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.
Absorption: Applying this medication to large areas of the body or applying it under dressings that don't allow the skin to contact the air encourages the absorption of hydrocortisone into the blood circulation. This could produce unwanted effects similar to those experienced after taking oral (by mouth) corticosteroid medications for long periods of time. If you notice symptoms of using steroid medications for long periods of time, such as weakness, increased urination, increased thirst, fatigue or weight loss, contact your doctor as soon as possible.
Areas of application: Do not apply this medication in or around your eyes. Do not use it to treat vulvar itching with vaginal discharge. If you have a skin condition around a leg ulcer which is caused by poor circulation, talk to your doctor before using this medication.
Medical treatment: Inform all health professionals involved in your care that you have been using a topical (skin-applied) corticosteroid.
Prolonged use: Using topical corticosteroid medication for a long period of time can cause skin to thin or soften or cause stretch marks. Talk to your doctor about how long you should use this medication.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: It is not known if hydrocortisone - urea 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: This medication is not recommended for children less than 2 years of age. Children may absorb more corticosteroid medication through the skin than adults. As a result, they may be more likely to experience the side effects related to the use of large amounts of this of class medication for long periods of time (e.g., slowing down of growth, delayed weight gain). Use the smallest amount possible when applying this medication to a child's skin. Talk to your doctor if you have any concerns about using this medication on your child.
Seniors: People over the age of 65 may need to use a smaller amount of this medication or use it less often.