Tapazole pronunciation

This video shows you how to pronounce Tapazole Tapazole synonyms, Tapazole pronunciation, Tapazole translation, English dictionary definition of Tapazole. n. A drug, C4H6N2S, that inhibits the synthesis of thyroid hormone and is used to treat hyperthyroidism. American Heritage® Dictionary of the English.. Tapazole definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up now

How to Pronounce Tapazole - YouTub

  1. How to say methimazole in English? Pronunciation of methimazole with 4 audio pronunciations, 1 meaning, 6 translations, 2 sentences and more for methimazole
  2. Pronunciation guide: Learn how to pronounce methimazole in English with native pronunciation. methimazole translation and audio pronunciation
  3. Learn how to say Methimazole with EmmaSaying free pronunciation tutorials.Definition and meaning can be found here:https://www.google.com/search?q=define+Met..
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  5. May be used as short-term adjunctive therapy to prepare patient for thyroidectomy or radiation therapy or may be used in treatment of hyperthyroidism. Treatment from 6 mo to several yr may be necessary, usually averaging 1 yr. methIMAzole is a sample topic from the Davis's Drug Guide
  6. Medical Definition of methimazole: a drug C 4 H 6 N 2 S used to inhibit activity of the thyroid gland. Learn More About methimazole. Share methimazole. Post the Definition of methimazole to Facebook Share the Definition of methimazole on Twitter. Dictionary Entries Near methimazole. methenolone. Methergine. methicillin
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This video shows you how to pronounce Methimazol Tapazole side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.. Serious and sometimes fatal infections may occur during treatment with Tapazole. Stop using Tapazole and call your doctor right away if you have signs of infection such as Tapazole: [ tap´ah-zōl ] trademark for a preparation of methimazole , used as a thyroid inhibitor Methimazole definition, a white crystalline substance, C4H6N2S, that inhibits thyroxin synthesis, used in the treatment of hyperthyroidism. See more Methimazole side effects. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Serious and sometimes fatal infections may occur during treatment with methimazole. Stop using methimazole and call your doctor right away if you have signs of infection such as

Tapazole - definition of Tapazole by The Free Dictionar

  1. Pronunciation: meth-im-a-zole. Trade Name(s) Tapazole; Ther. Class. antithyroid agents. Indications. Palliative treatment of hyperthyroidism. Used as an adjunct to control hyperthyroidism in preparation for thyroidectomy or radioactive iodine therapy. Action. Inhibits the synthesis of thyroid hormones
  2. istered antithyroid drug
  3. Tapajós definition, a river flowing NE through central Brazil to the Amazon. 500 miles (800 km) long. See more
  4. Methimazole is usually taken every 8 hours. Take your doses at regular intervals to keep a steady amount of the drug in your body at all times. If a child is using this medicine, tell your doctor if the child has any changes in weight. Methimazole doses are based on weight in children, and any changes may affect your child's dose
  5. Felimazole Description. Methimazole is a thioureylene antithyroid drug, which inhibits the synthesis of thyroid hormones. Methimazole (1-methylimidazole-2-thiol) is a white, crystalline substance that is freely soluble in water. The chemical formula is C 4 H 6 N 2 S. Molecular weight is 114.16
  6. Indications and dosages Mild hyperthyroidism Adults and adolescents: Initially, 15 mg P.O. daily in three equally divided doses at approximately 8-hour intervals. For maintenance, 5 to 15 mg/day in equally divided doses at approximately 8-hour intervals. Children: Initially, 0.4 mg/kg/day in three divided doses at 8-hour intervals. For maintenance, approximately 0.2 mg/kg/day in three divided.
  7. Define methimazole. methimazole synonyms, methimazole pronunciation, methimazole translation, English dictionary definition of methimazole. n. A drug, C4H6N2S, that inhibits the synthesis of thyroid hormone and is used to treat hyperthyroidism. American Heritage® Dictionary of the English..

Tapazole Definition of Tapazole at Dictionary

How to pronounce methimazole HowToPronounce

Tapazole (n.). 1. A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulinThis is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme Common Brand Name(s): Tapazole. Phonetic Pronunciation: (meh-THIM-uh-zole) Information last revised May 2010 . What does METHIMAZOLE-ORAL look like? methimazole 5 mg Tab. Tapazole 10 mg Tab. Northyx 20 mg Tab Record the pronunciation of this word in your own voice and play it to listen to how you have pronounced it. or pronounce in different accent or variation ? Learn more about the word methimazole , its origin, alternative forms, and usage from Wiktionary

Return of thyroid function studies to normal. May be used as short-term adjunctive therapy to prepare patient for thyroidectomy or radiation therapy or may be used in treatment of hyperthyroidism. Treatment from 6 mo to several yr may be necessary, usually averaging 1 yr. methIMAzole is a sample topic from the Davis's Drug Guide Start studying Methimazole (Tapazole). Learn vocabulary, terms, and more with flashcards, games, and other study tools. Search. Create. Log in Sign up. Upgrade to remove ads. Only $1/month. Methimazole (Tapazole) STUDY. Flashcards. Learn. Write. Spell. Test. PLAY. Match. Gravity. drug class. Click card to see definition . Tap card to see. How to pronounce Methimazole [Video] We need your help! We're crowdsourcing word descriptions. If you'd like to contribute and help hundreds of thousands of learners around the world, submit your own description for Methimazole below! Email. Description Atorvastatin (brand name Lipitor) is an HMG-CoA reductase inhibitor. It is one of the Top 250 Drugs (similar to the Top 200 Drugs or Top 300 Drugs) in ClinCalc.com's RxHero mobile app, FlashRX mobile app and The Top 250 Drugs online educational video course. Become an RxHero by rapidly learning the most common outpatient medications in this.

Methimazole definition: a white crystalline substance, C 4 H 6 N 2 S, that inhibits thyroxin synthesis , used in... | Meaning, pronunciation, translations and example How to say propylthiouracil in English? Pronunciation of propylthiouracil with 1 audio pronunciation, 1 meaning, 7 translations and more for propylthiouracil Thiamazole, also known as methimazole, is a medication used to treat hyperthyroidism. This includes Graves disease, toxic multinodular goiter, and thyrotoxic crisis. It is taken by mouth. Full effects may take a few weeks to occur. Common side effects include itchiness, hair loss, nausea, muscle pain, swelling, and abdominal pain. Severe side effects may include low blood cell counts, liver.

methimazole pronunciation: How to pronounce methimazole in

Methimazole is used to treat an overactive thyroid gland (hyperthyroidism).Grave's disease is the most common cause of hyperthyroidism.Grave's disease is an autoimmune disease resulting from antibodies that attach to receptors on thyroid hormone-producing cells in the thyroid gland and trigger overproduction of thyroid hormone.An enzyme (peroxidase) produces thyroid hormones, i.e., thyroxine. Methimazole is an oral medication, and stopping these medications can lead to worsening of hyperthyroidism. During a critical respiratory illness, especially when a meet the definition of being immunocompromised. However, unlike many other types of cancer, the majorit Methimazole is a drug used to treat hyperthyroidism, a condition that usually occurs when the thyroid gland is producing too much thyroid hormone. It may also be taken before thyroid surgery to lower thyroid hormone levels and minimize the effects of thyroid manipulation Past life for Methimazole born Apr 16, 2019. I do not know how you feel about it, but you were a female in your last earthly incarnation. You were born somewhere around the territory of Spain approximately on 475. Your profession was artist, magician, and fortune teller Tapa definition, (especially in Spain) a snack or appetizer, typically served with wine or beer. See more

How To Say Methimazole - YouTub

Definition of methimazole in the Definitions.net dictionary. Meaning of methimazole. Information and translations of methimazole in the most comprehensive dictionary definitions resource on the web methimazole - WordReference English dictionary, questions, discussion and forums. All Free

How To Pronounce Methimazole: Methimazole pronunciatio

  1. *ASHP [1990] definition of hazardous drugs: 1. Genotoxicity (i.e., mutagenicity and clastogenicity in short-term test systems) 2. Carcinogenicity in animal models, in the patient population, or both, as reported by the International Agency for Research on Cancer (IARC) 3. Teratogenicity or fertility impairment in animal studies or in treated.
  2. Summary. Antithyroid drugs are drugs that either decrease thyroid hormone synthesis (thionamides) or thyroid hormone release (iodides). The most important group of antithyroid drugs are thionamides, which include methimazole, carbimazole, and propylthiouracil. Thionamides decrease thyroid hormone synthesis by inhibiting thyroid peroxidase, an essential enzyme involved in multiple steps of.
  3. Methimazole Definition (MSH) A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulin. This is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme
  4. Methimazole usually is the drug of choice in nonpregnant patients because of its lower cost, longer half-life, and lower incidence of hematologic side effects
  5. These prescription medications include propylthiouracil and methimazole (Tapazole). Because the risk of liver disease is more common with propylthiouracil, methimazole is considered the first choice when doctors prescribe medication. However, propylthiouracil is the preferred anti-thyroid drug during the first trimester of pregnancy, as.
  6. Methimazole is a human drug that is used for the medical management of hyperthyroidism in cats. It currently is the drug of choice for the treatment of over-active thyroid and has largely replaced propylthiouracil for this purpose due to the lower incidence of side effects. Treatment with methimazole is a form of medical management; it does not.
  7. Definition (PDQ) A thiourea derivative with antithyroid property. Propylthiouracil (PTU) interferes with the oxidation of iodine possibly by interaction with peroxidase or a peroxidase-mediated complex reaction, thereby inhibiting synthesis of thyroid hormones tri-iodothyronine (T3) and thyroxine (T4). In addition, this agent inhibits the Type.

Methimazole (Tapazole) Davis's Drug Guid

Methimazole is the preferred drug. The usual starting dosage of methimazole is 5 to 20 mg orally 2 or 3 times a day and of propylthiouracil is 100 to 150 mg orally every 8 hours. When T4 and T3 levels normalize, the dosage is decreased to the lowest effective amount, usually methimazole 2.5 to 10 mg once a day or propylthiouracil 50 mg twice a. methimazole: [ meth-im´ah-zōl ] a thyroid inhibitor used in treatment of hyperthyroidism Methimazole is presently the preferred one due to less severe side-effects. These drugs work well to control the overactive thyroid, and do not cause permanent damage to the thyroid gland. In about 20% to 30% of patients with Graves' disease, treatment with antithyroid drugs for a period of 12 to 18 months will result in prolonged remission. How to use Methimazole Take this medication by mouth with or without food as directed by your doctor, usually 1 to 3 times a day. Dosage is based on your medical condition and response to treatment

Minor side effects — Up to 15 percent of people who take an antithyroid drug have minor side effects. Both methimazole and propylthiouracil can cause itching, rash, hives, joint pain and swelling, fever, changes in taste, nausea, and vomiting. If one antithyroid drug causes side effects, switching to the other drug may be helpful Methimazole may produce side effects in cats including depression, vomiting and lack of appetite. These signs usually resolve without stopping the medication. A more serious side effect is the development of low blood cell counts which are more likely to develop during the first 3 months of treatment methimazole derivatives and tautomeric cyclic thiones to treat autoimmune diseases: dérivés de méthimazole et thiones cycliques tautomères permettant de traiter les maladies auto-immunes: More specifically, this invention is directed to methods for treating or preventing IBD and related gastrointestinal pathologies using methimazole derivatives and tautomeric cyclic thiones Read medical definition of Arthralgia. Drugs & Vitamins Drugs A-Z Drugs by Classification Drugs Comparison (Drug Vs. Drug) Vitamins & Supplements Drug Interaction Checker Pill Identifier. Tools & Resources Symptom Checker Diseases & Conditions Medical Dictionary. Media. Slideshows Images Quizzes

Methimazole Medical Definition Merriam-Webster Medical

Apo-Methimazole synonyms, Apo-Methimazole pronunciation, Apo-Methimazole translation, English dictionary definition of Apo-Methimazole. n. A drug, C4H6N2S, that inhibits the synthesis of thyroid hormone and is used to treat hyperthyroidism. American Heritage® Dictionary of the English.. Treatment with methimazole, an antithyroid drug, controls hyperthyroidism by blocking thyroid hormone synthesis.Carbimazole is a similar antithyroid drug available in many European countries, Australia, and Japan; it exerts its effects through immediate conversion to methimazole after administration. Propylthiouracil, another antithyroid drug, is not recommended for use in cats because of the. Symptoms. Normally, thyroid hormones help you burn energy at the right speed. High levels can affect your body in lots of different ways. In general, they speed things up -- like your heart, which. Propylthiouracil, and methimazole, and carbimazole-related hepatotoxicity Expert Opin Drug Saf. 2014 Oct;13(10):1397-406. doi: 10.1517/14740338.2014.953796. Epub 2014 Aug 26. Authors Anam Akmal 1 , Jacqueline Kung. Affiliation 1 Tufts Division of Endocrinology , 800. Antithyroid medications, such as Methimazole, are used to treat a toxic nodular goiter short-term to get a patient ready for either surgery or radioactive iodine therapy. Long-term therapy with methimazole is not usually considered in treating patients with a toxic nodular goiter since this will never go into remission. This study was done to compare treatment of toxic nodular goiter with long.

Methimazole (Tapazole) and propylthiouracil are medication options that are also used to treat hyperthyroidism by decreasing the amount of thyroid hormone in your body Methimazole (oral and transdermal) is a safe and effective medication for the treatment of feline hyperthyroidism. Dr. Bruyette discusses drug administration and monitoring, plus 10 key points of owner education. Methimazole is commonly used for the pharmacologic management of feline hyperthyroidism. 1 This article reviews the properties of. Agranulocytosis is a rare and critical adverse effect of antithyroid drugs (ATD). The occurrence of agranulocytosis in continuous ATD treatment patients is well known; however, a case of ATD agranulocytosis occurring following the discontinuation of methimazole (MMI) treatment is not a usual situation. We herein describe a case of a 41-year-old woman who was previously administered methimazole.

How to Pronounce Methimazole - YouTub

  1. ase concentrations occur in up to 30% of patients taking PTU, w8 but severe hepatotoxicity has been reported only rarely. w9 Patients taking methimazole.
  2. Pronunciation: meh-THIM-uh-zole. Common Brand Name(s): Tapazole. Important: How To Use This Information. This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not.
  3. Pronunciation of metronidazole with 2 audio pronunciations. 23 ratings. 17 ratings. International Phonetic Alphabet (IPA) IPA : metrənɪˈdæzl. Record the pronunciation of this word in your own voice and play it to listen to how you have pronounced it. Can you pronounce this word better
  4. thiamazole ( uncountable ) ( pharmacology) An imidazole derivative that interferes with the synthesis of thyroid hormone and is given orally in the treatment of hyperthyroidism; 1- methylimidazole -2 -thiol, C 3 H 2 N 2 (CH 3 ) (SH)
  5. Medscape - Indication-specific dosing for Northyx, Tapazole (methimazole), frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy & lactation schedules, and cost information
  6. Medical definition of propylthiouracil: a crystalline compound C7H10N2OS used as an antithyroid drug in the treatment of goiter

Anti-Thyroid Drugs 1. METHIMAZOLE ANTITHYROID DRUG PRESENTED BY: MEENAKSHI M.Sc. 1st Year 2. HISTORY • Antithyroid drugs were developed as derivatives of thiourea, which was discovered to goiter in rats. • ƒThiourea was the first drug used in man, followed by thiouracil (after testing hundreds of compounds in rats) (JAMA 1943) • ƒBoth compounds caused agranulocytosis in approximately 1. Methimazole (Tapazole) or propylthiouracil (PTU) are the ATDs available in the United States for the treatment of hyperthyroidism (see Hyperthyroidism brochure). Both of these drugs cross the placenta and can potentially impair the baby's thyroid function and cause fetal goiter. Use of either drug in the first trimester of pregnancy has been. (pharmacology) Alternative form of thiamazole Definition from Wiktionary, the free dictionar

Tapazole Uses, Side Effects & Warnings - Drugs

clinic appointment, and her methimazole was increased to 30 mg PO daily. Two weeks after the increased dose of methimazole, her labs were as follows: WBC 6.22 x10E3/uL, hemoglobin 13.8 g/dL, RBC count of 5.22 x10E3/uL, MCV 81.2 fL, RDW 16%, platelets 187 x10E3/uL, neutrophils 67.4%, ANC 4.2 x10E3/uL, lymphocyte 23.8%, and ALC 1.5 x10E3/uL home / medterms medical dictionary a-z list / tapazol definition Medical Editor: Jay W. Marks, MD Tapazol: Trade name for methimazole , an antithyroid medication Thioamide. A thioamide (rarely, thionamide, but also known as thiourylenes) is a functional group with the general structure R-CS-NR′R″, where R, R′, and R″ are organic groups. They are analogous to amides but they exhibit greater multiple bond character along the C-N bond, resulting in a larger rotational barrier Methemoglobin definition, a brownish compound of oxygen and hemoglobin, formed in the blood, as by the use of certain drugs. See more A. They should feel symptomatic improvement in 1 to 2 weeks. B. Drug adverse effects such as lethargy and dry skin may occur. C. It may take 4 to 8 weeks to get to euthyroid symptomatically and by lab testing. D. Due to its short half-life, levothyroxine doses should not be missed. Definition

Tapazole definition of Tapazole by Medical dictionar

Monocytes, along with other types of white blood cells, are a vital part of your immune system. They help fight off germs and keep you healthy. So, what does it mean if your monocyte level is high thyrotoxicosis: [ thi″ro-tok″sĭ-ko´sis ] the condition caused by excessive quantities of thyroid hormones (see hyperthyroidism ); it may be due to overproduction by the thyroid gland (as in Graves' disease ), overproduction originating outside the thyroid, or loss of storage function and leakage from the gland These include valerian root (6), St. John's Wort (7), and passionflower (8) . Just keep in mind that if hyperthyroidism is the cause of the person's anxiety then the primary goal should be to reduce the thyroid hormone levels. Cortisol-lowering herbs. High cortisol can also cause heart palpitations

Methimazole Definition of Methimazole at Dictionary

  1. Methimazole (Tapazole) is the preferred antithyroid medication except in the first trimester of pregnancy and in patients with an adverse reaction to the medication. B 2
  2. Evaluation of Macrocytosis. JOYCE KAFERLE, MD, and CHERYL E. STRZODA, MD, University of Michigan, Ann Arbor, Michigan. Am Fam Physician. 2009 Feb 1;79 (3):203-208. Macrocytosis, generally defined.
  3. Hypothyroidism vs Hyperthyroidism NCLEX review notes: This article will give you the differences between hypo and hyperthyroidism in regards to causes, complications, signs and symptoms, and treatments. Many students get these two conditions confused so I wanted these review notes to simplify the differences. Don't forget to test your.
  4. Generic Name : Methimazole Pronunciation : meth im' a zole Latest prescription information about Methimazole. Learn how to pronounce the drug's name, its indications, dosage, how to take, when to.
  5. Agranulocytosis happens when your body doesn't make enough white blood cells (called neutrophils). White blood cells fight germs that make us sick. Agranulocytosis is a life-threatening condition that leads to severe infection. Providers can treat it with medications that help the body produce white blood cells. Untreated, it can be fatal
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  7. In the past, methimazole was preferred by European endocrinologists, whereas propylthiouracil was the first choice for the majority of their North American colleagues. However, because of the recent definition of a better side-effect profile, methimazole is nowadays the first choice world while

Methimazole Uses, Side Effects & Warnings - Drugs

Methimazole - FDA prescribing information, side effects

Whether or not Graves' hyperthyroidism can be really cured, depends on the definition of cure. If eradication of thyroid hormone excess suffices for the label cure, then all patients can be cured because total thyroidectomy or high doses of 131 I will abolish hyperthyroidism albeit at the expense of creating another disease (hypothyroidism) requiring lifelong medication with. Methimazole can absolutely cause weight gain and it does this by blocking thyroid function and activation in the tissues in your body. Over-blocking thyroid hormone may actually take you from hyperthyroidism to hypothyroidism which may then trigger symptoms such as hair loss, weight gain, fatigue, constipation and so on PTU is started at a dose of 100 mg every 8 hours or 150 mg twice daily. Methimazole, because of its relatively long duration of action, is given as a single daily dose. Doses of greater than 300 to 400 mg of PTU or 30 to 40 mg of methimazole are usually not required. Thyrotoxicosis usually improves within 3 to 6 weeks Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactive thyroid. With this disease, your immune system attacks the thyroid and causes it to make more thyroid hormone than your body needs. The thyroid is a small, butterfly-shaped gland in the front of your neck

Thyroid eye disease (TED) is an inflammatory disease of the eye and the surrounding tissues. The inflammation is due to an autoimmune reaction - the body's immune system is attacking tissues within and around the eye socket. TED is sometimes referred to by other names, such as Graves' ophthalmopathy, Graves' orbitopathy, thyroid-associated ophthalmopathy, and/or thyroid orbitopathy Check 'methimazole' translations into Ukrainian. Look through examples of methimazole translation in sentences, listen to pronunciation and learn grammar

Definition A thioamide inhibitor of the enzyme thyroid peroxidase (TPO), with antithyroid activity. Upon administration, methimazole inhibits the metabolism of iodide and the iodination of tyrosine residues in the thyroid hormone precursor thyroglobulin by TPO; this prevents the synthesis of the thyroid hormones triiodothyronine (T3) and. Definition. Treat hyperthyroidism. Administer methimazole with food. Because of the increase in metabolism that occurs in hyperthyroidism, the client should consume a high calorie diet. Antithyroid medications can cause agranulocytosis with leukopenia and thrombocytopenia. Sore throat, fever, headache, or bleeding may indicate agranulocytosis. Methimazole has effects in the production of thyroid hormone and is useful in treating conditions related to thyroid hormone, especially thyrotoxicosis. It is considered a thyroid blocking agent. This activity reviews the indications, interaction, adverse effects, and other pharmacodynamic and pharmacokinetic factors of methimazole, and highlights the role of the interprofessional team in.

Tapajós Definition of Tapajós at Dictionary

Thyromegaly is a disorder in which the thyroid gland becomes abnormally enlarged. It's most often caused by insufficient iodine in the diet, but it can also result from other conditions. Most. The antithyroid drugs (ATDs) propylthiouracil (PTU) and methimazole are associated with a rare incidence of agranulocytosis, [ 1] which is characterized by fever, malaise, gingivitis.

methimazole Michigan Medicin

Treatment options for Graves disease include antithyroid drugs (such as carbimazole, methimazole, or propylthiouracil / PTU), radioactive iodine therapy and surgery (Lancet 2016;388:906) Beta blockers for symptoms, thionamide type drugs to block new hormone synthesis, iodine to block release of T4 / T3, radioactive iodine to destroy thyroid tissu Methimazole or carbimazole was initially prescribed in 2,864 patients (93.7%). Recalculation based on intention-to-treat analysis resulted in an overall remission rate of 28.8% (829/2,880). Pooled remission rates based on treatment duration were 23.7%, 31.0%, 43.7%, and 75% after respectively 1.5-2.5 years, 2.5-5 years, 5-6 years (two studies. Methimazole treats hyperthyroidism in cats, a condition in which too much thyroid hormone is produced. It will not cure the disease, but will usually control it if given for the rest of the cat's life. Methimazole may also be used to protect the kidneys in dogs receiving cisplatin, an anti-cancer drug otoxicity is suspected and intravenous methylprednisolone is co-administrated. Patient concerns: A 74-year-old woman presented with spontaneous retro-bulbar pain, eyelid swelling and inconstant diplopia. Diagnoses: Thyrotoxicosis and severe GO with suspected optic nerve damage and drug induced liver injury (DILI). Interventions: Intravenous methylprednisolone pulse therapy was administered to. Sarcopenia is a geriatric syndrome characterized by progressive and generalized loss of skeletal muscle mass and function. Reported prevalence of this geriatric syndrome, differs depending on the definition, the population and the method used to identify sarcopenia. The causes of sarcopenia are mult