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Molecule

Hydrocortisone

Also known as hydrocortisone acetate, hydrocortisone sodium succinate
Presentations
37
Brands
14
Manufacturers
12
Available from stock
0

Hydrocortisone is a corticosteroid indicated in conditions. It is available as cream, tablets and ointment for topical, oral and intramuscular use. MedsAcross supplies Hydrocortisone 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

Pharmacological class
Corticosteroid, Corticosteroid Hormone Receptor Agonists
ATC classification
A01AC03 Hydrocortisone · Medications used in dentistry and periodontics, subgroup A01ACA07EA02 Hydrocortisone · Diarrhoea treatments and intestinal anti-inflammatories, subgroup A07E, subgroup A07EAC05AA01 Hydrocortisone · Vein and capillary protectors, subgroup C05A, subgroup C05AAD07AA02 Hydrocortisone · Corticosteroids for the skin, subgroup D07A, subgroup D07AAD07XA01 Hydrocortisone · Corticosteroids for the skin, subgroup D07X, subgroup D07XAH02AB09 Hydrocortisone · GlucocorticoidS01BA02 Hydrocortisone · Eye medicines, subgroup S01B, subgroup S01BAS01CB03 Hydrocortisone · Eye medicines, subgroup S01C, subgroup S01CBS02BA01 Hydrocortisone · Corticosteroid
US FDA first approval
21 December 1951
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Topical, Oral, Intramuscular, Intravenous, Rectal
Dosage forms
Cream, Tablet, Ointment, Powder for injection, Lotion, Granules, Injection, Enema
Identifiers
UNII WI4X0X7BPJRxCUI 5492CAS 50-23-7DrugBank DB00741Q190875

Clinical information

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

Uses

Hydrocortisone tablets are indicated in the following conditions. 1. Endocrine Disorders Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the first choice, synthetic analogs may be used in conjunction with mineralocorticoids where applicable, in infancy mineralocorticoid supplementation is of particular importance) Congenital adrenal hyperplasia Non suppurative thyroiditis Hypercalcemia associated with cancer 2.

Source: US FDA prescribing information

How it works

ACTIONS Naturally occurring glucocorticoids (hydrocortisone and cortisone), which also have salt-retaining properties, are used as replacement therapy in adrenocortical deficiency states. Their synthetic analogs are primarily used for their potent anti-inflammatory effects in disorders of many organ systems. Glucocorticoids cause profound and varied metabolic effects. In addition, they modify the body’s immune responses to diverse stimuli.

Source: US FDA prescribing information

Dosing overview

The initial dosage of hydrocortisone tablets may vary from 20 mg to 240 mg of hydrocortisone per day depending on the specific disease entity being treated. In situations of less severity lower doses will generally suffice while in selected patients higher initial doses may be required. The initial dosage should be maintained or adjusted until a satisfactory response is noted. If after a reasonable period of time there is a lack of satisfactory clinical response, hydrocortisone should be discontinued and the patient transferred to other appropriate therapy. 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.

Source: US FDA prescribing information

Warnings and precautions

In patients on corticosteroid therapy subjected to unusual stress, increased dosage of rapidly acting corticosteroids before, during, and after the stressful situation is indicated. Immunosuppression and Increased Risk of Infection Corticosteroids, including CORTEF, suppress the immune system and increase the risk of infection with any pathogen, including viral, bacterial, fungal, protozoan, or helminthic pathogens. Corticosteroids can: • Reduce resistance to new infections • Exacerbate existing infections • Increase the risk of disseminated infections • Increase the risk of reactivation or exacerbation of latent infections • Mask some signs of infection Corticosteroid-associated infections can be mild but can be severe and at times fatal. The rate of infectious complications increases with increasing corticosteroid dosages.

Source: US FDA prescribing information

Side effects

Fluid and Electrolyte Disturbances Sodium retention Fluid retention Congestive heart failure in susceptible patients Potassium loss Hypokalemic alkalosis Hypertension Musculoskeletal Muscle weakness Steroid myopathy Loss of muscle mass Osteoporosis Tendon rupture, particularly of the Achilles tendon Vertebral compression fractures Aseptic necrosis of femoral and humeral heads Pathologic fracture of long bones Gastrointestinal Peptic ulcer with possible perforation and hemorrhage Pancreatitis Abdominal distention Ulcerative esophagitis Increases in alanine transaminase (ALT, SGPT), aspartate transaminase (AST, SGOT) and alkaline phosphatase have been observed following corticosteroid treatment. These changes are usually small, not associated with any clinical syndrome and are reversible upon discontinuation.

Source: US FDA prescribing information

Interactions

The pharmacokinetic interactions listed below are potentially clinically important. Drugs that induce hepatic enzymes such as phenobarbital, phenytoin and rifampin may increase the clearance of corticosteroids and may require increases in corticosteroid dose to achieve the desired response. Drugs such as troleandomycin and ketoconazole may inhibit the metabolism of corticosteroids and thus decrease their clearance. Therefore, the dose of corticosteroid should be titrated to avoid steroid toxicity. Corticosteroids may increase the clearance of chronic high dose aspirin. This could lead to decreased salicylate serum levels or increase the risk of salicylate toxicity when corticosteroid is withdrawn. Aspirin should be used cautiously in conjunction with corticosteroids in patients suffering from hypoprothrombinemia. The effect of corticosteroids on oral anticoagulants is variable.

Source: US FDA prescribing information

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

All presentations

37 presentations of Hydrocortisone, sorted by availability.

MedicineManufacturerRegisterAvailability
Hydrocortisone 2.5% creamTopicalGeneric name—US FDAAvailable on request
Hydrocortisone 5 mg tabletOralGeneric name—US FDAAvailable on request
Hydrocortisone 10 mg tabletOralGeneric name—US FDAAvailable on request
Hydrocortisone 20 mg tabletOralGeneric name—US FDAAvailable on request
Hydrocortisone 2.5% ointmentTopicalGeneric name—US FDAAvailable on request
Hydrocortisone 1% creamTopicalGeneric name—US FDAAvailable on request
Hydrocortisone 25 mg/mL lotionTopicalGeneric name—US FDAAvailable on request
Proctozone-hc 2.5% creamTopicalRising Pharma HoldingsUS FDAAvailable on request
Solu-Cortef 100 mg/2 mL powder for injectionIntramuscular, intravenousPharmacia & UpjohnUS FDAAvailable on request
Procto-Med HC 2.5% creamTopicalLeading PharmaUS FDAAvailable on request
Hydrocortisone 100 mg/2 mL powder for injectionIntramuscular, intravenousGeneric name—US FDAAvailable on request
Hydrocortisone 100 mg/2 mL injectionIntramuscular, intravenousGeneric name—US FDAAvailable on request
Solu-Cortef 1000 mg/8 mL powder for injectionIntramuscular, intravenousPharmacia & UpjohnUS FDAAvailable on request
Alacort 2.5% creamTopicalCrown LaboratoriesUS FDAAvailable on request
Hydrocortisone 2% creamTopicalGeneric name—US FDAAvailable on request
Hydrocortisone Rectal Suspension (Retention) 100 mg/60 mL rectal suspensionRectalChartwell RXUS FDAAvailable on request
Proctosol-HC 2.5% creamTopicalSun Pharmaceutical IndustriesIndiaUS FDAAvailable on request
Ala-Scalp 20 mg/mL lotionTopicalDerm VenturesUS FDAAvailable on request
Alacort 1% creamTopicalCrown LaboratoriesUS FDAAvailable on request
Cortenema 100 mg/60 mL enemaRectalANI PharmaceuticalsUS FDAAvailable on request
Hydrocortisone 1% ointmentTopicalGeneric name—US FDAAvailable on request
Hydrocortisone 100 mg/60 mL rectal suspensionRectalGeneric name—US FDAAvailable on request
Hydrocortisone 20 mg/mL lotionTopicalGeneric name—US FDAAvailable on request
Alkindi Sprinkle 0.5 mg granulesOralEton PharmaceuticalsUS FDAAvailable on request
Alkindi Sprinkle 1 mg granulesOralEton PharmaceuticalsUS FDAAvailable on request
Alkindi Sprinkle 2 mg granulesOralEton PharmaceuticalsUS FDAAvailable on request
Alkindi Sprinkle 5 mg granulesOralEton PharmaceuticalsUS FDAAvailable on request
Anusol HC 2.5% creamTopicalSalix PharmaceuticalsUS FDAAvailable on request
Cortef 10 mg tabletOralPharmacia & UpjohnUS FDAAvailable on request
Cortef 20 mg tabletOralPharmacia & UpjohnUS FDAAvailable on request
Cortef 5 mg tabletOralPharmacia & UpjohnUS FDAAvailable on request
Cortifoam 10% foamTopicalViatris SpecialtyUS FDAAvailable on request
Hydrocortisone 100 mg/60 mL enemaRectalGeneric name—US FDAAvailable on request
Hydrocortisone 25 mg/mL topical solutionTopicalGeneric name—US FDAAvailable on request
Hydrocortisone 250 mg/2 mL powder for injectionIntramuscular, intravenousGeneric name—US FDAAvailable on request
Khindivi 1 mg/mL oral solutionOralEton PharmaceuticalsUS FDAAvailable on request
Texacort 25 mg/mL topical solutionTopicalMission PharmacalUS FDAAvailable on request

Brands by market

14 brand names across 1 markets.

Brand names by country

Manufacturers

Indian manufacturers are highlighted.

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 21 December 1951Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

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

Questions and answers

Is Hydrocortisone available for export from India?

Yes, on request. MedsAcross lists 37 presentations of Hydrocortisone and sources them for licensed hospitals, importers and physicians against valid import documents. Indian manufacturers include Sun Pharmaceutical Industries.

What brand names does Hydrocortisone have?

The catalogue lists 14 brand names for Hydrocortisone, including Ala-Scalp, Alacort, Alkindi Sprinkle, Anusol HC, Cortef, Cortenema, Cortifoam, Hydrocortisone Rectal Suspension (Retention).

Is Hydrocortisone approved by the US FDA?

Yes. The US FDA first approved Hydrocortisone on 21 December 1951, according to Drugs@FDA.

Is Hydrocortisone authorised in the European Union?

Yes. Hydrocortisone has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Hydrocortisone need cold chain shipping?

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

Which ATC class is Hydrocortisone in?

Hydrocortisone is classified under ATC code A01AC03 (Hydrocortisone).

References

  1. Hydrocortisone prescribing information (Mylan Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 25 May 2026
  2. Alkindi: European public assessment report (EPAR). European Medicines Agency. Retrieved 2 July 2026
  3. Efmody: European public assessment report (EPAR). European Medicines Agency. Retrieved 9 June 2026

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