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What is Instacort

Hydrocortisone is a steroid medicine that reduces inflammation in the body.
The information in Instacort guide is specific to Instacort foam or enema.
Instacort is used to treat hemorrhoids and itching or swelling of the rectal area caused by hemorrhoids or other inflammatory conditions of the rectum or anus.
Instacort is also used together with other medications to treat ulcerative colitis, proctitis, and other inflammatory conditions of the lower intestines and rectal area.
Instacort may also be used for purposes not listed in Instacort guide.

Instacort side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:

Less serious side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
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Instacort dosing

Usual Adult Dose for Adrenocortical Insufficiency:

Acute Adrenal Gland Failure:
100 mg IV bolus, then 300 mg/day in divided doses every 8 hours or as a continuous infusion for 48 hours. When patient stable, change to oral, 50 mg every 8 hours for 6 doses, then taper to 30 - 50 mg/day.

Usual Adult Dose for Anti-inflammatory:

Oral, Intramuscular or Intravenous: 15 to 240 mg/day.

Usual Adult Dose for Shock:

200 mg per day by continuous intravenous infusion
Comment:
Recommendations from the International Guidelines for Management of Severe Sepsis and Septic Shock 2012:
-Do not use intravenous hydrocortisone if adequate fluid resuscitation and vasopressor therapy restore hemodynamic stability
-Use hydrocortisone alone
-Do not administer for sepsis in the absence of shock
-Do not use ACTH stimulation test to identify adults with septic shock requiring hydrocortisone
-Use continuous infusion rather than repetitive bolus injections
-Taper hydrocortisone treatment when vasopressors no longer required

Usual Adult Dose for Asthma -- Acute:

Intravenous: 100 to 500 mg every 6 hours.

Usual Adult Dose for Ulcerative Colitis:

100 mg rectal suspension nightly for 21 days or until clinical remission occurs. Difficult cases may require 2 or 3 months of treatment. Clinical symptoms should subside within 3 to 5 days; discontinue use if no improvement within 2 to 3 weeks; some patients may require 2 to 3 months of therapy; if therapy lasts more than 21 days, discontinue slowly by decreasing use to every other night for 2 to 3 weeks.

Usual Adult Dose for Ulcerative Proctitis:

One applicatorful (10% rectal foam with applicator) rectally once or twice daily for two to three weeks, then every second day thereafter.

Usual Pediatric Dose for Adrenocortical Insufficiency:

Acute Adrenal Gland Failure:
Infants and young children: 1 to 2 mg/kg/dose intravenous bolus, then 25 to 100 mg/day in divided doses every 6 to 8 hours.
Older children: 100 mg intravenous bolus, then 300 mg/day in divided doses every 8 hours or as a continuous infusion for 48 hours; once patient is stable change to 50 mg orally every 8 hours for 6 doses, then taper to 30 to 50 mg per day in divided doses.

Usual Pediatric Dose for Anti-inflammatory:

Infants and children:
Oral: 2.5 to 10 mg/kg/day divided every 6 to 8 hours.
Intramuscular or intravenous: 1 to 5 mg/kg/day divided every 12 to 24 hours.
Adolescents:
Oral, intramuscular or intravenous: 15 to 240 mg every 12 hours.

Usual Pediatric Dose for Shock:

Children:
Initial: 50 mg/m2/day by continuous intravenous infusion
Infusions up to 50 mg/kg/day may be required for shock reversal
Adolescents:
200 mg per day by continuous intravenous infusion
Comment:
Recommendations from the International Guidelines for Management of Severe Sepsis and Septic Shock 2012:
-Do not use intravenous hydrocortisone if adequate fluid resuscitation and vasopressor therapy restore hemodynamic stability
-Use hydrocortisone alone
-Do not administer for sepsis in the absence of shock
-Do not use ACTH stimulation test to identify adults with septic shock requiring hydrocortisone
-Use continuous infusion rather than repetitive bolus injections
-Taper hydrocortisone treatment when vasopressors no longer required

Usual Pediatric Dose for Asthma -- Acute:

Children:
Intravenous: optional loading dose: 4 to 8 mg/kg; maximum: 250 mg; then maintenance: 2 mg/kg/dose every 6 hours.

Select the most affordable brand or generic drug


StrengthQuantityPrice, USDCountry
100 mg x 1's $0.56
Hycort 100 mg Injection $0.56
Hycort 100mg VIAL / 1 $0.56
HYCORT 100MG INJECTION 1 vial(s) (1 injection each) $0.60Alkem Laboratories Ltd
Hycort Skin 25 gm Cream $0.98
0 .1%60 grams$89.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .1%1 x100gcream$95.00Australia, Canada, Mauritius, NZ, Singapore, Turkey, UK, USA
0 .1%30 gram$41.27Barbados, Canada, NZ, UK
0 .1%30 gram$41.27Barbados, Canada, NZ, UK
0 .1%90 g$108.81Barbados, Canada, NZ, UK
0 .1%90 gram$108.81Barbados, Canada, NZ, UK
0 .1%90 gram$108.81Barbados, Canada, NZ, UK
0 .1%15 cream$78.49USA
0 .1%45 cream$225.46USA
1 %1 ozcream$9.55USA
1 %1 ozcream$62.89USA
0 .2%60 grams$24.99Canada, Mauritius, Singapore, Turkey, UK, USA
0 .2%60 grams$24.99Canada, Mauritius, Singapore, Turkey, UK, USA
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Instacort - Frequently asked Questions

Can Instacort be stopped immediately or do I have to stop the consumption gradually to ween off?

In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.

It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.

How should I take Instacort?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Do not take Instacort by mouth. It is for use only in your rectum.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. You may need to use this medication for up to 8 weeks.

Wash your hands before and after using this medicine.

Try to empty your bowel and bladder just before using the Instacort.

Use only the applicator provided with the medication to insert it into your rectum.

For best results from the enema, lie down on your left side for at least 30 minutes after using the foam or enema to allow the liquid to distribute throughout your intestines. Try to hold in the enema for at least 1 hour, or all night if possible. Avoid using the bathroom during this time.

Call your doctor if your symptoms do not improve or if they get worse after using this medicine for a few days.

Store at room temperature away from moisture and heat.

What other drugs will affect Instacort?

Before using Instacort, tell your doctor if you also use insulin or take oral diabetes medication.

There may be other drugs that can interact with Instacort Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Who should not take Instacort?

Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

FDA pregnancy category C. It is not known whether Instacort will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether hydrocortisone passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Can Instacort be taken or consumed while pregnant?

Please visit your doctor for a recommendation as such case requires special attention.

Can Instacort be taken for nursing mothers or during breastfeeding?

Kindly explain your state and condition to your doctor and seek medical advice from an expert.

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Reviews

Following the study conducted by gmedication.com on Instacort, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Instacort. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.

Patient reports

Patient reported useful

No survey data has been collected yet


Patient reported side effects

No survey data has been collected yet


Patient reported price estimates

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Patient reported frequency of use

No survey data has been collected yet


One patient reported doses

What is the specific doses you have used?
Instacort May come in various doses. In most cases, antibiotics, antihypertensive, pain killers and anti-diabetic drugs available in different doses. Your doctor may prescribe any of the doses based on the severity of the patient's condition. According to our reports, users of gmedication.com used the drugs in the following dosage percentage (Provide dosage percentage). Only a handful of drugs are made in a single or fixed dose. Regular health conditions like fever have similar doses. For instance [acetaminophen, 500mg] was used by the patients surveyed although it comes in different doses.
Patients%
6-10mg1
100.0%


Patient reported time for results

No survey data has been collected yet


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The information was verified by Dr. Vishal Pawar, MD Pharmacology