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hydrocortisone topical

Pronunciation

Generic Name: hydrocortisone topical (hye droe KOR ti sone)
Brand Name: Ala-Cort, Ala-Scalp HP, Aquanil HC, Beta HC, Caldecort, Cortaid, Cortaid Maximum Strength, Cortizone-5, Dermarest Plus Anti-Itch, Dermasorb HC, Dermtex HC, Gynecort Maximum Strength, Instacort, Itch-X Lotion, Locoid, Pandel, Pediaderm HC, Recort Plus, Sarnol-HC, Scalacort, Texacort, U-Cort, Westcort

What is hydrocortisone topical?

Hydrocortisone is a topical steroid. It reduces the actions of chemicals in the body that cause inflammation.

Hydrocortisone topical is used to treat inflammation of the skin caused by a number of conditions such as allergic reactions, eczema, or psoriasis.

There are many brands and forms of hydrocortisone topical available and not all brands are listed on this leaflet.

Hydrocortisone topical may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about hydrocortisone topical?

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

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What should I discuss with my healthcare provider before using hydrocortisone topical?

You should not use this medication if you are allergic to hydrocortisone.

Hydrocortisone topical will not treat a bacterial, fungal, or viral skin infection.

FDA pregnancy category C. It is not known whether hydrocortisone topical will harm an unborn baby. Do not use this medicine without a doctor's advice if you are pregnant.

It is not known whether hydrocortisone topical passes into breast milk or if it could harm a nursing baby. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

Do not use this medicine on a child without a doctor's advice. Children can absorb larger amounts of this medication through the skin and may be more likely to have side effects.

How should I use hydrocortisone topical?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Hydrocortisone topical will not treat a bacterial, fungal, or viral skin infection.

Wash your hands before and after each application, unless you are using hydrocortisone topical to treat a hand condition.

Apply a small amount to the affected area and rub it gently into the skin.

Avoid using this medicine on your face, near your eyes or mouth, or on body areas where you have skin folds or thin skin.

Do not cover the treated skin area unless your doctor tells you to.

If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with hydrocortisone topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Follow your doctor's instructions.

Call your doctor if your symptoms do not improve, or if they get worse while using hydrocortisone topical.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication.

An overdose of hydrocortisone topical is not expected to produce life threatening symptoms. However, long term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using hydrocortisone topical?

Do not take by mouth. Hydrocortisone topical is for use only on the skin. Do not use this medicine on open wounds or on sunburned, windburned, dry, chapped, or irritated skin. If this medication gets in your eyes, nose, mouth, rectum, or vagina, rinse with water.

Rinse with water if this medication gets in your eyes.

Avoid using skin products that can cause irritation, such as harsh soaps, shampoos, or skin cleansers, hair coloring or permanent chemicals, hair removers or waxes, or skin products with alcohol, spices, astringents, or lime.

Hydrocortisone topical side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body. Stop using hydrocortisone topical and call your doctor if you have:

  • blurred vision, or seeing halos around lights;

  • uneven heartbeats;

  • sleep problems (insomnia);

  • weight gain, puffiness in your face; or

  • tired feeling.

Common side effects may include:

  • acne, skin redness, mild burning or itching;

  • changes in skin color; or

  • dryness or cracking of treated skin.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Hydrocortisone topical dosing information

Usual Adult Dose for Dermatitis:

Topical cream, ointment, solution, gel, or lotion:

Apply to the affected area 2 to 4 times a day.

For treatment of resistant dermatoses, hydrocortisone may be used with occlusive dressings.

Butyrate cream, ointment or solution:

Apply to the affected area once or twice a day.

Usual Adult Dose for Eczema:

Topical cream, ointment, solution, gel, or lotion:

Apply to the affected area 2 to 4 times a day.

For treatment of resistant dermatoses, hydrocortisone may be used with occlusive dressings.

Butyrate cream, ointment or solution:

Apply to the affected area once or twice a day.

Usual Adult Dose for Psoriasis:

Topical cream, ointment, solution, gel, or lotion:

Apply to the affected area 2 to 4 times a day.

For treatment of resistant dermatoses, hydrocortisone may be used with occlusive dressings.

Butyrate cream, ointment or solution:

Apply to the affected area once or twice a day.

Usual Adult Dose for Ulcerative Colitis -- Active:

Hydrocortisone is recommended for use in patients whose ulcerative colitis presents with proctitis or distal colitis. The rectal enema reaches the splenic flexure whereas the rectal foam penetrates just to the rectum and sigmoid colon.

Rectal solution:

60 mL (100 mg) by rectal enema once a day at bedtime. Hydrocortisone enema should be retained for at least 1 to 3 hours and preferably all night. Sedatives and/or antidiarrheal medications may aid in extending enema retention time.

-or-

Rectal foam (10%):

one applicatorful (80 mg) of rectal foam rectally once or twice daily.

-or-

Rectal suppository:

one suppository (25 mg) inserted rectally twice daily.

Therapy should be continued for approximately 3 weeks or until ulcerative colitis remission.

Usual Adult Dose for Gingivitis:

dental paste (0.5%):

Apply paste to the oral mucosa 2 to 3 times a day following meals and at bedtime. Usually a small amount (1/4 inch) should be applied to the lesion without rubbing in, which will form a smooth film over the area. The manufacturer recommends that if improvement is not seen within 7 days, treatment should be reevaluated.

Usual Adult Dose for Aphthous Stomatitis -- Recurrent:

dental paste (0.5%):

Apply paste to the oral mucosa 2 to 3 times a day following meals and at bedtime. Usually a small amount (1/4 inch) should be applied to the lesion without rubbing in, which will form a smooth film over the area. The manufacturer recommends that if improvement is not seen within 7 days, treatment should be reevaluated.

Usual Adult Dose for Seborrheic Dermatitis:

Topical Solution:

Apply to affected area once a day.

-or-

Topical Lotion:

Apply to affected area once a day.

The manufacturer recommends that if improvement is not seen within 7 days, treatment should be reevaluated.

Usual Adult Dose for Hemorrhoids:

Rectal Suppository:

25 mg inserted rectally once or twice a day. The dose may be increased to 75 mg or 100 mg a day as needed.

Cream or lotion:

Apply 1 to 2 times a day as needed.

Therapy should be continued for approximately 3 days to 4 weeks, depending on the nature and severity of the condition.

Usual Adult Dose for Proctitis:

Rectal Suppository:

25 mg inserted rectally 2 times a day (once in the morning and once at night). The dose may be increased to 75 mg or 100 mg a day as needed.

-or-

Rectal foam:

one applicatorful (80 mg) rectally once or twice a day.

Therapy should be continued for approximately 2 weeks, but may require up to 8 weeks depending on the nature of the condition.

Usual Adult Dose for Pruritus:

Relief of minor feminine itching associated with external vaginal area:
Topical Pad:
Apply not more than 4 times a day.

Usual Pediatric Dose for Dermatitis:

> 1 year:

Topical cream, ointment, solution or lotion:

Apply to the affected area 2 to 4 times a day.

Butyrate cream, ointment or solution:

Apply to the affected area once or twice a day.

Usual Pediatric Dose for Eczema:

> 1 year:

Topical cream, ointment, solution or lotion:

Apply to the affected area 2 to 4 times a day.

Butyrate cream, ointment or solution:

Apply to the affected area once or twice a day.

Usual Pediatric Dose for Psoriasis:

> 1 year:

Topical cream, ointment, solution or lotion:

Apply to the affected area 2 to 4 times a day.

Butyrate cream, ointment or solution:

Apply to the affected area once or twice a day.

Usual Pediatric Dose for Pruritus:

Relief of minor feminine itching associated with external vaginal area:
Topical Pad
> 2 years: Apply not more than 4 times a day.

Rectal cream and ointment:
>= 13 years: 1 to 2 applicatorsful per day.

What other drugs will affect hydrocortisone topical?

It is not likely that other drugs you take orally or inject will have an effect on topically applied hydrocortisone. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about hydrocortisone topical.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 9.03. Revision Date: 2014-06-09, 3:39:40 PM.

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