Hydrocortisone
/api/v1/drug/hydrocortisoneMechanism of action
Sourced from openFDAMechanism-of-action classes: Corticosteroid Hormone Receptor Agonists; Glucocorticoid Receptor Agonists; Lipoxygenase Inhibitors.
Indications
Sourced from openFDA- Uses • temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: • eczema • psoriasis • poison ivy, oak, sumac • insect bites • detergents • jewelry • cosmetics • soaps • seborrheic dermatitis • temporarily relieves external anal and genital itching • other uses of this product should only be under the advice and supervision of a doctorICD-10: L40.9
Dosage & administration
Sourced from openFDADirections • for itching of skin irritation, inflammation, and rashes: • adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily • children under 2 years of age: do not use, ask a doctor • for external anal and genital itching, adults: • when practical, clean the affected area with mild soap and warm water and rinse thoroughly • gently dry by patting or blotting with toilet tissue or a soft cloth before applying • apply to affected area not more than 3 to 4 times daily • children under 12 years of age: ask a doctor
Warnings & precautions
Sourced from openFDAFor external use only Do not use • in the genital area if you have a vaginal discharge. Consult a doctor. • for the treatment of diaper rash. Consult a doctor. When using this product • avoid contact with the eyes • do not use more than directed unless told to do so by a doctor • do not put directly into the rectum by using fingers or any mechanical device or applicator Stop use and ask a doctor if • condition worsens symptoms persist for more than 7 days or clear up and occur again within a few days, and do not begin use of any other hydrocortisone product unless you have asked a doctor • rectal bleeding occurs Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away (1-800-222-1222).
Approval history
Sourced from openFDA- Dec 15, 1952NDANDA008697Pharmacia And Upjohn
- Apr 27, 1955NDANDA009866Pharmacia And Upjohn
- Jun 23, 1961NDANDA012770Saptalis Pharms
- May 17, 1962NDANDA050356Ph Health
- Jan 12, 1966NDANDA016199Ani Pharms
- May 25, 1975NDANDA060613Casper Pharma Llc
- Feb 12, 1982NDANDA017351Viatris
- Oct 29, 1982NDANDA018652Precision Dermat
FAERS reports
- 1Off Label Use14,65212%
- 2Drug Ineffective13,67611%
- 3Fatigue12,26910%
- 4Pain10,6328.8%
- 5Arthralgia9,4827.8%
- 6Nausea9,4067.8%
- 7Diarrhoea8,8717.3%
- 8Rash8,7617.2%
- 9Condition Aggravated8,7237.2%
- 10Headache8,4957.0%
- 11Dyspnoea8,2346.8%
- 12Pyrexia7,3236.0%
- 13Vomiting6,9315.7%
- 14Malaise6,4675.3%
- 15Pruritus6,4365.3%
Literature
Recent PubMed references pinned to Hydrocortisone as a MeSH major topic. Citations link to pubmed.ncbi.nlm.nih.gov.
- Effect of supplemental hydrocortisone during stress in prednisolone-induced adrenal insufficiency: a study protocol for a multicentre, randomised, double-blinded, placebo-controlled clinical trial on health-related quality of life in patients with polymyalgia rheumatica/giant cell arteritis on low-dose prednisolone treatment (the RESCUE study).BMJ open · 2026 · Borresen SW, Hansen SB, Al-Jorani H, et al.PMID 42276802DOI 10.1136/bmjopen-2025-113110
- Analytical and clinical agreement between the Siemens Immulite 2000 veterinary cortisol and standard cortisol assays in canine serum.Journal of veterinary internal medicine · 2026 · Oikonomidis IL, Attipa C, Iseberi A, et al.PMID 42247662DOI 10.1093/jvimsj/aalag105
- Biochemical diagnosis of hypercortisolism: When and how?Vitamins and hormones · 2026 · Asla Q, Urgell E, Terzan S, et al.PMID 42236015DOI 10.1016/bs.vh.2026.03.001
- New tools for the diagnosis of hypercortisolism.Vitamins and hormones · 2026 · Zhao Q, Sima OC, Estape M, et al.PMID 42236014DOI 10.1016/bs.vh.2026.02.007
- Mild autonomous cortisol secretion: Diagnosis.Vitamins and hormones · 2026 · Pinto L, Donato SPMID 42236010DOI 10.1016/bs.vh.2026.02.005
- Avoiding false-positive adrenal insufficiency diagnoses in children: insights from cortisol kinetics during pediatric low-dose ACTH stimulation test.European journal of pediatrics · 2026 · Tepe D, Çetin SK, Gökdemir İ, et al.PMID 42228004DOI 10.1007/s00431-026-07129-5
- Parental history of psychological abuse and adolescent internalizing and externalizing problems: Psychophysiological pathways in intergenerational associations.Applied psychology. Health and well-being · 2026 · Xiang S, Wesarg-Menzel C, Chen M, et al.PMID 42227233DOI 10.1111/aphw.70171
- 68Ga-Pentixafor PET/CT for diagnosing surgically curable primary aldosteronism concurrent with autonomous cortisol secretion.Journal of hypertension · 2026 · Jiang Y, Zhang X, Zeng Q, et al.PMID 42201658DOI 10.1097/HJH.0000000000004319
Clinical trials
The 10 most recently updated of 1,513 ClinicalTrials.gov registrations naming Hydrocortisone as an intervention. Registration is not evidence of efficacy or safety — reference crosswalk only.
- A Study to Compare Blinatumomab Alone to Blinatumomab With Nivolumab in Patients Diagnosed With First Relapse B-Cell Acute Lymphoblastic Leukemia (B-ALL)Recruiting · Phase 2 · Interventional · 461 enrolled · National Cancer Institute (NCI)NCT04546399updated 2026-06-12
- Hématologie Adulte Prevalence of Adrenal Insufficiency Post-chemotherapy Adrenocorticotropia in Adult HematologyWithdrawn · Interventional · 0 enrolled · Rennes University HospitalNCT03688789updated 2026-06-12
- Influence of Dermocorticoids on Bone Mineral Density in Patients With Bullous PemphigoidCompleted · Phase 4 · Interventional · 47 enrolled · Centre Hospitalier Universitaire, AmiensNCT03926377updated 2026-06-12
- A Study to Compare Standard Therapy to Treat Hodgkin Lymphoma to the Use of Two Drugs, Brentuximab Vedotin and NivolumabRecruiting · Phase 3 · Interventional · 1,875 enrolled · National Cancer Institute (NCI)NCT05675410updated 2026-06-12
- Microbiota Profiles in Newly Married Couples: Potential Effects on Vision, Sleep and Psychometric ParametersCompleted · Observational · 1,740 enrolled · Reza RastmaneshNCT06638606updated 2026-06-11
- Impact of Cocaine Use and Withdrawal on SleepRecruiting · Observational · 32 enrolled · Hôpital le VinatierNCT07119567updated 2026-06-11
- Testing the Addition of the Anti-cancer Drug Venetoclax and/or the Anti-cancer Immunotherapy Blinatumomab to the Usual Chemotherapy Treatment for Infants With Newly Diagnosed KMT2A-rearranged or KMT2A-non-rearranged LeukemiaRecruiting · Phase 2 · Interventional · 153 enrolled · National Cancer Institute (NCI)NCT06317662updated 2026-06-11
- Effect of Magnesium-, Vitamin C- and Grape Seed Extract-Enriched Date Bars on Perceived Stress and Salivary Cortisol Levels in Young WomenActive not recruiting · Interventional · 30 enrolled · K.G. Razumovsky Moscow State University of Technologies and ManagementNCT07585422updated 2026-06-10
- TEAS for Sedation During ERCP: A Multicenter Trial With Mechanistic SubstudyNot yet recruiting · Interventional · 130 enrolled · Beijing 302 HospitalNCT07440342updated 2026-06-10
- Timing Of Midazolam İn Children Undergoing Adenotonsillectomy: Effects On Stress, Cortisol, And RecoveryNot yet recruiting · Interventional · 100 enrolled · Erzurum City HospitalNCT07622641updated 2026-06-10
Structural analogs
Ranked by 2D fingerprint (Tanimoto) similarity over PubChem structures. Structural proximity only — not a claim of therapeutic equivalence.
Frequently asked questions
- How does Hydrocortisone work?
- Mechanism-of-action classes: Corticosteroid Hormone Receptor Agonists; Glucocorticoid Receptor Agonists; Lipoxygenase Inhibitors.
- What is Hydrocortisone used for?
- According to FDA labeling, Hydrocortisone carries indications including: Uses • temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: • eczema • psoriasis • poison ivy, oak, sumac • insect bites • detergents • jewelry • cosmetics • soaps • seborrheic dermatitis • temporarily relieves external anal and genital itching • other uses of this product should only be under the advice and supervision of a doctor. This is a reference summary of labeled uses, not medical advice or a treatment recommendation.
- What class of drug is Hydrocortisone?
- Hydrocortisone is classified as Corticosteroids, Corticosteroids acting locally, Corticosteroids/antiinfectives/mydriatics in combination, Corticosteroids for local oral treatment, Corticosteroids, plain, Corticosteroids, weak (group I), Corticosteroids, weak, other combinations, Glucocorticoids, Corticosteroid, Corticosteroid Hormone Receptor Agonists, Glucocorticoid Receptor Agonists, Lipoxygenase Inhibitors, Carbohydrate Metabolism Alteration, Decreased Capillary Permeability, Decreased Fibroblast Migration, Decreased Glucocorticoid Secretion, Decreased Leukotriene Activity, Decreased Lysosomal Function, Decreased Polymorphonuclear Leukocyte Migration, Decreased Prostaglandin Activity, Decreased Protein Synthesis, Decreased Thromboxane Activity, Lipid Metabolism Alteration.
- What are the brand names for Hydrocortisone?
- Hydrocortisone is marketed under brand names including Ala-Cort, Ala-Scalp, Alcortin, Alcortin A, Alkindi, Alocane Anti-Itch, Ana-Lex, Analpram HC.
hydrocortisone is illustrative MVP content compiled from public sources. pharmacopeia is for educational and informational use only and is not a substitute for professional medical advice.