hydrocortisone rectal (foam, enema)

What is the most important information I should know about hydrocortisone rectal?

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

What is hydrocortisone rectal?

Hydrocortisone rectal (foam or enema) is a steroid medicine that is used with other medicines to treat ulcerative colitis and its effects on the lower intestines and rectal area.

Hydrocortisone rectal may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before using hydrocortisone rectal?

• a fungal infection;
• an intestinal infection;
• a fistula (abnormal opening) or perforation (a hole or tear) in your intestines;
• a bowel obstruction or severe constipation;
• if you need certain vaccinations;
• if you recently had surgery on your intestines; or
• if you are allergic to propylene glycol, parabens or other ingredients in the rectal foam or enema.

Tell your doctor if you have ever had:

• any type of infection, including tuberculosis or a parasite infection that causes diarrhea (such as threadworms);
• a stomach ulcer, diverticulitis, ulcerative colitis, or intestinal surgery;
• unexplained diarrhea;
• heart problems, high blood pressure, or a heart attack;
• problems with your adrenal gland;
• vision problems such as cataracts, glaucoma, or herpes simplex of the eyes;
• diabetes, or a thyroid disorder;
• osteoporosis or low bone mineral density;
• myasthenia gravis;
• kidney disease; or
• cirrhosis.

Tell your doctor if you are pregnant or breastfeeding.

Do not give this medicine to a child without medical advice.

How should I use hydrocortisone rectal?

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Use this medicine in the smallest amount and for the shortest time needed to treat your condition.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Try to empty your bowel and bladder before using rectal medicine.

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

Do not insert the applicator tip too deeply or you could damage your rectum.

Your dose needs may change during times of illness or unusual stress. Do not change your dose or stop using hydrocortisone rectal without your doctor's instructions.

What happens if I miss a dose?

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

High doses or long-term use of steroid medicine can lead to thinning skin, easy bruising, changes in body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using hydrocortisone rectal?

Do not receive a "live" vaccine while using hydrocortisone rectal. Live vaccines include measles, mumps, rubella (MMR), rotavirus, typhoid, yellow fever, varicella (chickenpox), zoster (shingles), and nasal flu (influenza) vaccine.

Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using steroid medicine.

What are the possible side effects of hydrocortisone rectal?

• severe rectal pain or burning, bleeding from your rectum;
• fever or other signs of infection;
• vision changes;
• muscle weakness, joint pain, bone pain;
• unusual changes in mood or behavior;
• severe headaches, ringing in your ears, pain behind your eyes;
• a seizure;
• heart problems --chest pain, irregular heartbeats, swelling, rapid weight gain;
• low potassium level --leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling;
• low calcium level --muscle spasms or contractions, numbness or tingly feeling (around your mouth, or in your fingers and toes); or
• signs of stomach bleeding --bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

Common side effects may include:

• stomach pain, bloating;
• acne, rash, redness, dryness;
• changes in your menstrual periods;
• increased sweating; or
• changes in the shape or location of body fat (especially in your face, neck and waist).

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.

What other drugs will affect hydrocortisone rectal?

Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.

Many drugs can affect hydrocortisone rectal. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

Your pharmacist can provide more information about hydrocortisone rectal foam or enema.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2023 Cerner Multum, Inc. Version: 2.01. Revision date: 4/21/2021.