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Hydrocortisone cream is available over the counter without a prescription in different strengths such as 0. Hydrocortisone works by alleviating the swelling, itching , and redness caused by dermatitis. Corticosteroids are a class of steroid hormone closely related to cortisol, a naturally occurring hormone produced in the adrenal gland. Hydrocortisone is also an ingredient used in a number of antibacterial or antifungal preparations, such as in athlete's foot creams or diaper ointments.
Hydrocortisone cream is an appropriate treatment for many allergic skin rashes, such as atopic dermatitis atopic eczema and allergic contact dermatitis including poison ivy and poison oak.
Other conditions hydrocortisone creams can treat include:. The choice and strength of hydrocortisone cream product depend largely on the specific skin condition. Hydrocortisone is not particularly useful for the treatment of hives urticaria since they are caused by histamines rather than by skin inflammation. Histamines are chemicals produced by the immune system to rid your body of allergens allergy-causing substances. Overreaction of this response can sometimes cause a rash outbreak.
In this instance, an oral antihistamine may be the best choice of treatment, although a topical hydrocortisone cream may be prescribed to alleviate local itchiness and swelling.
Other conditions for which hydrocortisone creams are ineffective include:. Hydrocortisone cream may be used on children but exercise caution, particularly in younger children. Patients are instructed to halt use of nonprescription hydrocortisone and see a physician if the symptoms worsen, if they persist for more than 7 days, or if they clear up and recur again within a few days.
Nonprescription hydrocortisone products should not be applied to the eyes or eyelids. Patients who are pregnant or nursing should only use hydrocortisone on the advice of a physician. The labels of hydrocortisone products warn patients against use in diaper rash. Hydrocortisone is contraindicated if a female patient with genital itching also has a vaginal discharge. Hydrocortisone might provide symptomatic relief, giving the patient the idea that she is better, and delaying her visit to a physician for an antibiotic or antibacterial.
Burns should not be treated with hydrocortisone, as it is not known to be effective in burned skin. Hydrocortisone is inappropriate as sole therapy for fungal conditions, such as tinea pedis, tinea corporis, or tinea cruris. Hydrocortisone is not known to be effective or safe for treating such minor conditions as acne, dandruff, hair loss, warts, corns, calluses, or sunburn.
The United States is one of the only countries without a widespread third class of medications that would require pharmacist counseling with the limited exceptions of pseudoephedrine, ephedrine, and Plan B. Since professional intervention is not required in sales of nonprescription products, the label must contain every bit of information needed to ensure proper use by the self-medicating patient.
The FDA assumes that patients using nonprescription products will read and heed all sections of the label, thoroughly understanding all of the information and acting exactly as the label directs.
This assumption underlies virtually every decision made by the FDA regarding nonprescription products, but it is especially critical in Rx-to-OTC switched products such as hydrocortisone. To verify or disprove this assumption, researchers must survey actual users of the products in question. A British study explored that issue for hydrocortisone products and the corticosteroid clobetasone clobetasone has been available as a nonprescription product in Britain since Several patients were treating multiple conditions.
This tabulation illustrates the value of pharmacist intervention in advising against use where nonprescription corticosteroids are inappropriate e. Ten percent applied the products to the face, in direct opposition to clear label directions not to do so.
An interested pharmacist trained in recognition of minor dermatologic conditions might have been able to render a more reliable judgment of what type of condition was present in that large segment of shoppers. Hydrocortisone is a nonprescription product that carries numerous critical instructions and warnings to help ensure that it is used safely and effectively.
However, research in Britain confirmed that there are numerous instances when patients engage in incorrect use. Pharmacists can be vitally important in ensuring that patients use powerful OTC pharmacologic agents only when appropriate and that they heed all warnings and precautions.
Nonprescription hydrocortisone has been on the market for 30 years. However, you should not flush this medication down the toilet.
Instead, the best way to dispose of your medication is through a medicine take-back program. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.
To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach.
If someone swallows hydrocortisone, call your local poison control center at If the victim has collapsed or is not breathing, call local emergency services at It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
It is also important information to carry with you in case of emergencies. Generic alternatives may be available. Hydrocortisone Topical pronounced as hye droe kor' ti sone. Why is this medication prescribed?
How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose?
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