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Molecule

Fludrocortisone

Also known as fludrocortisone acetate
Available on requestEndocrinology
Presentations
1
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0
Manufacturers
0
Available from stock
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Fludrocortisone is a prescription medicine indicated as partial replacement therapy for primary and secondary adrenocortical insufficiency in Addison’s disease and for the treatment of salt-losing adrenogenital syndrome. It is available as tablets for oral use. MedsAcross supplies Fludrocortisone for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

ATC classification
H02AA02 Fludrocortisone · Mineralocorticoid
US FDA first approval
18 August 1955
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII U0476M545BRxCUI 4452CAS 127-31-1DrugBank DB00687Q2697578

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Fludrocortisone acetate tablets, 0.1 mg are indicated as partial replacement therapy for primary and secondary adrenocortical insufficiency in Addison’s disease and for the treatment of salt-losing adrenogenital syndrome.

Source: US FDA prescribing information

Dosing overview

Dosage depends on the severity of the disease and the response of the patient. Patients should be continually monitored for signs that indicate dosage adjustment is necessary, such as remission or exacerbations of the disease and stress (surgery, infection, trauma). Addison's Disease In Addison’s disease, the combination of fludrocortisone acetate tablets with a glucocorticoid such as hydrocortisone or cortisone provides substitution therapy approximating normal adrenal activity with minimal risks of unwanted effects. The usual dose is 0.1 mg of fludrocortisone acetate tablets daily, although dosage ranging from 0.1 mg three times a week to 0.2 mg daily has been employed. In the event transient hypertension develops as a consequence of therapy, the dose should be reduced to 0.05 mg daily.

Source: US FDA prescribing information

Contraindications

Corticosteroids are contraindicated in patients with systemic fungal infections and in those with a history of possible or known hypersensitivity to these agents.

Source: US FDA prescribing information

Warnings and precautions

BECAUSE OF ITS MARKED EFFECT ON SODIUM RETENTION THE USE OF FLUDROCORTISONE ACETATE IN THE TREATMENT OF CONDITIONS OTHER THAN THOSE INDICATED HEREIN IS NOT ADVISED. Corticosteroids may mask some signs of infection, and new infections may appear during their use. There may be decreased resistance and inability to localize infection when corticosteroids are used. If an infection occurs during fludrocortisone acetate therapy, it should be promptly controlled by suitable antimicrobial therapy. Prolonged use of corticosteroids may produce posterior subcapsular cataracts, glaucoma with possible damage to the optic nerves, and may enhance the establishment of secondary ocular infections due to fungi or viruses. Average and large doses of hydrocortisone or cortisone can cause elevation of blood pressure, salt and water retention, and increased excretion of potassium.

Source: US FDA prescribing information

Side effects

Most adverse reactions are caused by the drug’s mineralocorticoid activity (retention of sodium and water) and include hypertension, edema, cardiac enlargement, congestive heart failure, potassium loss, and hypokalemic alkalosis. When fludrocortisone is used in the small dosages recommended, the glucocorticoid side effects often seen with cortisone and its derivatives are not usually a problem, however the following untoward effects should be kept in mind, particularly when fludrocortisone is used over a prolonged period of time or in conjunction with cortisone or a similar glucocorticoid. Musculoskeletal- muscle weakness, steroid myopathy, loss of muscle mass, osteoporosis, vertebral compression fractures, aseptic necrosis of femoral and humeral heads, pathologic fracture of long bones, and spontaneous fractures.

Source: US FDA prescribing information

Interactions

When administered concurrently, the following drugs may interact with adrenal corticosteroids. Amphotericin B or potassium-depleting diuretics (benzothiadiazines and related drugs, ethacrynic acid and furosemide)- enhanced hypokalemia. Check serum potassium levels at frequent intervals, use potassium supplements if necessary. Digitalis glycosides- enhanced possibility of arrhythmias or digitalis toxicity associated with hypokalemia. Monitor serum potassium levels, use potassium supplements if necessary. Oral anticoagulants- decreased prothrombin time response. Monitor prothrombin levels and adjust anticoagulant dosage accordingly. Antidiabetic drugs (oral agents and insulin)- diminished antidiabetic effect. Monitor for symptoms of hyperglycemia, adjust dosage of antidiabetic drug upward if necessary. Aspirin- increased ulcerogenic effect, decreased pharmacologic effect of aspirin.

Source: US FDA prescribing information

Storage

Store at 20° to 25°C (68° to 77°F). Excursions permitted between 15 o and 30 o C (59 o and 86 o F). (See USP Controlled Room Temperature].

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Fludrocortisone, sorted by availability.

MedicineManufacturerRegisterAvailability
Fludrocortisone 0.1 mg tabletOralGeneric name—US FDAAvailable on request

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 18 August 1955Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Fludrocortisone in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Fludrocortisone available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Fludrocortisone and sources them for licensed hospitals, importers and physicians against valid import documents.

Is Fludrocortisone approved by the US FDA?

Yes. The US FDA first approved Fludrocortisone on 18 August 1955, according to Drugs@FDA.

Does Fludrocortisone need cold chain shipping?

No listed presentation of Fludrocortisone is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Fludrocortisone in?

Fludrocortisone is classified under ATC code H02AA02 (Fludrocortisone).

References

  1. fludrocortisone acetate prescribing information (Eywa Pharma). U.S. National Library of Medicine, DailyMed. Retrieved 13 May 2026

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