Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:. Do not use rectal corticosteroids in larger amounts, more often, or for a longer time than your doctor ordered.
To do so may increase the chance of absorption through the lining of the rectum and the chance of side effects. The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible.
However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Do not stop using this medicine without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are using before you completely stop using it.
Check with your doctor if your condition does not improve within 2 or 3 weeks or if it becomes worse. Check with your doctor if you notice rectal bleeding, pain, burning, itching, blistering, or any other sign of irritation that you did not have before you started using this medicine. Avoid close contact with anyone who has chickenpox or measles.
This is especially important for children. Tell your doctor right away if you think you have been exposed to chickenpox or measles. While you are being treated with this medicine, and after you stop taking it, do not have any immunizations without your doctor's approval. Along with its needed effects, a medicine may cause some unwanted effects.
Although not all of these side effects may occur, if they do occur they may need medical attention. Additional side effects may occur if you use this medicine for a long time. Check with your doctor as soon as possible if any of the following side effects occur:. Some side effects may occur that usually do not need medical attention.
These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:. Other side effects not listed may also occur in some patients.
If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. Avoid having a bowel movement for at least 1 hour so the medication will have time to work.
Use this medication regularly as prescribed to get the most benefit from it. Do not use more of this product, use it more often, or use it for longer than prescribed. Your condition will not improve any faster, and your risk of side effects may increase. If you have been using this medication for a long time, do not stop using it without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped.
Your dose may need to be gradually decreased. Tell your doctor if your condition does not improve after your prescribed length of treatment or if it worsens. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Rarely, it is possible this medication will be absorbed into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children and people who use this medication for a long time.
Tell your doctor right away if any of the following side effects occur:. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. In Canada - Call your doctor for medical advice about side effects.
You may report side effects to Health Canada at Before using hydrocortisone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids such as prednisone ; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of:. Rarely, using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Do not have immunizations, vaccinations, or skin tests without the consent of your doctor.
Avoid contact with people who have recently received live vaccines such as flu vaccine inhaled through the nose. Rarely, this drug can make you more likely to get infections or may worsen any current infections. Therefore, wash your hands well to prevent the spread of infection. Avoid contact with people who have infections that may spread to others such as chickenpox, measles, flu. Consult your doctor if you have been exposed to an infection or for more details. Though it is unlikely, this medication may temporarily slow down a child's growth if used for a long time.
See the doctor regularly so your child's height can be checked. During pregnancy, this medication should be used only when clearly needed and not for prolonged periods. Other forms of hydrocortisone given by mouth or by injection may harm an unborn baby. Discuss the risks and benefits with your doctor. It is unknown if this drug passes into breast milk. However, it is unlikely to harm a nursing infant.
Consult your doctor before breast-feeding. The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring. To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use including prescription drugs, nonprescription drugs, and herbal products before starting treatment with this product.
While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention usually at dosages of milligrams a day , you should continue taking the aspirin unless your doctor instructs you otherwise. Ask your pharmacist about using those products safely.
This document does not contain all possible drug interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to lessen your risk for serious medication problems. This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call
It is not known whether hydrocortisone rectal will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether hydrocortisone passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow the directions on your prescription label. Remove the outer wrapper from the suppository before inserting it. Avoid handling the suppository too long or it will melt in your hands. The rectal suppository can stain clothing or other fabrics it comes into contact with.
For best results from the suppository , lie down after inserting it and hold in the suppository. The suppository will melt quickly once inserted and you should feel little or no discomfort while holding it in. For best results from the cream , use only the applicator provided with the medication. Otherwise, follow the directions provided with your rectal cream. Apply the ointment to the rectum and surrounding skin of the rectal area as directed on the package label.
Store the rectal suppositories at cool room temperature away from moisture and heat. Do not refrigerate or freeze them. Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. An overdose of hydrocortisone rectal is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat especially in your face, neck, back, and waist , increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.
Avoid getting a vaccine during your treatment with hydrocortisone rectal. Vaccines may not work as well while you are using a steroid medicine. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Before using hydrocortisone rectal, tell your doctor if you also use insulin or take oral diabetes medication.
Your pharmacist can provide more information about hydrocortisone rectal cream, ointment, or suppository. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Every effort has been made to ensure that the information provided by Cerner Multum, Inc.
Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient.
Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.
There are three types of prednisolone formulation available for rectal use: suppositories, a liquid enema in a disposable pack with an application nozzle, and a foam which is administered using an applicator attached to an aerosol cannister. Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken.
For these reasons, before you start using prednisolone it is important that your doctor knows:. Prednisolone can be absorbed into the body from rectal formulations, so these preparations can cause similar unwanted side-effects to oral steroids. However, because less of the medicine is absorbed when given rectally than when taken by mouth, the risk of side-effects is much lower.
Children are susceptible to side-effects from corticosteroids. The main concern is for children who need frequent courses, as it can have an effect on their growth and this may need to be monitored. Never use more than the prescribed dose. If you suspect that someone has swallowed some of the medicine by accident, go to the accident and emergency department of your local hospital.
Take the container with you, even if it is empty. This medicine is for you. Never give it to other people even if their condition appears to be the same as yours. Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you. Dated May Dated October I have a failed J pouch fitted that needs removal.
Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.