Hydrocortisone is a steroid medicine that reduces inflammation in the body. The information in Proctocream-HC guide is specific to Proctocream-HC foam or enema. Proctocream-HC 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. Proctocream-HC is also used together with other medications to treat ulcerative colitis, proctitis, and other inflammatory conditions of the lower intestines and rectal area. Proctocream-HC may also be used for purposes not listed in Proctocream-HC guide.
Proctocream-HC 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:
feeling short of breath, even with mild exertion;
swelling of your ankles or feet;
muscle weakness;
rapid weight gain, especially in your face and midsection;
severe rectal pain or burning;
bleeding from your rectum;
severe stomach pain;
sudden and severe headache or pain behind your eyes; or
seizure.
Less serious side effects may include:
mild rectal pain or burning;
acne;
changes in your menstrual periods;
increased sweating; or
increased facial or body hair growth.
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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Proctocream-HC 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.
Can Proctocream-HC 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.
What other drugs will affect Proctocream-HC?
Before using Proctocream-HC, tell your doctor if you also use insulin or take oral diabetes medication.
There may be other drugs that can interact with Proctocream-HC 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 Proctocream-HC?
Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:
congestive heart failure;
a history of tuberculosis;
stomach ulcer or diverticulitis;
a colostomy or ileostomy;
fever or any type of infection;
kidney disease;
high blood pressure; or
myasthenia gravis.
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 Proctocream-HC 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.
How should I take Proctocream-HC?
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 Proctocream-HC 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 Proctocream-HC.
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.
Can Proctocream-HC be taken or consumed while pregnant?
Please visit your doctor for a recommendation as such case requires special attention.
Can Proctocream-HC 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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Following the study conducted by gmedication.com on Proctocream-HC, 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 Proctocream-HC. 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.
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