Ointment
CAUTIONARY AND ADVISORY LABELS 28
EXCIPIENTS:May contain Propylene glycol
▶Cutivate(GlaxoSmithKline UK Ltd)
Fluticasone propionate 50 microgram per 1 gramCutivate 0. 005 %
ointment| 15 gramP£ 2. 27 DT = £ 2. 27 | 30 gramP£ 4. 24 DT
=£ 4. 24
eiiiiF 734
Hydrocortisone 21-Dec-2017
lINDICATIONS AND DOSE
Mild inflammatory skin disorders such as eczemas
▶TO THE SKIN
▶Child:Apply 1 – 2 times a day, to be applied thinly
Nappy rash
▶TO THE SKIN
▶Child:Apply 1 – 2 times a day for no longer than 1 week,
discontinued as soon as the inflammation subsides
POTENCY
▶Hydrocortisone cream and ointment 0. 5 to 2. 5 %: mild
lINTERACTIONS→Appendix 1 : corticosteroids
lPRESCRIBING AND DISPENSING INFORMATIONWhen
hydrocortisone cream or ointment is prescribed and no
strength is stated, the 1 % strength should be supplied.
AlthoughDioderm®contains only 0. 1 % hydrocortisone,
the formulation is designed to provide a clinical activity
comparable to that of Hydrocortisone Cream 1 % BP.
lPATIENT AND CARER ADVICEPatient counselling is advised
for hydrocortisone cream and ointment (application).
lPROFESSION SPECIFIC INFORMATION
Dental practitioners’formulary
Hydrocortisone Cream 1 % 15 g may be prescribed.
lEXCEPTIONS TO LEGAL CATEGORYSkin creams and
ointments containing hydrocortisone (alone or with other
ingredients) can be sold to the public for the treatment of
allergic contact dermatitis, irritant dermatitis, insect bite
reactions and mild to moderate eczema in patients over
10 years, to be applied sparingly over the affected area
1 – 2 times daily for max. 1 week. Over-the-counter
hydrocortisone preparations should not be sold without
medical advice for children under 10 years or for pregnant
women; they shouldnotbe sold for application to the
face, anogenital region, broken or infected skin (including
cold sores, acne, and athlete’s foot).
lMEDICINAL FORMS
There can be variation in the licensing of different medicines
containing the same drug. Forms available from special-order
manufacturers include: cream, ointment
Foam
EXCIPIENTS:May contain Cetostearyl alcohol (including cetyl and
stearyl alcohol), hydroxybenzoates (parabens), propylene glycol
▶Colifoam(Meda Pharmaceuticals Ltd)
Hydrocortisone acetate 100 mg per 1 gramColifoam 10 % aerosol
| 14 doseP£ 9. 33 DT = £ 9. 33
Cream
CAUTIONARY AND ADVISORY LABELS 28
EXCIPIENTS:May contain Benzyl alcohol, cetostearyl alcohol (including
cetyl and stearyl alcohol), hydroxybenzoates (parabens), propylene glycol
▶Hydrocortisone (Non-proprietary)
Hydrocortisone 5 mg per 1 gramHydrocortisone 0. 5 % cream|
15 gramP£ 3. 00 DT = £ 0. 79 | 30 gramP£ 2. 18 – £ 4. 90
Hydrocortisone 10 mg per 1 gramHydrocortisone 1 % cream|
15 gramP£ 10. 50 DT = £ 0. 71 | 30 gramP£ 23. 83 DT = £ 1. 42
| 50 gramP£ 36. 12 DT = £ 2. 37
Hydrocortisone 25 mg per 1 gramHydrocortisone 2. 5 % cream|
15 gramP£ 44. 00 DT = £ 4. 98 | 30 gramP£ 12. 00 – £ 88. 00
▶Dioderm(Dermal Laboratories Ltd)
Hydrocortisone 1 mg per 1 gramDioderm 0. 1 % cream|
30 gramP£ 2. 39 DT = £ 2. 39
▶Mildison Lipocream(LEO Pharma)
Hydrocortisone 10 mg per 1 gramMildison Lipocream 1 % cream|
30 gramP£ 1. 71 DT = £ 1. 42
Ointment
CAUTIONARY AND ADVISORY LABELS 28
▶Hydrocortisone (Non-proprietary)
Hydrocortisone 5 mg per 1 gramHydrocortisone 0. 5 % ointment|
15 gramP£ 5. 67 DT = £ 5. 67 | 30 gramP£ 12. 00
Hydrocortisone 10 mg per 1 gramHydrocortisone 1 % ointment|
15 gramP£ 10. 50 DT = £ 0. 70 | 30 gramP£ 23. 83 DT = £ 1. 40
| 50 gramP£ 36. 12 DT = £ 2. 33
Hydrocortisone 25 mg per 1 gramHydrocortisone 2. 5 % ointment|
15 gramP£ 44. 00 DT = £ 25. 08 | 30 gramP£ 50. 16 – £ 88. 00
Combinations available:Hydrocortisone with benzalkonium
chloride, dimeticone and nystatin,p. 743 .Hydrocortisone with
chlorhexidine hydrochloride and nystatin,p. 743.
Hydrocortisone with clotrimazole,p. 743 .Hydrocortisone with
fusidic acid,p. 743 .Hydrocortisone with miconazole,p. 744.
Hydrocortisone with oxytetracycline,p. 744
eiiiiF 734
Hydrocortisone butyrate 21-Dec-2017
lINDICATIONS AND DOSE
Severe inflammatory skin disorders such as eczemas
unresponsive to less potent corticosteroids|Psoriasis
▶TO THE SKIN
▶Child 1–17 years:Apply 1 – 2 times a day, to be applied
thinly
POTENCY
▶Hydrocortisone butyrate 0. 1 % cream, liquid, and
ointment: potent
lPATIENT AND CARER ADVICEPatients or carers should be
given advice on how to administer hydrocortisone butyrate
lotion, cream, ointment and scalp lotion.
Medicines for Children leaflet: Hydrocortisone (topical) for
eczemawww.medicinesforchildren.org.uk/hydrocortisone-
topical-for-eczema
lMEDICINAL FORMS
There can be variation in the licensing of different medicines
containing the same drug. Forms available from special-order
manufacturers include: ointment
Ointment
CAUTIONARY AND ADVISORY LABELS 28
▶Locoid(LEO Pharma)
Hydrocortisone butyrate 1 mg per 1 gramLocoid 0. 1 % ointment|
30 gramP£ 1. 60 DT = £ 1. 60 | 100 gramP£ 4. 93 DT = £ 4. 93
Cream
CAUTIONARY AND ADVISORY LABELS 28
EXCIPIENTS:May contain Benzyl alcohol, cetostearyl alcohol (including
cetyl and stearyl alcohol), hydroxybenzoates (parabens)
▶Locoid(LEO Pharma)
Hydrocortisone butyrate 1 mg per 1 gramLocoid 0. 1 % cream|
30 gramP£ 1. 60 DT = £ 1. 60 | 100 gramP£ 4. 93 DT = £ 4. 93
▶Locoid Lipocream(LEO Pharma)
Hydrocortisone butyrate 1 mg per 1 gramLocoid 0. 1 % Lipocream
| 30 gramP£ 1. 69 DT = £ 1. 60 | 100 gramP£ 5. 17 DT = £ 4. 93
Liquid
CAUTIONARY AND ADVISORY LABELS15 (excluding Locoid Crelo
topical emulsion), 28
EXCIPIENTS:May contain Butylated hydroxytoluene, cetostearyl alcohol
(including cetyl and stearyl alcohol), hydroxybenzoates (parabens),
propylene glycol
▶Locoid(LEO Pharma)
Hydrocortisone butyrate 1 mg per 1 mlLocoid 0. 1 % scalp lotion|
100 mlP£ 6. 83 DT = £ 6. 83
▶Locoid Crelo(LEO Pharma)
Hydrocortisone butyrate 1 mg per 1 gramLocoid Crelo 0. 1 %
topical emulsion| 100 gramP£ 5. 91
BNFC 2018 – 2019 Eczema and psoriasis 739
Skin
13