���������������������������������������������͸
       �                                             �
       �  ------Cortisone Drugs (Steroids)------     �
       �                                             �
       �         A. Methylprednisolone               �
       �         B. Prednisone                       �
       �                                             �
       ���������������������������������������������;






                        METHYLPREDNISOLONE

BRAND NAMES
    A-methaPred               Medralone-80
    dep Medalone              Medrol
    Depoject                  Medrol Enpak
    Depo-Medrol               Medrone
    Depo-medrone              Medrone-80
    Depopred                  Mepred-40
    Depo-Pred-40              Methylone
    Depo-Pred-80              m-Prednisol
    Depo-Predate              Pre-Dep
    Duralone                  Pro-Dep-40
    Duralone-40               Pro-Dep-80
    Duralone-80               Rep-Pred
    Durameth                  Solu-Medrol
    Medralone                 Solu-medrone
    Medralone-40

BASIC INFORMATION
    Habit forming?  No
    Prescription needed?  Yes
    Available as generic?  Yes
    Drug class: Cortisone drug (adrenal corticosteroid)

USES
    Reduces inflammation caused by many different medical problems.

    Treatment for some allergic diseases, blood disorders, kidney
    diseases, asthma and emphysema.

    Replaces corticosteroid deficiencies.

DOSAGE AND USAGE INFORMATION
    How to take:
      Tablet--Swallow with liquid or food to lessen stomach
      irritation.  If you can't swallow whole, crumble tablet and
      take with liquid or food.

      Injection--Take under doctor's supervision.

    When to take:
      At the same times each day.  Take once-a-day or
      once-every-other-day doses in mornings.

    If you forget a dose:
      Several-doses-per-day prescription--Take as soon as you
      remember up to 2 hours late.  If more than 2 hours, wait for
      next scheduled dose (don't double this dose).

      Once-a-day dose or less--Wait for next dose.  Double this
      dose.

    What drug does:
      Decreases inflammatory responses.

    Time lapse before drug works:
      2 to 4 days.

    Don't take with:
      See interaction column and consult doctor.

POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS
    Symptoms                          What to Do
    _______________________________________________________________________
    Life-threatening:
      Hives, rash, intense            Seek emergency treatment
      itching, faintness              immediately.
      soon after a dose
      (anaphylaxis).

    Common:
      Acne, poor wound                Continue.  Call doctor when
      healing, thirst,                convenient.
      indigestion, nausea,
      vomiting, decreased
      growth in children.

    Infrequent:
      Black, bloody or                Discontinue.  Seek emergency
      tarry stools.                   treatment.

      Blurred vision,                 Discontinue.  Call doctor
      halos around lights,            right away.
      sore throat, fever,
      muscle cramps,
      swollen legs or feet.

      Mood change,                    Continue.  Call doctor when
      insomnia,                       convenient.
      restlessness,
      frequent urination,
      weight gain, round
      face, fatigue,
      weakness, TB
      recurrence, irregular
      menstrual periods.

    Rare:
      Irregular heartbeat.            Discontinue.  Seek emergency
                                      treatment.

      Rash, numbness or               Discontinue.  Call doctor
      tingling in hands               right away.
      or feet, pancreatitis,
      thrombophlebitis,
      hallucinations,
      convulsions.

OVERDOSE
    Symptoms:
      Headache, convulsions, heart failure.

    What to do:
      Dial 0 (operator) or 911 (emergency) for an ambulance or
      medical help.  Then give first aid immediately.

      See emergency information.

WARNINGS AND PRECAUTIONS
    Don't take if:
      You are allergic to any cortisone drug.
      You have tuberculosis or fungus infection.
      You have herpes infection of eyes, lips or genitals.

    Before you start, consult your doctor:
      If you have had tuberculosis.
      If you have congestive heart failure.
      If you have diabetes, peptic ulcer, glaucoma, underactive
      thyroid, high blood pressure, myasthenia gravis, blood clots
      in legs or lungs.

    Over age 60:
      Adverse reactions and side effects may be more frequent and
      severe than in younger persons.  Likely to aggravate edema,
      diabetes or ulcers.  Likely to cause cataracts and
      osteoporosis (softening of the bones).

    Pregnancy:
      Risk to unborn child outweighs drug benefits.  Don't use.

    Breast-feeding:
      Drug passes into milk.  avoid drug or discontinue nursing
      until you finish mecicine.  Consult doctor for advice on
      maintaining milk supply.

    Infants and children:
      Use only under medical supervision.

    Prolonged use:
      Retards growth in children.

      Possible glaucoma, cataracts, diabetes, fragile bones and thin
      skin.

      Functional dependence.

    Skin & sunlight:
      No problems expected.

    Driving, piloting or hazardous work:
      No problems expected.

    Discontinuing:
      Don't discontinue without doctor's advice until you complete
      prescribed dose, even though symptoms diminish or disappear.

      Drug affects your response to surgery, illness, injury or
      stress for 2 years after discontinuing.  Tell anyone who takes
      medical care of you within 2 years about drug.

    Others:
      Avoid immunizations if possible.

POSSIBLE INTERACTION WITH OTHER DRUGS
    Generic Name or Drug Class        Combined Effect
    ______________________________________________________________________
    Amphotericin B                    Potassium depletion.

    Anticholinergics                  Possible glaucoma.

    Anticoagulants (oral)             Decreased anticoagulant effect

    Anticonvulsants (hydantoin)       Decreased methylprednisolone
                                      effect.

    Antidiabetics (oral)              Decreased antidiabetic effect.

    Antihistamines                    Decreased methylprednisolone
                                      effect.

    Aspirin                           Increased methylprednisolone
                                      effect.

    Attenuated virus vaccines         Possible viral infection.

    Barbiturates                      Decreased methylprednisolone
                                      effect.  Oversedation.

    Chloral hydrate                   Decreased methylprednisolone
                                      effect.

    Chlorthalidone                    Potassium depletion.

    Cholestyramine                    Decreased methylprednisolone
                                      absorption.

    Cholinergics                      Decreased cholinergic effect.

    Colestipol                        Decreased methylprednisolone
                                      effect.

    Contraceptives (oral)             Increased methylprednisolone
                                      effect.

    Digitalis preparations            Dangerous potassium depletion.
                                      Possible digitalis toxicity.

    Diuretics (thiazide,)             Potassium depletion.

    Ephedrine                         Decreased methylprednisolone
                                      effect.

    Estrogens                         Increased methylprednisolone
                                      effect.

    Ethacrynic acid                   Potassium depletion.

    Furosemide                        Potassium depletion.

    Glutethimide                      Decreased methylprednisolone
                                      effect.

    Indapramide                       Possible excessive potassium
                                      loss, causing dangerous
                                      heartbeat irregularity.

    Indomethacin                      Increased methylprednisolone
                                      effect.

    Insulin                           Decreased insulin effect.

    Isoniazid                         Decreased isoniazid effect.

    Mitotane                          Decreased methylprednisolone
                                      effect.

    Non-steroidal                     Increased risk of ulcers and
    anti-inflammatory drugs           methylprednisolone effect.

    Oxyphenbutazone                   Possible ulcers.

    Phenobarbital                     Decreased methylprednisolone
                                      effect.

    Phenylbutazone                    Possible ulcers.

    Salicylates                       Decreased salicylate effect.

    Theophylline                      Possible increased
                                      theophylline effect.

    Potassium supplements             Decreased potassium effect.

    Rifampin                          Decreased emthylprednisolone
                                      effect.

    Sympathomimetics                  Possible glaucoma.

POSSIBLE INTERACTION WITH OTHER SUBSTANCES
    Interacts With                    Combined Effect
    ________________________________________________________________________
    Alcohol                           Risk of stomach ulcers.

    Beverages                         No proven problems.

    Cocaine                           Overstimulation.  Avoid.

    Foods                             No proven problems.

    Marijuana                         Decreased immunity.

    Tobacco                           Increased methylprednisolone
                                      effect.  Possible toxicity.







                           PREDNISONE

BRAND NAMES
    Apo-Prednisone              Panasol
    Colisone                    Paracort
    Cortan                      Prednicen-M
    Deltasone                   SK-Prednisone
    Liquid-Pred                 Sterapred
    Meticorten                  Sterazolidin
    Novoprednisone              Winpred
    Orasone

BASIC INFORMATION
    Habit forming?  No
    Prescription needed?  Yes
    Available as generic?  Yes
    Drug class: Cortisone drug (adrenal corticosteroid)

USES
    Reduces inflammation caused by many different medical problems.

    Treatment for some allergic diseases, blood disorders, kidney
    diseases, asthma and emphysema.

    Replaces corticosteroid deficiencies.

DOSAGE AND USAGE INFORMATION
    How to take:
      Tablet or liquid--Swallow with liquid or food to lessen
      stomach irritation.  If you can't swallow whole, crumble
      tablet.

    When to take:
      At the same times each day.  Take once-a-day or
      once-every-other-day doses in mornings.

    If you forget a dose:
      Several-doses-per-day prescription--Take as soon as you
      remember up to 2 hours late.  If more than 2 hours, wait for
      next scheduled dose (don't double this dose).

      Once-a-day dose or less--Wait for next dose.  Double this
      dose.

    What drug does:
      Decreases inflammatory responses.

    Time lapse before drug works:
      2 to 4 days.

    Don't take with:
      See interaction column and consult doctor.

POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS
    Symptoms                          What To Do
    __________________________________________________________________
    Life-threatening:
      Hives, rash, intense            Seek emergency treatment
      itching, faintness              immediately.
      soon after a dose
      (anaphylaxis).

    Common:
      Acne, poor wound                Continue.  Call doctor
      healing, thirst,                when convenient.
      indigestion, nausea,
      vomiting, decreased
      growth in children.

    Infrequent:
      Black, bloody or                Discontinue.  Seek emergency
      tarry stool.                    treatment.

      Blurred vision,                 Discontinue.  Call doctor
      halos around lights,            right away.
      sore throat, fever,
      muscle cramps.

      Mood change, fatigue,           Continue.  Call doctor
      insomnia, weakness,             when convenient.
      restlessness,
      frequent urination,
      weight gain, round
      face, TB recurrence,
      irregular menstrual
      periods.

    Rare:
      Irregular heartbeat.            Discontinue.  Seek emergency
                                      treatment.

      Skin rash, fever                Discontinue. Call doctor
      joint pain, acute               right away.
      psychosis, hair loss,
      pancreatitis, numbness
      or tingling in hands
      or feet, convulsions,
      thrombophlebitis,
      hallucinations.

OVERDOSE
    Symptoms:
      Headache, convulsions, heart failure.

    What to do:
      Dial 0 (operator) or 911 (emergency) for an ambulance or
      medical help.  Then give first aid immediately.

      See emergency information.

WARNINGS AND PRECAUTIONS
    Don't take if:
      You are allergic to any cortisone drug.
      You have tuberculosis or fungus infection.
      You have herpes infection of eyes, lips or genitals.

    Before you start, consult your doctor:
      If you have had tuberculosis.
      If you have congestive heart failure.
      If you have diabetes.
      If you have peptic ulcer.
      If you have glaucoma.
      If you have underactive thyroid.
      If you have high blood pressure.
      If you have myasthenia gravis.
      If you have blood clots in legs or lungs.

    Over age 60:
      Adverse reactions and side effects may be more frequent and
      severe than in younger persons.  Likely to aggravate edema,
      diabetes or ulcers.  Likely to cause cataracts and
      osteoporosis (softening of the bones).

    Pregnancy:
      Risk to unborn child outweighs drug benefits.  Don't use.

    Breast-feeding:
      Drug passes into milk.  Avoid drug or discontinue nursing
      until you finish medicine.  Consult doctor for advice on
      maintaining milk supply.

    Infants and children:
      Use only under medical supervision.

    Prolonged use:
      Retards growth in children.

      Possible glaucoma, cataracts, diabetes, fragile bones and thin
      skin.

      Functional dependence.

    Skin and Sunlight:
      No problems expected.

    Driving, piloting or hazardous work:
      No problems expected.

    Discontinuing:
      Don't discontinue without doctor's advice until you complete
      prescribed dose, even though symptoms diminish or disappear.

      Drug affects your response to surgery, illness, injury or
      stress for 2 years after discontinuing.  Tell anyone who takes
      medical care of you within 2 years about drug.

    Others:
      Avoid immunizations if possible.

POSSIBLE INTERACTION WITH OTHER DRUGS
    Generic Name or Drug Class        Combined effect
    ________________________________________________________________
    Amphotericin B                    Potassium depletion.

    Anticholinergics                  Possible glaucoma.

    Anticoagulants (oral)             Decreased anticoagulant effect

    Anticonvulsants (hydantoin)       Decreased prednisone effect.

    Antidiabetics (oral)              Decreased antidiabetic effect.

    Antihistamines                    Decreased prednisone effect.

    Aspirin                           Increased prednisone effect.

    Attenuated virus vaccines         Possible viral infection.

    Barbiturates                      Decreased prednisone effect.
                                      Oversedation.

    Chloral hydrate                   Decreased prednisone effect.

    Chlorthalidone                    Potassium depletion.

    Cholestyramine                    Decreased prednisone
                                      absorption.

    Cholinergics                      Decreased cholinergic effect.

    Colestipol                        Decreased prednisone
                                      absorption.

    Contraceptives (oral)             Increased prednisone effect.

    Digitalis preparations            Dangerous potassium depletion.
                                      Possible digitalis toxicity.

    Diuretics, thiazide               Potassium depletion.

    Ethacrynic acid                   Potassium depletion.

    Ephedrine                         Decreased prednisone effect.

    Estrogens                         Increased prednisone effect.

    Furosemide                        Potassium depletion.

    Glutethimide                      Decreased prednisone effect.

    Indapamide                        Possible excessive potassium
                                      loss, causing dangerous
                                      heartbeat irregularity.

    Indomethacin                      Increased prednisone effect.

    Insulin                           Decreased insulin effect.

    Isoniazid                         Decreased isoniazid effect.

    Mitotane                          Decreased prednisone effect.

    Non-steroidal                     Increased risk of ulcers and
    anti-inflammatory drugs           prednisone effect.

    Phenobarbital                     Decreased prednisone effect.

    Oxyphenbutazone                   Possible ulcers.

    Phenylbutazone                    Possible ulcers.

    Potassium supplements             Decreased potassium effect.

    Rifampin                          Decreased prednisone effect.

    Salicylates                       Decreased salicylate effect.

    Sympathomimetics                  Possible glaucoma.

    Theophylline                      Possible increased
                                      theophylline effect.

POSSIBLE INTERACTION WITH OTHER SUBSTANCES
    Interacts with                    Combined effect
    ________________________________________________________________
    Alcohol:                          Risk of stomach ulcers.

    Beverages:                        No proven problems.

    Cocaine:                          Overstimulation.  Avoid.

    Foods:                            No proven problems.

    Marijuana:                        Decreased immunity.

    Tobacco:                          Increased prednisone effect.
                                      Possible toxicity.


Downloaded From P-80 International Information Systems 304-744-2253