How does hydrocortisone work?
Hydrocortisone reduces inflammation by suppressing the immune system’s response, helping to relieve swelling, redness, and irritation.
What is hydrocortisone used to treat?
Hydrocortisone is commonly prescribed for:
- Skin conditions (such as eczema, dermatitis, and psoriasis)
- Allergic reactions (including insect bites and rashes)
- Adrenal insufficiency (to replace cortisol in conditions like Addison’s disease)
- Joint and muscle inflammation (such as arthritis)
- Severe asthma or COPD exacerbations
- Ulcerative colitis and Crohn’s disease (inflammation of the gut)
Who can take hydrocortisone?
Hydrocortisone is suitable for most adults and children, depending on the condition being treated.
Who might not be able to take hydrocortisone?
Hydrocortisone may not be suitable if you:
- Have a serious infection (such as tuberculosis or fungal infections)
- Have diabetes (as it can raise blood sugar levels)
- Have osteoporosis (weak bones)
- Have glaucoma or cataracts
- Have high blood pressure or heart disease
Can I take hydrocortisone if I’m pregnant or breastfeeding?
Hydrocortisone may be used during pregnancy and breastfeeding, but only under medical supervision.
What if I miss a dose?
If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.
How effective is hydrocortisone?
Hydrocortisone is highly effective at reducing inflammation and relieving symptoms when used as directed.
What should I do if I take too much?
Taking too much hydrocortisone can cause increased blood pressure, swelling, and hormonal imbalances. If you think you’ve taken too much, seek medical help immediately.
What dose of hydrocortisone is usually taken?
- For adrenal insufficiency: 10mg to 30mg daily, divided into doses
- For inflammatory conditions: 5mg to 20mg daily, depending on severity
- For skin conditions: Apply a thin layer once or twice daily
Your doctor will determine the correct dose based on your condition.
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What are the side effects of hydrocortisone?
Common side effects include:
- Increased appetite and weight gain
- Mood changes or trouble sleeping
- Skin thinning (when used as a cream for long periods)
- Increased risk of infections
Long-term use may lead to osteoporosis, high blood sugar, or adrenal suppression. If you experience severe side effects, seek medical attention.
How should I take hydrocortisone?
Hydrocortisone is available as tablets, creams, injections, and suppositories. Follow your doctor’s instructions carefully.
When should hydrocortisone be taken?
Hydrocortisone tablets are usually taken in the morning to match the body’s natural cortisol production.
What are the brand names for hydrocortisone?
Hydrocortisone is available as a generic medicine, but some branded versions include:
- Cortef (tablets)
- Hydrocortone
- HC45 (cream for skin conditions)
Final thoughts
Hydrocortisone is an effective steroid medication for reducing inflammation and managing adrenal insufficiency. To get the best results, take it as prescribed and speak to your doctor if side effects occur.