Erin, if you dont handle solumedrol well, maybe ask for Athcar gel. I dont handle solumedrol well at all and refused to take it again and my neuro said we could try Athcar gel instead. He said the side effects are not as severe as the solumedrol but the effectiveness is the same. I get extremely violent on steroids so I have to stay clear of them. I have not tried the gel yet, but I was given that as an option.