Methylprednisolone sodium succinate is an injectable form of the corti
costeroid methylprednisolone. Because it is extremely soluble in water
, intravenous methylprednisolone can be administered in a small volume
of diluent. This characteristic is particularly beneficial when high
blood levels of methylprednisolone must be achieved rapidly. Methylpre
dnisolone sodium succinate therapy is useful in the management of many
conditions seen by primary care and emergency department physicians,
including allergic states, collagen disease, dermatologic conditions,
cerebral and spinal edema, gastrointestinal disorders, neoplastic dise
ase, nervous system disorders, rejection of transplanted organs, respi
ratory tract disease, and acute spinal cord injuries. Although intrave
nous methylprednisolone has widespread therapeutic uses, long-term the
rapy is associated with potentially serious adverse effects. Therefore
, whenever methylprednisolone sodium succinate is prescribed, the clin
ician must individualize the dosage to ensure that the patient receive
s the lowest effective dose.