Active Ingredient: Methylprednisolone
Acute exacerbations of multiple sclerosis superimposed on a relapsing-remitting background.
For this indication, competent medicine agencies globally authorize below treatments:
Intramuscular
10 - 1,000 mg
From 2.5 To 250 mg 4 time(s) per day every day
Dosage should be varied according to the severity of the condition, initial dosage will vary from 10 to 500 mg. In the treatment of graft rejection reactions following transplantation, a dose of up to 1 g/day may be required. Although doses and protocols have varied in studies using methylprednisolone sodium succinate in the treatment of graft rejection reactions, the published literature supports the use of doses of this level, with 500 mg to 1 g most commonly used for acute rejection. Treatment at these doses should be limited to a 48-72 hour period until the patient’s condition has stabilised, as prolonged high dose corticosteroid therapy can cause serious corticosteroid induced side-effects.
Intravenous
10 - 1,000 mg
From 2.5 To 250 mg 4 time(s) per day every day
Dosage should be varied according to the severity of the condition, initial dosage will vary from 10 to 500 mg. In the treatment of graft rejection reactions following transplantation, a dose of up to 1 g/day may be required. Although doses and protocols have varied in studies using methylprednisolone sodium succinate in the treatment of graft rejection reactions, the published literature supports the use of doses of this level, with 500 mg to 1 g most commonly used for acute rejection. Treatment at these doses should be limited to a 48-72 hour period until the patient’s condition has stabilised, as prolonged high dose corticosteroid therapy can cause serious corticosteroid induced side-effects.
When administering methylprednisolone in high doses intravenously it should be given over a period of at least 30 minutes. Doses up to 250 mg should be given intravenously over a period of at least five minutes.
For intravenous infusion the initially prepared solution may be diluted with 5% dextrose in water, isotonic saline solution, or 5% dextrose in isotonic saline solution. To avoid compatibility problems with other drugs methylprednisolone should be administered separately, only in the solutions mentioned.
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