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Dexamethasone vs. Methylprednisolone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Dexamethasone (Hemady) and methylprednisolone (Depo-Medrol, Medrol, Solu-Medrol) are both corticosteroids used to treat various inflammatory and autoimmune conditions. Dexamethasone is available as oral tablets, solutions, and injections, while methylprednisolone is available as oral tablets and injections. Dexamethasone is a long-acting corticosteroid, meaning its effects last longer compared to methylprednisolone. Both medications can cause side effects like weight gain, trouble sleeping, and stomach issues, but dexamethasone is more likely to cause mood swings and higher blood sugar levels. Methylprednisolone is available in a convenient dose pack that organizes tablets into specific days and times, which can make it easier to follow your treatment plan. Both medications require a prescription and should not be stopped suddenly without consulting your healthcare provider.

Dexamethasone

 

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Methylprednisolone

(Medrol)

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Summary for Dexamethasone

Prescription only

Dexamethasone is a corticosteroid that's used to treat many inflammatory conditions, including allergic reactions and certain autoimmune conditions. If you've been taking dexamethasone for a long time, you're at higher risk for side effects like weight gain and weakened bones. Dexamethasone also has many drug interactions, so make sure to tell your provider and pharmacist what medications you're taking before starting this steroid. This medication is available as oral tablets and solutions, as well as an injection that's usually given in a healthcare setting.

Indications for Dexamethasone

Pros and Cons for Dexamethasone

Pros

  • Can treat many conditions
  • Works quickly to relieve symptoms and problems caused by an overactive immune system, like swelling or rash
  • Option to take it by mouth
  • Available as a liquid for children or people who can't take tablets by mouth

Cons

Common Side Effects for Dexamethasone

  • Difficulty sleeping
  • Higher blood sugar levels
  • Headache
  • Mood swings
  • Nausea
  • Stomach pain
  • Feeling more hungry
  • Weight gain

Warnings for Dexamethasone

  • Lowered stress hormone levels
  • Higher risk of infections
  • High blood pressure and kidney-related problems
  • Stomach and intestinal problems
  • Weakened bones
  • Eye problems

Summary for Methylprednisolone

Prescription only

Methylprednisolone (Medrol) is a steroid medication used to treat different medical conditions with an overactive immune system. It's typically available by prescription as tablets. And it sometimes comes in a dose pack, which helps you organize the tablets into specific days and times. If you use methylprednisolone (Medrol) for a long time, it might cause certain side effects, such as weight gain, skin thinning, and high blood sugar.

Indications for Methylprednisolone

Methylprednisolone (Medrol) is used for many different medical conditions, including:

Pros and Cons for Methylprednisolone

Pros

  • Available as a lower-cost, generic medication
  • Works well to treat many different conditions involving the immune system
  • Also available in an easy-to-follow dose pack that organizes tablets into specific days and times

Cons

  • Long-term use might weaken your bones and cause high blood sugar
  • Can cause side effects like upset stomach, mood changes, and sleep problems
  • Need to slowly lower your dose if you take it for a long time

Common Side Effects for Methylprednisolone

  • Swelling
  • Muscle weakness
  • Stomach pain
  • Bloating
  • Increased appetite
  • Trouble sleeping
  • Weight gain
  • Dizziness

Warnings for Methylprednisolone

  • New or worsened infection
  • Mood and behavior changes
  • Reduced adrenal gland function
  • Changes in heart and kidney function
  • Stomach problems
  • Bone problems with long-term use
  • Eye problems with long-term use
  • High blood sugar

Prices with our coupons for Dexamethasone vs. Methylprednisolone

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Dexamethasone5 tablets / 4mg
$7.34$15.72
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Methylprednisolone1 dose pack / 21 tablets of 4mg
$11.10$28.97
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