Hydrocortisone
Hydrocortisone Pronunciation: hye droe KOR ti sone
Brand Names: Cortef, Hydrocortone
Important Information Description
Who should not take it?
How should I take it?
What happens if I miss a dose?
What happens if I overdose?
What should I avoid while taking it?
What are the side effects?
What other drugs will affect it?
Where can I get more information?
Brand Names
What is the most important information I should know about hydrocortisone?
• Do not stop taking hydrocortisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosage before you stop taking this medication.
• Take hydrocortisone with food or milk to lessen stomach upset.
• Carry some type of medical identification that will let others know you are taking hydrocortisone in the case of an emergency.
What is hydrocortisone?
• Hydrocortisone is in a class of drugs called steroids. Hydrocortisone reduces swelling and decreases the body's immune response.
• Hydrocortisone is used to treat many different conditions. It is used to treat endocrine (hormonal) disorders when the body does not produce enough of its own steroids. It is also used to treat many immune and allergic disorders, such as arthritis, lupus, severe psoriasis, severe asthma, ulcerative colitis, and Crohn's disease.
• Hydrocortisone may also be used for purposes other than those listed in this medication guide.
Who should not take hydrocortisone?
• Do not take hydrocortisone if you have a serious bacterial, viral, or fungal infection. Hydrocortisone weakens your body's immune response and thus its ability to fight infection.
• Before taking this medication, tell your doctor if you have
- kidney disease,
- liver disease,
- high blood pressure or heart disease,
- ulcerative colitis, diverticulitis, or stomach ulcers,
- hypothyroidism,
- a psychiatric condition,
- osteoporosis,
- myasthenia gravis,
- diabetes mellitus, or
- any other medical conditions.
• You may not be able to take hydrocortisone, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
• Hydrocortisone is in the FDA pregnancy category C. This means that it is not known whether hydrocortisone will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.
• Hydrocortisone passes into breast milk. Do not take hydrocortisone without first talking to your doctor if you are breast-feeding a baby.
How should I take hydrocortisone?
• Take hydrocortisone exactly as directed by your doctor. Do not take more or less than is prescribed for you. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take hydrocortisone with food or milk to lessen stomach upset.
• Shake the suspension well before measuring a dose.
• Measure the liquid with the dropper provided or with a special dose-measuring spoon or cup. Ask your pharmacist for a dose-measuring spoon if you do not have one.
• If you are taking one dose daily, take that dose before 9 a.m. if possible, to follow the body's natural cycle. If you take more than one dose daily, space the doses evenly throughout the day as directed by your doctor.
• Do not stop taking hydrocortisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosage before you stop taking this medication.
• Carry some type of medical identification that will let others know you are taking hydrocortisone in the case of an emergency.
• Store hydrocortisone at room temperature away from moisture and heat.
What happens if I miss a dose?
• If you take one dose daily, take the missed dose as soon as you remember. However, if you don't remember until the next day, skip the dose you missed and take only your regular daily dose.
• If you take more than one dose daily, you can either take the missed dose as soon as you remember, or you can take two doses (the one you missed plus your regularly scheduled dose) when it is time for your next dose.
• If you take one dose every other day, take the missed dose as soon as you remember, then go back to your regular every-other-day schedule.
What happens if I overdose?
• Seek emergency medical attention. A single large dose of this medication is unlikely to cause symptoms or death. An overdose is more likely to be caused by a chronic overdose--large doses taken over a period of time.
• Symptoms of an overdose include obesity (especially around the stomach); a round face; increased hair growth (especially around the face); acne; bruising; increased blood pressure; swollen hands, feet, or ankles (fluid retention); and sore or weak muscles.
What should I avoid while taking hydrocortisone?
• Use alcohol cautiously. Acting together, alcohol and hydrocortisone can be damaging to the stomach.
• Avoid sources of infection. Wash your hands frequently and keep them away from the mouth and eyes. Your immune system may be weakened while taking hydrocortisone.
• Do not receive any immunizations during treatment with hydrocortisone without first talking to your doctor.
What are the possible side effects of hydrocortisone?
• If you experience any of the following serious side effects, stop taking hydrocortisone and seek emergency medical attention or contact your doctor immediately:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
- increased blood pressure (severe headache or blurred vision); or
- sudden weight gain (more than 5 pounds in a day or two).
• Other, less serious side effects may be more likely to occur. Continue to take hydrocortisone and talk to your doctor if you experience
- insomnia;
- nausea, vomiting, or stomach upset;
- fatigue or dizziness;
- muscle weakness or joint pain;
- problems with diabetes control; or
- increased hunger or thirst.
• Other side effects that occur only rarely, usually with high doses of hydrocortisone, include
- acne,
- increased hair growth,
- thinning of the skin,
- cataracts,
- glaucoma,
- osteoporosis,
- roundness of the face, and
- changes in behavior.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect hydrocortisone?
• Do not take any other over-the-counter or prescription medications, including herbal products, during treatment with hydrocortisone without first talking to your doctor. Many other medicines can interact with hydrocortisone resulting in side effects or altered effectiveness of the medications.
Where can I get more information?
• Your pharmacist has additional information about hydrocortisone written for health professionals that you may read.
From WebMD