Hydrocortisone Valerate topical

Name: Hydrocortisone Valerate topical

Preparations

Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.

Please refer to the ASHP Drug Shortages Resource Center for information on shortages of one or more of these preparations.

* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name

Hydrocortisone

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Bulk

Powder*

Rectal

Cream

1%

Proctocort (with benzyl alcohol and propylene glycol)

Monarch

Suspension

100 mg/60 mL

Hydrocortisone Enema

Copley

Topical

Cream

0.5%*

Cortizone-5 (with aloe and parabens)

Pfizer

Cortizone for Kids (with aloe and parabens)

Pfizer

1%*

Ala-Cort

Del-Ray

Cortaid Intensive Therapy (with parabens and propylene glycol)

Pfizer

Cortizone-10 (with aloe and parabens)

Pfizer

Cortizone-10 External Anal Itch Relief Creme (with aloe and parabens)

Pfizer

Dermacort

Melaleuca

DermiCort

Republic

HydroSKIN

Rugby

Hytone (with propylene glycol)

Dermik

Penecort (with benzyl alcohol and propylene glycol)

Allergan

Preparation H Hydrocortisone (with parabens and propylene glycol)

Wyeth

2.5%*

Anusol-HC (with benzyl alcohol and propylene glycol)

Pfizer

Hytone (with propylene glycol)

Dermik

Gel

1%

CortaGel Extra Strength

Norstar

Lotion

0.5%*

HydroSKIN

Rugby

1%*

Ala-Cort

Del-Ray

Aquanil HC (with benzyl alcohol)

Person & Covey

Cetacort (with parabens)

Healthpoint

HydroSKIN

Rugby

LactiCare-HC

Stiefel

Nutracort (with parabens)

Healthpoint

Sarnol HC

Stiefel

2%

Ala-Scalpt

Del-Ray

2.5%

Hydrocortisone Lotion

Glades, Major

Hytone (with propylene glycol)

Dermik

LactiCare-HC

Stiefel

Nutracort (with parabens)

Healthpoint

proctocream-HC (with benzyl alcohol)

Physicians Total Care

Ointment

0.5%*

Cortizone-5

Pfizer

1%*

Cortizone-10

Pfizer

HydroSKIN

Rugby

2.5%*

Hytone

Dermik

Pledgets (saturated with solution)

0.5%

Massengill Medicated Soft Cloth Towelette (with parabens and propylene glycol)

GlaxoSmithKline

Solution

1%

Cortaid FastStick Maximum Strength (with alcohol and methylparaben)

Pfizer

Cortaid Spray Maximum Strength (with alcohol and methylparaben)

Pfizer

Cortizone-10 Scalp Itch Formula Liquid (with alcohol SD 40-2 60% v/v, benzyl alcohol, and propylene glycol)

Pfizer

Penecort (with alcohol SD 40-2 57%, benzyl alcohol, and propylene glycol)

Allergan

Texacort (with SD alcohol 33% and propylene glycol)

Sirius

2.5%

Texacort

Sirius

* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name

Hydrocortisone Combinations

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Topical

Ointment

1% with Bacitracin Zinc 400 units (of bacitracin) per g, Neomycin Sulfate 0.5% (0.35% of neomycin), and Polymyxin B Sulfate 5000 units (of polymyxin B) per g

Cortisporin

Monarch

1% with Neomycin Sulfate 0.5% (0.35% of neomycin)*

Solution

1% with Neomycin Sulfate 0.5% (0.35% of neomycin), and Polymyxin B Sulfate 10,000 units (of polymyxin B) per g

Lazersporin-C (with propylene glycol)

Pedinol

Hydrocortisone is also commercially available in combination with antihistamines, astringents, keratolytics, local anesthetics, and vasoconstrictors.

* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary) name

Hydrocortisone Acetate

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Bulk

Powder*

Rectal

Aerosol, foam suspension

10%

Cortifoam (with parabens, propylene glycol, and chlorofluorohydrocarbon propellants)

Schwarz

Suppositories

25 mg

Anucort-HC

G&W

Anu-Med HC

Major

Anusol-HC

Pfizer

Hemorrhoidal-HC

Alpharma, CMC, Sandoz, Rugby, UDL

Hemril-HC Uniserts

Upsher-Smith

Hydrocortisone Acetate Suppositories

IVAX, Paddock, UDL, United Research

30 mg

Proctocort

Monarch

Topical

Cream

0.5%

Corticaine (with parabens)

UCB

0.5% (of hydrocortisone)*

Cortaid Sensitive Skin Formula (with aloe and parabens)

Pfizer

1% (of hydrocortisone)

Caldecort Anti-Itch (with propylene glycol)

Novartis

Cortaid Maximum Strength (with aloe and methylparaben)

Pfizer

Dermarest DriCort

Del

Dermtex HC (with menthol 1%)

Pfeiffer

Nupercainal Hydrocortisone Anti-Itch Cream (with propylene glycol)

Novartis

Lotion

0.5% (of hydrocortisone)*

Ointment

0.5% (of hydrocortisone)

Cortaid Sensitive Skin Formula (with aloe and parabens)

Pfizer

1%

Anusert HC-1

G&W

Gynecort 10

Combe

Lanacort 10

Combe

1% (of hydrocortisone)

Anusol-HC-1

Pfizer

Cortaid Maximum Strength (with aloe and methylparaben)

Pfizer

Paste

0.5%

Orabase HCA

Colgate

Solution

1%

Scalp-Aid

Major

Scalpcort Maximum Strength

Clay-Park

1% (of hydrocortisone)

Dermtex HC Spray

Pfeiffer

Hydrocortisone Acetate Combinations

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Rectal

Aerosol, foam suspension

1% with Pramoxine Hydrochloride 1%

proctofoam-HC (with parabens, propylene glycol, and chlorofluorohydrocarbon propellants)

Schwarz

Topical

Aerosol, foam suspension

1% with Pramoxine Hydrochloride 1%

Epifoam (with parabens, propylene glycol, and hydrocarbon propellants)

Schwarz

Cream

0.5% with Chlorcyclizine Hydrochloride 2%

Mantadil (with methylparaben)

GlaxoSmithKline

0.5% with Neomycin Sulfate 0.5% (0.35% of neomycin) and Polymyxin B Sulfate 10,000 units (of polymyxin B) per g

Cortisporin (with methylparaben and propylene glycol)

Monarch

1% with Pramoxine Hydrochloride 1%

Analpram-HC (with propylene glycol)

Ferndale

Enzone (with propylene glycol)

Forest

Pramosone (with propylene glycol)

Ferndale

proctocream-HC (with propylene glycol)

Schwarz

Zone-A Cream (with propylene glycol)

Forest

1% with Urea 10%

Carmol HC (with propylene glycol and sodium metabisulfite)

Doak

2.5% with Pramoxine Hydrochloride 1%

Analpram-HC (with propylene glycol)

Ferndale

Pramosone (with propylene glycol)

Ferndale

Lotion

1% with Pramoxine Hydrochloride 1%

Pramosone (with povidone)

Ferndale

Zone-A Lotion (with povidone)

Forest

2.5% with Pramoxine Hydrochloride 1%

Pramosone (with povidone)

Ferndale

Zone-A Forte Lotion (with povidone)

Forest

Ointment

1% with Pramoxine Hydrochloride 1%

Pramosone

Ferndale

2.5% with Pramoxine Hydrochloride 1%

Pramosone

Ferndale

Hydrocortisone acetate is also commercially available in combination with antihistamines, astringents, keratolytics, local anesthetics, and vasoconstrictors.

Hydrocortisone Buteprate

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Topical

Cream

0.1%

Pandel (with parabens and propylene glycol)

Savage

Hydrocortisone Butyrate

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Topical

Cream

0.1%

Locoid (with methylparaben)

Ferndale

Ointment

0.1%

Locoid

Ferndale

Solution

0.1%

Locoid (with isopropyl alcohol 50% and povidone)

Ferndale

Hydrocortisone Valerate

Routes

Dosage Forms

Strengths

Brand Names

Manufacturer

Topical

Cream

0.2%

Westcort (with propylene glycol)

Westwood-Squibb

Ointment

0.2%

Westcort (with propylene glycol)

Westwood-Squibb

Precautions

Before using hydrocortisone valerate, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (e.g., prednisone, triamcinolone); 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: poor blood circulation, diabetes, immune system problems.

Do not use if there is an infection or sore in the area to be treated.

Rarely, using corticosteroid medications for a long time or over large areas of skin can make it more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.

Though it is unlikely, this medication may slow down a child's growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your child's height can be checked.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk when applied to the skin. Similar medications pass into breast milk when taken by mouth. Consult your doctor before breast-feeding.

Interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Before using this medication, tell your doctor or pharmacist of all prescription or nonprescription/herbal products you may use, especially of: corticosteroids taken by mouth (e.g., prednisone), drugs that lower the immune system (e.g., cyclosporine).

This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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