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Frequency not reportedMenstrual irregularitiesincreased or decreased motility and number of spermatozoaincreased urine calciumglycosuriaRef]
Since this drug lacks significant mineralocorticoid activity in usual therapeutic dosesit is not likely to afford adequate support in states of acute adrenocortical insufficiencyFor treatment of the latterthe parent adrenocortical steroidshydrocortisone or cortisoneshould be used.
PRECAUTIONS DEPO-MEDROL Sterile Aqueous Suspension exerts an inhibitory influenceon the mechanisms and the tissue changes associated with inflammationVascular permeability is decreasedexudation diminishedand migration of the inflammatory cells markedly inhibitedIn additionsystemic manifestations such as fever and signs of toxemia may also be suppressedWhile certain aspects of this alteration of the inflammatory reaction may be beneficialthe suppression of inflammation may mask the signs of infection and tend to facilitate spread of microorganismsHenceall patients receiving this drug should be watched for evidence of intercurrent infectionShould infection occurit must be brought under control by the use of appropriate antibacterial measuresor administration of this preparation should be discontinuedHoweverin infections characterized by overwhelming toxicitymethylprednisolone acetate therapy in conjunction with appropriate antibacterial therapy is effective in reducing mortality and morbidityWithout conjoint use of an antibiotic to which the invader-organism is sensitiveinjudicious use ofthe adrenal hormones in animals with infections can be hazardousAs with other corticoidscontinued or prolonged use is discouraged.
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