Cortifoam

— THERAPEUTIC CATEGORIES —
  • Colorectal disorders

Cortifoam Generic Name & Formulations

General Description

Hydrocortisone acetate 10%; aerosol foam.

Pharmacological Class

Steroid.

How Supplied

Aerosol—15g (w. applicator)

Manufacturer

Cortifoam Indications

Indications

Adjunct in ulcerative proctitis in patients who cannot retain steroid enemas.

Cortifoam Dosage and Administration

Adult

1 applicatorful rectally (80mg hydrocortisone) 1–2 times daily for 2–3 weeks. Then every other day. Discontinue if no improvement within 2–3 weeks.

Children

Not recommended.

Cortifoam Contraindications

Contraindications

Rectal obstruction. Abscess. Perforation. Peritonitis. Fresh intestinal anastomoses. Extensive fistulas and sinus tracts. Tuberculosis. Ocular herpes simplex. Psychosis. Peptic ulcer. Glomerulonephritis. Myasthenia gravis. Osteoporosis. Diverticulitis. Thrombophlebitis. Diabetes. Hyperthyroidism. Acute coronary disease. Hypertension. Limited cardiac reserve. Infections.

Cortifoam Boxed Warnings

Not Applicable

Cortifoam Warnings/Precautions

Warnings/Precautions

Postileorectostomy: not recommended. Exposure to varicella or vaccinia. Severe ulcerative disease. CHF. Renal or hepatic dysfunction. Monitor adrenal function and serum electrolytes. Avoid abrupt cessation. Vaccinations. Pregnancy (Cat.C). Nursing mothers.

Cortifoam Pharmacokinetics

See Literature

Cortifoam Interactions

Interactions

May antagonize insulin or oral hypoglycemics, anticoagulants, aspirin. Hypokalemia with amphotericin B or diuretics. May be potentiated by macrolides, cyclosporine.

Cortifoam Adverse Reactions

Adverse Reactions

Hypertension, fluid retention, hypokalemia, adrenal suppression, cataracts, glaucoma, psychosis, dysmenorrhea, myopathy, neuropathy, thrombophlebitis, peptic ulcer, impaired wound healing, convulsions, local irritation (folliculitis, hypertrichosis, acne, hypopigmentation, macerations, dermal and epidermal atrophy, secondary infections, striae, miliaria).

Cortifoam Clinical Trials

See Literature

Cortifoam Note

Not Applicable

Cortifoam Patient Counseling

See Literature