MEDRONE TABLETS 4MG
Active substance(s): METHYLPREDNISOLONE
PGM ASCOLI PICENO PLANT
IS MEDRONE 2MG-4MG CPR UK
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Package leaflet: Information for the patient
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.
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 functions.
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.
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 immediately.
Warnings and precautions
Talk to your doctor or pharmacist before taking this medicine if you have any of the
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.
Pfizer Italia S.r.l.
• 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
• Peritonitis (inflammation of the thin lining (peritoneum) around the gut and stomach).
• 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 your body).
• 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 medicine works:
• Acetazolamide - used to treat glaucoma and epilepsy.
• Aminoglutethimide or Cyclophosphamide – used for treating cancer.
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• Anticoagulants - used to ‘thin’ the blood such as acenocoumarol, phenindione and
• Anticholinesterases - used to treat myasthenia gravis (a muscle condition) such as
distigmine and neostigmine.
• Antibacterials (such as isoniazid, erythromycin, clarithromycin and troleandomycin).
• 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 epilepsy.
• 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 the organ.
• 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
Before you have any operation tell your doctor, dentist or anesthetist that you are
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
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 long-term
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 reactions.
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 dose possible.
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 8.00 am.
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
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 year
• 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 section 4).
• 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 follows:
• 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 of 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 away:
Blood, heart and circulation
• High blood pressure, symptoms of which are headaches, or generally feeling unwell.
• 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 pump properly).
• 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 swallowing.
• 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 headaches).
• 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
• 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 be permanent.
• 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 for months.
• 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 epidural lipomatosis).
• 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 the hip.
• 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 problems.
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 alone.
• 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 veins).
• Red, brown or purple, pin point, round spots.
• Brown/purple/red raised patches on the skin or inside the mouth (Kaposi’s sarcoma).
• Increased clotting of the blood
Other side effects
• Feeling unwell.
• Feeling tired.
• Accumulation of fluid causing swelling in the body, especially the lower limbs.
• 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 straight away.
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. By reporting effects you can help provide
more information on the safety of this medicine.
5. How to store Medrone
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date, which is stated on the carton and blister
strip after ‘EXP’. The expiry date refers to the last day of that month.
Keep your blister strips securely in the outer carton.
Store below 25°C.
Do not throw away any medicines via wastewater or household waste.
Ask your pharmacist how to throw away medicines you no longer use. These measures
will help protect the environment.
6. Contents of the pack and other information
What Medrone tablets contain
The active substance is methylprednisolone.
Each Medrone Tablets 2 mg contain 2 mg methylprednisolone.
Each Medrone Tablets 4 mg contain 4 mg methylprednisolone.
The other ingredients are lactose, sucrose, maize starch and calcium stearate.
Medrone Tablets 2 mg also contains rose colour (E123 and E127).
What Medrone tablets look like and contents of the pack
Medrone Tablets 2 mg are pink, oval and single scored.
Medrone Tablets 4 mg are white oval and single scored.
It is available in blister packs of 30 tablets and in plastic bottles of 30 or 100 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder:
Pfizer Limited, Ramsgate Road, Sandwich, Kent CT13 9NJ.
Pfizer Italia S.r.l., Località Marino del Tronto, 63100 Ascoli Piceno (AP), Italy.
Company Contact Address:
For further information on your medicine contact Medical Information at Pfizer Limited,
Walton Oaks, Dorking Road Tadworth, Surrey, KT20 7NS. Tel: 01304 616161.
This leaflet was last revised in 02/2017.
Ref: MD 16_0