Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Allergies or sensitization: Stop using this medication and call your doctor if irritation, allergic reaction, or sensitization occurs. Inform all health professionals involved in your care that you have been using corticosteroids.
Cautions regarding the container: Contents are flammable and the aerosol container may explode if heated.
The contents of the container are under pressure. Do not use in the presence of an open flame or spark and do not place in hot water or near radiators, stoves, or other sources of heat. Do not puncture or incinerate the container or store it at temperatures over 50°C.
Do not insert any part of the aerosol container into the anus.
Diabetes: Hydrocortisone may cause an increase in blood sugar levels (may cause a loss of blood glucose control) and glucose tolerance may change. People with diabetes may find it necessary to monitor their blood sugar more frequently while using this medication.
If you have diabetes or are at risk for developing diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Excessive use: Prolonged or excessive use of this product could produce effects similar to those seen after taking corticosteroids by mouth for prolonged periods of time (such as thin skin, easy bruising, thin bones, or increased risk of infections). To minimize this possibility when long-term therapy is anticipated, your doctor may instruct you to periodically interrupt treatment.
General precautions: Advise all doctors involved in your care that you have been using this medication.
Infected areas: Do not use this medication on infected lesions unless you are also using appropriate anti-infective medications as recommended by your doctor.
Infections: Corticosteroids may hide the symptom of new infections and infections may occur more frequently due to the effect corticosteroids have on the immune system. If you experience skin infections around the affected area or other infections, let your doctor know as soon as possible.
Mood changes and mental health: The use of corticosteroids may cause mood swings, a sense of euphoria, depression, or anxiety. If you have a history of mental health concerns, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Ulcerative bowel disease: People with severe ulcerative bowel disease who use rectal hydrocortisone may be at increased risk of perforation of the bowel wall. If you have ulcerative bowel disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using this medication, contact your doctor immediately.
Breast-feeding: It is not known if this medication passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children.