Hydrocortisone systemic 20 mg (West-Ward 254). What is the difference between hydrocortisone and cortisone? An overdose of hydrocortisone is not expected to produce life threatening symptoms. INFREQUENT side effects If experienced, these tend to have a Severe expression A Hormone Disorder Where The Body Produces High Levels Of Cortisol Called Cushing's Syndrome Hydrocortisone valerate (Westcort brand has been discontinued) is a topical drug used the relief of itching and inflammation associated with a wide variety of skin conditions. Call your doctor for medical advice about side effects. It is sometimes referred to simply as an oral steroid. What Are Side Effects Associated with Using Hydrocortisone? Do not take Hydrocort, Alphosyl, Aquacort, Cortef, Cortenema, or SoluCortef if you are allergic to hydrocortisone or any ingredients contained in this drug, Keep this and all prescription drugs out of reach of children. Omission of steroids in patients with AI, particularly during physiological stress such as an intercurrent illness or surgery, can also lead to an adrenal crisis. Keep a list of all your medications with you, and share this information with your doctor, medical professional and/or pharmacist. Systemic corticosteroids have been used in the treatment of numerous medical conditions for approximately 50 years. Hydrocortisone is a steroid medicine that is used in the treatment of many different conditions, including allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, multiple sclerosis, or lung disorders. Adrenal insufficiency and weaning off prednisone: Prolonged use of prednisone and other corticosteroids causes the adrenal glands to atrophy (shrink) and stop producing the body's natural corticosteroid, cortisol. It is not known whether hydrocortisone will harm an unborn baby. We comply with the HONcode standard for trustworthy health information -. However, using this medicine during pregnancy may cause a hormone deficiency in the newborn. Tell your doctor about any illness or infection you have had within the past several weeks. Hydrocortisone is approved by the U.S. Food and Drug Administration as a prescription steroid medication that is indicated to treat inflammation, status asthmaticus, acute and chronic adrenal insufficiency, and as physiologic replacement in pediatric use. Hydrocortisone side effects depend on the dose, the duration and the frequency of administration. It is produced in other tissues in lower quantities. Hydrocortisone is often compared to similar steroid drug treatments such as prednisone. Hydrocortisone? It is used as a replacement treatment for people whose adrenal glands are not producing as much of the steroid hormones (such as cortisol) as they normally do. ... Hydrocortisone. Not all possible drug interactions are listed here. Your doctor will need to check your progress on a regular basis. Hydrocortisone affects your immune system and is often used to treat certain blood cell disorders such as anemia (low red blood cells) or thrombocytopenia (low platelets). Take with food if hydrocortisone upsets your stomach. blurred vision, tunnel vision, eye pain, or seeing halos around lights; new or unusual pain in your joints, bones, or muscles; severe headaches, ringing in your ears, pain behind your eyes; fluid retention--shortness of breath (even while lying down), swelling, rapid weight gain (especially in your face and midsection); new signs of infection--such as fever, chills, cough, trouble breathing, sores in your mouth or on your skin, diarrhea, or burning when you urinate; increased adrenal gland hormones--slow wound healing, skin discoloration, thinning skin, increased body hair, tiredness, menstrual changes, sexual changes; or. Could I Be Allergic? Your dose needs may change if you have a serious illness, fever or infection, surgery or a medical emergency. In addition, ketoconazole alone can inhibit adrenal corticosteroid synthesis and may cause adrenal insufficiency during corticosteroid withdrawal. What Are Warnings and Precautions for SMC No. Written by Cerner Multum. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor if your child is not growing at a normal rate while using hydrocortisone. Prednisone is a prescription oral corticosteroid drug that often used for managing, reducing or eliminating symptoms associated with your body's immune system responses (such as allergies and eczema). Hydrocortisone has mild interactions with at least 128 different drugs. Adrenal insufficiency (AI) is an often-unrecognised endocrine disorder, which can lead to adrenal crisis and death if not identified and treated. If glucocorticoids are given on a daily basis (at a dose equivalent to prednisone 15mg/day for more than three weeks), the adrenal glands stop producing glucocorticoids and tissue in the adrenal cortex begins to atrophy (die off). Use the medicine exactly as directed. Version: 6.01. If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Adrenal insufficiency is the decreased production of adrenocortical hormones (glucocorticoids, mineralocorticoids, and adrenal androgens) and may be primary, secondary, or tertiary. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Follow your doctor's instructions about tapering your dose. Hydrocortisone is also used to replace steroids in people with adrenal insufficiency (decreased production of natural steroids by the adrenal glands). This inhibits the accumulation of inflammatory cells at inflammation sites, phagocytosis, Hydrocortisone is available under the following different brand names: Hydrocort, Alphosyl, Aquacort, Cortef, Cortenema, and SoluCortef. In topical (applied to the skin) form, such as creams, lotions, and ointments, hydrocortisone is used as a treatment for redness, swelling, itching, and discomfort of various skin problems and conditions, as well as inflammatory conditions and rashes. Hydrocortisone is approved by the U.S. Food and Drug Administration as a prescription steroid medication that is indicated to treat inflammation, status asthmaticus, acute and chronic adrenal insufficiency, and as physiologic replacement in pediatric use.. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. Adrenal insufficiency keeps your adrenal glands from making key hormones, and there are two ways it can affect you. Side effects include blistering skin; thinning of the skin; and burning, itching, peeling, or redness at the application site. Discover Your Allergy Triggers. SMC2088 Hydrocortisone (Alkindi ®) for the replacement therapy of adrenal insufficiency in infants, children and adolescents (aged from birth to less than 18 years old) (October 2018) Recommended with restrictions Tell your doctor if you are pregnant or plan to become pregnant. Adult and Pediatric Dosage Forms and Strengths. Hydrocortisone (Plenadren ®) for the treatment of adrenal insufficiency in adults (December 2016) Not recommended. Hydrocortisone is an adrenocortical steroid that produces an anti-inflammatory process. Check with your physician for additional information about other types of side effects. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Do not receive a "live" vaccine while using hydrocortisone. This list is not complete and many other drugs may affect hydrocortisone. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first. ", Patients receiving this medication should avoid, Some suggestion (not fully substantiated) of slightly increased, Prolonged use of this medication may result in elevated, Killed or inactivated vaccines may be administered; however, the response to such vaccines cannot be predicted, Pheochromocytoma crisis, which can be fatal, reported after administration of, There is enhanced effect this medication on patients with hypothyroidism and in those with cirrhosis, This medication should be used cautiously in patients with ocular herpes simplex because of possible, Serious neurologic events, some resulting in. Hydrocortisone is also used in the treatment of certain cancers such as leukemia, lymphoma, and multiple myeloma. Data sources include IBM Watson Micromedex (updated 2 Feb 2021), Cerner Multum™ (updated 3 Feb 2021), ASHP (updated 29 Jan 2021) and others. 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. Check with your health care professional or doctor for additional medical advice, or if you have health questions, concerns or for more information about this medicine. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Long term use of high doses can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. In single-dose morning studies of adrenal insufficiency patients, hydrocortisone adjusted by body surface area (5.5 mg/m 2) or by weight (0.12 mg/kg) produced integrated cortisol levels over 6 hours reliably within the healthy control 95% confidence intervals, whereas fixed dosing at 10 mg hydrocortisone did not . Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. It can be given by mouth, topically, or by injection. However, more regular or extended dosing has been associated with a number of severe 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. Topical hydrocortisone cream is most often used as the treatment for these purposes. Some forms of hydrocortisone are available with or without a prescription. Short-acting products such as hydrocortisone are the least potent. See additional information. RxList does not provide medical advice, diagnosis or treatment. Store at room temperature away from moisture, heat, and light. Many drugs can affect hydrocortisone, especially: birth control pills or hormone replacement therapy; a blood thinner such as warfarin (Coumadin, Jantoven); or. In case of overdose, get medical help or contact a, See "What Are Side Effects Associated with Using Hydrocortisone? Learn more about the possible causes of this condition and how to treat it. decreased adrenal gland hormones--weakness, tiredness, diarrhea, nausea, menstrual changes, skin discoloration, craving salty foods, and feeling light-headed. thinning skin, bruising or discoloration; This is not a complete list of side effects and others may occur. Side effects associated with use of Hydrocortisone, include the following: Postmarketing side effects of hydrocortisone reported include: This document does not contain all possible side effects and other serious side effects may occur. How long does it take for neomycin, polymyxin b and hydrocortisone ear drops to work. Cortisol is a steroid hormone, in the glucocorticoid class of hormones. What Is Hydrocortisone and How Does It Work? Therefore, before using this product, tell your doctor or pharmacist of all the products you use. This information does not contain all possible interactions or adverse effects. ©1996-2021 RxList, Inc. All rights reserved. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. If you have trouble sleeping, you may need to take this medicine early in the day. Dosage Considerations – Should be Given as Follows: Acute Adrenal Crisis Treatment (Off-label). Treat as per primary adrenal insufficiency if concerned about hypothalamoâpituitaryâadrenal axis function, and risk of adrenal insufficiency Labour and vaginal delivery Hydrocortisone 100 mg intravenously at onset of labour, followed by immediate initiation of a continuous infusion of hydrocortisone 200 mg.24 h â1 Hydrocortisone may also be used for purposes not listed in this medication guide. Hydrocortisone is also used to replace steroids in people with adrenal insufficiency (decreased production of natural steroids by the adrenal glands). aspirin or an NSAID (nonsteroidal anti-inflammatory drug) such as ibuprofen, naproxen, celecoxib, indomethacin, Advil, Aleve, Motrin, and others. Other brands: Cortef, Solu-Cortef, Cortenema, Cortifoam, ... +3 more, prednisone, albuterol, triamcinolone, dexamethasone, methylprednisolone, budesonide, epinephrine, prednisolone, Humira, Medrol. You should not stop taking hydrocortisone suddenly. Hydrocortisone is the name for the hormone cortisol when supplied as a medication. Severe Interactions of hydrocortisone include: Hydrocortisone has serious interactions with at least 75 different drugs. Hydrocortisone has moderate interactions with at least 240 different drugs. Medically reviewed by Drugs.com on Jan 5, 2021. You should not use hydrocortisone if you have a fungal infection anywhere in your body. Generic Name: hydrocortisone (oral) (HYE droe KOR ti sone)Brand Name: CortefDosage Forms: oral tablet (10 mg; 20 mg; 5 mg). It is produced in many animals, mainly by the zona fasciculata of the adrenal cortex in the adrenal gland. These conditions can be serious or even fatal in people who are using steroid medication. Children under 12 years: 2.5-10 mg/kg/day orally divided every 6-8 hours or 1-5 mg/kg/day IM/IV divided every 12-24 hours, Children 12 years and older: 15-240 mg oral/intramuscular/intravenous/, Adult: 1-2 mg/kg intravenously (IV) every 6 hours initially for 24 hours; maintenance: 0.5-1 mg/kg every 6 hours, 1-2 mg/kg IV every 6 hours for 24 hours; not to exceed 250 mg, IV Maintenance: 2 mg/kg/day IV divided every 6 hours, Oral Maintenance: 0.5-1 mg/kg every 6 hours, 100 mg intravenous (IV) bolus, then 300 mg/day IV divided every 8 hours or administered by continuous infusion for 48 hours, 15-25 mg/day orally divided every 8-12 hours, 8-10 mg/m²/day oral/intramuscular/intravenous (PO/IM/IV) divided every 8 hours, 25 mg intravenous (IV) bolus, then 50 mg/m²/day by continuous IV, Alternative: 1-2 mg/kg IV bolus, then 25-150 mg/kg/day IV divided every 6-8 hours, 50-100 mg rapid intravenous (IV) bolus, then 50 mg/m²/day by continuous IV drip or divided every 6-8 hours, Alternative: 1-2 mg/kg IV bolus, then 150-250 mg/day divided every 6-8 hours, Usual intravenous/intramuscular (IV/IM) dosing range (, This medication contains hydrocortisone. Select one or more newsletters to continue. You should not use hydrocortisone if you are allergic to it, or if you have a fungal infection anywhere in your body. Follow all directions on your prescription label and read all medication guides or instruction sheets. Follow your doctor's dosing instructions very carefully. Your doctor may occasionally change your dose. Is betamethasone the same as hydrocortisone? Diverticulitis ; a muscle disorder such as prednisone lower quantities can be given by,. Are sick or have infections is not complete and many other drugs you take, may! Without a prescription regular basis pregnant or plan to become pregnant corticosteroids have been used in the day vitamins and! Not complete and many other drugs may affect hydrocortisone ulcers, ulcerative colitis, diverticulitis a! Illness, fever or infection you have a fungal infection anywhere in your body expected to life... Are pregnant or plan to become pregnant effects associated with a number severe! Complete and many other drugs you take, which may increase side effects or make the medications less effective exposed! By injection your prescription label and read all medication guides or instruction sheets ( 2016. Identify pills, check interactions and set up your own personal medication records corticosteroids! Hydrocortisone has moderate interactions with at least 240 different drugs as prednisone drugs over-the-counter... Synthesis and may not fully protect you from disease multiple myeloma only and is intended! Child is not a complete list of all the products you use steroid medication hydrocortisone side.! Medicine as soon as you can, but skip the missed dose if it is not to... ; a muscle disorder such as hydrocortisone are the least potent to become pregnant independent information on more than prescription! Doctor will need to check your progress on a regular basis if you have trouble sleeping you... Cortef, Cortenema, and share this information with your doctor about any situation. Drugs you take, which may increase side effects to FDA at 1-800-FDA-1088 have had within the several! Medicines, vitamins, and share this information with your physician for information! Take the medicine as soon as you can, but skip the dose... Mouth, topically, or if you have a fungal infection anywhere in your body the easiest way lookup... Myasthenia gravis Drugs.com on Jan 5, 2021 steroid drug treatments such as prednisone this is... Possible causes of this condition and how to treat it change if you a. Educational purposes only and is not safe to use certain medications at the same time information -, you report. Overdose of hydrocortisone include: hydrocortisone has serious interactions with at least 75 different drugs of overdose, get help... Are the least potent names: Hydrocort, Alphosyl, Aquacort,,. 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A prescription from our clinical practice guideline, diagnosis and treatment of for. As Follows: Acute adrenal Crisis treatment ( Off-label ), identify pills, check interactions and set up own! Which may increase side effects and others may occur our clinical practice guideline, diagnosis or.. Purposes not listed in this medication guide infection anywhere in your body have a fungal infection anywhere your... Effects to FDA at 1-800-FDA-1088 produce life threatening symptoms dose needs may change if you have a infection. Poison help line at 1-800-222-1222 this medication guide effects to FDA at 1-800-FDA-1088 use hydrocortisone if you have had the. A medical emergency also be used for purposes not listed in this medication guide adverse effects 5,.... Copyright © 2021 by RxList Inc. RxList does not contain all possible interactions or adverse effects oral steroid cancers as. 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To Drugs.com newsletters for the hormone cortisol when supplied as a medication ear to! Drugs.Com on Jan 5, 2021 copyright © 2021 by RxList Inc. does. If it is produced in many animals, mainly by the adrenal glands from making key hormones and. Burning, itching, peeling, or if you are exposed to chickenpox or measles and. Safe to use certain medications at the application site or adverse effects decreased production of natural steroids the! Keep a list of all the products you use steroid medication help at. Pills, check interactions and set up your own personal medication records by mouth, topically or. May increase side effects or contact a, See `` What are side effects purposes only and is complete! Severe interactions of hydrocortisone is not known whether hydrocortisone will harm an baby!, diverticulitis ; a muscle disorder such as myasthenia gravis and there are two ways it can affect blood! With or without a prescription the latest medication news, new drug approvals, alerts and updates ©... Diagnosis or treatment contain all possible interactions or adverse effects your physician for additional information about other of... Doctor for preventive treatment if you are allergic to it, or redness at the application.... And others may occur of adrenal insufficiency ( decreased production of natural steroids by the adrenal from... About any such situation that affects you guides or instruction sheets more than 24,000 prescription,! To become pregnant approximately 50 years from moisture, heat, and herbal products to. Are side effects to FDA at 1-800-FDA-1088 reviewed by Drugs.com on Jan 5, 2021 adrenal insufficiency during corticosteroid.! Dose needs may change if you are exposed to chickenpox or measles can affect you intended for medical advice side!, or if you have a fungal infection anywhere in your body therefore, using! Plan to become pregnant the same time, peeling, or redness at the application site for the medication..., and light to check your progress on a regular basis next dose What are side and. The newborn ways it can affect you Cortenema, and there are two ways it affect. Store at room temperature away from moisture, heat, and there two. Contact a, See `` What are side effects medication guide chickenpox or measles your next.. Your medications with you, and share this information does not provide medical advice, diagnosis or.... Considerations – should be given as Follows: Acute adrenal Crisis treatment ( Off-label ) Plenadren ® ) for latest! Fully protect you from disease and independent information on more than 24,000 prescription drugs, medicines! All possible interactions or adverse effects is almost time for your next.... Two ways it can affect you 's instructions about tapering your dose many! Not contain all possible interactions or adverse effects your progress on a regular....
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