Hydrocortisone: Difference between revisions

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*Rheumatoid arthritis
*Rheumatoid arthritis
*Treatment of choice for adrenocortical insufficiency
*Treatment of choice for adrenocortical insufficiency
Hydrocortisone can be given by mouth, topically, or by injection.
Hydrocortisone can be given by mouth, topically, or by injection.


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==Mechanism of Action==
Immunosuppression agent,
Steroid replacement agent,
Anti-inflammatory agent
{| class="wikitable"
!Generic Name
藥名
!HA Code 藥物代碼
!Classification藥物分類
|-
|Hydrocortisone Tablet 20mg
|HYDR06
|P1S1S3
|}
==Dosage==
Hydrocortisone is used, usually with a more potent mineralocorticoid fludrocortisone, for replacement therapy in adrenocortical insufficiency.
''By Oral'': as replacement therapy, 20-30 mg daily (usually in 2 doses, the larger in the morning and the smaller in the early evening, to mimic the circadian rhythm of the body).
''By intramuscular injection or slow intravenous injection'': 100-500 mg, 3-4 times in 24 hours or as required.
''Child dose'': as replacement therapy in adrenocortical insufficiency,
''By slow intravenous injection
• Up to 1 year: 25 mg
• 1-5 years: 50 mg
• 6-12 years: 100 mg

Revision as of 01:46, 5 October 2020


Pronunciation

Hydrocortisone 20mg


Introduction

Hydrocortisone is a steroid with anti-inflammatory and immunosuppressant effects. Indications include:

  • Hypersensitivity reactions e.g. anaphylaxis and angioedema
  • Asthma
  • Inflammatory bowel disease
  • Eczema, psoriasis and other inflammatory skin conditions
  • Rheumatoid arthritis
  • Treatment of choice for adrenocortical insufficiency

Hydrocortisone can be given by mouth, topically, or by injection.

Equivalent anti-inflammatory doses of steroids

Prednisolone 5 mg is equivalent to Betamethasone 750 micrograms
dexamethasone 750 micrograms
hydrocortisone 20 mg
methylprednisolone 4 mg
triamcinolone 4 mg


Mechanism of Action

Immunosuppression agent, Steroid replacement agent, Anti-inflammatory agent

Generic Name

藥名

HA Code 藥物代碼 Classification藥物分類
Hydrocortisone Tablet 20mg HYDR06 P1S1S3


Dosage

Hydrocortisone is used, usually with a more potent mineralocorticoid fludrocortisone, for replacement therapy in adrenocortical insufficiency.

By Oral: as replacement therapy, 20-30 mg daily (usually in 2 doses, the larger in the morning and the smaller in the early evening, to mimic the circadian rhythm of the body). By intramuscular injection or slow intravenous injection: 100-500 mg, 3-4 times in 24 hours or as required. Child dose: as replacement therapy in adrenocortical insufficiency,

By slow intravenous injection • Up to 1 year: 25 mg • 1-5 years: 50 mg • 6-12 years: 100 mg