Adult Dosing
Mild to moderate atopic dermatitis [hydrocortisone butyrate]
- Apply to affected area(s) as a thin film bid, (Max: 4 wks)
Corticosteroid-responsive dermatoses
- Apply to affected area(s) as a thin film bid-tid, (Max: 2 wks)[hydrocortisone butyrate/hydrocortisone valerate]
- Apply to affected area(s) as a thin film bid-qid [hydrocortisone]
Note:
- Do not use occlusive dressing
Pediatric Dosing
Mild to moderate atopic dermatitis (>3 months) [hydrocortisone butyrate]
- Apply to affected area(s) as a thin film bid, (Max: 4 wks)
Corticosteroid-responsive dermatoses
- Pediatric dosing not available
Note:
- Do not use occlusive dressing
[Outline]
See Supplemental Patient Information
- Reversible hypothalamic-pituitary-adrenal (HPA) axis suppression, Cushing's syndrome, hyperglycemia and glucosuria may occur due to systemic absorption of topical hydrocortisone, application of the more potent steroids over large surface areas, prolonged use and occlusive dressing increase systemic absorption. Monitor the patient periodically for HPA axis suppression, discontinue or reduce the frequency of application, or substitute with a less potent steroid, if HPA-axis suppression is noted
- Pediatric patients are more susceptible to systemic toxicity (HPA axis suppression, Cushing's syndrome and intracranial hypertension) as proportionally larger amounts of topical corticosteroid is absorbed. Limit the use to the least amount compatible with an effective therapeutic regimen
- If dermatological infection occurs, provide appropriate antifungal or antibacterial therapy, temporarily discontinue topical hydrocortisone until the infection has been adequately controlled
- Can cause local skin adverse reactions, if irritation develops, discontinue the drug and start appropriate therapy
Cautions: Use cautiously in
- Skin infection
- Pediatric patients
Supplemental Patient Information
- Patients should be advised not to bandage or otherwise cover or wrap the affected area(s) unless directed by their physician
- Parents of pediatric patients should be advised not to use tight-fitting diapers or plastic pants on a child being treated in the diaper area, as these garments may constitute occlusive dressings
Pregnancy Category:C
Breastfeeding: No studies conducted during breastfeeding; short-term application of topical corticosteroids is not expected to pose a risk to the breastfed infant by passage into breastmilk. Use of the least potent drug on the smallest area of skin of mother is recommended. Ensure that the infant's skin does not come into direct contact with the areas treated with this drug. Use of lower potency corticosteroids, water-miscible cream products on the nipple or areola is recommended. Any topical corticosteroid should be wiped off thoroughly prior to nursing if it is applied to the nipple or areola. This information is based upon LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 1 April 2011). However manufacturer advises caution while administering to nursing mothers.
US Trade Name(s)
- Ala-Cort
- Anusol HC
- Aveeno Hydrocortisone Anti-Itch Cream
- Cortaid Advanced
- Cortaid Maximum Strength
- Cortizone-10
- Cortizone-10 Hydratensive
- Cortizone-10 Intensive Healing Eczema
- Cortizone-10 Plus
- Locoid lipocream
- Locoid
- Micort-HC
- Monistat Soothing Care Itch Relief Cream
- Nutracort
- Orabase HCA (Discontinued)
- Pandel
- Preparation H Anti-Itch Cream
- Stie-Cort
- Synacort
- Texacort
- U-Cort
- Westcort (Discontinued)
US Availability
hydrocortisone (generic)
- LOTN: 1%, 2.5%
- OINT: 1%, 2.5%
- CRE: 1%, 2.5%
hydrocortisone acetate (generic)
hydrocortisone butyrate (generic)
- SOLN: 0.1%
- CRE: 0.1%
- OINT: 0.1%
hydrocortisone valerate (generic)
Ala-Cort
Anusol HC
Aveeno Hydrocortisone Anti-Itch Cream
Cortaid Advanced
Cortaid Maximum Strength
Cortizone-10
Cortizone-10 Hydratensive
Cortizone-10 Intensive Healing Eczema
Cortizone-10 Plus
Locoid lipocream (hydrocortisone butyrate)
Locoid (hydrocortisone butyrate)
- CRE: 0.1%
- OINT: 0.1%
- SOLN: 0.1%
- LOTN: 0.1%
Micort-HC (hydrocortisone acetate)
Monistat Soothing Care Itch Relief Cream
Nutracort (hydrocortisone)
Orabase HCA (hydrocortisone acetate)
Pandel (hydrocortisone probutate)
Preparation H Anti-Itch Cream
Stie-Cort (hydrocortisone)
(Discontinued)
Synacort (hydrocortisone)
Texacort (hydrocortisone)
U-Cort
Westcort (hydrocortisone valerate )
Canadian Trade Name(s)
- Barriere HC
- Cortate
- Cortaderm
- Dermaflex HC
- Emo Cort
- Hydroval
- Hyderm
- Novo-Hydrocort
- Sarna HC
- Topiderm HC
Canadian Availability
Barriere HC, Prevex HC, Hyderm, Novo-Hydrocort
Cortate
Cortaderm
Dermaflex HC
Emo Cort
- CRE: 1%, 2.5%
- LOTN: 1%, 2.5%
- SOLN: 2.5%
Hydroval (hydrocortisone valerate)
Sarna HC
Topiderm HC
UK Trade Name(s)
- Boots Bite and Sting Relief
- Boots Derma Care
- Derma Care
- Dermacort
- Disoderm
- Hc45
- Lanacort
- Locoid
- Locoid Crelo
- Locoid lipocream
- Mildison Lipocream
UK Availability
hydrocortisone (generic)
Boots Bite and Sting Relief, Derma Care, Dermacort, Disoderm, Hc45, Mildison Lipocream
Boots Derma Care
Lanacort
Locoid (hydrocortisone butyrate)
- CRE: 0.1%
- OINT: 0.1%
- SCALP LOTN: 0.1%
Locoid Crelo(hydrocortisone butyrate)
Locoid lipocream (hydrocortisone butyrate)
Australian Trade Name(s)
- Derm Aid
- Derm Aid Soft
- Egocort
- Cortef
- Cortic-DS
- Sigmacort
Australian Availability
Derm Aid, Derm Aid Soft, Egocort, Cortef, Cortic-DS
Sigmacort
[Outline]
Pricing data from www.DrugStore.com in U.S.A.
- Anusol-HC 2.5 % CREA [Tube] (SALIX PHARMACEUTICALS)
INC. % = $30
% = $90 - Locoid Lipocream 0.1 % CREA [Tube] (TRIAX PHARMACEUTICALS)
45 % = $230.98
90 % = $448.97 - Pandel 0.1 % CREA [Tube] (PHARMADERM)
15 % = $77.99
45 % = $215.97 - Locoid Lipocream 0.1 % CREA [Tube] (TRIAX PHARMACEUTICALS)
15 % = $86.51
45 % = $239.55 - Locoid 0.1 % OINT [Tube] (TRIAX PHARMACEUTICALS)
15 % = $62.04
45 % = $171.18 - Locoid 0.1 % CREA [Tube] (TRIAX PHARMACEUTICALS)
15 % = $67.49
45 % = $180.77 - Locoid Lipocream 0.1 % CREA [Tube] (TRIAX PHARMACEUTICALS)
60 % = $299.78
180 % = $860.83 - Locoid 0.1 % OINT [Tube] (TRIAX PHARMACEUTICALS)
45 % = $164.29
135 % = $476.78 - Hydrocortisone 1 % CREA [Tube] (FOUGERA)
28.35 % = $16.99
85.05 % = $35.97 - Anusol-HC 25 MG SUPP [Box] (SALIX PHARMACEUTICALS)
INC. mg = $12
mg = $24 - Locoid 0.1 % CREA [Tube] (TRIAX PHARMACEUTICALS)
45 % = $182.99
135 % = $529.96 - Pandel 0.1 % CREA [Tube] (PHARMADERM)
45 % = $139.99
135 % = $381.95
Warning: This pricing information is subject to change at the sole discretion of DS Pharmacy. For the most current and up-to-date pricing information, please visit drugstore.com.
