Does taking Medrol (methylprednisolone) 12 mg twice a day for two weeks for COVID-19 count as a high or long-term steroid dose, and am I at risk of getting black fungus if I do not have diabetes or any other health conditions? | Apollo Pharmacy

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Does taking Medrol (methylprednisolone) 12 mg twice a day for two weeks for COVID-19 count as a high or long-term steroid dose, and am I at risk of getting black fungus if I do not have diabetes or any other health conditions?

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Does taking Medrol (methylprednisolone) 12 mg twice a day for two weeks for COVID-19 count as a high or long-term steroid dose, and am I at risk of getting black fungus if I do not have diabetes or any other health conditions?

Asked by Male, 31 · 8 days ago

G.santoshini Reddy

M Pharmacy (Pharmaceutics)

8 days ago

Taking Medrol (methylprednisolone) 24 mg daily for two weeks is considered a moderate, short-term course, not a long-term dose. It is very reassuring that you do not have diabetes or other underlying health conditions. "Black fungus" (mucormycosis) is an extremely rare infection that primarily affects individuals with poorly controlled diabetes or those on very high, prolonged steroid doses. For a healthy individual, your risk of developing this infection from this short course of methylprednisolone is exceptionally low. Please complete your medication as prescribed by your doctor, and let them know if you experience any side effects.

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Does taking Medrol (methylprednisolone) 12 mg twice a day for two weeks for COVID-19 count as a high or long-term steroid dose, and am I at risk of getting black fungus if I do not have diabetes or any other health conditions?

Answered 8 days ago

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Is it safe for a 55-year-old who takes Medrol (a steroid) for long-term skin allergies, as well as medications for high blood pressure and diabetes, to get the Covid vaccine, and should she temporarily stop taking her steroid around the time of her vaccination?

Please do not stop or change your dose of Medrol (methylprednisolone) on your own. Stopping steroids suddenly can be unsafe for your body. While methylprednisolone might slightly lower how well the vaccine works, it still offers crucial protection. I gently encourage you to speak with your doctor before your appointment; they can guide you on the best timing for your vaccine based on your specific medication schedule.

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Could my mothers persistent slight evening fever of around 99°F after taking Medrol for COVID-19, combined with a small calcified spot found in her lung on a CT scan, be related to inactive tuberculosis, even though she does not have typical symptoms like a cough or night sweats?

A small calcified spot on a CT scan often indicates an old, healed infection, which could indeed be inactive tuberculosis. While methylprednisolone (Medrol) is a steroid that can temporarily suppress the immune systemsometimes raising the risk of inactive infections waking upa mild temperature of 99°F is also very common as the body recovers from COVID-19 itself. Since she does not have a cough or night sweats, a major reactivation is less likely, but still possible. Please share these findings with her doctor. They can easily perform a simple blood or skin test to rule out active tuberculosis and bring you peace of mind.

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Can symptoms of black fungus remain mild for a week after taking steroids like Medrol and dexamethasone, or could the on-and-off heaviness in my eye and jaw be caused by anxiety?

While mucormycosis is extremely rare and typically progresses rapidly rather than causing mild, on-and-off symptoms for a week, anxiety is highly capable of causing physical tension, including heaviness in your eye and jaw. However, because you recently took steroids, it is always safest to have a healthcare professional evaluate these symptoms. This could simply be sinus congestion or muscle tension from stress, but a quick physical exam will give you the clear answers and reassurance you deserve. Please consult your doctor to put your mind at ease.

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Given that I tested positive for COVID-19 on April 22nd, have a high inflammation marker (CRP) level of 125, a chest CT scan showing significant lung involvement (a score of 15 out of 25), and am currently taking 24 mg of Medrol and 1 gram of Augmentin Duo, do I need to go to the hospital?

Your chest CT score of 15/25 and a CRP level of 125 indicate significant inflammation in your lungs. While you are currently taking methylprednisolone (Medrol) and amoxicillin/clavulanic acid (Augmentin Duo), a hospital evaluation is highly recommended. In a hospital, doctors can closely monitor your oxygen levels, support your breathing, and adjust your treatments safely. Please visit the nearest hospital or emergency department for a thorough assessment to ensure you receive the best care and recover fully.

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My father tested positive for COVID-19 over three weeks ago, has been free of symptoms for about a week, and is feeling completely fine after taking Medrol and Xarelto?do we need to repeat his blood tests for inflammation (CRP) and blood clots (D-dimer) now?

Since he has recovered well, routinely repeating blood tests like CRP and D-dimer is generally not necessary. These tests are typically only needed if new symptoms arise, such as leg swelling or shortness of breath. Please ensure he completes his prescribed courses of Medrol (methylprednisolone) and Xarelto (rivaroxaban) exactly as directed. I highly recommend consulting his treating physician before stopping these medications or making any changes to his treatment plan.

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What are the definitive treatment options and steroid-sparing therapies for chronic mucocutaneous diseases presenting with skin, scalp, oral, and ocular ulcers that are currently managed with long-term methylprednisolone?

To help reduce your reliance on methylprednisolone, doctors often recommend steroid-sparing therapies. Excellent options include immunomodulators like azathioprine, mycophenolate mofetil, or methotrexate, which help calm your immune system. For more targeted treatment, biologic therapies like rituximab have shown great success in healing mucosal and skin ulcers. Depending on your specific diagnosis, medications like dapsone might also be considered. Please discuss these options with your specialist to find a tailored plan.

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