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Drug Guide    H   Hydrocortisone

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   Hydrocortisone

Hydrocortisone
Oral


Hydrocortisone is used to treat many conditions, such as joint problems, severe allergic reactions, certain skin or eye conditions, certain problems with the blood/hormones/immune system, a certain bowel problem (ulcerative colitis), swelling, and worsening multiple sclerosis.Hydrocortisone is a glucocorticoid hormone. It decreases your body's natural defensive response and reduces symptoms such as redness and swelling.


 
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  Hydrocortisone images:

Overview Photos How To Use Side Effects Precautions Missed Dose Drug Interactions

Hydrocortisone

Uses
Hydrocortisone is used to treat many conditions, such as joint problems, severe allergic reactions, certain skin or eye conditions, certain problems with the blood/hormones/immune system, a certain bowel problem (ulcerative colitis), swelling, and worsening multiple sclerosis.Hydrocortisone is a glucocorticoid hormone. It decreases your body's natural defensive response and reduces symptoms such as redness and swelling.
Notes
  • Do not share this medication with others.If this medication is used for an extended time, laboratory and/or medical tests (e.g., blood sugar/mineral levels, blood counts, blood pressure, bone density tests, eye exams, height/weight measurements, X-rays) should be performed regularly to check for side effects.
  • Consult your doctor for more details.Lifestyle changes that may help reduce the risk of bone problems (osteoporosis) while taking this drug for an extended time include doing weight-bearing exercise, getting enough calcium and vitamin D, stopping smoking, and limiting alcohol.
  • Discuss with your doctor lifestyle changes that might benefit you.If you take this medication for long-term treatment, wear or carry identification stating that you are using it.

Storage
  • Store the US product at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture.Store the Canadian product at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture.Do not store in the bathroom.
  • Keep all medicines away from children and pets.


How To Use
  • Take this medication by mouth with food or milk, usually three or four times daily or as directed by your doctor.
  • The dosage and length of treatment are based on your medical condition and response to therapy.
  • Use this medication regularly in order to get the most benefit from it.
  • To help you remember, take it at the same times each day.
  • It is important to continue taking this medication even if you feel well.
  • Follow the dosing schedule carefully, and take this medication exactly as prescribed.Cholestyramine and colestipol may decrease the absorption of this medication.
  • If you are taking either of these drugs, separate them from this medication by at least 4 hours.If you take this medication once daily, take it in the morning before 9.
  • If you are taking this medication every other day or on some other schedule besides a daily one, it may help to mark your calendar with a reminder.If you have been taking this medication for a long time, do not suddenly stop taking it without consulting your doctor.
  • Your condition may become worse when the drug is suddenly stopped.
  • Your dose may need to be gradually decreased to reduce symptoms such as extreme tiredness, weakness, weight loss, or nausea.
  • (See also Warning section.) Inform your doctor if your condition persists or worsens.

Side Effects
  • Stomach upset, headache, dizziness, menstrual period changes (e.g., delayed/irregular/absent), trouble sleeping, increased sweating, acne, increased appetite, or unusual weight gain may occur.
  • If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: easy bruising/bleeding, black stools, vomit that looks like coffee grounds, severe stomach/abdominal pain, bone/joint pain, fast/pounding/irregular heartbeat, unusual weight gain, swelling of the ankles/feet, puffy face, unusual hair growth, difficult breathing, mental/mood changes (e.g., depression, mood swings, agitation), muscle weakness/pain, thinning skin, slow wound healing, increased thirst/urination, signs of infection (e.g., fever, persistent sore throat, frequent/painful urination, eye pain/discharge), vision changes, seizures, back pain, unusual skin growths.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs.
  • Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking hydrocortisone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (e.g., prednisone); or if you have any other allergies.This medication should not be used if you have certain medical conditions.
  • Before using this medicine, consult your doctor or pharmacist if you have: untreated active fungal infections.Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain eye diseases (cataracts, glaucoma, herpes of the eye), certain heart problems (e.g., congestive heart failure), high blood pressure, severe liver disease (cirrhosis), kidney disease, underactive thyroid gland (hypothyroidism), diabetes, stomach/intestinal problems (e.g., diverticulitis, ulcer, ulcerative colitis), brittle bones (osteoporosis), certain muscle/nerve problems (e.g., myasthenia gravis), current infections (e.g., tuberculosis, positive tuberculosis test, other herpes), bleeding problems, history of blood clots, certain mental/mood conditions (e.g., psychosis, anxiety, depression), low salts in the blood (e.g., low potassium or calcium).This drug may make you dizzy; use caution while engaging in activities requiring alertness such as driving or using machinery.
  • Limit alcoholic beverages.Before having surgery, tell your doctor or dentist that you are using this medication or have taken it within the last 12 months.Do not have immunizations, vaccinations or skin tests unless specifically directed by your doctor.
  • Avoid contact with people who have recently received oral polio vaccine.Avoid exposure to chickenpox or measles infection while taking this medication.
  • If you are exposed to these infections, seek immediate medical attention.If you have a history of ulcers or take large doses of aspirin or other arthritis medication, limit alcoholic beverages while taking this medication to decrease the risk of stomach/intestinal bleeding.If you have diabetes, this drug may increase your blood sugar levels.
  • Check your blood sugar levels regularly as directed by your doctor.
  • Tell your doctor immediately if you have symptoms of high blood sugar such as increased thirst and urination.
  • Your anti-diabetic medication or diet may need to be adjusted.Caution is advised when using this drug for long periods of time in children.
  • This medication may temporarily slow down a child's growth rate.
  • Monitor your child's height and growth rate regularly.
  • Consult your doctor for more details.This medication should be used only when clearly needed during pregnancy.
  • There have been rare reports of harm to the unborn baby.
  • Discuss the risks and benefits of taking this medication with your doctor.
  • Infants born to mothers who have been using this medication for an extended period of time may have hormone problems.
  • Tell your doctor immediately if you notice symptoms such as persistent nausea/vomiting, severe diarrhea, or weakness in your newborn.This medication passes into breast milk.
  • Consult your doctor before breast-feeding.

Missed Dose
  • If you are taking this medication once daily and miss a dose, take it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • If you are taking this medication every other day, ask your doctor or pharmacist what you should do if you miss a dose.

Drug Interactions
  • See also How to Use section.Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it.
  • Do not start, stop or change the dosage of any medicine before checking with them first.This drug should not be used with the following medications because very serious interactions may occur: live virus vaccines, mifepristone, natalizumab.If you are currently using any of these medications, tell your doctor or pharmacist before starting hydrocortisone.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aldesleukin, large doses of aspirin and aspirin-like drugs (salicylates), nonsteroidal anti-inflammatory drugs (NSAIDs such as indomethacin, ibuprofen), birth control pills, estrogen hormone replacement, blood thinners (e.g., warfarin), bupropion, drugs for diabetes, herbal products (e.g., licorice), isoniazid, drugs for myasthenia gravis (e.g., neostigmine, pyridostigmine), drugs affecting liver enzymes that remove hydrocortisone from your body (such as ephedrine, erythromycin, azole antifungals including ketoconazole, barbiturates including phenobarbital, rifamycins including rifampin, certain anti-seizure medications including phenytoin), drugs that may cause potassium loss (e.g., amphotericin B, water pills such as hydrochlorothiazide or furosemide), quinolone antibiotics (e.g., ciprofloxacin, levofloxacin).Check all prescription and nonprescription medicine labels carefully since many contain pain relievers/fever reducers (NSAIDs such as aspirin, ibuprofen, or naproxen) which may increase the risk of stomach bleeding.
  • Low-dose aspirin, as prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention (usually at dosages of 81-325 mg per day), should be continued.
  • Consult your doctor or pharmacist for more details.This product may interfere with certain lab tests.
  • Make sure laboratory personnel and all your doctors know you use this drug.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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