14 Table 2. 4 and 8 hours after chemotherapy. Alternatively, give as a single dose. Reserve for patients who cannot tolerate oral dexamethasone. No data are available on using methylpred-nisolone in these patients.
Dosage varies and is patient specific.
Clinical improvement in patients with malignancy may be achieved with methylprednisolone or dexamethasone. Institutions should consider conserving dexamethasone for DST patients until the shortage resolves. 11 Dexamethasone has been used in the past to manage intracranial pressure in head trauma patients. 20 Methylprednisolone may be an acceptable alternative in many situations, although there are few data that specifically address its use. March 19 and April 12, 2001.