Hydrocortisone
Hydrocortisone is a corticosteroid used to replace missing cortisol in adrenal insufficiency and to calm inflammation, allergic reactions, skin conditions and ulcerative colitis, depending on the product.
🧬 Where this information comes from Click to expand
The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 493 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →
How we combine label and product data →
Hydrocortisone is the same steroid hormone as your body’s cortisol, the first choice to replace it when the adrenal glands fall short, and it calms inflammation by toning down the immune response, from ulcerative colitis to severe allergies and itchy skin depending on the product; on the market since about 1951, it is available generically. Replacement doses are usually well tolerated, but higher or longer courses bring the familiar steroid effects of bigger appetite, weight gain, fluid retention and mood changes. Watch above all for adrenal crisis, a potentially fatal cortisol shortage, so never stop oral hydrocortisone suddenly and get help fast if vomiting keeps you from taking it.
Clinical pearls
- Tell every surgeon, dentist and emergency team you take hydrocortisone, since surgery or severe illness can trigger adrenal crisis.
- Skip grapefruit juice, and flag drugs like clarithromycin, itraconazole, carbamazepine or rifampicin, which push hydrocortisone levels up or down.
- With diabetes, check your blood sugar more often, because hydrocortisone can raise it and diabetes medicines may need adjusting.
- Report blurred vision or new infections promptly, since steroids can cause cataracts or glaucoma and can hide signs of infection.
Patient information guide — a plain-language walkthrough of Hydrocortisone, written from its FDA label.
What Hydrocortisone is used for
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Hydrocortisone is used for a wide range of conditions, depending on the product.
- Cortef tablets: adrenal insufficiency, congenital adrenal hyperplasia, thyroiditis, high calcium from cancer, rheumatic disorders and collagen diseases such as lupus.
- Solu-Cortef and hydrocortisone sodium succinate injections: severe allergic states, skin diseases (such as pemphigus), and adrenal insufficiency when oral therapy is not feasible.
- Alkindi: adrenal insufficiency replacement in children.
- Khindivi: replacement therapy in children 5 years and older with adrenocortical insufficiency. It is not approved for stress dosing.
- Cortenema and Hydrocortisone Rectal Suspension: add-on therapy for ulcerative colitis.
- Cortifoam: add-on therapy for ulcerative proctitis.
- Hydrocortisone butyrate cream, ointment and solution: inflamed, itchy skin conditions, atopic dermatitis and seborrheic dermatitis (solution).
- Hydrocortisone butyrate and Evesse lotions: mild to moderate atopic dermatitis in patients 3 months and older.
- Hydrocortisone valerate cream and ointment: inflamed, itchy skin conditions in adults.
How Hydrocortisone works
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Hydrocortisone is a natural steroid hormone (glucocorticoid). It replaces cortisol when the body doesn't make enough. It also affects metabolism and changes how the immune system responds, which reduces inflammation.
For topical products used in atopic dermatitis, the exact mechanism is not known.
Hydrocortisone dosage
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How hydrocortisone is taken depends entirely on the product. Always follow your prescriber and the label.
- Alkindi and Khindivi are generally taken three times daily.
- Solu-Cortef is given by IV or intramuscular injection by a healthcare professional.
- Cortenema is usually used nightly for about 21 days.
- Cortifoam is given rectally with an applicator.
- Hydrocortisone butyrate cream is applied thinly to affected skin, usually two or three times a day.
Dosing details from the FDA-approved label
From the Hydrocortisone prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.
- Initial dose, adults (Solu-Cortef Sterile Powder, intravenous or intramuscular)
- 100 mg to 500 mg, depending on the specific disease entity being treated
- May be repeated at intervals of 2, 4, or 6 hours as indicated by the patient's response and clinical condition
- Given intravenously over 30 seconds (e.g., 100 mg) to 10 minutes (e.g., 500 mg or more); in overwhelming, acute, life-threatening situations, dosages exceeding the usual dosages may be justified
- Pediatric patients
- 0.56 mg/kg/day to 8 mg/kg/day in three or four divided doses (20 mg/m2 bsa/day to 240 mg/m2 bsa/day)
- Range of initial doses; varies depending on the specific disease entity being treated
- Maintenance after favorable response
- Decrease the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage that maintains an adequate clinical response is reached
- High dose therapy usually not continued beyond 48 hours to 72 hours; withdraw gradually rather than abruptly after long-term therapy
Read the label’s full dosing text
DOSAGE AND ADMINISTRATION The usual dose is one applicatorful once or twice daily for two or three weeks, and every second day thereafter, administered rectally. Directions for use, below and on the carton, describe how to use the aerosol container and applicator. Satisfactory response usually occurs within five to seven days marked by a decrease in symptoms. Symptomatic improvement in ulcerative proctitis should not be used as the sole criterion for evaluating efficacy. Sigmoidoscopy is also recommended to judge dosage adjustment, duration of therapy, and rate of improvement. It Should Be Emphasized that Dosage Requirements are Variable and Must Be Individualized on the Basis of the Disease Under Treatment and the Response of the Patient. After a favorable response is noted, the proper maintenance dosage should be determined by decreasing the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage which will maintain an adequate clinical response is reached. Situations which may make dosage adjustments necessary are changes in clinical status secondary to remissions or exacerbations in the disease process, the patient's individual drug responsiveness, and the effect of patient exposure to stressful situations not directly related to the disease entity under treatment. In this latter situation it may be necessary to increase the dosage of the corticosteroid for a period of time consistent with the patient's condition. If after long-term therapy the drug is to be stopped, it is recommended that it be withdrawn gradually rather than abruptly. Directions For Use (1) Shake foam container vigorously for 5-10 seconds before each use. Do not remove container cap during use of the product. (2) Hold container upright on a level surface and gently place the tip of the applicator onto the nose of the container cap. CONTAINER MUST BE HELD UPRIGHT TO OBTAIN PROPER FLOW OF MEDICATION. (3) Pull plunger past the fill line on the applicator barrel. (4) To fill applicator barrel, press down firmly on cap flanges, hold for 1 – 2 seconds and release. Pause 5 – 10 seconds to allow foam to expand in applicator barrel. Repeat until foam reaches fill line. Remove applicator from container cap. Allow some foam to remain on the applicator tip. A burst of air may come out of container with first pump.
Excerpted — the section continues on the label. Read the full Dosage and Administration section on DailyMed →
Hydrocortisone side effects
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Common side effects
- Fluid retention
- Changes in blood sugar (glucose tolerance)
- Higher blood pressure
- Mood and behavior changes
- Increased appetite
- Weight gain
When to get medical help
- Get medical help right away for signs of adrenal crisis, such as severe fatigue, nausea, vomiting, low blood pressure or low blood sugar, especially after stopping hydrocortisone suddenly or during an infection or surgery.
- Call your doctor about signs of infection, since steroids can lower your resistance and hide signs of infection.
- Call your doctor about mood changes, severe depression, hallucinations, or unusual excitement.
- Report blurred vision or other vision changes, which may signal cataracts or glaucoma.
- Seek help for severe stomach pain, which can be a sign of a perforation that steroids may mask.
- Seek emergency help for allergic reactions such as swelling or trouble breathing.
- Report signs of Cushing's syndrome, such as a round red face, easy bruising, muscle weakness, or weight gain.
- Children on topical steroids may be at risk of slowed growth, so report any growth concerns.
Common side effects of corticosteroids include:
- Fluid retention
- Changes in blood sugar
- Higher blood pressure
- Mood and behavior changes
- Increased appetite
- Weight gain
Call your doctor about signs of infection, severe mood changes, vision problems, severe stomach pain, or signs of adrenal crisis.
Hydrocortisone warnings and precautions
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- Adrenal crisis: too little hydrocortisone, stopping suddenly, or stress such as infection or surgery can cause a dangerous crisis.
- Infection risk: higher doses can weaken the immune system and mask signs of infection.
- Long-term use: may cause Cushing's syndrome, bone thinning, eye problems and slowed growth in children.
- Mood changes: euphoria, mania, psychosis or depression can occur.
- Stomach problems: higher risk of perforation in certain gut conditions, and more risk with NSAIDs.
- Injection: not for epidural or intrathecal use, and not for traumatic brain injury.
Hydrocortisone interactions
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Some medicines and foods can change how hydrocortisone works.
- CYP3A4 inhibitors and grapefruit juice: can raise hydrocortisone levels.
- CYP3A4 inducers: can lower levels and raise the risk of adrenal crisis.
- Oral estrogens: may reduce how well Alkindi works.
- Antidiabetic medicines: steroids can raise blood sugar.
- Warfarin: response may change, so clotting tests are needed.
- Cyclosporine: activity of both may increase, and convulsions have been reported.
- NSAIDs and aspirin: raise the risk of stomach side effects.
Interactions listed in the FDA-approved label
From the Hydrocortisone prescribing information (“Drug Interactions”): what the manufacturer studied or reported to the FDA.
- CYP3A4 inhibitors (anti-fungals: itraconazole, posaconazole, voriconazole; antibiotics: erythromycin and clarithromycin; antiretrovirals: ritonavir; grapefruit juice): Hydrocortisone is metabolized by CYP3A4, and inhibitors may increase serum concentrations of ALKINDI SPRINKLE and increase the risk of adverse reactions associated with excessive doses. Concomitant use may require a decrease in the ALKINDI SPRINKLE dose.
- CYP3A4 inducers (anticonvulsants: phenytoin, carbamazepine, oxcarbazepine; antibiotics: rifampicin, rifabutin; barbiturates: phenobarbital, primidone; antiretrovirals: efavirenz, nevirapine): Inducers may decrease serum concentrations of ALKINDI SPRINKLE and increase the risk of adverse reactions, including adrenal crisis. Concomitant use may require an increase in the ALKINDI SPRINKLE dose.
- Estrogen and estrogen-containing products: Oral estrogen and estrogen-containing oral contraceptives may increase serum cortisol-binding globulin (CBG) concentration, which may reduce the efficacy of ALKINDI SPRINKLE by binding and delaying or preventing absorption. Concomitant use may require an increase in the ALKINDI SPRINKLE dose.
- Antidiabetic agents: Corticosteroids in supraphysiologic doses may increase blood glucose concentrations. Use of ALKINDI SPRINKLE in supraphysiologic doses may require a dose adjustment of antidiabetic agents.
- Anticoagulant agents (warfarin): Concomitant use of warfarin and corticosteroids usually results in inhibition of response to warfarin, although there have been some conflicting reports. Monitor coagulation indices to maintain the desired anticoagulant effect.
- Cyclosporine: Increased activity of both cyclosporine and corticosteroids may occur when used concurrently; convulsions have been reported. Monitor patients receiving ALKINDI SPRINKLE and concomitant cyclosporine.
- Nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin/salicylates: Concomitant use increases the risk of gastrointestinal adverse reactions; salicylate clearance may be increased, which could lead to decreased salicylate serum levels or increase the risk of salicylate toxicity when the corticosteroid is withdrawn. Monitor patients receiving ALKINDI SPRINKLE and concomitant NSAIDs; aspirin should be used cautiously with corticosteroids in hypoprothrombinemia.
Read the label’s full interactions text
Drug Interactions Aminoglutethimide: Aminoglutethimide may lead to a loss of corticosteroid-induced adrenal suppression. Amphotericin B injection and potassium-depleting agents: When corticosteroids are administered concomitantly with potassium-depleting agents (i.e., amphotericin B, diuretics), patients should be observed closely for development of hypokalemia. There have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure. Antibiotics: Macrolide antibiotics have been reported to cause a significant decrease in corticosteroid clearance. Anticholinesterases: Concomitant use of anticholinesterase agents and corticosteroids may produce severe weakness in patients with myasthenia gravis. If possible, anticholinesterase agents should be withdrawn at least 24 hours before initiating corticosteroid therapy. Anticoagulants, oral: Coadministration of corticosteroids and warfarin result in inhibition of response to warfarin. Therefore, coagulation indices should be monitored to maintain the desired anticoagulant effect. Antidiabetics: Because corticosteroids may increase blood glucose concentrations, dosage adjustments of antidiabetic agents may be required. Antitubercular drugs: Serum concentrations of isoniazid may be decreased. Cholestyramine: Cholestyramine may increase the clearance of corticosteroids. Cyclosporine: Increased activity of both cyclosporine and corticosteroids may occur when the two are used concurrently. Convulsions have been reported with this concurrent use. Digitalis glycosides: Patients on digitalis glycosides may be at increased risk of arrhythmias due to hypokalemia. Estrogens, including oral contraceptives: Estrogens may decrease the hepatic metabolism of certain corticosteroids, thereby increasing their effect.
Excerpted — the section continues on the label. Read the full Drug Interactions section on DailyMed →
Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.
Before taking Hydrocortisone
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- Do not use the injection with systemic fungal infections or known allergy to it.
- Intramuscular corticosteroids are not for idiopathic thrombocytopenic purpura.
- Tell your doctor about infections such as tuberculosis, hepatitis B or threadworm.
- Tell your doctor if you haven't had chickenpox or measles.
- Tell your doctor about ulcers, diverticulitis, a recent heart attack or eye herpes.
- Khindivi is not approved under age 5.
- Ask your doctor about breastfeeding. Steroids taken by mouth or injection appear in breast milk.
- Children are more at risk from topical steroid absorption.
Hydrocortisone overdose
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Acute overdose is treated with supportive and symptomatic care. For chronic overdose in someone who needs continuous steroid therapy, the dose may be reduced only temporarily, or alternate-day treatment may be used.
What Hydrocortisone does in the body
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In children treated with large amounts of hydrocortisone butyrate cream or lotion three times daily, some showed lab evidence of reduced adrenal function (HPA-axis suppression). Most recovered within about a month after stopping, and none showed symptoms.
How your body processes Hydrocortisone
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Alkindi taken by mouth is about 87% absorbed compared with an IV dose, and peaks in under an hour. Over 90% of hydrocortisone in the blood is bound to proteins. It is broken down in the liver and body tissues and leaves mostly through urine. Its half-life is about 1.5 hours. Topical steroids can be absorbed through skin, especially when the skin is inflamed or covered with dressings.
How to store Hydrocortisone
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Hydrocortisone Butyrate Ointment, 0. Store at 20° to 25°C (68° to 77°F) .
Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →
Supplements & herbs that interact with Hydrocortisone
205 supplements and herbal products have documented interactions with Hydrocortisone in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.
- Major · 4
- Moderate · 164
- Minor · 37
Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.
Nutrient depletion considerations
Hydrocortisone has been associated with lower levels of 8 nutrients in the clinical literature. This does not mean a deficiency will occur — it means these may be worth discussing with your pharmacist or healthcare provider, especially with long-term use.
- Higher significance · 1
- Moderate · 5
- Unrated · 2
Educational information from a licensed clinical database (Natural Medicines) — not medical advice. Do not start or stop medications or supplements without professional guidance.
Hydrocortisone: pharmacist answers to common questions
Quick, plain-English answers to the questions patients ask most about Hydrocortisone — the kind of thing our pharmacy team would talk through with you at the counter.
What is hydrocortisone used for?
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Can I stop taking it if I feel better?
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What side effects should I expect?
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Are there medicines or foods I should avoid?
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What if I get sick or have surgery while taking it?
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Is Hydrocortisone available over the counter?
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When was Hydrocortisone first available?
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Who makes Hydrocortisone?
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Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →
More about Hydrocortisone on HelloPharmacist
Hydrocortisone forms and strengths (how it comes)
Hydrocortisone is available in 9 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.
Topical cream, ointment or gel
How this form is used
- Hydrocortisone Butyrate cream is used for itchy, inflamed skin conditions in adults and for mild to moderate atopic dermatitis in children 3 months and older.
- Hydrocortisone Valerate cream and ointment are medium potency steroids used for inflamed, itchy skin conditions in adults.
- Evesse lotion is used for mild to moderate atopic dermatitis in patients 3 months and older.
- Hydrocortisone Butyrate cream is applied as a thin layer and rubbed in gently, and is not for oral, eye or vaginal use.
- Hydrocortisone Butyrate cream should be stopped when control is achieved.
Show 21 more strengths Show fewer strengths
Tablet
How this form is used
- Cortef tablets are used for endocrine disorders such as adrenocortical insufficiency and congenital adrenal hyperplasia.
- Cortef tablets are also used as short-term add-on therapy for rheumatic disorders such as rheumatoid arthritis and gout flares.
- Cortef tablets are used for collagen diseases such as systemic lupus erythematosus.
Rectal suppository
Injection
How this form is used
- Solu-Cortef is used when oral therapy is not feasible, for severe allergic states, skin diseases and adrenal insufficiency.
- Hydrocortisone sodium succinate is used under the same circumstances.
- Solu-Cortef can be given by IV injection, IV infusion or intramuscular injection, and should not be mixed with other solutions.
- Hydrocortisone sodium succinate is preferably given by IV injection for initial emergency use.
Topical solution
How this form is used
- Hydrocortisone Butyrate topical solution 0.1% is used for seborrheic dermatitis.
Topical spray
Inhaler
How this form is used
- Cortifoam is used as add-on therapy for ulcerative proctitis of the distal rectum in patients who cannot retain corticosteroid enemas.
- Cortifoam is given rectally with an applicator, usually once or twice daily for two or three weeks, then every second day.
- Cortifoam response usually occurs within five to seven days.
Oral powder
How this form is used
- Alkindi is used as replacement therapy in children with adrenocortical insufficiency.
- Alkindi granules come in capsules. Do not swallow the capsule.
- Alkindi is generally divided into three doses a day.
Enema
How this form is used
- Cortenema is used as add-on therapy for ulcerative colitis, especially distal forms such as ulcerative proctitis.
- Hydrocortisone Rectal Suspension (Retention) is used as add-on therapy for ulcerative colitis, including left-sided disease.
- Cortenema is usually used nightly for 21 days or until remission.
- Cortenema is stopped gradually after 21 days by reducing to every other night for 2 or 3 weeks.
- Hydrocortisone Rectal Suspension (Retention) symptoms usually improve within 3 to 5 days.
Hydrocortisone on the U.S. market: products, makers and brands
How Hydrocortisone appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.
359 companies list 1,393 Hydrocortisone product records with the FDA, mostly as topical cream, ointment or gel, tablet, rectal suppository; the earliest marketing or approval year on record is 1951. Brand names on the directory include Alkindi Sprinkle, Cortef, Cortril and 13 more; the rest are generics.
FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
Also listed with the FDA, not a patient dose form: Powder (65) · Kit (4) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.
Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
How widely Hydrocortisone is used (Medicaid data)
A general measure of how commonly Hydrocortisone is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.
Think of this as a proxy for how widely Hydrocortisone is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.
How commonly is Hydrocortisone prescribed? Of the 1,601 medications we measure, Hydrocortisone ranks #68 by Medicaid prescriptions — more than 96% of them.
Utilization by Hydrocortisone product
Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.
hydrocortisone 25 MG/ML Topical Cream Most dispensed
Summed across the 11 of 69 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 310891
hydrocortisone 0.025 MG/MG Topical Ointment
Summed across the 4 of 15 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 103401
hydrocortisone 10 MG/ML Topical Cream
Summed across the 24 of 491 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 106258
hydrocortisone 0.01 MG/MG Topical Ointment
Summed across the 7 of 77 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 203105
hydrocortisone 5 MG Oral Tablet
Summed across the 7 of 36 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197787
hydrocortisone 10 MG Oral Tablet
Summed across the 7 of 27 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197782
hydrocortisone 25 MG/ML Topical Lotion
Summed across the 2 of 9 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197785
hydrocortisone 5 MG/ML Topical Cream
Summed across the 2 of 19 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 198707
hydrocortisone butyrate 1 MG/ML Topical Solution
Summed across the 1 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1370767
hydrocortisone 20 MG Oral Tablet
Summed across the 5 of 20 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197783
hydrocortisone 100 MG Injection
Summed across the 3 of 11 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 238755
hydrocortisone 0.02 MG/MG Topical Gel
Summed across the 1 of 5 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 604449
hydrocortisone 25 MG/ML Topical Solution
Summed across the 2 of 3 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 197786
hydrocortisone butyrate 1 MG/ML Topical Cream
Summed across the 2 of 10 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1370770
hydrocortisone valerate 2 MG/ML Topical Cream
Summed across the 10 of 30 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1370754
hydrocortisone valerate 0.002 MG/MG Topical Ointment
Summed across the 3 of 14 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1370750
hydrocortisone butyrate 1 MG/ML Topical Lotion
Summed across the 4 of 13 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1370763
hydrocortisone acetate 0.01 MG/MG Topical Ointment
Summed across the 2 of 7 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1440184
hydrocortisone 1.67 MG/ML Enema
Summed across the 1 of 11 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 310878
hydrocortisone butyrate 0.001 MG/MG Topical Ointment
Summed across the 2 of 7 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1370758
hydrocortisone acetate 25 MG Rectal Suppository
Summed across the 8 of 69 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1291082
hydrocortisone 2 MG Oral Granules
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2399656
hydrocortisone acetate 100 MG/ML Rectal Foam
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1545172
hydrocortisone 1 MG Oral Granules
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2399652
hydrocortisone 0.5 MG Oral Granules
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2399644
hydrocortisone 250 MG Injection
Summed across the 2 of 2 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1738590
hydrocortisone 5 MG Oral Granules
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 2399659
hydrocortisone 1000 MG Injection
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1738586
Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.
Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Hydrocortisone, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 116 of 953 listed Hydrocortisone NDCs with Medicaid activity.
Compare Hydrocortisone products
A representative set of FDA-listed product records for Hydrocortisone — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)
| Strength | Route | Manufacturer / Labeler | Category ⓘ | Details |
|---|---|---|---|---|
| 💊Capsule | ||||
| 10 mg | — | Catalent Pharma Solutions, LLC | EXPORT ONLY | View NDC → |
| 💊Inhaler | ||||
| 10 mg/g | Topical | Crown Laboratories | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Crown Laboratories | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1500 mg/15 g | Topical | Meda Pharmaceuticals Inc. | NDA | View NDC → |
| 10 mg/g | Topical | Meijer Distribution Inc. | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1.13 g/113 g | Topical | Meijer Distribution Inc. | OTC MONOGRAPH DRUG | View NDC → |
| 1.13 g/113 g | Topical | Meijer Distribution Inc. | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1.13 g/113 g | Topical | Premier Brands of America, Inc. | OTC MONOGRAPH DRUG | View NDC → |
| 1.13 g/113 g | Topical | Premier Brands of America, Inc. × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1500 mg/15 g | Topical | Viatris Specialty LLC | NDA | View NDC → |
| 1.13 g/113 g | Topical | Wal-Mart Stores Inc × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 💊Topical cream, ointment or gel | ||||
| 0.01 g/g | Topical | A-S Medication Solutions | OTC MONOGRAPH DRUG | View NDC → |
| 0.01 g/g | Topical | A-S Medication Solutions × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | A-S Medication Solutions | OTC MONOGRAPH NOT FINAL | Find on DailyMed ↗ |
| 25 mg/g | Topical | A-S Medication Solutions × 13 listings | ANDA | View NDC → |
| 1 g/100 g | Topical | A-S Medication Solutions × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | A-S Medication Solutions × 3 listings | OTC MONOGRAPH NOT FINAL | Find on DailyMed ↗ |
| 10 mg/g | Topical | A2A Integrated Pharmaceuticals, LLC | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/mL | Topical | Absolut Skin Incorporated | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Acme United Corporation × 3 listings | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Acme United Corporation × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Actavis Pharma, Inc. × 2 listings | ANDA | View NDC → |
| 25 mg/g | Topical | Actavis Pharma, Inc. × 2 listings | ANDA | View NDC → |
| 1 g/100 g | Topical | Actavis Pharma, Inc. × 2 listings | OTC MONOGRAPH NOT FINAL | Find on DailyMed ↗ |
| 10 mg/g | Topical | Advanced First Aid, Inc. × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Aero Healthcare US LLC | OTC MONOGRAPH DRUG | View NDC → |
| 1 mg/100 g | Topical | Akron Pharma Inc × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 mg/100 g | Topical | Akron Pharma Inc × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Aldermed Inc. × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 20 mg/g | Topical | Allegis Holdings LLC | ANDA | View NDC → |
| 20 mg/g | Topical | Allegis Pharmaceuticals, Inc. | ANDA | View NDC → |
| 10 mg/g | Topical | Allied Trade Link Llc | OTC MONOGRAPH DRUG | View NDC → |
| 1 mg/g | Topical | Allure Labs Inc. | OTC MONOGRAPH DRUG | View NDC → |
| 1 mg/g | Topical | Allure Labs Inc. | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/mL | Topical | Alumier Labs | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/mL | Topical | Alumier Labs | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Amazon.com Services LLC × 3 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Amazon.com Services LLC × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | American Sales Company × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | American Sales Company × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 0.5 g/100 g | Topical | AmerisourceBergen × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 0.5 g/100 g | Topical | AmerisourceBergen | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Amerisource Bergen | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | AmerisourceBergen × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | AmerisourceBergen × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Ana-Cool, LLC × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Ana-Cool, LLC × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Ancalima Lifesciences Limited | OTC MONOGRAPH NOT FINAL | Find on DailyMed ↗ |
| 1 mg/g | Topical | ANI Pharmaceuticals, Inc. | NDA | View NDC → |
| 10 mg/g | Topical | ANI Pharmaceuticals, Inc. × 2 listings | ANDA | View NDC → |
| 25 mg/g | Topical | ANI Pharmaceuticals, Inc. × 2 listings | ANDA | View NDC → |
| 1 g/100 g | Topical | Army & Air Force Exchange Service | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Army & Air Force Exchange Service × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Aru Pharma Inc. | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Astonea Labs Private Limited | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Astonea Labs Private Limited | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 mg/g | Topical | Bausch Health US, LLC | NDA | View NDC → |
| 10 mg/g | Topical | Bentlin Products LLC | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Bentlin Products LLC | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Bjwc | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Bjwc | OTC MONOGRAPH NOT FINAL | View NDC → |
| 2 mg/g | Topical | Bryant Ranch Prepack × 3 listings | ANDA | View NDC → |
| 10 mg/g | Topical | Bryant Ranch Prepack × 5 listings | ANDA | View NDC → |
| 25 mg/g | Topical | Bryant Ranch Prepack × 21 listings | ANDA | View NDC → |
| 1 g/100 g | Topical | Bryant Ranch Prepack × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Cardinal Health (Leader) 70000 | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Cardinal Health 110 dba LEADER | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Chain Drug Consortium, LLC × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Chain Drug Marketing Association, Inc. | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Chain Drug Marketing Association Inc | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Chain Drug Marketing Association Inc. × 3 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Chain Drug Marketing Association Inc. × 4 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Chattem, Inc. × 5 listings | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Chattem, Inc. × 3 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Chattem, Inc. × 21 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Chattem, Inc. × 3 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 mg/100 mg | Topical | Cintas Corp | OTC MONOGRAPH DRUG | View NDC → |
| 1 mg/100 mg | Topical | Cintas Corp | OTC MONOGRAPH NOT FINAL | View NDC → |
| 0.01 g/g | Topical | Cintas Corporation | OTC MONOGRAPH DRUG | View NDC → |
| 0.01 g/g | Topical | Cintas Corporation | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Cintas Corporation | OTC MONOGRAPH NOT FINAL | Find on DailyMed ↗ |
| 1 g/100 g | Topical | Claridei Laboratories | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Claridei Laboratories | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | Click Industries LLC | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Clinical Therapeutic Solutions | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Clinical Therapeutic Solutions | OTC MONOGRAPH NOT FINAL | View NDC → |
| 280 mg/28 g | Topical | Combe Incorporated | OTC MONOGRAPH DRUG | View NDC → |
| 280 mg/28 g | Topical | Combe Incorporated | OTC MONOGRAPH NOT FINAL | View NDC → |
| 2 mg/g | Topical | Cosette Pharmaceuticals, Inc. × 2 listings | ANDA | View NDC → |
| 1 g/100 g | Topical | Costco Wholesale Company | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | Costco Wholesale Company × 2 listings | OTC MONOGRAPH NOT FINAL | View NDC → |
| 1 g/100 g | Topical | CP Skin Health Group, Inc. × 2 listings | OTC MONOGRAPH DRUG | View NDC → |
| 1 g/100 g | Topical | CP Skin Health Group, Inc. | OTC MONOGRAPH NOT FINAL | View NDC → |
| 10 mg/g | Topical | Crane Safety LLC | OTC MONOGRAPH DRUG | View NDC → |
| 10 mg/g | Topical | Crane Safety LLC | OTC MONOGRAPH NOT FINAL | View NDC → |
Showing 200 of 1,393 products — FDA National Drug Code Directory. See every product, package size and price: browse all 1,393 Hydrocortisone NDCs →
Hydrocortisone side effects reported to the FDA (FAERS)
After a medicine reaches the market, patients, doctors and drugmakers can send the FDA reports of problems they think may be linked to it. Here’s what’s been reported for Hydrocortisone — a signal of what to watch for, not proof the drug caused it.
Source: openFDA, from the FDA Adverse Event Reporting System (FAERS). These are voluntary reports — they don’t prove the drug caused the effect, and counts reflect how often something was reported, not how often it actually happens. Reports also often name the very problem the medicine is taken for — a common reason to file one is that the drug didn’t help — so for a pain reliever you may see “pain” high on the list; that points to why the report was filed, not to the drug causing the symptom. This counts every report that lists Hydrocortisone in any role, so the total runs higher than the FDA’s official dashboard, which counts only cases where the drug is the suspect. For the authoritative figures, see the FDA FAERS Public Dashboard. Always talk to your pharmacist or doctor.
Hydrocortisone FDA approval history
How Hydrocortisone went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.
Source: Drugs@FDA.
Hydrocortisone recall history
A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.
The FDA’s enforcement reports list 2 Hydrocortisone recalls since July 2021. None of them is still listed as ongoing. A recall names specific lots from one company, so check the lot number on your own bottle rather than assuming every product is affected; your pharmacist can check whether your supply came from an affected lot.
- Rapidol Maximum Strength, Hydrocortisone 1% Anti-Itch Cream, NET WT 2 oz (60g) Tube, Distributed by: Pharmadel LLC, New Castle, DE, 19720, NDC 55758-420-02, UPC 8 10096 77158 2. Lots: Lot SP26A, Exp: 09/30/2026 FDA record D-0428-2025 →
- Hydrocortisone Ointment USP, 2.5%, NET WT 28.35 g (1 oz) tube, Rx only, MFG: Sandoz Pharma, NDC 0168-0146-30 Lots: McKesson Medical-Surgical (MMS) is not able to identify the particular lot number received by a particular consignee for the recalled prescription products. Each letter includes the date it was distributed to customers and the dates that i… FDA record D-1045-2022 →
Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.
RxNorm Concept Web — From Ingredient to Every Form and Strength
This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.
RxCUI 5492 26 dose forms · 66 strengths
-
Dose form (SCDF) Enema RxCUI 372421In current FDA listingsClinical drug / strength (SCD) 1.67 MG/MLRxCUI 310878 -
Dose form (SCDF) Injectable Solution RxCUI 370648In current FDA listingsClinical drug / strength (SCD) sodium phosphate 50 MG/MLRxCUI 1037338100 MG/MLRxCUI 250788 -
Dose form (SCDF) Injectable Suspension RxCUI 378635In current FDA listingsClinical drug / strength (SCD) 25 MG/MLRxCUI 238754 -
Dose form (SCDF) Injection RxCUI 1738585In current FDA listings -
Dose form (SCDF) Medicated Shampoo RxCUI 900410In current FDA listingsClinical drug / strength (SCD) 10 MG/MLRxCUI 1926571 -
Dose form (SCDF) Ophthalmic Ointment RxCUI 108133No current FDA listingClinical drug / strength (SCD) acetate 0.005 MG/MGRxCUI 1542920acetate 0.01 MG/MGRxCUI 1542921acetate 0.025 MG/MGRxCUI 1542922 -
Dose form (SCDF) Ophthalmic Solution RxCUI 372417No current FDA listingClinical drug / strength (SCD) 10 MG/MLRxCUI 250804 -
Dose form (SCDF) Oral Granules RxCUI 2399643In current FDA listings -
Dose form (SCDF) Oral Lozenge RxCUI 372422No current FDA listingClinical drug / strength (SCD) 2.5 MGRxCUI 251452 -
Dose form (SCDF) Oral Solution RxCUI 2716549No current FDA listingClinical drug / strength (SCD) 1 MG/MLRxCUI 2716550 -
Dose form (SCDF) Oral Suspension RxCUI 370647No current FDA listingClinical drug / strength (SCD) 2 MG/MLRxCUI 310899 -
Dose form (SCDF) Oral Tablet RxCUI 370649In current FDA listings -
Dose form (SCDF) Otic Solution RxCUI 372423No current FDA listingClinical drug / strength (SCD) 10 MG/MLRxCUI 240749 -
Dose form (SCDF) Rectal Cream RxCUI 377723No current FDA listing -
Dose form (SCDF) Rectal Foam RxCUI 376828No current FDA listingClinical drug / strength (SCD) acetate 100 MG/MLRxCUI 1545172 -
Dose form (SCDF) Rectal Ointment RxCUI 372418No current FDA listingClinical drug / strength (SCD) 0.01 MG/MGRxCUI 260192 -
Dose form (SCDF) Rectal Suppository RxCUI 370645In current FDA listings -
Dose form (SCDF) Topical Cream RxCUI 377712In current FDA listingsClinical drug / strength (SCD) acetate 10 MG/MLRxCUI 1043690acetate 20 MG/MLRxCUI 251224acetate 25 MG/MLRxCUI 1809843acetate 5 MG/MLRxCUI 1250490butyrate 1 MG/MLRxCUI 1370770probutate 1 MG/MLRxCUI 1370746valerate 2 MG/MLRxCUI 13707541 MG/MLRxCUI 1062485 MG/MLRxCUI 19870710 MG/MLRxCUI 10625820 MG/MLRxCUI 267768825 MG/MLRxCUI 310891 -
Dose form (SCDF) Topical Foam RxCUI 832710In current FDA listingsClinical drug / strength (SCD) 10 MG/MLRxCUI 832711 -
Dose form (SCDF) Topical Gel RxCUI 377961In current FDA listings -
Dose form (SCDF) Topical Lotion RxCUI 377713In current FDA listingsClinical drug / strength (SCD) acetate 5 MG/MLRxCUI 1489372butyrate 1 MG/MLRxCUI 13707635 MG/MLRxCUI 24449210 MG/MLRxCUI 10340320 MG/MLRxCUI 19778425 MG/MLRxCUI 197785 -
Dose form (SCDF) Topical Ointment RxCUI 372416In current FDA listingsClinical drug / strength (SCD) acetate 0.01 MG/MGRxCUI 1440184butyrate 0.001 MG/MGRxCUI 1370758valerate 0.002 MG/MGRxCUI 13707500.001 MG/MGRxCUI 27146560.005 MG/MGRxCUI 3108610.01 MG/MGRxCUI 2031050.025 MG/MGRxCUI 103401 -
Dose form (SCDF) Topical Powder RxCUI 376507No current FDA listingClinical drug / strength (SCD) 1 MG/MGRxCUI 310877 -
Dose form (SCDF) Topical Solution RxCUI 370646In current FDA listingsClinical drug / strength (SCD) butyrate 1 MG/MLRxCUI 137076710 MG/MLRxCUI 31086925 MG/MLRxCUI 197786 -
Dose form (SCDF) Topical Spray RxCUI 377305In current FDA listings -
Dose form (SCDF) Vaginal Cream RxCUI 1039348No current FDA listing
Look up RxCUI 5492 in the RxCUI Atlas →
RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.
Hydrocortisone supply and shortage status
Whether Hydrocortisone is in short supply in the U.S. right now, plus any shortage history the FDA has on record. A shortage usually reflects a manufacturing or demand issue — not a safety problem with the drug.
Source: openFDA, from the FDA Drug Shortages database.
Hydrocortisone brand names
Hydrocortisone is sold under 16 brand names in the FDA directory — Alkindi Sprinkle, Cortef, Cortril, Cortenema and others. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.
Who makes Hydrocortisone: manufacturers and labelers
40 companies list Hydrocortisone products with the FDA. By number of product records, the largest are Bryant Ranch Prepack, Chattem, Inc., A-S Medication Solutions. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.
…and 16 more on the FDA NDC directory.
Hydrocortisone drug class (RxNorm)
Hydrocortisone belongs to the Corticosteroid class.
Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.
Sources for this Hydrocortisone page
Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.
How this page is built
HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. Oceanside Pharmaceuticals is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →