Monday, October 10, 2016

Hydrocortisone Suppository




Dosage Form: rectal suppository
Hydrocortisone Acetate Suppositories 25 mg For Rectal Administration Rx Only

Hydrocortisone Suppository Description


Each Hydrocortisone Acetate 25 mg Suppository contains 25 mg hydrocortisone acetate in a hydrogenated vegetable oil base.  Hydrocortisone acetate is a corticosteroid.  Chemically, hydrocortisone acetate is a pregn-4-ene-3, 20-dione, 21-(acetyloxy)-11,17- dihydroxy (11β)- with the following structural formula:




C23H32O6


MW 404.50



Hydrocortisone Suppository - Clinical Pharmacology


In normal subjects, about 26 percent of hydrocortisone acetate is absorbed when the hydrocortisone acetate suppository is applied to the rectum.  Absorption of hydrocortisone acetate may vary across abraded or inflamed surfaces.


Topical steroids are primarily effective because of their anti-inflammatory, anti-pruritic and vasoconstrictive action.



Indications and Usage for Hydrocortisone Suppository


For use in inflamed hemorrhoids, post-irradiation (factitial) proctitis, as an adjunct in the treatment of chronic ulcerative colitis, cryptitis, other inflammatory conditions of the anorectum and pruritis ani.



Contraindications


Hydrocortisone Acetate Suppositories are contraindicated in those patients with a history of hypersensitivity to any of the components.



Precautions


Do not use unless adequate proctologic examination is made.  If irritation develops, the product should be discontinued and appropriate therapy instituted.


In the presence of an infection, the use of an appropriate antifungal or antibacterial agent should be instituted.  If a favorable response does not occur promptly, the hydrocortisone acetate should be discontinued until the infection has been adequately controlled.


No long-term studies in animals have been performed to evaluate the carcinogenic potential of corticosteroid suppositories.



INFORMATION FOR PATIENTS


Staining of fabric may occur with use of the suppository.  Precautionary measures are recommended.



PREGNANCY CATEGORY C



In laboratory animals, topical steroids have been associated with an increase in the incidence of fetal abnormalities when gestating females have been exposed to rather low dosage levels.  There are no adequate and well-controlled studies in pregnant women.


Hydrocortisone Acetate Suppositories should only be used during pregnancy if the potential benefit justifies the risk to the fetus.  Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.


It is not known whether this drug is excreted in human milk, and because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from Hydrocortisone Acetate Suppositories, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.



Adverse Reactions


The following local adverse reactions have been reported with corticosteroid suppositories:  burning, itching, irritation, dryness, folliculitis, hypopigmentation, allergic contact dermatitis and secondary infection.



Drug Abuse and Dependence


Drug abuse and dependence have not been reported in patients treated with Hydrocortisone Acetate Suppositories.



Overdosage


If signs and symptoms of systemic overdosage occur, discontinue use.



Hydrocortisone Suppository Dosage and Administration


Usual dosage:  One suppository in the rectum morning and night for two weeks, in nonspecific proctitis.  In more severe cases, one suppository three times daily; or two suppositories twice daily.  In factitial proctitis, recommended therapy is six to eight weeks or less, according to response.



OPENING INSTRUCTIONS


Avoid excessive handling of the suppository, it is designed to melt at body temperature.


  1. Separate tabs at top opening and pull downward

  2. Continue pulling downward to almost the full length of the suppository

  3. Gently remove the suppository from the package

  4. Insert suppository into the rectum, pointed end first, with gentle pressure


How is Hydrocortisone Suppository Supplied




Hydrocortisone Acetate Suppositories are white, torpedo shaped, with one end tapered.  Package of 12 suppositories NDC 43199-021-12 and package of 24 suppositories NDC 43199-021-24.


Store at 20o-25o C (68o-77o F).  See USP controlled room temperature.  Store away from heat.  Protect from freezing.


Rx Only.


Distributed by:

County Line Pharmaceuticals, LLC

Brookfield, WI  53005



For Inquiries Call:

1-866-207-5636


PI-CLP021A

7/10

PRINCIPAL DISPLAY PANEL - CARTON



NDC 43199-021-12


12 Suppositories


For Rectal Administration


Rx Only


Hydrocortisone Acetate


Suppositories 25 mg



Hydrocortisone Acetate Suppositories 25 mg


12 Suppositories


TAMPER EVIDENT:  DO NOT USE IF FILM IS TORN OR BROKEN



PRINCIPAL DISPLAY PANEL - DOSE PACK



HYDROCORTISONE ACETATE


25 mg SUPPOSITORY


Mfd for:  County Line Pharmaceuticals, LLC


Brookfield, WI  53005









HYDROCORTISONE ACETATE 
hydrocortisone acetate  suppository










Product Information
Product TypeHUMAN PRESCRIPTION DRUGNDC Product Code (Source)43199-021
Route of AdministrationRECTALDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
HYDROCORTISONE ACETATE (HYDROCORTISONE)HYDROCORTISONE ACETATE25 mg





Inactive Ingredients
Ingredient NameStrength
No Inactive Ingredients Found


















Product Characteristics
ColorwhiteScore    
ShapeSize
FlavorImprint Code
Contains      






















Packaging
#NDCPackage DescriptionMultilevel Packaging
143199-021-1212 DOSE PACK In 1 CARTONcontains a DOSE PACK
11 SUPPOSITORY In 1 DOSE PACKThis package is contained within the CARTON (43199-021-12)
243199-021-2424 DOSE PACK In 1 CARTONcontains a DOSE PACK
21 SUPPOSITORY In 1 DOSE PACKThis package is contained within the CARTON (43199-021-24)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other11/29/2010


Labeler - County Line Pharmaceuticals, LLC (015585278)

Registrant - County Line Pharmaceuticals, LLC (015585278)









Establishment
NameAddressID/FEIOperations
Bio-Pharm, Inc.801652546manufacture
Revised: 11/2010County Line Pharmaceuticals, LLC

More Hydrocortisone Suppository resources


  • Hydrocortisone Suppository Use in Pregnancy & Breastfeeding
  • Hydrocortisone Suppository Drug Interactions
  • Hydrocortisone Suppository Support Group
  • 15 Reviews for Hydrocortisone - Add your own review/rating


Compare Hydrocortisone Suppository with other medications


  • Anal Itching
  • Aphthous Stomatitis, Recurrent
  • Atopic Dermatitis
  • Dermatitis
  • Eczema
  • Gingivitis
  • Hemorrhoids
  • Proctitis
  • Pruritus
  • Psoriasis
  • Seborrheic Dermatitis
  • Skin Rash
  • Ulcerative Colitis, Active


No comments:

Post a Comment