Cortaid^®

Generic Drug
Hydrocortisone

Dosage Forms (Various Manufacturers)

Ointment: 0.5%, 1% Gel: 1%
Cream: 0.5%, 1% Pump Spray: 1%
Lotion: 1% Spray: 1%
Liquid: 1% Stick, roll on: 1%

• For the temporary relief of itching associated with minor skin irritations, inflammation, and rashes due to eczema, psoriasis, seborrheic dermatitis, poison ivy, poison oak, poison sumac, insect bites, soaps, detergents, cosmetics, and jewelry.
• Topical: Apply sparingly to affected area 2-4 times daily. (Some clinicians advise using twice daily until desired clinical response is achieved, and then using only as needed.)

• For the temporary relief of itching associated with minor skin irritations, inflammation, and rashes due to eczema, psoriasis, seborrheic dermatitis, poison ivy, poison oak, poison sumac, insect bites, soaps, detergents, cosmetics, and jewelry.

• For children under the age of two, do not use on an area larger than the size of a dollar bill.

• Has the patient tried any other prescription or OTC medications to treat this problem?
• How long has the patient been experiencing the symptoms?
• Has the patient been in wooded areas where it is possible to be exposed to poison ivy, etc…?
• Is it possible that the patient may be allergic to soaps or detergents that they wash their clothes in?
• Has the patient ever experienced this condition before? If so, what was it treated with?
• How large of an area is affected?
• Does the affected area contain any open wounds or signs of infection (pus…)?

Hydrocortisone has non-specific anti-inflammatory activity. It acts against most causes of inflammation. When hydrocortisone is applied to inflamed skin, it inhibits the migration of macrophages and leukocytes into the area by reversing vascular dilation and permeability. Thus, a decrease in edema, erythema, and pruritis is seen. The amount of hydrocortisone that is absorbed from the skin depends on the vehicle used, the duration of exposure, and the condition of the skin. Absorption is enhanced by increased skin temperature, hydration, and use of occlusive dressings. Children and infants are at higher risk for systemic affects and toxicity due to having a higher total body surface to body weight ratio.

Contraindications: Hypersensitivity to any components; monotherapy in primary bacterial infections; use on the face, groin, or axilla; opthalmic use.

Adverse Reactions/Side Effects
Local: Burning, itching, irritation, erythema, dryness, hypopigmentation, allergic contact dermatitis, numbness of fingers, secondary infection

Systemic: (Rare) Hyperglycemia, glycosuria.