Hydrocortisone compound

Section 1.1

Midwives may independently prescribe, order and administer this drug.

Steroid compound decreases inflammation by suppression of leukocytes and reduces capillary permeability. Examples include: Hydrocortisone rectal – Anusol HC, Hemcort HC, Hydrocortisone/pramoxine topical – Proctofoam HC, Anugesic HC.

Indications and Clinical Use:

Used as anorectal therapy for treatment of hemorrhoids in ointment or suppository form; also used in combination with topical antibiotics and anti-fungals for topical infections.

Contraindications:

Hypersensitivity to any component of the formulation.

Warnings and Precautions:

Use with caution in patients with GI disease, hepatic impairment, hypertension, osteoporosis, thyroid disease. Discontinue use if redness or irritation occurs.
Do not apply to nipples.

Pregnancy:

Comptaible – The lowest effective potency should be used over the smallest possible area for the shortest possible time.

Lactation:

Category L2 – No Data – Probably Compatible
Topical use to small area is not associated with problems

Adverse Reactions:

Burning, dryness, irritation, itching, skin maceration, dermatitis and secondary skin infection.

Dosage and Administration:

Usual concentration: 0.5-2.5% cortisone
Topical: Apply thin layer of cream to affected area 2-4 times per day
Suppository: One suppository twice daily for 2 weeks for external anal itching or internal hemorrhoids or
Foam: One applicator full 1-2 times per day for 2-3 weeks for internal hemorrhoids.