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Hydrocortisone ointment: instructions for use, analogues, contraindications

The active ingredient of the hormonal drug Hydrocortisone ointment is a glucocorticosteroid, which has an anti-inflammatory, antiallergic, anti-edema effect, and also eliminates skin itching.

The tool is used externally and has a number of side effects, which everyone should know about.


Pharmacological action of the drug

The active ingredient of the drug is a synthetic analogue of the hormones of the adrenal cortex. The ointment is available in two versions - eye with a concentration of 0.5% and for use on the skin - 1%.

The drug relieves the inflammatory response in the skin by reducing the migration of lymphocytes and white blood cells in the affected area and suppressing the production of prostaglandins - the direct participants of inflammation and pain.

hydrocartisone ointment

The next pharmacological effect of Hydrocortisone ointment is to eliminate the itch, anti-exudative effect.

The tool reduces the production of collagen, blocks the activity of fibroblasts. This reduces the risk of scarring in the area of ​​inflammation and growth of connective tissue, for example, in psoriasis.

Hydrocortisone ointment is effective for the rapid elimination of edema in acute allergic reactions. The drug retains moisture in the skin and has a keratolytic (softening) effect, therefore, its use is effective for dry psoriatic and eczematous lesions.

After applying hydrocortisone accumulates in the granular layer of the epidermis, here, and later in the liver, its metabolism (decomposition) begins. The substance is removed with bile through the intestines and urine.

What is used hydrocortisone ointment?

The drug is used for the local treatment of inflammatory and allergic skin pathologies. The following indications are indicated in the instructions for use of hydrocortisone ointment:

  • psoriatic lesions;
  • contact and allergic dermatitis ;
  • eyelid pathology (blepharitis, conjunctivitis, keratoconjunctivitis, dermatitis);
  • neurodermatitis;
  • prurigo ;
  • flat red warty versicolor;
  • seborrhea;
  • different forms of eczema.

See our review of hormonal and non-hormonal psoriasis ointments .

Hydrocortisone ointment - instructions for use

Instructions for use hydrocortisone ointment

Instructions for use hydrocortisone ointment

The ointment is applied to the skin with a thin layer 2-4 times a day and gently rubbed. If inflammatory infiltration takes place, the agent is used with an occlusive dressing - this is a sealed insulation of the skin from moisture and air.

The duration of the treatment course is 1-2 weeks; it can be changed at the discretion of the doctor depending on the severity and type of the disease.

In the treatment of blepharitis and other eye diseases, from 3 to 5 times per day, Hydrocortisone ointment is applied to the lower eyelid, squeezing 1 cm of the drug out of the tube. During the application of the head should be thrown back, and then close your eyes.

If the ointment is injected into the conjunctival area, then it is important to use caution without touching the nose of the mucous tube.

Such combination as ultrasound with hydrocortisone ointment is often used.

This procedure is called phonophoresis, it is effective in the treatment of post-burn scars, neuralgia, joint and gynecological pathologies, muscular atrophy, trophic ulcers, varicose lesions, diseases of the upper respiratory tract, fractures of the tubular bones and painful injuries.

Hydrocortisone anti-wrinkle ointment

There are several theories of aging, and one of them suggests that age-related skin changes are due to a decrease in the production of steroid hormones in the adrenal cortex. In this regard, many many wonder if it is possible to use Hydrocortisone wrinkle ointment?

The fight against aging of the skin and anti-aging care for it require regularity, therefore, the use of hydrocortisone for this purpose is not only unjustified, but also risky.

The use of ointment for 1-2 weeks will give a short-term effect, and a long period of application is fraught with at least an increase in wrinkles, and in the worst case, atrophy of the skin, disruption of the internal organs, diabetes and other systemic and endocrine problems.

For the extension of youth, it is better to choose an integrated approach, including facial massage, the use of oils and special cosmetic creams, proper nutrition and taking vitamins.

Hydrocortisone ointment for children

Hydrocortisone ointment may be used for children, starting from the age of two, but only for the intended purpose and under strict medical supervision. The duration of the course is also determined only by a doctor.

When applying the ointment can not be applied fixing or warming dressings, that is, it is unacceptable to increase the absorption of hydrocortisone. Up to 12 years of age can not be applied to the area of ​​the anus.

Children are often prescribed antibiotic or antifungal medications with this drug. If during the week the treatment with Hydrocortisone ointment did not bring results or at least relief, you should stop using it and consult a doctor.

In children, suppression of the activity of the adrenal cortex and the production of growth hormones develops faster than in adults, therefore, the use of any hormonal agents should be carried out carefully.

Hydrocortisone ointment - analogues

The list of analogues hydrocortisone ointment:

  • Hydrocort;
  • Korteyd;
  • Hayton;
  • Lokoid;
  • Latikort;
  • Hydrocortisone Nycomed;
  • Acortin.

Side effects

side effects of hydrocortisone ointment If the drug is used as prescribed by the doctor and in strictly recommended dosages, this does not cause suppression of the endocrine system and the development of complications. Otherwise, there is a high risk of allergic reactions.

With prolonged use, side effects of hydrocortisone ointment can be systemic due to impaired pituitary, adrenal cortex and hypothalamus.

Local side effects:

  • on the part of the skin - atrophy, stretch marks, fungal skin infections, acne, pigmentation disorders, hemorrhages and slow healing of wounds and injuries;
  • on the part of the eyes - cataract, deterioration or loss of vision, secondary eye infections, increase in intraocular pressure.

Systemic abnormalities:

  • diabetes mellitus ;
  • osteoporosis due to leaching of calcium;
  • cramps and muscle pain, malfunction of the heart due to leaching of potassium;
  • swelling due to the delay in the body sodium and water;
  • obesity;
  • weakening of immunity;
  • excessive sweating;
  • problems with digestion and liver function, steroid gastric ulcer;
  • hypertension, thrombosis, tachycardia (acceleration of heart rate).


Do not use the drug in case of individual intolerance to hydrocortisone and other glucocorticoids. Hydrocortisone ointment is also contraindicated for:

  • syphilis rashes ;
  • tuberculosis of the eyes and skin;
  • in the post-vaccination period;
  • skin cancer;
  • at the age of two years;
  • viral, fungal and bacterial infections in the eyes and skin;
  • impaired integrity of the skin (ulcers, wounds, abrasions) or epithelium of the eyes;
  • perioral dermatitis;
  • acne vulgaris and rosacea ;
  • trachoma


Hydrocortisone ointment should be stored in a place protected from children and animals at an air temperature of 10-20 ° C. The shelf life of the drug is 3 years.


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