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   Cortifoam Rect

Cortifoam Rect



This medication is used with other treatments for certain intestinal problems (ulcerative proctitis). It is generally used in people who cannot use enemas. It does not cure ulcerative proctitis, but it may relieve pain and decrease the amount of diarrhea and bloody stools caused by swelling (inflammation). Hydrocortisone is an anti-inflammatory drug (corticosteroid hormone). It works by decreasing the body's natural defense response and decreasing inflammation.



 
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OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions



Cortifoam Rect

Uses
This medication is used with other treatments for certain intestinal problems (ulcerative proctitis). It is generally used in people who cannot use enemas. It does not cure ulcerative proctitis, but it may relieve pain and decrease the amount of diarrhea and bloody stools caused by swelling (inflammation). Hydrocortisone is an anti-inflammatory drug (corticosteroid hormone). It works by decreasing the body's natural defense response and decreasing inflammation.
Notes
  • Do not share this medication with others.Laboratory and/or medical tests (e.g., blood salt levels, sigmoidoscopy, X-rays) should be performed from time to time to monitor your progress or check for side effects.
  • Consult your doctor for more details.If you take this medication for long-term treatment, wear or carry identification stating that you are using it.

Storage
  • Store below 68-77 degrees F (20-25 degrees C) away from light and moisture.
  • Brief storage at temperatures up to 120 degrees F (49 degrees C) is permitted.
  • Do not puncture or use near heat/open flame.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.


How To Use
  • Use this product in the rectum, usually once or twice daily for 2-3 weeks, then once daily every other day, or as directed by your doctor.
  • The dosage and length of treatment are based on your medical condition and response to therapy.
  • When you are taking this medication every other day, it may help to mark your calendar with a reminder.Do not insert any part of the medication container into the anus.
  • Use the enclosed applicator to apply this drug.
  • Leave the cap of the container on while using the product.
  • Shake the container well for 5-10 seconds before use and hold upright.
  • Fill the applicator with foam according to the instructions in the package.
  • Gently insert the applicator into the rectum, and gently push the plunger to apply the foam.
  • Remove the applicator.After inserting the foam, pull the applicator apart and wash all parts with warm water.It may take 5 to 7 days to notice improvement from this drug.Do not use more of this product, use it more often, or keep using it for a longer time than prescribed by your doctor.
  • If you have been taking this medication for a long time, do not suddenly stop it without your doctor's approval.
  • Some conditions may become worse when this drug is suddenly stopped.
  • Your dose may need to be gradually decreased to reduce symptoms such as extreme tiredness, weakness, weight loss, or nausea.Inform your doctor if your condition persists or worsens after two weeks.

Side Effects
  • Pain/discomfort in the rectal area, headache, dizziness, menstrual period changes (e.g., delayed/irregular/absent periods), trouble sleeping, increased sweating, acne, increased appetite, or unusual weight gain may occur.
  • If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: persistent rectal bleeding, dizziness/fainting, tingling or numbness in the arms/legs, easy bruising/bleeding, black stools, vomit that looks like coffee grounds, severe stomach/abdominal pain, bone/joint pain, fast/pounding/irregular heartbeat, slight to moderate unexpected weight gain, swelling of the ankles/feet, puffy face, unusual hair growth, difficult breathing, mental/mood changes (e.g., depression, mood swings, agitation), muscle weakness/pain, thinning skin, slow wound healing, increased thirst/urination, signs of infection (e.g., fever, persistent sore throat, frequent/painful urination, eye pain/discharge), vision changes, seizures, back pain, unusual skin growths.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs.
  • Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before using hydrocortisone foam, tell your doctor or pharmacist if you are allergic to hydrocortisone; or to other corticosteroids (e.g., prednisone); or if you have any other allergies.This medication should not be used if you have certain medical conditions.
  • Before using this medicine, consult your doctor or pharmacist if you have: certain problems in the intestines (blockage, infections including abscesses or peritonitis), recent intestinal surgeries, untreated active fungal infections.Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain eye diseases (cataracts, glaucoma, herpes of the eye), certain heart problems (e.g., congestive heart failure), high blood pressure, severe liver disease (cirrhosis), kidney disease, underactive thyroid gland (hypothyroidism), diabetes, stomach/intestinal problems (e.g., diverticulitis, ulcer), brittle bones (osteoporosis), certain muscle/nerve problems (e.g., myasthenia gravis), current infections (e.g., tuberculosis, positive tuberculosis test, other herpes), bleeding problems, history of blood clots, certain mental/mood conditions (e.g., psychosis, anxiety, depression), low salts in the blood (e.g., low potassium or calcium).This drug may make you dizzy; use caution while engaging in activities requiring alertness such as driving or using machinery.
  • Limit alcoholic beverages.Before having surgery, tell your doctor or dentist that you are using this medication or have taken it within the last 12 months.Do not have immunizations, vaccinations or skin tests unless specifically directed by your doctor.
  • Avoid contact with people who have recently received oral polio vaccine.Avoid exposure to chickenpox or measles infection while taking this medication.
  • If you are exposed to these infections, seek immediate medical attention.If you have a history of ulcers or take large doses of aspirin or other arthritis medication, limit alcoholic beverages while taking this medication to decrease the risk of stomach/intestinal bleeding.If you have diabetes, this drug may make it harder to control your blood sugar.
  • Check your blood sugar levels regularly as directed by your doctor.
  • Tell your doctor immediately if you have symptoms of high blood sugar such as increased thirst and urination.
  • Your anti-diabetic medication or diet may need to be adjusted.Caution is advised when using this drug for a long time in children.
  • This medication may temporarily slow down a child's growth rate.
  • Monitor your child's height and growth rate regularly.
  • Consult your doctor for more details.This medication should be used only when clearly needed during pregnancy.
  • There have been rare reports of harm to the unborn baby.
  • Discuss the risks and benefits of taking this medication with your doctor.
  • Infants born to mothers who have been using this medication for an extended period of time may have hormone problems.
  • Tell your doctor immediately if you notice symptoms such as persistent nausea/vomiting, severe diarrhea, or weakness in your newborn.This medication passes into breast milk.
  • Consult your doctor before breast-feeding.

Missed Dose
  • If you miss a dose, use it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it.
  • Do not start, stop or change the dosage of any medicine before checking with them first.This drug should not be used with the following medications because very serious interactions may occur: live virus vaccines, mifepristone, natalizumab.If you are currently using any of these medications, tell your doctor or pharmacist before starting hydrocortisone.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aldesleukin, large doses of aspirin and aspirin-like drugs (salicylates), nonsteroidal anti-inflammatory drugs (NSAIDs such as indomethacin, ibuprofen), birth control pills, estrogen hormone replacement, blood thinners (e.g., warfarin), bupropion, drugs for diabetes, herbal products (e.g., licorice), isoniazid, drugs for myasthenia gravis (e.g., neostigmine, pyridostigmine), drugs affecting liver enzymes that remove hydrocortisone from your body (such as ephedrine, erythromycin,azole antifungals including ketoconazole, barbiturates including phenobarbital, rifamycins including rifampin, certain anti-seizure medications including phenytoin), drugs that may cause potassium loss (e.g., amphotericin B, water pills such as hydrochlorothiazide or furosemide), quinolone antibiotics (e.g., ciprofloxacin, levofloxacin).Check all prescription and nonprescription medicine labels carefully since many contain pain relievers/fever reducers (NSAIDs such as aspirin, ibuprofen, naproxen) which may increase the risk of stomach bleeding.
  • Low-dose aspirin, as prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention (usually at dosages of 81-325 mg per day), should be continued.
  • Consult your doctor or pharmacist for more details.This product may interfere with certain lab tests.
  • Make sure laboratory personnel and all your doctors know you use this drug.

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