Hydrocortisone acetate foam

Generic Name: hydrocortisone acetate (hye-droe-KOR-ti-sone)
Brand Name: Cortifoam

Hydrocortisone acetate foam is used for:

Treating inflammation of the rectum.

Hydrocortisone acetate foam is a topical corticosteroid. It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching.

Do NOT use hydrocortisone acetate foam if:

  • you are allergic to any ingredient in hydrocortisone acetate foam
  • you have a rectal obstruction, abscess, or perforation; irritation of the of peritoneum (lining of the abdomen); or fistulas
  • you are taking mifepristone

Contact your doctor or health care provider right away if any of these apply to you.

Before using hydrocortisone acetate foam:

Some medical conditions may interact with hydrocortisone acetate foam. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a parasitic, bacterial, fungal, or viral infection; diabetes; diarrhea; swelling of the esophagus; stomach problems; blockage or the intestine or other intestinal problems; measles; tuberculosis (TB); a positive TB skin test; chicken pox; shingles; herpes infection of the eye; ulcers; kidney problems; high blood pressure; thyroid problems; or you have received a recent vaccination
  • if you have a history of heart failure or heart attack

Some MEDICINES MAY INTERACT with hydrocortisone acetate foam. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Barbiturates (eg, phenobarbital), carbamazepine, cholestyramine, colestipol, fluconazole, hydantoins (eg, phenytoin), lithium, rifampin, or thioamines (eg, propylthiouracil) because they may decrease hydrocortisone acetate foam's effectiveness
  • Aprepitant, clarithromycin, estrogens (eg, estradiol), macrolide immunosuppressants (eg, tacrolimus), nefazodone, or steroidal contraceptives (eg, birth control pills) because side effects such as adrenal gland or central nervous system problems may occur
  • Anticholinesterases (eg, pyridostigmine), anticoagulants (eg, warfarin), live vaccines, macrolide immunosuppressants (eg, tacrolimus), nondepolarizing muscle relaxants (eg, vecuronium), ritodrine, or theophylline because their actions and the risk of their side effects may be increased by hydrocortisone acetate foam
  • Anticholinesterases (eg, pyridostigmine), anticoagulants (eg, warfarin), interleukin-2, mifepristone, or nondepolarizing muscle relaxants (eg, vecuronium) because their effectiveness may be decreased by hydrocortisone acetate foam

This may not be a complete list of all interactions that may occur. Ask your health care provider if hydrocortisone acetate foam may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use hydrocortisone acetate foam:

Use hydrocortisone acetate foam as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Shake well before each use.
  • Do not insert any part of the aerosol container directly into the anus. Apply to anus only with the applicator.
  • If you miss a dose of hydrocortisone acetate foam, apply it as soon as possible. If you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use hydrocortisone acetate foam.

Important safety information:

  • If your symptoms do not get better within 2 to 3 weeks or if they get worse, check with your doctor.
  • Do not use hydrocortisone acetate foam for other rectal conditions at a later time.
  • Check with your doctor or pharmacist concerning the use of a stool softener or bulk laxative to help improve your symptoms.
  • Check with your doctor before having vaccinations while you are using hydrocortisone acetate foam.
  • If you get hydrocortisone acetate foam in your eyes, immediately flush them with cool tap water.
  • Hydrocortisone acetate foam may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using hydrocortisone acetate foam while you are pregnant. It is not known if hydrocortisone acetate foam is found in breast milk. If you are or will be breast-feeding while you use hydrocortisone acetate foam, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of hydrocortisone acetate foam:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Rectal pain or burning.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); infection; rectal pain, burning, itching, bleeding, or irritation not present before using hydrocortisone acetate foam.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Hydrocortisone acetate foam may be harmful if swallowed.

Proper storage of hydrocortisone acetate foam:

Store in an upright position at room temperature, between 68 and 77 degrees F (20 and 20 degrees C). Store away from heat, moisture, and light. Do not refrigerate. Contents of the container are under pressure. Do not burn or puncture the aerosol container. Do not store at temperatures above 120 degrees F (49 degrees C). Do not store in the bathroom. Keep hydrocortisone acetate foam out of the reach of children and away from pets.

General information:

  • If you have any questions about hydrocortisone acetate foam, please talk with your doctor, pharmacist, or other health care provider.
  • Hydrocortisone acetate foam is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take hydrocortisone acetate foam or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about hydrocortisone acetate foam. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to hydrocortisone acetate foam. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using hydrocortisone acetate foam.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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