Label: HYDROCORTISONE ACETATE suppository

  • Category: HUMAN PRESCRIPTION DRUG LABEL

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Drug Label Information

Updated April 8, 2016

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  • DESCRIPTION

    Each suppository for rectal administration contains 25 mg hydrocortisone acetate USP in a hydrogenated cocoglyceride base. Hydrocortisone acetate is a corticosteroid.

    Chemically, hydrocortisone acetate is pregn-4-ene-3, 20 dione, 21- (acetyloxy)-11, 17-dihydroxy-, (11β)- with the following structural formula:

    Chemical Structure
  • 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, antipruritic and vasoconstrictive action.

  • INDICATIONS AND USAGE

    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 pruritus 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 corticosteroid 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.

    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.

    It is not known whether this drug is excreted in human milk.

    Until adequate studies in pregnant or lactating women have been conducted, this drug should be used during pregnancy or by nursing mothers only when clearly needed and when the potential benefits outweigh the potential risks.

  • ADVERSE REACTIONS

    The following local adverse reactions have been reported with corticosteroid suppositories:

    1.
    Burning
    2.
    Itching
    3.
    Irritation
    4.
    Dryness
    5.
    Folliculitis
    6.
    Hypopigmentation
    7.
    Allergic Contact Dermatitis
    8.
    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.

  • 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.

  • HOW SUPPLIED

    Hydrocortisone acetate suppositories are easy to open, color coded and available in cartons of:

    12'sNDC 76413-132-12

    Store at controlled room temperature 15° to 30°C (59° to 86°F). Protect from freezing.

  • SPL UNCLASSIFIED SECTION

    Manufactured By
    Perrigo®
    Minneapolis, MN 55427
    (01-12)

  • PRINCIPAL DISPLAY PANEL - 12 Packet Box Label

    CommUnityCare Federally Qualified Health Centers

    HYDROCORTISONE
    SUPP.25MG # 12

    Date:

    Name:
    Dr.

    USE AS DIRECTED BY DOCTOR.

    123456

    1/1/01

    Hydrocortisone Supp. 25 mg #12 NDC 76413-132-12

    Batch: 123456
    Lot: 123456
    Exp: 1/1/01
    PERRIGO

    Federal law prohibits the transfer of this drug to any other person than the patient for whom prescribed.

    PRINCIPAL DISPLAY PANEL - 12 Packet Box Label
  • INGREDIENTS AND APPEARANCE
    HYDROCORTISONE ACETATE 
    hydrocortisone acetate suppository
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:76413-132(NDC:0574-7090)
    Route of AdministrationRECTAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    HYDROCORTISONE ACETATE (UNII: 3X7931PO74) (HYDROCORTISONE - UNII:WI4X0X7BPJ) HYDROCORTISONE ACETATE25 mg
    Product Characteristics
    ColorWHITEScoreno score
    ShapeBULLETSize35mm
    FlavorImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:76413-132-1212 in 1 BOX07/01/1990
    11 in 1 PACKET; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    UNAPPROVED DRUG OTHER07/01/1990
    Labeler - Central Texas Community Health Centers (079674019)
    Establishment
    NameAddressID/FEIBusiness Operations
    Central Texas Community Health Centers079674019REPACK(76413-132) , RELABEL(76413-132)