Label: ANUCORT-HC- hydrocortisone acetate suppository

  • NDC Code(s): 0713-0503-01, 0713-0503-12, 0713-0503-24
  • Packager: Cosette Pharmaceuticals, Inc.
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: unapproved drug other

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Drug Label Information

Updated November 22, 2023

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  • DESCRIPTION

    Hydrocortisone Acetate is a corticosteroid designated chemically as pregn-4-ene 3, 20-dione,21-(acetyloxy)-11, 17-dihydroxy-(11ß) with the following structural formula:

    structural formula

    Each rectal suppository contains hydrocortisone acetate, USP 25 mg in a specially blended hydrogenated vegetable oil base.

  • CLINICAL PHARMACOLOGY

    In normal subjects, about 26% of hydrocortisone acetate is absorbed when the 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

    Hydrocortisone acetate suppositories are indicated for use in inflamed hemorrhoids, post-irradiation (factitial) proctitis; as an adjunct in the treatment of chronic ulcerative colitis; cryptitis; and other inflammatory conditions of anorectum and pruritus ani.

  • CONTRAINDICATIONS

    Hydrocortisone acetate suppositories are contraindicated in those patients having a history of hypersensitivity to hydrocortisone acetate or any of the components.

  • PRECAUTIONS

    Do not use hydrocortisone acetate suppositories 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, hydrocortisone acetate should be discontinued until the infection has been adequately controlled.

    Carcinogenesis: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 hydrocortisone acetate suppositories: burning, itching, irritation, dryness, folliculitis, hypopigmentation, allergic contact dermatitis, secondary infection.

    To report SUSPECTED ADVERSE REACTIONS, contact Cosette Pharmaceuticals, Inc. at 1-800-922-1038 or FDA at 1-800-FDA-1088 orwww.fda.gov/medwatch.

  • 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.

  • DOSAGE AND ADMINISTRATION

    For rectal administration. Detach one suppository from strip of suppositories. Hold suppository upright. Separate tabs at top opening and pull downward from the pointed end. Continue pulling downward to almost the full length of the suppository. Carefully remove the suppository from the pocket. Avoid excessive handling of the suppository which is designed to melt at body temperature. Insert suppository into the rectum with gentle pressure, pointed end first. Insert one suppository in the rectum twice daily, morning and night for two weeks, in nonspecific proctitis. In more severe cases, one suppository three times a day or two suppositories twice daily. In factitial proctitis, the recommended duration of therapy is six to eight weeks or less, according to the response of the individual case.

  • HOW SUPPLIED

    Boxes of 12 suppositories NDC 0713-0503-12
    Boxes of 24 suppositories NDC 0713-0503-24
    Boxes of 100 suppositories NDC 0713-0503-01

  • STORAGE AND HANDLING

    Store at 20-25°C (68°-77°F) [See USP Controlled Room Temperature]. Store away from heat. Protect From Freezing.

    Distributed by:

    Cosette Pharmaceuticals, Inc.

    South Plainfield,  NJ 07080

    8-0503CPLNC1

    Iss. 12/2019      VC 7388

  • PRINCIPAL DISPLAY PANEL

    NDC 0713-0503-12

    ANUCORT-HC TM

    Hydrocortisone Acetate Suppositories

    25 mg

    Rx only

    For Rectal Administration

    12 Adult Suppositories

    Cosette Pharmaceuticals, Inc.

    carton-12

    NDC 0713-0503-24

    ANUCORT-HC TM

    Hydrocortisone Acetate Suppositories

    25 mg

    Rx only

    For Rectal Administration

    24 Adult Suppositories

    Cosette Pharmaceuticals, Inc.

    carton-24

    NDC 0713-0503-01

    ANUCORT-HC TM

    Hydrocortisone Acetate Suppositories

    25 mg

    Rx only

    For Rectal Administration

    100 Adult Suppositories

    Cosette Pharmaceuticals, Inc.

    carton-100

  • INGREDIENTS AND APPEARANCE
    ANUCORT-HC 
    hydrocortisone acetate suppository
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:0713-0503
    Route of AdministrationRECTAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    HYDROCORTISONE ACETATE (UNII: 3X7931PO74) (HYDROCORTISONE - UNII:WI4X0X7BPJ) HYDROCORTISONE ACETATE25 mg
    Inactive Ingredients
    Ingredient NameStrength
    HYDROGENATED PALM KERNEL OIL (UNII: FM8D1RE2VP)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0713-0503-1212 in 1 CARTON; Type 0: Not a Combination Product01/15/1990
    2NDC:0713-0503-2424 in 1 CARTON; Type 0: Not a Combination Product01/15/1990
    3NDC:0713-0503-01100 in 1 CARTON; Type 0: Not a Combination Product01/15/1990
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    unapproved drug other01/15/1990
    Labeler - Cosette Pharmaceuticals, Inc. (116918230)
    Registrant - Cosette Pharmaceuticals, Inc. (116918230)
    Establishment
    NameAddressID/FEIBusiness Operations
    Cosette Pharmaceuticals NC Laboratories, LLC079419931analysis(0713-0503) , label(0713-0503) , manufacture(0713-0503) , pack(0713-0503)