If you are:
Only When Necessary: FDA C; POSSIBLE RISK OF ORAL CLEFTS; SIMILAR CORTICOSTEROIDS FDA D
Precaution: LIMITED DATA SUGGEST MINIMAL AMOUNTS EXCRETED RESULTING IN NO ADVERSE EFFECTS
An adult over 60:
management or monitoring precaution: Cardiovascular-Caution in chronic heart failure patients due to sodium and water retention with glucocorticoid use. Endocrine-May cause hyperglycemia or worsen glucose control in diabetics. Longer term use may cause osteopenia or osteoporosis. Neuro/Psych-Avoid in older adults with or at high risk of delirium because of inducing or worsening delirium.
Giving methylprednisolone to a child under 12:
management or monitoring precaution: Prolonged use may inhibit bone growth in pediatrics and adolescents. Monitor growth, intraocular pressure, blood pressure etc. as for adults.