Hydrocortisone (By injection)

A-Hydrocort, Solu-CORTEF, Solu-CORTEF 1000mg Vial, Solu-CORTEF 100mg Vial, Solu-CORTEF 250mg Vial, Solu-CORTEF 500mg Vial

Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot into a muscle or into a vein.
• A nurse or other health provider will give you this medicine.
• Missed dose: Call your doctor or pharmacist for instructions.

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some medicines can affect how hydrocortisone works. Tell you doctor if you are also using any of the following:
  • Aminoglutethimide, amphotericin B, carbamazepine, cholestyramine, cyclosporine, digitalis, isoniazid, ketoconazole, or phenytoin
  • An antibiotic (including azithromycin, clarithromycin, erythromycin, rifampin, troleandomycin)
  • Blood thinner (including warfarin)
  • A diuretic (water pill)
  • Estrogen, including oral contraceptive
  • Medicine for diabetes (including insulin)
  • An NSAID (including aspirin, celecoxib, diclofenac, ibuprofen, naproxen)
• This medicine may interfere with vaccines. Ask your doctor before you get a flu shot or any other vaccines.

• Tell your doctor if you are pregnant or breastfeeding, of if you have heart problems, high blood pressure, diabetes, kidney disease, liver disease (including cirrhosis), osteoporosis, thyroid problems, stomach or bowel problems (including ulcer, colitis, or diverticulitis), mental health problems (including depression or psychosis), pheochromocytoma (adrenal tumor), tuberculosis, or myasthenia gravis.
• This medicine may cause the following problems:
  • Adrenal gland problems
  • Cataracts or glaucoma
  • High blood pressure
  • Hyperglycemia (high blood sugar levels)
  • Increased risk for bone fractures and slow growth in children
• This medicine may cause you to get infections more easily. Tell your doctor if you have any type of infection before you start treatment. Avoid people who are sick or have infections. If you are exposed to chickenpox or measles, tell your doctor right away.
• Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Depression, mood swings, trouble sleeping, unusual thoughts, feelings, or behavior
• Dry mouth, increased thirst, muscle cramps, nausea or vomiting, uneven heartbeat
• Eye pain, vision changes
• Fever, chills, cough, sore throat, body aches
• Swelling in your hands, ankles, or feet

If you notice these less serious side effects, talk with your doctor:

• Changes in menstrual periods
• Headache
• Muscle pain or weakness
• Pain, itching, burning, swelling, or a lump under your skin where the shot was given
• Weight gain around your neck, upper back, breast, face or waist

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088