MEDRONE 4 MG TABLETS
Active substance(s): METHYLPREDNISOLONE
Medrone 4 mg Tablets
PATIENT INFORMATION LEAFLET
Read all of this leaflet carefully before you start taking this medicine
because it contains important information for you.
- Keep this leaflet. You may need to read it again
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others.
It may harm them even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. See section 4.
This medicine is available using the above name but will be referred to as
Medrone throughout the leaflet. Medrone Tablets are also available in other
strengths of 2 mg, 16 mg and 100 mg.
What is in this leaflet
1. What Medrone is and what it is used for
2. What you need to know before you take Medrone
3. How to take Medrone
4. Possible side effects
5. How to store Medrone
6. Contents of the pack and other information
1. WHAT MEDRONE IS AND WHAT IT IS USED FOR
This medicine contains methylprednisolone, which belongs to a group of
medicines called steroids. Their full name is corticosteroids. Corticosteroids
are produced naturally in your body and are important for many body
Boosting your body with extra corticosteroid such as Medrone can help if
your body cannot produce enough corticosteroid due to problems with your
adrenal glands (e.g. adrenal insufficiency).
Corticosteroids can also help following surgery (e.g. organ transplants),
injuries or other stressful conditions. These include inflammatory or allergic
conditions affecting the:
- brain (e.g. tuberculous meningitis)
- bowel and gut (e.g. Crohn’s disease and ulcerative colitis)
- blood or blood vessels (e.g. leukaemia)
- eye (e.g. optic neuritis, uveitis or iritis)
- joints (e.g. rheumatoid arthritis, rheumatic fever)
- lungs (e.g. asthma, tuberculosis)
- muscle (e.g. dermatomyositis and polymyositis)
- skin (e.g. eczema)
Medrone may be prescribed to treat conditions other than those listed above.
You must talk to a doctor if you are unsure why you have been given this
medicine, if you do not feel better or if you feel worse.
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE MEDRONE
Do not take Medrone:
- If you think you have ever suffered an allergic reaction, or any other type
of reaction after being given Medrone or any of the other ingredients of
this medicine (listed in section 6). An allergic reaction may cause a skin
rash or reddening, swollen face or lips or shortness of breath.
- If you have any serious fungal infection such as a serious fungal
infection in your lungs or oesophagus (the tube that connects your mouth
with your stomach) or any other infection which is not being treated with
an antibiotic or antiviral medicine.
- If you have recently had, or are about to have any vaccination.
If you get a rash or another symptom of an infection tell your doctor
Warnings and precautions
Talk to your doctor or pharmacist before taking this medicine if you have any
of the following conditions.
Your doctor may have to monitor your treatment more closely, alter your
dose or give you another medicine.
- Chickenpox, measles or shingles. If you think you have been in contact
with someone with chickenpox, measles or shingles and you have not
already had these illnesses, or if you are unsure if you have had them.
- Worm infestation (e.g. threadworm).
- Severe depression or manic depression (bipolar disorder). This
includes having had depression before while taking steroid medicines like
Medrone, or having a family history of these illnesses.
- Diabetes (or if there is a family history of diabetes).
- Fits or seizures.
- Glaucoma (increased pressure in the eye) or if there is a family history of
glaucoma, or if you have cataracts.
- Viral (e.g. herpes) or fungal eye infection.
- You recently suffered a heart attack.
- Heart problems, including heart failure.
- Hypertension (high blood pressure).
- Hypothyroidism (an under-active thyroid).
- Pancreatitis (inflammation of the pancreas which causes severe pain in
the abdomen and back).
- Peritonitis (inflammation of the thin lining (peritoneum) around the gut
- Kidney or liver disease.
- Kaposi’s sarcoma (a type of skin cancer).
- Muscle problems (pain or weakness) have happened while taking steroid
medicines like Medrone in the past.
- Myasthenia gravis (a condition causing tired and weak muscles).
- Osteoporosis (brittle bones).
- Pheochromocytoma (a rare tumour of adrenal gland tissue. The adrenal
glands are located above the kidneys).
- Skin abscess.
- Stomach ulcer or other serious stomach or intestinal problems.
- Thrombophlebitis - vein problems due to thrombosis (clots in the veins)
resulting in phlebitis (red, swollen and tender veins).
- Tuberculosis (TB) or if you have suffered tuberculosis in the past.
- Cushing’s disease (condition caused by an excess of cortisol hormone in
- Brain injury due to trauma (injury).
- Unusual stress.
Other medicines and Medrone
Tell your doctor or pharmacist if you are taking, have recently taken or might
take any other medicines, (including medicines you have obtained without a
prescription).This could be harmful or affect the way Medrone or the other
- Acetazolamide - used to treat glaucoma and epilepsy.
- Aminoglutethimide or Cyclophosphamide – used for treating cancer.
- Anticoagulants - used to ‘thin’ the blood such as acenocoumarol,
phenindione and warfarin.
- Anticholinesterases - used to treat myasthenia gravis (a muscle
condition) such as distigmine and neostigmine.
- Antibacterials (such as isoniazid, erythromycin, clarithromycin and
- Antidiabetics - medicines used to treat high blood sugar.
- Aprepitant or fosaprepitant – used to prevent nausea and vomiting.
- Aspirin and non-steroidal anti-inflammatory medicines (also called
NSAIDs) such as ibuprofen used to treat mild to moderate pain.
- Barbiturates, carbamezipine, phenytoin and primidone – used to treat
- Carbenoxolone and cimetidine - used for heartburn and acid indigestion.
- Ciclosporin - used to treat conditions such as severe rheumatoid arthritis,
severe psoriasis or following an organ or bone marrow transplant.
- Digoxin - used for heart failure and/or an irregular heartbeat.
- Diltiazem or mibefradil – used for heart problems or high blood pressure.
- Ethinylestridiol and norethisterone – an oral contraceptive.
- Antivirals (such as ritonavir, indinavir) and pharmacokinetic enhancers
(such as cobicistat) used to treat HIV infections.
- Ketoconazole or itraconazole – used to treat fungal infections.
- Pancuronium or vecuronium – or other medicines called neuromuscular
blocking agents which are used in some surgical procedures.
- Potassium depleting agents – such as diuretics (sometimes called
water tablets), amphotericin B, xanthenes or beta2 agonists (e.g.
medicines used to treat asthma).
- Rifampicin and rifabutin – antibiotics used to treat tuberculosis (TB).
- Tacrolimus – used following an organ transplant to prevent rejection of
- Vaccines - tell your doctor or nurse if you have recently had, or are about
to have any vaccination. You must not have ‘live’ vaccines while using
this medicine. Other vaccines may be less effective.
If you are taking long term medication(s)
If you are being treated for diabetes, high blood pressure or water retention
(oedema) tell your doctor as he/she may need to adjust the dose of the
medicines used to treat these conditions.
Before you have any operation tell your doctor, dentist or anesthetist that
you are taking Medrone.
If you require a test to be carried out by your doctor or in hospital it is
important that you tell the doctor or nurse that you are taking Medrone. This
medicine can affect the results of some tests.
Pregnancy and breast-feeding
If you are pregnant, think you may be pregnant or are planning to have a
baby, ask your doctor or pharmacist for advice before taking this medicine,
as it could slow the baby’s growth.
There is a risk of low birth weight of a baby; this risk can be minimised by
taking the lowest effective dose of the corticosteroids.
Cataracts have been observed in infants born to mothers treated with longterm corticosteroids during pregnancy.
If you are breast-feeding, ask your doctor or pharmacist for advice, as small
amounts of corticosteroid medicines may get into breast milk.
Driving and using machines
Undesirable effects, such as dizziness, vertigo, visual disturbances and
fatigue are possible after treatment with corticosteroids. If you are affected
do not drive or operate machinery.
Medrone contains lactose and sucrose
If you have been told by your doctor that you have an intolerance to some
sugars, tell your doctor before taking this medicine.
Medrone Tablets 2 mg contain E123
Medrone 2mg tablets also contain the colour E123 which can cause allergic
3. HOW TO TAKE MEDRONE
Always take this medicine exactly as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.
Remember to always carry a Steroid Treatment Card. Make sure your
doctor or pharmacist has filled out the details of your medicine,
including the dose and how long you will require steroid treatment.
You should show your steroid card to anyone who gives you treatment
(such as a doctor, nurse or dentist) while you are taking Medrone, and for 3
months after you stop taking the tablets.
If you are admitted to hospital for any reason always tell your doctor or
nurse that you are taking Medrone. You can also wear a medic-alert
bracelet or pendant to let medical staff know that you are taking a steroid if
you have an accident or become unconscious.
The normal daily dose is between 4 mg and 360 mg per day, depending on
your condition and how severe it is. Your doctor will prescribe the lowest
Your doctor may tell you to take your daily dose all in one go, split your daily
dose throughout the day, or take it every other day at 8.00am.
Swallow the tablets whole with a drink of water.
Do not eat grapefruit or drink grapefruit juice while taking Medrone.
If you are being given Medrone because your body cannot make its own
corticosteroids, your doctor may also want you to take a second type of
steroid to help your salt balance.
Your doctor may prescribe a higher dose at the start of your treatment to
bring your condition under control.
When your doctor is happy that your condition has improved your dose will
be reduced gradually. Normally the dose will be reduced by not more than 2
mg every 7 to 10 days.
Your doctor may want to see you more regularly to check how you are
getting on with your tablets.
Children and adolescents:
Corticosteroids can affect growth in children so your doctor will prescribe the
lowest dose that will be effective for your child. Your doctor may tell you to
give your child this medicine on every other day.
If you take more Medrone than you should
It is important that you do not take more tablets than you are told to take. If you
accidentally take too many tablets, seek medical attention straight away.
If you forget to take your Medrone
Wait and take the next dose as normal. Do not take a dose to make up for
the forgotten one but tell your doctor or pharmacist what had happened.
Stopping/reducing the dose of your Medrone
Your doctor will decide when it is time to stop your dose.
You must not stop taking Medrone suddenly, especially if you:
- have had more than 6 mg Medrone daily for more than 3 weeks
- have been given high doses of Medrone (more than 32 mg daily) even if it
was only for 3 weeks or less
- have already had a course of corticosteroid tablets or injections in the last
- already had problems with your adrenal glands (adrenocortical
insufficiency) before you started this treatment
- take repeat doses in the evening.
You will need to come off Medrone slowly to avoid withdrawal symptoms.
These symptoms may include itchy skin, fever, muscle and joint pains,
runny nose, sticky eyes, loss of appetite, nausea, vomiting, headache,
feeling tired, peeling skin and weight loss.
If your symptoms seem to return or get worse as your dose of Medrone is
reduced tell your doctor immediately.
Mental problems while taking Medrone
Mental health problems can happen while taking steroids like Medrone (see
- These illnesses can be serious.
- Usually they start within a few days or weeks of starting the medicine.
- They are more likely to happen at high doses.
- Most of these problems go away if the dose is lowered or the medicine is
stopped. However if the problems do happen they might need treatment.
Talk to a doctor if you (or someone using this medicine) shows any signs of
mental problems. This is particularly important if you are depressed, or
might be thinking about suicide. In a few cases mental problems have
happened when doses are being lowered or stopped.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not
everybody gets them. Your doctor will have given you this medicine for a
condition which if not treated properly could become serious.
These side effects may occur with certain frequencies, which are defined as
- common: may affect up to 1 in 10 people.
- not known: frequency cannot be estimated from the available data.
In certain medical conditions medicines like Medrone (steroids) should
not be stopped abruptly. If you suffer from any of the following
symptoms, seek IMMEDIATE medical attention. Your doctor will then
decide whether you should continue taking your medicine:
- Burst or bleeding ulcers, symptoms of which are stomach pain
(especially if it seems to spread to your back), bleeding from the back
passage, black or bloodstained stools and/or vomiting blood.
- Infections. This medicine can hide or change the signs and symptoms of
some infections, or reduce your resistance to the infection, so that they
are hard to diagnose at an early stage. Symptoms might include a raised
temperature and feeling unwell. Symptoms of a flare up of a previous TB
infection could be coughing blood or pain in the chest. Medrone may also
make you more likely to develop a severe infection.
- Allergic reactions, such as skin rash, swelling of the face or wheezing
and difficulty breathing. This type of side effect is rare, but can be serious.
- Pancreatitis, stomach pain spreading to your back, possibly
accompanied by vomiting, shock and loss of consciousness.
- Pulmonary embolus (blood clots in the lung), symptoms include sudden
sharp chest pain, breathlessness and coughing up blood.
- Raised pressure within the skull of children (pseudotumour cerebri)
symptoms of which are headaches with vomiting, lack of energy and
drowsiness. This side-effect usually occurs after treatment is stopped.
- Thrombophlebitis (blood clots or thrombosis in a leg vein), symptoms of
which include painful swollen, red and tender veins.
If you experience any of the following side effects, or notice any other
unusual effects not mentioned in this leaflet, tell your doctor straight
Blood, heart and circulation
- High blood pressure, symptoms of which are headaches, or generally
- Problems with the pumping of your heart (heart failure) symptoms of
which are swollen ankles, difficulty in breathing and palpitations
(awareness of heart beat) or irregular beating of the heart, irregular or
very fast or slow pulse.
- Increased numbers of white blood cells (leukocytosis).
- Low blood pressure
Body water and salts
- Swelling and high blood pressure, caused by increased levels of water
and salt content.
- Cramps and spasms, due to the loss of potassium from your body. In rare
cases this can lead to congestive heart failure (when the heart cannot
- Increased blood urea levels.
- Nausea (feeling sick) or vomiting (being sick).
- Ulcers, inflammation or thrush in the oesophagus (the tube that connects
your mouth with your stomach), which can cause discomfort on
- Inflammation of the thin lining (peritoneum) around the gut and stomach.
- Bloated stomach.
- Abdominal pain.
- Persistent hiccups, especially when high doses are taken.
- Damage to the optic nerve or cataracts (indicated by failing eyesight).
- Glaucoma (raised pressure within the eye, causing pain in the eyes and
- Swollen optic nerve (papilloedema, indicated by sight disturbance).
- Thinning of the clear part at the front of the eye (cornea) or of the white
part of the eye (sclera).
- Worsening of viral or fungal eye infections.
- Protruding of the eyeballs (exophthalmos).
- Blurred or distorted vision (due to a disease called chorioretinopathy).
- Increase of liver enzymes.
Hormone and metabolic system
- Slowing of normal growth in infants, children and adolescents which may
- Round or moon-shaped face (Cushingoid facies).
- Irregular or no periods in women.
- Increased hair on the body and face in women (hirsutism).
- Increased appetite and weight gain.
- Abnormal blood level of lipids (e.g. cholesterol and/or fat).
- Diabetes or worsening of existing diabetes.
- Prolonged therapy can lead to lower levels of some hormones which in
turn can cause low blood pressure and dizziness. This effect may persist
- The amount of certain chemicals (enzymes) called alanine transaminase,
aspartate transaminase and alkaline phosphatase that help the body
digest drugs and other substances in your body may be raised after
treatment with a corticosteroid. The change is usually small and the
enzyme levels return to normal after your medicine has cleared naturally
from your system. You will not notice any symptoms if this happens, but it
will show up if you have a blood test.
- Accumulation of fat tissue on localised parts of the body, manifesting as
different presentations for example back pain or weakness (due to
- Increased susceptibility to infections which can hide or change normal
reactions to skin tests, such as that for tuberculosis.
Muscles and bones
- Muscle weakness or wasting.
- Brittle bones (bones that break easily).
- Broken bones or fractures.
- Breakdown of bone due to poor circulation of blood, this causes pain in
- Joint pain or joint problems.
- Torn muscle tendons causing pain and/or swelling.
- Muscle pain, cramps or spasms.
Steroids including methylprednisolone can cause serious mental health
These are common in both adults and children. They can affect about 5 in
every 100 people taking medicines like methylprednisolone.
- Feeling depressed, including thinking about suicide.
- Feeling high (mania) or moods that go up and down.
- Feeling anxious, having problems sleeping, difficulty in thinking or being
confused and losing your memory.
- Feeling, seeing or hearing things which do not exist. Having strange and
frightening thoughts, changing how you act or having feelings of being
- Dizziness, a feeling of dizziness or ‘spinning’.
- Poor wound healing.
- Thinning of skin.
- Stretch marks.
- Itchy skin.
- Rash or redness of skin.
- Hives (red itchy swellings).
- Dilation of small blood vessels on the surface of the skin (red spider
- Red, brown or purple, pin point, round spots.
- Brown/purple/red raised patches on the skin or inside the mouth (Kaposi’s
- Increased clotting of the blood
Other side effects
- Feeling unwell.
- Feeling tired.
- Accumulation of fluid causing swelling in the body, especially the lower
- Suppression of reactions to skin tests.
It is important if you are to have a blood test that you tell the doctor or nurse
that you have been given treatment with Medrone.
If you experience any of the side effects listed above tell your doctor
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. You can also report side
effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the
Google Play or Apple App Store. By reporting side effects, you can help
provide more information on the safety of this medicine.
5. HOW TO STORE MEDRONE
Medrone should not be used after the expiry date ‘EXP’ shown on the carton
and blister strip.
Keep your blister strips securely in the outer carton. If your medicine is out
of date take it to your pharmacist who will dispose of it safely.
Keep your medicine in a safe place where children cannot see or reach it.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required. These
measures will help protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Medrone contain
Medrone contain 4 mg methylprednisolone.
The tablets also contain lactose, sucrose, maize starch and calcium
What Medrone look like and contents of the pack
Medrone is white elliptical, convex tablet, cross-scored on one side and
marked “UPJOHN” on the other.
Available in packs of 30 tablets.
MANUFACTURER AND PRODUCT LICENCE HOLDER
Manufactured by Valdepharm, 27100 Val De Reuil, France and procured
from within the EU by Product Licence holder: Star Pharmaceuticals Ltd., 5
Sandridge Close, Harrow, Middlesex HA1 1XD. Repackaged by Servipharm
PL 20636/2280 – Medrone 4 mg Tablets
Leaflet issue and revision date (Ref): 23.10.17
Medrone is trademark of Pfizer Enterprises Sarl.
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