Label: HYDROCORTISONE ACETATE suppository

  • NDC Code(s): 69367-243-12, 69367-243-24
  • Packager: Westminster Pharmaceuticals, LLC
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: unapproved drug other

DISCLAIMER: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

Drug Label Information

Updated February 12, 2020

If you are a consumer or patient please visit this version.

  • SPL UNCLASSIFIED SECTION

    For Rectal Administration

    Rx Only

  • DESCRIPTION

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

    Chemical Structure

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

    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 of 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 an adverse event, please contact Westminster Pharmaceuticals, LLC at 1-844-221-7294.

  • 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 and carefully separate tabs at top opening and pull downward from the pointed end to expose the suppository. Remove the suppository from the pocket. Avoid excessive handling of suppository which is designed to melt at body temperature. Insert one suppository rectally, 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

    Hydrocortisone acetate suppositories 25mg are off-white, smooth surfaced and bullet shaped with one pointed end.

    Box of 12 suppositories, NDC 69367-243-12
    Box of 24 suppositories, NDC 69367-243-24

    STORAGE

    Store at 20°-25°C (68°-77°F) [See USP Controlled Room Temperature]. Excursions permitted to 15°- 30°C (59°-86°F). Store away from heat. Protect from freezing. Avoid contact with eyes.

    KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN. In case of accidental ingestion, seek professional assistance or contact a Poison Control Center immediately.

    PHARMACIST: This product is not an Orange Book rated product, therefore all prescriptions using this product shall be subject to state and federal statutes as applicable. This product has not been subjected to FDA therapeutic or other equivalency testing. There are no claims of bioequivalence or therapeutic equivalence. Each person recommending a prescription substitution using this product shall make such recommendation based on his/her professional knowledge and opinion, upon evaluating the active ingredients, inactive ingredients, excipients and chemical information contained within the enclosed prescribing information.

  • SPL UNCLASSIFIED SECTION

    Rx Only

    Manufactured for:
    Westminster Pharmaceuticals, LLC
    Nashville, TN 37217

    Rev. 12/19

  • PRINCIPAL DISPLAY PANEL - 12 Suppository Carton

    NDC 69367-243-12
    Rx Only

    Hydrocortisone Acetate
    Suppositories
    25 mg

    FOR RECTAL USE ONLY

    Westminster
    Pharmaceuticals

    12 Suppositories
    Unit Dose

    PRINCIPAL DISPLAY PANEL - 12 Suppository Carton
  • INGREDIENTS AND APPEARANCE
    HYDROCORTISONE ACETATE 
    hydrocortisone acetate suppository
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:69367-243
    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)  
    Product Characteristics
    ColorWHITEScore    
    ShapeBULLETSize
    FlavorImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:69367-243-1212 in 1 CARTON; Type 0: Not a Combination Product02/05/2020
    2NDC:69367-243-2424 in 1 CARTON; Type 0: Not a Combination Product02/05/2020
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    UNAPPROVED DRUG OTHER02/05/2020
    Labeler - Westminster Pharmaceuticals, LLC (079516651)