Methylprednisolone vs. Prednisone (Similarities & Differences)

Woman who thinks and doubts about taking antiallergics and anti-inflammatories together

Methylprednisolone is a corticosteroid hormone that’s used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders. It decreases your immune system's response to various diseases to reduce symptoms such as swelling, pain, and allergic-type reactions. 

In contrast, prednisone works as a very similar treatment to many conditions such as asthma, allergic reactions, arthritis, inflammatory bowel diseases, adrenal, and blood or bone marrow disorders. 

Both drugs work by decreasing inflammation, slowing down an overactive immune system, or replacing cortisol normally made in the body.

Key Takeaways

  • Methylprednisolone is a corticosteroid hormone very similar to prednisone used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders.

  • There are no key distinguishable differences between the two substances other than methylprednisolone being a “stronger” form of the corticosteroid hormone.

Comparison of Methylprednisolone to Prednisone

Here is a general breakdown of methylprednisolone to prednisone:

Aspect

Methylprednisolone

Prednisone

Description

A corticosteroid medication that reduces inflammation in the body.

A corticosteroid medication with anti-inflammatory properties.

Strength

Five times as potent as cortisol.

Four times as potent as cortisol.

Administration

Orally and via injection.

Orally (tablet, liquid, or concentrated solution).

Injection Benefits

Easier administration in large doses; can be injected into joints for specific conditions.

Not injectable; oral administration only.

Dosage Adjustment

Dosage may vary based on severity of condition; typically tapered gradually.

Dosage may vary based on severity of condition; typically tapered gradually.

Side Effects

Headaches

Dizziness

Nausea

Vomiting

Thin, fragile skin

Acne

Slow wound healing

Irregular menstruation

Insomnia

Mood swings

Depression

Vision problems

Seizures

Infections

Menstrual difficulties

Muscle and joint pain

Eye irritation

Decreased sexual desire

Heartburn

Changes in personality

Appetite changes

Twitching or tightening muscles

Shaky hands

Irregular heartbeat

Stomach pain

Similar to methylprednisolone, including the risk of psychosis

Interactions

Warfarin

NSAIDs

Antivirals

Warfarin

NSAIDs

Antivirals

Complications

May suppress immune system activity, making the body more susceptible to infections

Long-term use increases risk of adverse effects

Potential complications include tuberculosis, cataracts, high blood pressure, heart disease, mental health problems, bone weakness, diabetes, ulcers, infections, and more

Similar to methylprednisolone, including the risk of complications with long-term use and interactions with other conditions

In short, you can see that there are quite strong similarities between these two drugs. Methylprednisolone is simply more potent than prednisone.

Key Differences and Similarities

Here are some key differences and similarities between methylprednisolone and prednisone:

  • Methylprednisolone and prednisone are both considered to be corticosteroids used to reduce inflammation and alleviate symptoms like pain, swelling, and stiffness.

  • Both medications are standard treatments for autoimmune disorders like RA, thyroid issues, lupus, eczema, severe psoriasis, and allergic reactions.

  • Methylprednisolone is considered to be stronger than prednisone, with methylprednisolone being “5X as potent” as cortisol, compared to prednisone's four times potency.

  • Prednisone is primarily administered orally, whereas methylprednisolone can be given orally or via an injection site, which can be beneficial for severe inflammation requiring immediate reduction depending on the ailment the patient is dealing with.

  • Proper dosage of both drugs is crucial. Primary care physicians may adjust dosage based on individual response and condition severity. Abrupt cessation can lead to withdrawal effects like nausea, fatigue, and joint pain.

  • Side effects of both medications include a range of symptoms like headaches, nausea, acne, insomnia, mood swings, and vision problems. Prednisone may also cause psychosis in some cases.

  • Corticosteroids can interact with various medications, and long-term use increases the risk of complications such as infections, cataracts, high blood pressure, and mental health issues.

  • Methylprednisolone may be preferred for individuals with digestive issues hindering oral medication absorption. The choice between methylprednisolone and prednisone for the patient often depends on individual health conditions and the overall treatment goals.

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Sources

  1. PubChem. (n.d.). Methylprednisolone. Retrieved from https://pubchem.ncbi.nlm.nih.gov/compound/methylprednisolone#section=Top

  2. DailyMed. (n.d.). Methylprednisolone Sodium Succinate injection, powder, for solution. Retrieved from https://dai lymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=7bf4d3d3-3f8a-4e20-9194-061658efca61

  3. National Center for Biotechnology Information. (2019). Methylprednisolone. In LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK548400/


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The content on this page is for informational and educational purposes only and does not constitute professional medical advice. Patients should not use the information presented on this page for diagnosing a health-related issue or disease. Before taking any medication or supplements, patients should always consult a physician or qualified healthcare professional for medical advice or information about whether a drug is safe, appropriate or effective.