal perforation)
  • Caution with aspirin in hypoprothrombinemia
Overdose effects

Reports of acute toxicity/death are rare. No specific antidote; supportive and symptomatic treatment. Monitor serum electrolytes.

Storage conditions

Keep below 30°C temperature, away from light & moisture. Keep out of reach of children.

Methylprednisolone Acetate — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.