Hydrocortisone dental paste

What is hydrocortisone dental paste?

HYDROCORTISONE (Orabase-HCA®) is a corticosteroid. It helps to reduce inflammation and ulceration in the mouth. Hydrocortisone helps treat and relieve mouth sores that are not caused by herpes. Generic hydrocortisone dental paste is not yet available.

What should my health care professional know before I use hydrocortisone?

They need to know if you have any of these conditions:

• Cushing's syndrome

• diabetes

• infection, including chicken-pox, herpes, measles, or tuberculosis

• stomach or intestinal disease

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Hydrocortisone dental paste is applied to sore places in the mouth. Follow the directions on the prescription label. Use the paste after meals and at night. Use a cotton swab to press a small amount of paste on the area to be treated to form a smooth film. Do not rub the paste into the area or try to spread it because it will become crumbly and gritty. Do not use more often than prescribed.

Elderly patients have an increased risk of side effects from hydrocortisone.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What drug(s) may interact with hydrocortisone?

Interactions between hydrocortisone dental paste and other medicines are unlikely. However, Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking hydrocortisone?

Visit your prescriber or health care professional for regular checks on your progress. Only use the dental paste as directed. Tell your prescriber or health care professional if your symptoms do not improve or get worse. Do not use any leftover medicine at a later date without first checking with your prescriber or health care professional. Hydrocortisone can make some conditions worse.

What side effects may I notice from using hydrocortisone?

Side effects that you should report to your prescriber or health care professional as soon as possible:

Side effects with hydrocortisone include:

• blistering or signs of infection in the mouth

• burning or increased inflammation in the mouth

Call your prescriber or health care professional if you get these side effects or any other unusual effects after using this medicine.

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15—30 degrees C (59—86 degrees F); do not freeze. Protect from light. Throw away any unused medicine after the expiration date.

Hydrocortisone injection

What is hydrocortisone injection?

HYDROCORTISONE (Hydrocortone Acetate®, Hydrocortone Phosphate®, A-HydroCort®, Solu-Cortef®) is a corticosteroid. It helps to reduce swelling, redness, itching, and allergic reactions. Hydrocortisone is similar to natural steroid hormone produced by the adrenal gland. Hydrocortisone treats severe allergies, skin problems, asthma, arthritis, or many other conditions. Generic hydrocortisone injections are available in a variety of forms.

What should my health care professional know before I receive hydrocortisone?

They need to know if you have any of these conditions:

• blood clotting disorder

• Cushing's syndrome

• diabetes

• high blood pressure

• infection, including chicken-pox, herpes, measles, or tuberculosis

• liver disease

• myasthenia gravis

• osteoporosis

• previous heart attack

• psychosis

• seizures (convulsions)

• stomach or intestinal disease

• under-active thyroid

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Hydrocortisone injections come in a number of different forms. Depending on the formulation they are for injection into a muscle, into a vein, under the skin, or into joints, soft tissue, or lesions. The injections are given by a health-care professional.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

This does not apply. Repeat injections are given as decided by your prescriber or health care professional.

What drug(s) may interact with hydrocortisone?

• antiinflammatory drugs (NSAIDs, such as ibuprofen)

• aspirin

• barbiturate medicines for inducing sleep or treating seizures (convulsions)

• bosentan

• carbamazepine

• female hormones, including contraceptive or birth control pills

• heart medicine

• medicines for diabetes

• medicines that improve muscle strength or tone for conditions like myasthenia gravis

• phenytoin

• rifampin

• toxoids and vaccines

• water pills

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking hydrocortisone?

Visit your prescriber or health care professional for regular checks on your progress. If you are receiving corticosteroids for a long time, carry an identification card with your name, the type and dose of corticosteroid, and your prescriber's name and address. Do not suddenly stop using hydrocortisone. You may need to gradually reduce the dose, so that your body can adjust. Follow the advice of your prescriber or health care professional.

If you receive corticosteroids for a long time, avoid contact with people who have an infection. You may be at an increased risk from infection while using hydrocortisone. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

People who are taking certain dosages of hydrocortisone may need to avoid immunization with certain vaccines or may need to have changes in their vaccination schedules to ensure adequate protection from certain diseases. Make sure to tell your prescriber or health care professional that you are taking hydrocortisone before receiving any vaccine.

If you have an injection of hydrocortisone directly into a joint, try not to put too much stress on that joint, even if it feels better.

If you are diabetic, hydrocortisone can affect your blood sugar. Check with your prescriber or health care professional if you need help adjusting the dose of your diabetic medicine.

If you receive hydrocortisone every day, you may need to watch your diet. Your body can also lose potassium while you take this medicine. Ask your prescriber or health care professional about your diet, especially about your salt intake.

If you are going to have surgery tell your prescriber or health care professional that you are receiving hydrocortisone, or have used it within the last 12 months.

Alcohol can increase the risk of getting serious side effects while you are receiving hydrocortisone. Avoid alcoholic drinks.

Elderly patients have an increased risk of side effects from hydrocortisone.

Hydrocortisone can interfere with certain lab tests and can cause false skin test results.

What side effects may I notice from receiving hydrocortisone?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• bloody or black, tarry stools

• confusion, excitement, restlessness, a false sense of well-being

• eye pain, decreased or blurred vision, or bulging eyes

• fever, sore throat, sneezing, cough, or other signs of infection

• frequent passing of urine

• hallucinations (seeing and hearing things that are not really there)

• increased thirst

• irregular heartbeat

• menstrual problems

• mental depression, mood swings, mistaken feelings of self-importance, mistaken feelings of being mistreated

• muscle cramps or muscle weakness

• nausea, vomiting

• pain in hips, back, ribs, arms, shoulders, or legs

• pain, redness, swelling, or inflammation at the injection site

• rounding out of face

• skin problems, acne

• stomach pain

• swelling of feet or lower legs

• unusual bruising or red pinpoint spots on the skin

• unusual tiredness or weakness

• weight gain or weight loss

• wounds that will not heal

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• diarrhea or constipation

• change in taste

• headache

• increased appetite or loss of appetite

• increased sweating

• nervousness, restlessness, or difficulty sleeping

• unusual increased growth of hair on the face or body

• upset stomach

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15—30 degrees C (59—86 degrees F); do not freeze. Throw away any unused medicine after the expiration date.

Hydrocortisone oral suspension

What is hydrocortisone oral suspension?

HYDROCORTISONE (Cortef®) is a corticosteroid. It helps to reduce swelling, redness, itching, and allergic reactions. Hydrocortisone is similar to natural steroid hormone produced by the adrenal gland. Hydrocortisone treats severe allergies, skin problems, asthma, arthritis, or many other conditions. Generic hydrocortisone oral suspension is not yet available.

What should my health care professional know before I take hydrocortisone?

They need to know if you have any of these conditions:

• blood clotting disorder

• Cushing's syndrome

• diabetes

• high blood pressure

• infection, including chicken-pox, herpes, measles, or tuberculosis

• liver disease

• myasthenia gravis

• osteoporosis

• previous heart attack

• psychosis

• seizures (convulsions)

• stomach or intestinal disease

• under-active thyroid

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I take this medicine?

Take hydrocortisone oral suspension by mouth. Follow the directions on the prescription label. Shake well before using. Use a specially marked spoon or container to measure your medicine. Ask your pharmacist if you do not have one; ousehold spoons are not always accurate. Take with milk or food to avoid stomach upset. If you are only taking hydrocortisone once a day, take it in the morning, which is the time your body normally secretes cortisol. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking hydrocortisone except on your prescriber's advice.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, consult your prescriber or health care professional. You may need to miss a dose or take a double dose, depending on your condition and treatment. Do not take double or extra doses without advice.

What drug(s) may interact with hydrocortisone?

• antiinflammatory drugs (NSAIDs, such as ibuprofen)

• aspirin

• barbiturate medicines for inducing sleep or treating seizures (convulsions)

• bosentan

• carbamazepine

• female hormones, including contraceptive or birth control pills

• heart medicines

• medicines for diabetes

• medicines that improve muscle strength or tone for conditions like myasthenia gravis

• phenytoin

• rifampin

• toxoids and vaccines

• water pills

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking hydrocortisone?

Visit your prescriber or health care professional for regular checks on your progress. If you are taking corticosteroids for a long time, carry an identification card with your name, the type and dose of corticosteroid, and your prescriber's name and address. Do not suddenly stop taking hydrocortisone. You may need to gradually reduce the dose, so that your body can adjust. Follow the advice of your prescriber or health care professional.

If you take corticosteroids for a long time, avoid contact with people who have an infection. You may be at an increased risk from infection while taking hydrocortisone. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

People who are taking certain dosages of hydrocortisone may need to avoid immunization with certain vaccines or may need to have changes in their vaccination schedules to ensure adequate protection from certain diseases. Make sure to tell your prescriber or health care professional that you are taking hydrocortisone before receiving any vaccine.

If you are diabetic, hydrocortisone can affect your blood sugar. Check with your prescriber or health care professional if you need help adjusting the dose of your diabetic medicine.

If you take hydrocortisone every day, you may need to watch your diet. Your body can also lose potassium while you take this medicine. Ask your prescriber or health care professional about your diet, especially about your salt intake.

If you are going to have surgery tell your prescriber or health care professional that you are taking hydrocortisone, or have taken it within the last 12 months.

Alcohol can increase the risk of getting serious side effects while you are taking hydrocortisone. Avoid alcoholic drinks.

Elderly patients have an increased risk of side effects from hydrocortisone.

Hydrocortisone can interfere with certain lab tests and can cause false skin test results.

What side effects may I notice from taking hydrocortisone?

Some side effects can be reduced by taking single daily doses in the morning. Check with your prescriber or health care professional to determine the best schedule for your condition.

Side effects that you should report to your prescriber or health care professional as soon as possible:

• bloody or black, tarry stools

• confusion, excitement, restlessness, a false sense of well-being

• eye pain, decreased or blurred vision, or bulging eyes

• fever, sore throat, sneezing, cough, or other signs of infection

• frequent passing of urine

• hallucinations (seeing and hearing things that are not really there)

• increased thirst

• irregular heartbeat

• menstrual problems

• mental depression, mood swings, mistaken feelings of self-importance, mistaken feelings of being mistreated

• muscle cramps or muscle weakness

• nausea, vomiting

• pain in hips, back, ribs, arms, shoulders, or legs

• rounding out of face

• skin problems, acne

• stomach pain

• swelling of feet or lower legs

• unusual bruising or red pinpoint spots on the skin

• unusual tiredness or weakness

• weight gain or weight loss

• wounds that will not heal

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• diarrhea or constipation

• change in taste

• headache

• increased appetite or loss of appetite

• increased sweating

• nervousness, restlessness, or difficulty sleeping

• unusual increased growth of hair on the face or body

• upset stomach

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15—30 degrees C (59—86 degrees F); do not freeze. Throw away any unused medicine after the expiration date.

Hydrocortisone rectal aerosol foam or enema

What is hydrocortisone rectal aerosol foam or enema?

HYDROCORTISONE (Cortifoam®, Cortenema®) is a corticosteroid. It helps to reduce swelling, redness, itching, and allergic reactions in the anal region. Rectal aerosol foam relieves ulcerative proctitis. Rectal enema relieves ulcerative colitis and ulcerative proctitis. Generic hydrocortisone rectal aerosol foam and enema are not yet available.

What should my health care professional know before I use hydrocortisone?

They need to know if you have any of these conditions:

• blood clotting disorder

• Cushing's syndrome

• diabetes

• high blood pressure

• infection, including chicken-pox, herpes, measles, or tuberculosis

• liver disease

• myasthenia gravis

• osteoporosis

• previous heart attack

• psychosis

• rectal obstruction, abscess, perforation or fistula

• seizures (convulsions)

• stomach or intestinal disease

• under-active thyroid

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Hydrocortisone rectal aerosol foam or enema are only for use in the rectum (back passage). Do not take by mouth. Wash hands before and after use.

Aerosol foam: Shake the container well. Use the special applicator. Do not insert any part of the aerosol container in the rectum. Hold canister upright and insert into the opening of the tip of the applicator. Make sure the applicator plunger is drawn all the way out. Fill the applicator by pressing down slowly on the canister cap. When the foam reaches the fill line in the applicator, it is ready for use. Remove the applicator from the container, let some foam remain on the applicator tip. Hold the barrel of the applicator and insert the tip into the rectum (back passage). Push the plunger in to expel the foam into the rectum. Withdraw the applicator. Thoroughly clean the applicator with warm water.

Enema: Each unit contains one dose. Follow the directions that come with each indicidual unit. Patient should lie on his/her left side, raise the right knee toward your chest. Gently insert the applicator tip into the rectum and press applicator tip to deliver the medication. Stay on your side for at least 30 minutes to let the medicine work after the enema is given. Every effort should be made to retain the enema for at least an hour, and preferably all night.

Do not use more often than directed.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses. Ask your prescriber or health care professional if you are uncertain whether to use a missed dose.

What drug(s) may interact with hydrocortisone?

• amphotericin B

• antiinflammatory drugs (NSAIDs, such as ibuprofen)

• aspirin

• barbiturate medicines for inducing sleep or treating seizures (convulsions)

• bosentan

• carbamazepine

• female hormones, including contraceptive or birth control pills

• heart medicine

• medicines for diabetes

• medicines that improve muscle strength or tone for conditions like myasthenia gravis

• phenytoin

• rifampin

• toxoids and vaccines

• water pills

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking hydrocortisone?

Visit your prescriber or health care professional for regular checks on your progress. Consult your prescriber or health care professional if there is no improvement after several days of use. Do not use if there is blood in your stools. Report rectal bleeding, pain, burning, itching, blistering, or any other sign of irritation to your prescriber or health care professional. If you have been using hydrocortisone for more than 21 days, do not suddenly stop using it. You may need to gradually reduce the dose, so that your body can adjust. Follow the advice of your prescriber or health care professional.

If you use corticosteroids for a long time, avoid contact with people who have an infection. You may be at an increased risk from infection while using hydrocortisone. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

People who are taking certain dosages of hydrocortisone may need to avoid immunization with certain vaccines or may need to have changes in their vaccination schedules to ensure adequate protection from certain diseases. Make sure to tell your prescriber or health care professional that you are taking hydrocortisone before receiving any vaccine.

If you are diabetic, hydrocortisone can affect your blood sugar. Check with your prescriber or health care professional if you need help adjusting the dose of your diabetic medicine.

If you are going to have surgery tell your prescriber or health care professional that you are using hydrocortisone, or have used it within the last 12 months.

Alcohol can increase the risk of getting serious side effects while you are using hydrocortisone. Avoid alcoholic drinks.

Elderly patients have an increased risk of side effects from hydrocortisone.

Hydrocortisone can interfere with certain lab tests and can cause false skin test results.

What side effects may I notice from receiving hydrocortisone?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• bloody or black, tarry stools

• confusion, excitement, restlessness, a false sense of well-being

• eye pain, decreased or blurred vision, or bulging eyes

• fever, sore throat, sneezing, cough, or other signs of infection

• frequent passing of urine

• hallucinations (seeing and hearing things that are not really there)

• increased thirst

• irregular heartbeat

• menstrual problems

• mental depression, mood swings, mistaken feelings of self-importance, mistaken feelings of being mistreated

• muscle cramps or muscle weakness

• nausea, vomiting

• pain in hips, back, ribs, arms, shoulders, or legs

• rectal pain, burning or bleeding after use of medicine

• rounding out of face

• skin problems, acne

• stomach pain

• swelling of feet or lower legs

• unusual bruising or red pinpoint spots on the skin

• unusual tiredness or weakness

• weight gain or weight loss

• wounds that will not heal

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• diarrhea or constipation

• change in taste

• headache

• increased appetite or loss of appetite

• increased sweating

• nervousness, restlessness, or difficulty sleeping

• unusual increased growth of hair on the face or body

• upset stomach

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15—30 degrees C (59—86 degrees F); do not freeze. Throw away any unused medicine after the expiration date.

Hydrocortisone skin cream, ointment, lotion, solution, or aerosol

What are hydrocortisone skin products?

HYDROCORTISONE (Cort-Dome®, Allercort®, Locoid®, Hytone®, Cortril®, Cortaid®, Lanacort®, Locoid®, Epifoam®) is a corticosteroid. It helps to reduce swelling, redness, itching, and allergic reactions on the skin. Generic hydrocortisone skin products are available.

What should my health care professional know before I use hydrocortisone?

They need to know if you have any of these conditions:

• infection, measles, tuberculosis, herpes or chickenpox

• large areas of burned or damaged skin

• skin wasting or thinning

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

If you are going to use hydrocortisone for a long time your prescriber or health care professional needs to know if you have:

• diabetes

How should I use this medicine?

Hydrocortisone skin products are for external use only. Do not take by mouth. Follow the directions on the prescription label. Apply a thin film of cream, lotion, ointment, solution, or foam to the affected area. Do not cover with a bandage or dressing unless your prescriber or health care professional tells you to. Wash your hands before and after use. Do not use your medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

Elderly patients are more likely to have damaged skin through aging, and this may increase side effects. Corticosteroid skin preparations should only be used for brief periods and infrequently in older patients.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What drug(s) may interact with hydrocortisone?

There are no known interactions between hydrocortisone skin preparations and other drugs.

Tell your prescriber or health care professional about other skin products you are using. Do not apply hydrocortisone at the same site as other skin preparations without advice.

What should I watch for while taking hydrocortisone?

Tell your prescriber or health care professional if your symptoms do not improve after one week of hydrocortisone use. It is important not to use more hydrocortisone than prescribed. Do not use for more than 14 days. Do not use on healthy skin or over large areas of skin. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

Do not use an airtight bandage to cover the affected area unless your prescriber or health care professional tells you to. If you are to cover the area, follow the prescriber's instructions carefully. Covering the area where hydrocortisone is applied can increase the amount that passes through the skin and increases the risk of side effects.

Do not get hydrocortisone in your eyes. If you do, rinse out with plenty of cool tap water.

If you are using a topical aerosol spray, do not inhale the vapors and do not use around the eyes. Do not use near heat, open flame, or while smoking because the spray may catch fire.

What side effects may I notice from using hydrocortisone?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• burning or itching of the skin

• dark red spots on the skin

• infection

• painful, red, pus-filled blisters in hair follicles

• thinning of the skin, sunburn more likely especially on the face

Other serious side effects can develop if you use hydrocortisone for a long time, or if you use too much. Contact your prescriber or health care professional if you notice any unusual effects.

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• dry skin, irritation

• unusual increased growth of hair on the face or body

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15—30 degrees C (59—86 degrees F); do not freeze. Throw away any unused medicine after the expiration date.

Hydrocortisone suppositories

What are hydrocortisone suppositories?

HYDROCORTISONE (Anusol-HC®, Anucort-HC®, Cort-Dome High Potency®, Proctocort™) is a corticosteroid. It helps to reduce swelling, redness, itching, and allergic reactions in the anal region. Generic hydrocortisone suppositories are available.

What should my health care professional know before I use hydrocortisone?

They need to know if you have any of these conditions:

• blood clotting disorder

• Cushing's syndrome

• diabetes

• high blood pressure

• infection, including chicken-pox, herpes, measles, or tuberculosis

• liver disease

• myasthenia gravis

• osteoporosis

• previous heart attack

• psychosis

• rectal obstruction, abscess, perforation or fistula

• seizures (convulsions)

• stomach or intestinal disease

• under-active thyroid

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Hydrocortisone suppositories are only for use in the rectum (back passage). Do not take by mouth. Wash hands before use. Remove foil before using. Dip the suppository in water to ease insertion. Lie on your left side and pull your knees toward your chest. Apply gentle pressure to insert the suppository completely into the rectum, pointed end first; hold in place briefly. Wash hands thoroughly after use. Do not use more often than directed.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What drug(s) may interact with hydrocortisone?

• antiinflammatory drugs (NSAIDs, such as ibuprofen)

• aspirin

• barbiturate medicines for inducing sleep or treating seizures (convulsions)

• bosentan

• carbamazepine

• female hormones, including contraceptive or birth control pills

• heart medicine

• medicines for diabetes

• medicines that improve muscle strength or tone for conditions like myasthenia gravis

• phenytoin

• rifampin

• toxoids and vaccines

• water pills

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking hydrocortisone?

Visit your prescriber or health care professional for regular checks on your progress. Consult your prescriber or health care professional if there is no improvement after several days of use. Do not use if there is blood in your stools. Report rectal bleeding, pain, burning, itching, blistering, or any other sign of irritation to your prescriber or health care professional.

If you use corticosteroids for a long time, avoid contact with people who have an infection. You may be at an increased risk from infection while using hydrocortisone. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

People who are taking certain dosages of hydrocortisone may need to avoid immunization with certain vaccines or may need to have changes in their vaccination schedules to ensure adequate protection from certain diseases. Make sure to tell your prescriber or health care professional that you are taking hydrocortisone before receiving any vaccine.

If you are diabetic, hydrocortisone can affect your blood sugar. Check with your prescriber or health care professional if you need help adjusting the dose of your diabetic medicine.

If you are going to have surgery tell your prescriber or health care professional that you are using hydrocortisone, or have used it within the last 12 months.

Alcohol can increase the risk of getting serious side effects while you are using hydrocortisone. Avoid alcoholic drinks.

Elderly patients have an increased risk of side effects from hydrocortisone.

Hydrocortisone can interfere with certain lab tests and can cause false skin test results.

What side effects may I notice from receiving hydrocortisone?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• bloody or black, tarry stools

• confusion, excitement, restlessness, a false sense of well-being

• eye pain, decreased or blurred vision, or bulging eyes

• fever, sore throat, sneezing, cough, or other signs of infection

• frequent passing of urine

• hallucinations (seeing and hearing things that are not really there)

• increased thirst

• irregular heartbeat

• menstrual problems

• mental depression, mood swings, mistaken feelings of self-importance, mistaken feelings of being mistreated

• muscle cramps or muscle weakness

• nausea, vomiting

• pain in hips, back, ribs, arms, shoulders, or legs

• rectal pain, burning or bleeding after use of medicine

• rounding out of face

• skin problems, acne

• stomach pain

• swelling of feet or lower legs

• unusual bruising or red pinpoint spots on the skin

• unusual tiredness or weakness

• weight gain or weight loss

• wounds that will not heal

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• diarrhea or constipation

• change in taste

• headache

• increased appetite or loss of appetite

• increased sweating

• nervousness, restlessness, or difficulty sleeping

• unusual increased growth of hair on the face or body

• upset stomach

Where can I keep my medicine?

Keep out of the reach of children.

May store at room temperature between 15—30 degrees C (59—86 degrees F), but preferably store in a refrigerator; do not freeze. Throw away any unused medicine after the expiration date.

Hydrocortisone tablets

What are hydrocortisone tablets?

HYDROCORTISONE (Cortef®, Hydrocortone®) is a corticosteroid. It helps to reduce swelling, redness, itching, and allergic reactions. Hydrocortisone is similar to natural steroid hormone produced by the adrenal gland. Hydrocortisone treats severe allergies, skin problems, asthma, arthritis, or many other conditions. Generic hydrocortisone tablets are available.

What should my health care professional know before I take hydrocortisone?

They need to know if you have any of these conditions:

• blood clotting disorder

• Cushing's syndrome

• diabetes

• high blood pressure

• infection, including chicken-pox, herpes, measles, or tuberculosis

• liver disease

• myasthenia gravis

• osteoporosis

• previous heart attack

• psychosis

• seizures (convulsions)

• stomach or intestinal disease

• under-active thyroid

• an unusual or allergic reaction to hydrocortisone, corticosteroids, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I take this medicine?

Take hydrocortisone tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take with milk or food to avoid stomach upset. If you are only taking hydrocortisone once a day, take it in the morning, which is the time your body normally secretes cortisol. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking hydrocortisone except on your prescriber's advice.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, consult your prescriber or health care professional. You may need to miss a dose or take a double dose, depending on your condition and treatment. Do not take double or extra doses without advice.

What drug(s) may interact with hydrocortisone?

• antiinflammatory drugs (NSAIDs, such as ibuprofen)

• aspirin

• barbiturate medicines for inducing sleep or treating seizures (convulsions)

• bosentan

• calcium supplements

• carbamazepine

• female hormones, including contraceptive or birth control pills

• heart medicines

• medicines for diabetes

• medicines that improve muscle strength or tone for conditions like myasthenia gravis

• phenytoin

• rifampin

• toxoids and vaccines

• water pills

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking hydrocortisone?

Visit your prescriber or health care professional for regular checks on your progress. If you are taking corticosteroids for a long time, carry an identification card with your name, the type and dose of corticosteroid, and your prescriber's name and address. Do not suddenly stop taking hydrocortisone. You may need to gradually reduce the dose, so that your body can adjust. Follow the advice of your prescriber or health care professional.

If you take corticosteroids for a long time, avoid contact with people who have an infection. You may be at an increased risk from infection while taking hydrocortisone. Tell your prescriber or health care professional if you are exposed to anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

People who are taking certain dosages of hydrocortisone may need to avoid immunization with certain vaccines or may need to have changes in their vaccination schedules to ensure adequate protection from certain diseases. Make sure to tell your prescriber or health care professional that you are taking hydrocortisone before receiving any vaccine.

If you are diabetic, hydrocortisone can affect your blood sugar. Check with your prescriber or health care professional if you need help adjusting the dose of your diabetic medicine.

If you take hydrocortisone tablets every day, you may need to watch your diet. Your body can also lose potassium while you take this medicine. Ask your prescriber or health care professional about your diet, especially about your salt intake.

If you are going to have surgery tell your prescriber or health care professional that you are taking hydrocortisone, or have taken it within the last 12 months.

Alcohol can increase the risk of getting serious side effects while you are taking hydrocortisone. Avoid alcoholic drinks.

Elderly patients have an increased risk of side effects from hydrocortisone.

Hydrocortisone can interfere with certain lab tests and can cause false skin test results.

What side effects may I notice from taking hydrocortisone?

Some side effects can be reduced by taking single daily doses in the morning. Check with your prescriber or health care professional to determine the best schedule for your condition.

Side effects that you should report to your prescriber or health care professional as soon as possible:

• bloody or black, tarry stools

• confusion, excitement, restlessness, a false sense of well-being

• eye pain, decreased or blurred vision, or bulging eyes

• fever, sore throat, sneezing, cough, or other signs of infection

• frequent passing of urine

• hallucinations (seeing and hearing things that are not really there)

• increased thirst

• irregular heartbeat

• menstrual problems

• mental depression, mood swings, mistaken feelings of self-importance, mistaken feelings of being mistreated

• muscle cramps or muscle weakness

• nausea, vomiting

• pain in hips, back, ribs, arms, shoulders, or legs

• rounding out of face

• skin problems, acne

• stomach pain

• swelling of feet or lower legs

• unusual bruising or red pinpoint spots on the skin

• unusual tiredness or weakness

• weight gain or weight loss

• wounds that will not heal

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• diarrhea or constipation

• change in taste

• headache

• increased appetite or loss of appetite

• increased sweating

• nervousness, restlessness, or difficulty sleeping

• unusual increased growth of hair on the face or body

• upset stomach

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15—30 degrees C (59—86 degrees F). Throw away any unused medicine after the expiration date.