JR Hydrocortisone Tablet 5 mg

Adult dose

As hydrocortisone, 10-120 mg per day, taken orally in 1-4 divided doses. Adjust as appropriate based on age and symptoms.

This medication should not be used in certain patients. For example, patients allergic to this medication or its components, or those with infections lacking effective antibacterial agents or systemic fungal infections may experience worsening of their infections if this medication is used. Additionally, patients with herpes simplex, herpes zoster, or chickenpox should not receive this medication. This medication contains lactose, so patients with hereditary issues such as galactose intolerance, lactase deficiency, or glucose-galactose malabsorption should not take it. Caution should be exercised when using this medication in some cases. For instance, patients with tuberculous disease or herpes simplex keratitis should use it carefully, as infections may worsen if necessary precautions are not taken. Patients with posterior subcapsular cataract may experience worsening of their cataract, and those with hypertension should be cautious due to potential rises in blood pressure. Patients with electrolyte abnormalities may experience issues such as sodium retention or hypokalemia, while those with thrombotic disorders may have increased blood clotting, worsening their symptoms. Recent surgical patients may have delayed wound healing, and patients with peptic ulcers may see worsening of their ulcers. Patients with mental illness may experience worsening of their symptoms, and severe osteoporosis patients may have further weakening of their bones. Patients with glaucoma may experience increases in intraocular pressure, worsening symptoms, and patients with acute myocardial infarction may be at risk for cardiac issues. Furthermore, patients with diabetes, renal failure, congestive heart failure, hypothyroidism, cirrhosis, fatty liver, myasthenia gravis, and the elderly need special caution when administering this medication. There may be side effects when using this medication, so symptoms should be closely monitored. Infections may appear or worsen, along with adrenal insufficiency, elevated blood sugar, growth suppression, menstrual irregularities, skin changes, etc. Gastrointestinal side effects may include abdominal pain, diarrhea, nausea, and ulcers, while psychiatric side effects may involve insomnia, depression, and headaches. Musculoskeletal issues may include osteoporosis, myalgia, and increased risk of fractures, and fluid and electrolyte imbalances may result in edema or elevated blood pressure. There is also a risk of eye problems leading to glaucoma or cataracts, necessitating regular examinations. A range of other side effects may occur, such as skin reactions, blood abnormalities, and heart issues, so immediate consultation with healthcare professionals is needed for any unusual symptoms. This medication can interact with other drugs, so caution is advised with concomitant use. In particular, when used with medications affecting cardiac rhythm, antiarrhythmics, some antibiotics, anticoagulants, diuretics, and hypoglycemic agents, dosage adjustments and monitoring are necessary. Additionally, this medication may weaken immune responses during live vaccine administration, so vaccination plans should be discussed with a physician. During pregnancy, it should only be used when absolutely necessary as it may affect the fetus, and during lactation, it may be transmitted through breast milk, requiring cessation of breastfeeding. In children, side effects such as growth delays may occur, so the minimum effective dosage should be used and growth should be closely monitored. In the elderly, there is a higher risk of side effects related to infections, diabetes, osteoporosis, hypertension, cataracts, and glaucoma; hence, careful administration and close monitoring of their condition are required.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweats, pallor, severe rash with high fever, blisters, skin peeling, pain in oral/ocular mucosa, trouble breathing or feeling short of breath, asthma attacks, respiratory issues accompanied by coughing and fever, yellowing of skin or eyes (jaundice), extreme lethargy, sudden and severe headaches, thunderclap headache, seizures, confusion, visual disturbances, paralysis, altered urine output

Mild side effects

• Skin reactions
• worsening of infections
• secondary adrenal cortical insufficiency
• diabetes
• menstrual irregularities
• Cushing's syndrome
• growth suppression
• decreased glucose tolerance
• buffalo hump
• peptic ulcers

This medication is sensitive to light, so it should be stored in a dark container that does not allow light penetration. Additionally, it is important to store the medication at a cool temperature between 15 to 30 degrees Celsius to maintain its efficacy.

Appearance

Pale pink triangular tablet

Package unit

30 tablets/bottle, 500 tablets/bottle