The following Structured Product Label (SPL) was submitted to the FDA by Central Texas Community Health Centers for the product Hydrocortisone Acetate (NDC 76413-132). This document serves as the official prescribing information, containing essential scientific data and clinical materials required for healthcare providers and patients.
This specific version of the label includes detailed information regarding description, clinical pharmacology, indications and usage, contraindications, precautions, pregnancy category c, adverse reactions, drug abuse and dependence, and other regulatory disclosures. Use the navigation below to review specific sections of the FDA submission.
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 (Hydrocortisone 01)
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.
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.
Hydrocortisone acetate suppositories are contraindicated in those patients with a history of hypersensitivity to any of the components.
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.
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.
The following local adverse reactions have been reported with corticosteroid suppositories:
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Drug abuse and dependence have not been reported in patients treated with hydrocortisone acetate suppositories.
If signs and symptoms of systemic overdosage occur, discontinue use.
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.
Hydrocortisone acetate suppositories are easy to open, color coded and available in cartons of:
| 12's | NDC 76413-132-12 |
Store at controlled room temperature 15° to 30°C (59° to 86°F). Protect from freezing.
Manufactured By
Perrigo®
Minneapolis, MN 55427
(01-12)
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)
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