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Who should not use topical hydrocortisone?

Allergies to Ingredients. People who are allergic to any of the following should not use topical hydrocortisone.

Alacort

Ala-Scalp

Hydrocortisone

Hydroxym

Locoid

Pandel

Texacort

Any of the ingredients in the specific product dispensed

Your pharmacist can tell you all of the ingredients in the specific topical hydrocortisone products they stock.

What should I know about topical hydrocortisone before using it?

If topical hydrocortisone was prescribed to you by a health care provider, use it as prescribed. If you are using over-the-counter (OTC) topical hydrocortisone, follow the instructions that come with the product. 

Do not share topical hydrocortisone that was prescribed to you by a health care provider with other people, even if they have the same condition as you. It may harm them.

Keep topical hydrocortisone out of the reach of children.

Topical hydrocortisone is for use on the skin only. Keep the medicine away from your eyes or the inside of your mouth or vagina.

There are multiple forms of topical hydrocortisone available. Read and follow the instructions for the product you have and make sure you understand how to use it properly. Some topical hydrocortisone products should not be used on your face, groin, or armpits, unless your health care provider tells you to do so. Some products are not recommended for children below a certain age. If you have any questions, talk to your health care provider.

Do not use OTC topical hydrocortisone products for diaper rash unless your health care provider tells you to. Do not apply OTC topical hydrocortisone in your rectum. If you have vaginal discharge, do not use OTC topical hydrocortisone for genital or feminine itching. Ask your health care provider if you have any of these symptoms. 

Use the smallest amount needed to cover the affected area. Do not bandage, wrap, or otherwise cover the area where topical hydrocortisone is applied, unless your health care provider told you to do so. This includes not using diapers or plastic pants if topical hydrocortisone is used in the diaper area. These steps will help reduce your risk of serious side effects.

Stop using topical hydrocortisone once the skin condition is better. Tell your health care provider if your symptoms do not get better or worsen after using this medicine. If you are using an OTC topical hydrocortisone product, do not use it for longer than seven days without talking with your health care provider.

People who are under 18 can be at greater risk for some side effects from topical hydrocortisone. Talk to your health care provider about the risks if you are under 18 or if you are treating someone under 18.

What should I tell my health care provider before using topical hydrocortisone?

Tell your health care provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if topical hydrocortisone is right for you.

In particular, make sure that you discuss any of the following.

Other Medicines and Supplements. Topical hydrocortisone may interact with other medicines and supplements. Before using topical hydrocortisone, tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details.

Adrenal Gland Problems. Topical hydrocortisone can cause reduced adrenal function, also known as adrenal insufficiency. See the Side Effects section for more details. Tell your health care provider if you have any adrenal gland problems.

Diabetes. Topical hydrocortisone may increase your blood sugar. See the Side Effects section for more details. Tell your health care provider if you have high blood sugar or diabetes.

Skin Infections. Tell your health care provider if you currently have a skin infection. The infection may need to be treated before you use topical hydrocortisone.

Other Current and Past Health Conditions. Tell your health care provider if you have any of the following.

Liver problems

Broken skin or thinning of the skin where you will be applying the medicine

Pregnancy. It is not known if or how topical hydrocortisone could affect pregnancy or harm an unborn baby. Tell your health care provider if you are or plan to become pregnant.

Breastfeeding. It is not known if topical hydrocortisone passes into breast milk. Tell your health care provider if you are breastfeeding or plan to breastfeed. Your health care provider will advise you if you should use topical hydrocortisone while breastfeeding.