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|Cortisone Acetate-ICN |
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In Canada—
Another commonly used name for hydrocortisone is cortisol
Category
DescriptionCorticosteroids (kor-ti-koe-STER-oyds) (cortisone-like medicines) are used to provide relief for inflamed areas of the body. They lessen swelling, redness, itching, and allergic reactions. They are often used as part of the treatment for a number of different diseases, such as severe allergies or skin problems, asthma, or arthritis. Corticosteroids may also be used for other conditions as determined by your doctor. Your body naturally produces certain cortisone-like hormones that are necessary to maintain good health. If your body does not produce enough, your doctor may have prescribed this medicine to help make up the difference. Corticosteroids are very strong medicines. In addition to their helpful effects in treating your medical problem, they have side effects that can be very serious. If your adrenal glands are not producing enough cortisone-like hormones, taking this medicine is not likely to cause problems unless you take too much of it. If you are taking this medicine to treat another medical problem, be sure that you discuss the risks and benefits of this medicine with your doctor. These medicines are available only with your doctor"s prescription, in the following dosage forms:
Before Using This MedicineIn deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For corticosteroids, the following should be considered: Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to corticosteroids. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Diet—If you will be using this medicine for a long time, your doctor may want you to:
Pregnancy—Studies on birth defects with corticosteroids have not been done in humans. However, studies in animals have shown that corticosteroids cause birth defects. Breast-feeding—Corticosteroids pass into breast milk and may cause problems with growth or other unwanted effects in nursing babies. Depending on the amount of medicine you are taking every day, it may be necessary for you to take another medicine or to stop breast-feeding during treatment. Children—Corticosteroids may cause infections such as chickenpox or measles to be more serious in children who catch them. These medicines can also slow or stop growth in children and in growing teenagers, especially when they are used for a long time. Before this medicine is given to children or teenagers, you should discuss its use with your child"s doctor and then carefully follow the doctor"s instructions. Older adults—Older patients may be more likely to develop high blood pressure or osteoporosis (bone disease) from corticosteroids. Women are especially at risk of developing bone disease. Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking corticosteroids, it is especially important that your health care professional know if you are taking any of the following:
There are many other medicines that may interact with corticosteroids. Tell your health care professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. Other medical problems—The presence of other medical problems may affect the use of corticosteroids. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This MedicineFor patients taking this medicine by mouth:
For patients taking budesonide extended-release capsules :
Use this medicine only as directed by your doctor . Do not use more or less of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may increase the chance of side effects. Dosing—The dose of these medicines will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information gives the range of doses of these medicines for all uses, which can vary widely. The dose that you are receiving may be very different. If your dose is different, do not change it unless your doctor tells you to do so. The number of capsules, tablets, teaspoonfuls of liquid or amount of injection that you use depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking the corticosteroid. In addition, your doctor may need to change the dose from time to time .
Missed dose—If you miss a dose of this medicine and your dosing schedule is:
If you have any questions about this, check with your health care professional. Storage—To store this medicine:
Precautions While Using This MedicineYour doctor should check your progress at regular visits . Also, your progress may have to be checked after you have stopped using this medicine, since some of the effects may continue. Do not stop using this medicine without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are using before stopping the medicine completely. Check with your doctor if your condition reappears or worsens after the dose has been reduced or treatment with this medicine is stopped. If you will be using corticosteroids for a long time:
Tell the doctor in charge that you are using this medicine:
Avoid close contact with anyone who has chickenpox or measles . This is especially important for children. Tell your doctor right away if you think you have been exposed to chickenpox or measles . While you are being treated with this medicine, and after you stop taking it, do not have any immunizations without your doctor"s approval . Also, other people living in your home should not receive the oral polio vaccine, since there is a chance they could pass the polio virus on to you. In addition, you should avoid close contact with other people at school or work who have recently taken the oral polio vaccine. For patients with diabetes :
For patients having this medicine injected into their joints :
Side Effects of This MedicineCorticosteroids may lower your resistance to infections. Also, any infection you get may be harder to treat. Always check with your doctor as soon as possible if you notice any signs of a possible infection, such as sore throat, fever, sneezing, or coughing. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. When this medicine is used for short periods of time, side effects usually are rare. However, check with your doctor as soon as possible if any of the following side effects occur: Less common Decreased or blurred vision; frequent urination; increased thirst Rare Blindness (sudden, when injected in the head or neck area); burning, numbness, pain, or tingling at or near place of injection; confusion; excitement; false sense of well-being; hallucinations (seeing, hearing, or feeling things that are not there); mental depression; mistaken feelings of self-importance or being mistreated; mood swings (sudden and wide); redness, swelling, or other sign of allergy or infection at place of injection; restlessness; skin rash or hives Additional side effects may occur if you take this medicine for a long time. Check with your doctor if any of the following side effects occur: Abdominal or stomach pain or burning (continuing); acne; bloody or black, tarry stools; changes in vision; eye pain; filling or rounding out of the face; headache; irregular heartbeat; menstrual problems; muscle cramps or pain; muscle weakness; nausea; pain in arms, back, hips, legs, ribs, or shoulders; pitting, scarring, or depression of skin at place of injection; reddish purple lines on arms, face, groin, legs, or trunk; redness of eyes; sensitivity of eyes to light; stunting of growth (in children); swelling of feet or lower legs; tearing of eyes; thin, shiny skin; trouble in sleeping; unusual bruising; unusual increase in hair growth; unusual tiredness or weakness; vomiting; weight gain (rapid); wounds that will not heal Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome: More common Increased appetite; indigestion; loss of appetite (for triamcinolone only); nervousness or restlessness Less common or rare Darkening or lightening of skin color; dizziness or lightheadedness; flushing of face or cheeks; hiccups; increased joint pain (after injection into a joint); increased sweating; nosebleeds (after injection into the nose); sensation of spinning After you stop using this medicine, your body may need time to adjust . The length of time this takes depends on the amount of medicine you were using and how long you used it. If you have taken large doses of this medicine for a long time, your body may need one year to adjust. During this time, check with your doctor immediately if any of the following side effects occur : Abdominal, stomach, or back pain; dizziness; fainting; fever; loss of appetite (continuing); muscle or joint pain; nausea; reappearance of disease symptoms; shortness of breath; unexplained headaches (frequent or continuing); unusual tiredness or weakness; vomiting; weight loss (rapid) Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor. Additional InformationOnce a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, some corticosteroids are used in certain patients with the following medical condition:
Revised: 03/25/2005 The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. 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