Generic Medrol Tablets for Treatment of Inflammatory Conditions

Generic Medrol Tablets
Generic Medrol (Predmet Tablets) is used to
treat many different conditions such as allergic
disorders, endocrine disorders, skin conditions,
ophthalmic diseases, ulcerative colitis, arthritis,
lupus, psoriasis, breathing disorders among
others.
© The Swiss Pharmacy, Geneva Switzerland

Chemical Structure

Indications
Generic Medrol Tablets (Predmet Tablets) is a
potent anti-inflammatory steroid that prevents
the release of substances in the body that cause
inflammation. It is used to treat the following
indications:
Endocrine Disorders: Primary or secondary
adrenocortical insufficiency, Congenital adrenal
hyperplasia. Nonsuppurative thyroiditis.
Hypercalcemia associated with cancer.

Indications
Rheumatic Disorders: As adjunctive therapy for
short-term administration in: psoriatic arthritis;
rheumatoid arthritis, including juvenile rheumatoid
arthritis, ankylosing spondylitis;acute and subacute
bursitis; acute non specific tenosynovitis; acute gouty
arthritis; post-traumatic osteoarthritis; synovitis of
osteoarthritis; epicondylitis.
Collagen Diseases: During an exacerbation or as
maintenance therapy in selected cases of: systemic
lupus erythematosus; systemic dermatomyositis
(polymyositis); acute rheumatic carditis; polymyalgia
rheumatica; giant cell arteritis.

Indications
Dermatologic Diseases: Pemphigus; bullous
dermatitis herpetiformis; severe erythema multiforme
(Stevens-Johnson syndrome); exfoliative dermatitis;
mycosis fungoides; severe psoriasis; severe
seborrheic dermatitis.
Allergic State: Control of severe of incapacitating
allergic conditions intractable to adequate trials of
conventional treatment.
Ophthalmic Diseases: Severe acute and chronic
allergic and inflammatory processes involving the eye
and its adnexa.

Indications
Respiratory Diseases: Symptomatic sarcoidosis;
Loeffler’s syndrome not manageable by other
means; berylliosis; fulminating or disseminated
pulmonary tuberculosis when used concurrently
with appropriate antituberculous chemotherapy;
aspiration pneumonitis.
Hematologic Disorders: Idiopathic
thrombocytopenic purpura in adults; secondary
thrombocytopenia in adults; acquired
(autoimmune) hemolytic anemia;
erythroblastopenia (RBC anemia); congenital
(erythroid) hypoplastic anemia.

Indications
Neoplastic Disorders: For palliative management of:
leukemias and lymphomas in adults; acute leukemia
of childhood.
Edematous States: To induce a diuresis or
remission of proteinuria in the nephrotic syndrome,
without uremia, of the idiopathic type or that due to
lupus erythematosus.
Gastrointestinal Diseases: To tide the patient over a
critical period of the disease in: ulcerative colitis;
regional enteritis.
Nervous System: Acute exacerbations of multiple
sclerosis; management of edema associated with
brain tumour.

Indications
Miscellaneous: Tuberculous meningitis with
subarachnoid block or impending block when used
concurrently with appropriate antituberculous
chemotherapy. Trichinosis with neurologic or
myocardial involvement.
Organ Transplantation:

Active Ingredient
The active pharmaceutical ingredient
contained in Generic Medrol Tablets
is Methylprednisolone. Each 8 mg
Predmet tablet contains 8 mg of
Methylprednisolone.

Recommended Dosage
The initial recommended dosage of Generic
Medrol (Predmet Tablets) may vary from 4 mg to 48
mg of methylprednisolone per day depending on the
specific condition being treated. In situations of
less severity lower doses will generally suffice while
in selected patients higher initial doses may be
required.

Contraindications
Generic Medrol (Predmet Tablets) is
contraindicated in patients with the following
conditions:
➔Hypersensitivity to Methylprednisolone, or any
inactive component of this medication.
➔In patients who have systemic infections unless
specific anti-infective therapy is given.

Side Effects of Generic Medrol Tablets
The side effects of side effects of Generic Medrol
Tablets (Methylprednisolone) are:
Metabolism and Nutrition Disorders: Sodium
retention; Fluid retention; Alkalosis hypokalaemic;
Increased appetite; Increased requirements for
insulin or oral hypoglycemic agents in diabetics;
Metabolic acidosis; Glucose tolerance impaired.
Cardiac disorders: Cardiac failure congestive.
Vascular disorders: Hypertension; Hypotension.
Respiratory, thoracic and mediastinal disorders:
Hiccups.

Musculoskeletal and Connective Tissue Disorders:
Arthralgia; Growth retardation; Muscular weakness;
Myalgia; Myopathy; Neuropathic arthropathy; Osteoporosis.
Injury, Poisoning and Procedural Complications:
Tendon rupture;Spinal compression fractures; Pathologic
fractures; Muscle atrophy; Osteonecrosis.
Gastrointestinal Disorders: Abdominal distension;
Abdominal pain; Diarrhoea; Dyspepsia; Nausea;
Oesophagitis; Oesophagitis ulcerative; Peptic ulcer; Gastric
hemorrhage; Pancreatitis; Intestinal perforation.
Skin and Subcutaneous Tissue Disorders: Petechiae ,
Ecchymosis; Erythema; Hirsutism; Hyperhidrosis; Pruritus;
Rash; Skin atrophy; Skin striae; Urticaria;
Angioedema;Hyperhidrosis; Dermatitis allergic; Oedema;
Abscess sterile; Acne.

General Disorders and Administration Site Conditions:
Fatigue; Impaired healing; Malaise.
Withdrawal Syndrome: A steroid “withdrawal syndrome,”
may also occur following abrupt discontinuance of
glucocorticoids. This syndrome includes symptoms such as:
anorexia, nausea, vomiting, lethargy, headache, fever, joint
pain, desquamation, myalgia, weight loss, and/or
hypotension. These effects are thought to be due to the
sudden change in glucocorticoid concentration rather than
to low corticosteroid levels.
Nervous System Disorder: Amnesia; Cognitive disorder;
Dizziness, Headache, Intracranial pressure increased;
Convulsions.

Psychiatric Disorders: Abnormal behaviour, Affective
disorder; Anxiety; Confusional state; Insomnia; Irritability;
Mental disorder; Mood swings; Personality change;
Psychotic behaviour; Psychotic disorder (including Mania;
Delusion; Hallucination; and Schizophrenia).
Endocrine Disorders: Cushingoid; Hypopituitarism.
Eye Disorders: Cataract subcapsular; Exophthalmos;
Glaucoma.
Ear and Labyrinth Disorders: Vertigo.
Infections and Infestations: Infection; Opportunistic
infections.

Immune System Disorder: Drug
hypersensitivity reactions (including Anaphylactic
reaction and Anaphylactoid reaction);
Suppression of reactions to skin tests.
Investigations: Blood potassium decreased;
Carbohydrate tolerance decreased; Intraocular
pressure increased; Alanine aminotransferase
increased; Aspartate aminotransferase
increased; Blood alkaline phosphatise increased;
Urine calcium increased.
Reproductive System And Breast Disorders:
Menstruation irregular.

Warnings And Precautions
➔Immunosuppressive Effects/Increased Susceptibility
to Infections: Due to their suppression of the
inflammatory response and immune function,
corticosteroids may increase susceptibility to fungal,
bacterial and viral infections and their severity. Chicken
pox and measles, for example, can have a more serious
or even fatal course in non-immune children or adults on
corticosteroids.
➔Blood and Lymphatic System: Aspirin and nonsteroidal
anti-inflammatory agents should be used cautiously in
conjunction with corticosteroids.
➔Hypersensitivity Reactions: Allergic reactions (e.g.
angioedema) may occur.

➔Endocrine: Pharmacologic doses of corticosteroids
administered for prolonged periods may result in
hypothalamic-pituitary-adrenal (HPA) suppression
(secondary adrenocortical insufficiency).
➔Metabolism and Nutrition: Corticosteroids, including
methylprednisolone, can increase blood glucose, worsen
pre-existing diabetes and predisposes those on long term
corticosteroid therapy to diabetes mellitus; therefore,
corticosteroids should be used with caution in patients
with, or a family history of, diabetes mellitus.
➔Psychiatric: Psychic derangements may appear when
corticosteroids are used, ranging from euphoria, insomnia,
mood swings, personality changes, and severe depression
to frank psychotic manifestations.

➔Nervous System: Corticosteroids should be used with
caution in patients with seizure disorders or in patients
with myasthenia gravis.
➔Ocular: Corticosteroids should be used cautiously in
patients with ocular herpes simplex because of possible
risk of corneal scarring, loss of vision and corneal
perforation.
➔Cardiovascular: Systemic corticosteroids should be
used with caution, and only if strictly necessary, in cases
of congestive heart failure.
➔Hepatobiliary: Corticosteroids should be used with
caution in patients with hepatic failure. There is an
enhanced effect of corticosteroids on patients with
cirrhosis.

➔Gastrointestinal: Corticosteroids should be used
with caution in nonspecific ulcerative colitis if there is
a probability of impending perforation, abscess or
other pyogenic infection, diverticulitis, fresh intestinal
anastomoses, or active or latent peptic ulcer.
➔Musculoskeletal: Corticosteroids should be used
with caution in patients with myasthenia gravis who
are receiving anticholinesterase therapy as
corticosteroid use may decrease plasma
anticholinesterase activity.
➔Renal and Urinary: Corticosteroids should be used
with caution in patients with renal insufficiency.

➔Investigations: Average and large doses of
hydrocortisone or cortisone can cause elevation of blood
pressure, salt and water retention, and increased
excretion of potassium.
➔Discontinuation: A steroid “withdrawal syndrome”,
seemingly unrelated to adrenocortical insufficiency, may
occur following abrupt discontinuance of glucocorticoids.
➔Injury, Poisoning and Procedural Complications: High
doses of systemic corticosteroids should not be used for
the treatment of traumatic brain injury.

Overdose Symptoms
There is no clinical syndrome of acute
overdosage with corticosteroids. Reports
of acute toxicity and/or death following
overdosage of corticosteroids are rare.
In the event of overdosage, no specific
antidote is available; treatment is
supportive and symptomatic.
Methylprednisolone is dialyzable.

Predmet Tablets from Sun
Pharmaceutical Industries Ltd.
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Generic Medrol Tablets for Treatment of Inflammatory Conditions

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Generic Medrol Tablets for Treatment of Inflammatory Conditions