Medrol

Adult Dosing .

Dosage forms:  TAB: 2 mg, 4 mg, 8 mg, 16 mg, 32 mg

corticosteroid-responsive conditions

[4-48 mg/day PO divided qd-qid]

Alt: 24 mg PO on day 1, then decr. by 4 mg/day x5 days per dose pack instructions; Info: dose, frequency varies by condition; dose pack = 4 mg tabs x21; give w/ food; taper dose gradually to D/C if high-dose or long-term use

congenital adrenal hyperplasia, maintenance tx

[4-6 mg/day PO divided bid]

Info: individualize dose based on dz severity and tx response; give w/ food; taper dose gradually to D/C

asthma, acute

[ED/hospital management]

Dose: 40-80 mg/day PO divided qd-bid; Info: cont. until peak flow 70% predicted; give w/ food

[outpatient burst tx]

Dose: 40-60 mg/day PO divided qd-bid x3-10 days; Info: give w/ food

asthma, severe persistent

[7.5-60 mg PO qd-qod]

Info: give w/ food; taper dose gradually to D/C if high-dose or long-term use

gout, acute

[24 mg PO on day 1, then decr. by 4 mg/day x5 days per dose pack instructions]

Info: dose pack = 4 mg tabs x21; give w/ food

multiple sclerosis, acute exacerbation

[500-1000 mg PO qd x3-5 days]

Info: give w/ food

alcoholic hepatitis, acute (off-label)

[10-12 mg PO tid]

Info: give w/ food; taper dose gradually to D/C

renal dosing

[see below]

renal impairment: no adjustment

HD/PD: not defined

hepatic dosing

[not defined]

Peds Dosing .

Dosage forms:  TAB: 2 mg, 4 mg, 8 mg, 16 mg, 32 mg

corticosteroid-responsive conditions

[0.5-1.7 mg/kg/day PO divided q6-12h]

Alt: use dose pack of 4 mg tabs; start 24 mg/day, taper by 4 mg/day over 6 days per pkg instructions; Info: dose, frequency varies by condition; give w/ food; taper dose gradually to D/C if high-dose or long-term use

asthma, acute

[ED/hospital management]

Dose: 1-2 mg/kg/day PO divided qd-bid; Max: 60 mg/day; Info: cont. until peak flow 70% predicted; give w/ food

[outpatient burst tx]

Dose: 1-2 mg/kg/day PO divided qd-bid x3-10 days; Max: 60 mg/day; Info: give w/ food

asthma, severe persistent

[0.25-2 mg/kg/dose PO qd-qod]

Max: 60 mg/day; Info: give w/ food; taper dose gradually to D/C if high-dose or long-term use

renal dosing

[see below]

renal impairment: no adjustment

HD/PD: not defined

hepatic dosing

[not defined]