Hydrocortisone 10 mg/g Ointment, 453.6 g — NDC 0168-0020-16 (Billing 00168-0020-16)
This is a package of 453.6 g of Hydrocortisone 10 mg/g Ointment from E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, marketed since Apr 1975 and currently FDA-listed; retail pharmacies pay about $0.1379 per g (NADAC).
NDC database record
One package, one record: these facts belong to NDC 0168-0020-16 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 0168 labeler · 0020 product · 16 package
- Package marketed since
- Apr 16, 1975
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2027
- Billing quantity
- 454 g per package
- Barcode (UPC-A, from the NDC)
- 3 0168002016 7
- Medicaid fills, this package
- 17,278 prescriptions in the last four reported quarters
- FDA record last changed
- Jul 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 007547
- GCN: 30951
- GPI-14 (Medi-Span): 90550075004210
- HICL (First Databank): 002867
- AHFS class code: 52:08.08.00
- RxCUI (RxNorm): 203105
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Corticosteroid class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Hydrocortisone topical is used to treat redness, swelling, itching, and discomfort of various skin conditions. Hydrocortisone is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching.
Read the full MedlinePlus article ↗- It depends on the product. Tablets and oral granules are used for adrenal insufficiency, among other conditions. Injections are used for severe allergic states and skin diseases. R...
- Don't stop it suddenly if you take it for adrenal insufficiency. Stopping abruptly can cause adrenal crisis, which can be fatal. Talk to your prescriber before making any changes.
- Common ones are fluid retention, higher blood pressure, changes in blood sugar, mood changes, bigger appetite and weight gain. Call your doctor for signs of infection, vision chang...
- Grapefruit juice and some antifungals and antibiotics can raise hydrocortisone levels. Some seizure medicines and rifampicin can lower them. Tell me about any diabetes medicines, w...
Patient education
Supplement & herbal interactions
Some supplements/herbs that may interact with Hydrocortisone — tap one for details:
Hydrocortisone may be associated with lower levels of 8 nutrients — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per g | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.138 | $62.55 / 453.6 g |
| Medicaid paysCMS SDUD · 12 mo | $0.1247 | $56.56 / 453.6 g |
| Medicare drug plans payPart D · Q2 2026 | $0.1730 | $78.47 / 453.6 g |
Where does this data come from?
- CMS NADAC weekly file · file of Sep 30, 2026
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · through Q1 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Per unit | Per pack | Marketing start | Marketing end | Status |
|---|---|---|---|---|---|---|
| 00168-0020-16 You're viewing this | 453.6 g in 1 JAR | $0.1379 / g | $62.56 | 1975-04-16 | — | Active |
| 00168-0020-31 0168-0020-31 Main listing | 1 TUBE in 1 CARTON / 28.35 g in 1 TUBE | $0.1545 / g | $4.38 | 1975-04-16 | — | Active |
This pack has the lowest per-g cost of the 2 priced pack sizes ($0.1379 NADAC).
This pack accounts for about 13% of this product's recent Medicaid fills; most go to a different pack size. See all packs ↓
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 00168-0020-31?
What NDC number is used to bill for this package of Hydrocortisone 10 mg/g Ointment?
Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| hydrocortisone 1 g/100g 45802-0276-03 | Padagis | 1 tube | $0.070 | — | Availability likely | save 49% |
| Good Neighbor Pharmacy Hydrocortisone 1 g/100g 24385-0276-03 | AmerisourceBergen | 1 tube | $0.077 | — | Availability likely | save 44% |
| sunmark Hydrocortisone 1 g/100g 49348-0522-72 | Strategic | 1 tube | $0.077 | — | Availability likely | save 44% |
| Hydrocortisone 1 g/100g 51672-2018-02 | Sun | 1 tube | $0.077 | — | Availability likely | save 44% |
| Hydrocortisone 1 g/100g 70677-1214-01 | STRATEGIC | 1 tube | $0.077 | — | Availability likely | save 44% |
| hydrocortisone 10 mg/g 00168-0015-16 | E. | 453.6 g | $0.109 | AT | Availability likely | save 21% |
| Hydrocortisone 10 mg/g 00472-0321-26 | Actavis | 1 tube | $0.112 | AT | Availability likely | save 18% |
| Hydrocortisone 10 mg/gthis 00168-0020-16 | E. | 453.6 g | $0.138 | AT | Availability likely | — |
| Hydrocortisone 10 mg/g 62559-0430-01 | ANI | 1 tube | $0.600 | AT | Availability likely | +335% |
| Good Sense Anti Itch 1 g/100g 00113-0471-64 | L. | 1 tube | — | — | FDA listed | — |
| Maximum Strength Hydrocortisone 1 g/100g 00363-0230-03 | Walgreens | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 1 g/100g 00363-1333-01 | Walgreens | 1 tube | — | — | FDA listed | — |
| Aquaphor Itch Relief 1 g/100g 10356-0120-04 | Beiersdorf | 28 g | — | — | FDA listed | — |
| Hydrocortisone 1 g/100g 11383-0268-01 | Weeks | 28 g | — | — | FDA listed | — |
| Rite Aid Hydrocortisone 1 g/100g 11822-2685-01 | Rite | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 1 g/100g 21922-0098-04 | Encube | 1 tube | — | — | FDA listed | — |
| Maximum Strength Hydrocortisone 1 g/100g 24286-1560-01 | DLC | 1 tube | — | — | FDA listed | — |
| TopCare Hydrocortisone 1 g/100g 36800-0018-02 | Topco | 1 tube | — | — | FDA listed | — |
| Topcare Hydrocortisone 1 g/100g 36800-0471-64 | Topco | 1 tube | — | — | FDA listed | — |
| Shopko Hydrocortisone 1 g/100g 37012-0018-02 | Shopko | 1 tube | — | — | FDA listed | — |
| hydrocortisone 1 g/100g 37808-0471-64 | H | 1 tube | — | — | FDA listed | — |
| equaline anti itch 1 g/100g 41163-0471-64 | United | 1 tube | — | — | FDA listed | — |
| Cortizone 10 Water Resistant 1 g/100g 41167-0344-00 | Chattem, | 1 tube | — | — | FDA listed | — |
| hydrocortisone 1 g/100g 50090-6526-00 | A-S | 1 tube | — | — | FDA listed | — |
| CVS Health Maximum Strength Hydrocortisone 10 mg/g 51316-0165-28 | CVS | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 1 g/100g 63187-0543-01 | Proficient | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 1 g/100g 69396-0003-20 | TRIFECTA | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 1% 1 g/100g 69396-0017-05 | Trifecta | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 1 g/100g 69396-0149-01 | TRIFECTA | 1 tube | — | — | FDA listed | — |
| Maximum Strength Cortisone 1 g/100g 69842-0259-03 | CVS | 1 tube | — | — | FDA listed | — |
| Viaderma Calm Anti-Itch 10 mg/g 71262-0014-15 | ViaDerma | 1 bottle | — | — | FDA listed | — |
| hydrocortisone 1 g/100g 72162-2284-02 | Bryant | 1 tube | — | — | FDA listed | — |
| FixMySkin Healing Balm Fragrance-Free 10 mg/mL 76314-0002-03 | Lovely | 14.78 ml | — | — | FDA listed | — |
| FixMySkin Healing Balm Unflavored 10 mg/mL 76314-0003-01 | Lovely | 4.43 ml | — | — | FDA listed | — |
| FixMySkin Healing Balm Vanilla Flavor 10 mg/mL 76314-0004-01 | Lovely | 4.43 ml | — | — | FDA listed | — |
| anti itch 1 g/100g 79481-0471-00 | Meijer, | 1 tube | — | — | FDA listed | — |
| MediBalm 1 g/100g 85529-0204-01 | BalmRx, | 1 jar | — | — | FDA listed | — |
| Quitch Anit-Ich Healing Body Balm .07 g/7g 87560-0141-92 | Mor | 1 cartridge | — | — | FDA listed | — |
| Proctocort 10 mg/g 65649-0501-30 | Salix | 1 tube | — | AT | Discontinued | — |
| Dr. Sheffield Hydrocortisone Anti itch 10 mg/g 11527-0052-51 | Sheffield | 1 tube | — | — | FDA listed | — |
| CeraVe Developed with Dermatologists Anti Itch 10 mg/g 49967-0108-01 | L'Oreal | 1 tube | — | — | FDA listed | — |
| SKIN A COOL Hydrocortisone Anti-Itch 10 mg/g 70288-0173-00 | Ana-Cool, | 56.7 g | — | — | FDA listed | — |
| Ana Cool Rapid Soothing Cooling Formula 10 mg/g 70288-0714-01 | Ana-Cool, | 1 bottle | — | — | FDA listed | — |
| Thera plus Anti-itch with aloe Hydrocortisone 10 mg/g 80684-0038-01 | Fourstar | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 73141-0622-28 | A2A | 1 tube | — | — | FDA listed | — |
| Thera Plus Maximum Strength Hydrocortisone 10 mg/g 80684-0145-00 | Fourstar | 42.5 g | — | — | FDA listed | — |
| Cortizone 10 Cooling Relief 10 mg/g 41167-0036-00 | Chattem, | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 47682-0397-35 | Unifirst | 144 packets | — | — | FDA listed | — |
| Quadrydern 10 mg/g 59428-0403-57 | Productos | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 00924-1133-00 | Acme | 9 g | — | — | FDA listed | — |
| Alacort 10 mg/g 00316-0126-01 | Crown | 1 tube | — | AT | FDA listed | — |
| Hydrocortisone 10 mg/g 00316-0186-01 | Crown | 1 tube | — | AT | FDA listed | — |
| Winco Maximum Strength Hydrocortisone 10 mg/g 67091-0197-28 | WINCO | 1 tube | — | — | FDA listed | — |
| CVS Health Hydrocortisone Anti Itch 10 mg/g 69842-0155-10 | CVS | 24 packets | — | — | Discontinued | — |
| Aveeno 1% Hydrocortisone Anti-Itch Cream 10 mg/g 69968-0888-01 | Kenvue | 1 tube | — | — | FDA listed | — |
| Thera Plus Hydrocortisone Maximum Strength 10 mg/g 80684-0151-00 | FOURSTAR | 42.5 g | — | — | FDA listed | — |
| Quality Choice 10 mg/g 83324-0297-01 | Chain | 1 tube | — | — | FDA listed | — |
| Cortizone 10 10 mg/g 41167-0039-00 | Chattem, | 1 tube | — | — | Discontinued | — |
| Hydrocortisone 10 mg/g 51316-0227-00 | CVS | 1 tube | — | — | FDA listed | — |
| Crane Safety Hydrocortisone 10 mg/g 73408-0933-73 | Crane | 25 packets | — | — | FDA listed | — |
| Cortizone 10 Intensive Healing for Eczema 10 mg/g 41167-0331-00 | Chattem, | 1 tube | — | — | FDA listed | — |
| Family Wellness Max Strength 1 Hydrocortisone Cream 10 mg/g 55319-0982-00 | Family | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 63629-1951-01 | Bryant | 1 tube | — | AT | FDA listed | — |
| Barmicil Plus 10 mg/g 69729-0103-11 | OPMX | 28 g | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 72162-1763-02 | Bryant | 1 tube | — | AT | FDA listed | — |
| THERAPLEX AIM Anti-Itch Moisturizing 10 mg/g 82280-0478-02 | THERAPLEX, | 56.7 g | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 82942-1003-01 | J&A | 9 g | — | — | FDA listed | — |
| Itch and Rash Cream 10 mg/g 84269-4506-01 | Wildman | 25 packets | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 85766-0166-10 | Sportpharm | 10 pouches | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 43473-0049-01 | Nantong | 9 g | — | — | FDA listed | — |
| SurviveX Hydrocortisone Cream 10 mg/g 43473-0313-01 | Nantong | 9 g | — | — | FDA listed | — |
| DermaCort Anti-itch 10 mg/g 54473-0117-28 | Melaleuca, | 28 g | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 00363-9981-02 | Walgreens | 1 tube | — | — | FDA listed | — |
| Cortizone 10 Intensive Healing 10 mg/g 41167-0035-00 | Chattem, | 1 tube | — | — | FDA listed | — |
| Thompson Hydrocortisone 1% 10 mg/g 73408-0937-73 | Thompson | 25 packets | — | — | FDA listed | — |
| Preparation H Soothing Relief Anti-Itch 10 mg/g 00573-0552-11 | Haleon | 1 tube | — | — | FDA listed | — |
| Equate Hydrocortisone 10 mg/g 79903-0092-01 | WalMart | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 47682-0211-12 | Unifirst | 10 pouches | — | — | FDA listed | — |
| Hydrocortisone anti-itch plus 10 mg/g 49035-0732-02 | Wal-Mart | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 51316-0230-00 | CVS | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 72189-0209-28 | DIRECT | 28.4 g | — | AT | FDA listed | — |
| First Aid Only Hydrocortisone 1% Anti-Itch 10 mg/g 00924-5633-00 | Acme | 9 g | — | — | FDA listed | — |
| ProCure Hydrocortisone Cream Plus 10 mg/g 29784-0142-28 | Rooftop | 1 tube | — | — | FDA listed | — |
| Anti-itch 10 mg/g 53329-0091-01 | Medline | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 61010-5800-02 | Safetec | 144 pouches | — | — | FDA listed | — |
| Aveeno Hydrocortisone ANTI-ITCH 10 mg/g 69968-0511-01 | Kenvue | 1 tube | — | — | FDA listed | — |
| Thera Plus Maximum Strength Hydrocortisone 10 mg/g 80684-0197-00 | Fourstar | 6 packets | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 84387-0005-01 | ALLIED | 28.4 g | — | — | FDA listed | — |
| WinCo Foods Hydrocortisone Cream Intensive Healing 10 mg/g 67091-0419-28 | WINCO | 1 tube | — | — | FDA listed | — |
| TheraCare Hydrocortisone Cream 10 mg/g 71101-0220-01 | Veridian | 1 tube | — | — | FDA listed | — |
| Preparation H Hydrocortisone 10 mg/g 00573-2830-10 | Haleon | 1 tube | — | — | FDA listed | — |
| Thera Plus Eczema Hydrocortisone Anti Itch 10 mg/g 80684-0146-00 | Fourstar | 28 g | — | — | FDA listed | — |
| FifthPulse Hydrocortisone 10 mg/g 87525-0003-01 | WeCare | 1 tube | — | — | FDA listed | — |
| Hydrocortisone 10 mg/g 47682-0933-73 | Unifirst | 25 pouches | — | — | FDA listed | — |
| Hydrocortisone 1% Anti-ItchCream 10 mg/g 00924-5634-00 | Acme | 9 g | — | — | FDA listed | — |
| Drs. Hydrocortisone Aloe Vera 10 mg/g 80489-0088-01 | OL | 1 tube | — | — | FDA listed | — |
| Quadriderm NF 10 mg/g 69729-0828-02 | OPMX | 1 tube | — | — | FDA listed | — |
| Diprospan 10 mg/g 69729-0794-02 | OPMX | 1 tube | — | — | FDA listed | — |
| Barmicil Plus 10 mg/g 69729-0830-01 | OPMX | 1 tube | — | — | FDA listed | — |
| Aerosoothe 10 mg/g 55305-0136-02 | Aero | 25 packets | — | — | FDA listed | — |
| Barmicil Plus 10 mg/g 69729-0834-01 | OPMX | 1 tube | — | — | FDA listed | — |
| Terramed Just Think Comfort Hydrocortisone 1% Cream 10 mg/g 83004-0051-01 | Rida | 1 jar | — | — | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file · file of Sep 30, 2026
Availability & generic status
This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
-
UNII T5L8T28FGP
Mineral oil is a clear, odorless liquid derived from crude oil. It acts as a lubricant and emollient in medications, helping pills slide smoothly during manufacturing and aiding moisture retention in topical products.
-
UNII 4T6H12BN9U
Petrolatum is a purified mineral oil-based jelly derived from petroleum. In medicines, it acts as an emollient, lubricant, and moisture barrier to soften skin, reduce friction, and help prevent water loss from formulations.
2 inactive ingredients listed in the exact product block matched to this NDC.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 5, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from E. Fougera & Co. a division of Fougera Pharmaceu... labeler code 00168
- triamcinolone acetonide 5 mg/g Cream NDC 0168-0002-15
- triamcinolone acetonide .25 mg/g Cream NDC 0168-0003-15
- triamcinolone acetonide 1 mg/g Cream NDC 0168-0004-15
- Triamcinolone Acetonide .25 mg/g Ointment NDC 0168-0005-80
- Triamcinolone Acetonide 1 mg/g Ointment NDC 0168-0006-15
- hydrocortisone 10 mg/g Cream NDC 0168-0015-16
- Betamethasone Valerate 1 mg/g Ointment NDC 0168-0033-15
- Betamethasone Valerate 1 mg/g Cream NDC 0168-0040-15
- Betamethasone Valerate 1 mg/mL Lotion NDC 0168-0041-60
- Betamethasone Dipropionate .5 mg/g Cream NDC 0168-0055-15
- Betamethasone Dipropionate .5 mg/g Ointment NDC 0168-0056-15
- Betamethasone Dipropionate .5 mg/mL Lotion NDC 0168-0057-60
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS AND USAGE Topical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION Topical corticosteroids are generally applied to the affected area as a thin film three or four times a day depending on the severity of the condition. Occlusive dressings may be used for the management of psoriasis or recalcitrant conditions. If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy instituted.
⛔ Contraindications ▾
CONTRAINDICATIONS Topical corticosteroids are contraindicated in those patients with a history of hypersensitivity to any of the components of the preparation.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS The following local adverse reactions are reported infrequently with topical corticosteroids, but may occur more frequently with the use of occlusive dressings. These reactions are listed in an approximate decreasing order of occurrence: burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration of the skin, secondary infection, skin atrophy, striae and miliaria.
🤰 Pregnancy ▾
Pregnancy Teratogenic effects Corticosteroids are generally teratogenic in laboratory animals when administered systemically at relatively low dosage levels. The more potent corticosteroids have been shown to be teratogenic after dermal application in laboratory animals. There are no adequate and well-controlled studies in pregnant women on teratogenic effects from topically applied corticosteroids.
Therefore, topical corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.
🧒 Pediatric Use ▾
Pediatric Use Pediatric patients may demonstrate greater susceptibility to topical corticosteroid-induced HPA axis suppression and Cushing's syndrome than mature patients because of a larger skin surface area to body weight ratio. Hypothalamic-pituitary-adrenal (HPA) axis suppression, Cushing's syndrome, and intracranial hypertension have been reported in children receiving topical corticosteroids. Manifestations of adrenal suppression in children include linear growth retardation, delayed weight gain, low plasma cortisol levels, and absence of response to ACTH stimulation.
Manifestations of intracranial hypertension include bulging fontanelles, headaches, and bilateral papilledema. Administration of topical corticosteroids to children should be limited to the least amount compatible with an effective therapeutic regimen. Chronic corticosteroid therapy may interfere with the growth and development of children.
🆘 Overdosage ▾
OVERDOSAGE Topically applied corticosteroids can be absorbed in sufficient amounts to produce systemic effects (see PRECAUTIONS ).
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY Topical corticosteroids share anti-inflammatory, anti-pruritic and vasoconstrictive actions. The mechanism of anti-inflammatory activity of the topical corticosteroids is unclear. Various laboratory methods, including vasoconstrictor assays, are used to compare and predict potencies and/or clinical efficacies of the topical corticosteroids.
There is some evidence to suggest that a recognizable correlation exists between vasoconstrictor potency and therapeutic efficacy in man. Pharmacokinetics The extent of percutaneous absorption of topical corticosteroids is determined by many factors including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings. Topical corticosteroids can be absorbed from normal intact skin.
Inflammation and/or other disease processes in the skin increase percutaneous absorption. Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids. Thus, occlusive dressings may be a valuable therapeutic adjunct for treatment of resistant dermatoses.
(see DOSAGE AND ADMINISTRATION ). Once absorbed through the skin, topical corticosteroids are handled through pharmacokinetic pathways similar to systemically administered corticosteroids. Corticosteroids are bound to plasma proteins in varying degrees.
Corticosteroids are metabolized primarily in the liver and then are excreted by the kidneys. Some of the topical corticosteroids and their metabolites are also excreted by the bile.
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Hydrocortisone Ointment USP, 1% is supplied as follows: NDC 0168-0020-31 28.35 g (1 Oz) Tubes NDC 0168-0020-16 453.6 g (1 lb) Jars Store at controlled room temperature 15° to 30°C (59° to 86°F). E. FOUGERA & CO. A division of Fougera PHARMACEUTICALS INC. Melville, New York 11747 Rev. 07/2024
📋 Description ▾
DESCRIPTION Hydrocortisone Ointment USP, 1% contains hydrocortisone [Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11ß)-], with the molecular formula C 21 H 30 O 5 and molecular weight 362.47. Each gram contains 10 mg of hydrocortisone, USP in a base containing white petrolatum and mineral oil. structure
💬 Information for Patients ▾
Information for the Patient Patients using topical corticosteroids should receive the following information and instructions: 1. This medication is to be used as directed by the physician. It is for external use only.
Avoid contact with the eyes. 2. Patients should be advised not to use this medication for any disorder other than for which it was prescribed.
3. The treated skin area should not be bandaged or otherwise covered or wrapped as to be occlusive unless directed by the physician. 4.
Patients should report any signs of local adverse reactions especially under occlusive dressing. 5. Parents of pediatric patients should be advised not to use tight-fitting diapers or plastic pants on a child being treated in the diaper area, as these garments may constitute occlusive dressings.
⚠️ Precautions ▾
PRECAUTIONS General: Systemic absorption of topical corticosteroids has produced reversible hypothalamic-pituitary-adrenal (HPA) axis suppression, manifestations of Cushing's syndrome, hyperglycemia, and glucosuria in some patients. Conditions which augment systemic absorption include the application of the more potent steroids, use over large surface areas, prolonged use, and the addition of occlusive dressings. Therefore, patients receiving a large dose of a potent topical steroid applied to a large surface area or under an occlusive dressing should be evaluated periodically for evidence of HPA axis suppression by using the urinary free cortisol and ACTH stimulation tests.
If HPA axis suppression is noted, an attempt should be made to withdraw the drug, to reduce the frequency of application, or to substitute a less potent steroid. Recovery of HPA axis function is generally prompt and complete upon discontinuation of the drug. Infrequently, signs and symptoms of steroid withdrawal may occur, requiring supplemental systemic corticosteroids.
Children may absorb proportionally larger amounts of topical corticosteroids and thus be more susceptible to systemic toxicity (see PRECAUTIONS-Pediatric Use ). If irritation develops, topical corticosteroids should be discontinued and appropriate therapy instituted. In the presence of dermatological infections, 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. Information for the Patient Patients using topical corticosteroids should receive the following information and instructions: 1. This medication is to be used as directed by the physician.
It is for external use only. Avoid contact with the eyes. 2.
Patients should be advised not to use this medication for any disorder other than for which it was prescribed. 3. The treated skin area should not be bandaged or otherwise covered or wrapped as to be occlusive unless directed by the physician.
4. Patients should report any signs of local adverse reactions especially under occlusive dressing. 5.
Parents of pediatric patients should be advised not to use tight-fitting diapers or plastic pants on a child being treated in the diaper area, as these garments may constitute occlusive dressings. Laboratory Tests The following tests may be helpful in evaluating the HPA axis suppression: Urinary free cortisol test; ACTH stimulation test. Carcinogenesis, Mutagenesis, and Impairment of Fertility Long-term animal studies have not been performed to evaluate the carcinogenic potential or the effect on fertility of topical corticosteroids.
Studies to determine mutagenicity with prednisolone and hydrocortisone have revealed negative results. Pregnancy Teratogenic effects Corticosteroids are generally teratogenic in laboratory animals when administered systemically at relatively low dosage levels. The more potent corticosteroids have been shown to be teratogenic after dermal application in laboratory animals.
There are no adequate and well-controlled studies in pregnant women on teratogenic effects from topically applied corticosteroids. Therefore, topical corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.
Nursing Mothers It is not known whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in breast milk. Systemically administered corticosteroids are secreted into breast milk in quantities not likely to have a deleterious effect on the infant. Nevertheless, caution should be exercised when topical corticosteroids are administered to a nursing woman.
Pediatric Use Pediatric patients may demonstrate greater susceptibil… [Excerpted — this section continues on DailyMed.]
🍼 Nursing Mothers ▾
Nursing Mothers It is not known whether topical administration of corticosteroids could result in sufficient systemic absorption to produce detectable quantities in breast milk. Systemically administered corticosteroids are secreted into breast milk in quantities not likely to have a deleterious effect on the infant. Nevertheless, caution should be exercised when topical corticosteroids are administered to a nursing woman.
🧬 Pharmacokinetics ▾
Pharmacokinetics The extent of percutaneous absorption of topical corticosteroids is determined by many factors including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings. Topical corticosteroids can be absorbed from normal intact skin. Inflammation and/or other disease processes in the skin increase percutaneous absorption.
Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids. Thus, occlusive dressings may be a valuable therapeutic adjunct for treatment of resistant dermatoses. (see DOSAGE AND ADMINISTRATION ).
Once absorbed through the skin, topical corticosteroids are handled through pharmacokinetic pathways similar to systemically administered corticosteroids. Corticosteroids are bound to plasma proteins in varying degrees. Corticosteroids are metabolized primarily in the liver and then are excreted by the kidneys.
Some of the topical corticosteroids and their metabolites are also excreted by the bile.
📄 Carcinogenesis, Mutagenesis, Impairment of Fertility ▾
Carcinogenesis, Mutagenesis, and Impairment of Fertility Long-term animal studies have not been performed to evaluate the carcinogenic potential or the effect on fertility of topical corticosteroids. Studies to determine mutagenicity with prednisolone and hydrocortisone have revealed negative results.
📄 Package Label / Principal Display Panel ▾
PACKAGE LABEL – PRINCIPAL DISPLAY PANEL – 1LB CONTAINER NDC 0168-0020-16 Hydrocortisone Ointment USP, 1% Rx only For External Use Only Not For Ophthalmic Use Net Wt. 453.6 g (1 lb) FOUGERA ® jar-lbl