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Hydrocortisone 100 mg Vaginal Suppository

The Hydrocortisone 100 mg Vaginal Suppository is a solid dosage form designed for insertion into the vaginal cavity. Upon insertion, the suppository dissolves or melts, facilitating the release of hydrocortisone for local absorption. This formulation is specifically compounded to provide anti-inflammatory and immunosuppressive effects, making it suitable for the treatment of various inflammatory and pruritic conditions of the vaginal area. These conditions may include but are not limited to vulvar atrophy, inflammatory lesions, and certain autoimmune disorders affecting the vagina. The use of this suppository allows for targeted delivery of medication, potentially reducing systemic side effects and providing relief directly to the affected area.

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Formula Information

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Hydrocortisone 100 mg Vaginal Suppositories are a specialized formulation designed to deliver a corticosteroid medication directly to the vaginal area. This solid dosage form is carefully crafted to be inserted into the vagina, where it will dissolve or melt, allowing the hydrocortisone to exert its therapeutic effects locally. Hydrocortisone is a potent anti-inflammatory agent that works by reducing swelling, itching, and redness. It is commonly used to treat a variety of dermatological and inflammatory conditions affecting the vaginal area, including but not limited to, inflammatory lesions, atrophic vaginitis, and certain autoimmune conditions like lichen sclerosus.

The use of hydrocortisone in a suppository form offers the advantage of targeting the affected area directly, which can result in fewer systemic side effects compared to oral administration. This is particularly beneficial for patients who require localized treatment or those who may not tolerate systemic steroids well. The 100 mg dose has been selected to provide an effective concentration of the medication to the site of inflammation while minimizing the risk of systemic absorption and associated side effects.

For patients, it is important to understand that while hydrocortisone vaginal suppositories can provide significant relief from symptoms, they should be used under the guidance of a healthcare professional. The treatment duration and frequency of use should be as prescribed, and patients should be aware of potential side effects, which may include local irritation or an increase in vaginal discharge. It is also crucial to inform the prescriber of any other medications being taken, as well as any pre-existing health conditions, to avoid potential drug interactions and complications.

Prescribers considering this formulation for their patients should be aware of the indications, contraindications, and the patient's overall health status. Monitoring for improvement of symptoms and any signs of adverse reactions is recommended during the course of treatment. Additionally, prescribers should counsel patients on proper insertion techniques and hygiene practices to maximize the efficacy of the treatment and reduce the risk of infection or irritation.

At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to meet the unique needs of each patient. Our team of compounding pharmacists is available to answer any questions and provide further information regarding the formulation and use of Hydrocortisone 100 mg Vaginal Suppositories. If you have any questions or require additional guidance, please do not hesitate to reach out to us.

Drug Interactions

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Hydrocortisone is a corticosteroid medication that is used to reduce inflammation and suppress the immune response in various conditions. When formulated as a 100 mg vaginal suppository, it is intended for local administration to treat inflammatory conditions of the vagina or surrounding areas. It is important to consider potential drug interactions when using hydrocortisone in this dosage form.

Hydrocortisone may interact with other medications that also affect the immune system, such as other corticosteroids, immunosuppressants, or vaccines. Concurrent use of systemic corticosteroids or immunosuppressants with hydrocortisone vaginal suppositories may increase the risk of systemic side effects, including suppression of the hypothalamic-pituitary-adrenal (HPA) axis. Patients should inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements.

Enzyme inducers, such as phenytoin, phenobarbital, rifampin, and ephedrine, may decrease the plasma concentrations of hydrocortisone, potentially reducing its efficacy. Conversely, enzyme inhibitors like ketoconazole, itraconazole, and ritonavir may increase plasma concentrations of hydrocortisone, leading to an increased risk of systemic corticosteroid side effects. Caution is advised when co-administering these agents.

Nonsteroidal anti-inflammatory drugs (NSAIDs) may increase the risk of gastrointestinal side effects when used with systemic corticosteroids. Although the risk is lower with local administration such as vaginal suppositories, patients should still be monitored for signs of gastrointestinal bleeding and ulceration.

Diabetes medications may require dosage adjustments when used concurrently with corticosteroids, as hydrocortisone can affect blood glucose levels. Patients with diabetes should regularly monitor their blood glucose and consult their healthcare provider for potential adjustments to their diabetes medication regimen.

Patients using anticoagulants, such as warfarin, should be closely monitored as corticosteroids can alter the effects of these medications, potentially leading to an increased risk of bleeding or thrombotic events. Prothrombin time or other suitable coagulation tests should be regularly checked to ensure patient safety.

It is also important to note that the absorption of hydrocortisone from vaginal suppositories may be affected by the presence of other vaginal products. The concurrent use of other vaginal creams, ointments, or douches should be discussed with a healthcare provider to avoid potential interactions that could alter the effectiveness of the hydrocortisone treatment.

Hydrocortisone vaginal suppositories are used to treat local inflammatory conditions of the vagina and surrounding tissues. They may be beneficial in conditions such as atrophic vaginitis, vulvar vestibulitis, or other inflammatory diseases where local corticosteroid action is indicated. The suppository form allows for targeted delivery of the medication with potentially fewer systemic effects compared to oral administration.

Patients and prescribers should be aware of the potential for systemic absorption and the associated risks, especially with prolonged use or in patients with compromised barriers due to inflammation or ulceration. It is essential to use the lowest effective dose for the shortest duration necessary to minimize the risk of systemic side effects.

If you have any questions or require further information regarding drug interactions with hydrocortisone vaginal suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure safe and effective treatment for our patients.

How Does it Work

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The Hydrocortisone 100 mg Vaginal Suppository is a solid dosage form designed to be inserted into the vagina, where it dissolves or melts at body temperature. Upon insertion, the suppository base, typically made from a substance like cocoa butter or a glycerinated gelatin, begins to melt due to the warmth of the body, allowing the active ingredient, hydrocortisone, to be released.

Hydrocortisone is a corticosteroid, which means it is a synthetic version of the hormones produced by the adrenal glands. It works by decreasing inflammation and suppressing an overactive immune response. This anti-inflammatory effect is beneficial in treating various disease states localized in the vaginal area, such as inflammatory lesions, certain types of vaginitis, or other conditions where inflammation is a primary concern. Hydrocortisone achieves this by inhibiting the release of substances in the body that cause inflammation, such as prostaglandins and leukotrienes, and by constricting blood vessels to reduce swelling and redness.

When the Hydrocortisone 100 mg Vaginal Suppository is administered, the hydrocortisone is absorbed through the vaginal mucosa. The local absorption allows the medication to exert its effect directly at the site of inflammation with minimal systemic absorption, which reduces the potential for systemic side effects that can occur with oral or parenteral administration. However, some systemic absorption can still occur, especially with prolonged or repeated use, which is why it is important to use this medication under the guidance of a healthcare provider.

For patients and prescribers considering the use of Hydrocortisone 100 mg Vaginal Suppositories, it is important to understand that while this medication can provide significant relief from local inflammation and associated symptoms, it should be used with caution. Patients with a history of hypersensitivity to corticosteroids, those with systemic fungal infections, or those who are pregnant or breastfeeding should discuss the use of this medication with their healthcare provider. Additionally, the duration of treatment should be limited to the shortest period possible to minimize the risk of side effects.

If you have any questions about the Hydrocortisone 100 mg Vaginal Suppository or its use in treating inflammatory conditions of the vagina, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure safe and effective treatment.

Other Uses

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Please note that while hydrocortisone is primarily indicated for its anti-inflammatory and immunosuppressive effects, some off-label or less common uses of hydrocortisone vaginal suppositories may also exist. For instance, they may be employed in the treatment of certain non-infectious, inflammatory conditions of the vagina and surrounding structures. Such conditions can include allergic or irritant contact dermatitis of the vulvar area, or lichen sclerosus, which is a chronic inflammatory skin condition. These suppositories may provide symptomatic relief by reducing inflammation, itching, and discomfort.

Another possible application of hydrocortisone vaginal suppositories would be in pre- or post-surgical care. Sometimes, they might be used to reduce inflammation and aid in the healing process following surgical procedures in the vaginal area. Addressing such conditions with a local delivery of hydrocortisone can minimize systemic side effects commonly associated with oral corticosteroid therapy. As with all medications, it is essential to use these suppositories under the guidance of a healthcare professional and according to their recommendations to minimize potential side effects and interactions.

It should be noted that the use of hydrocortisone in this manner should be done with caution due to the potential for systemic absorption and the typical contraindications and precautions associated with corticosteroids. Furthermore, long-term use of corticosteroids in any form has the potential to result in skin thinning or other local adverse effects. It is critical to follow the duration of therapy and dosing instructions prescribed by a healthcare provider. If you have any questions or require further information about the potential uses of hydrocortisone 100 mg vaginal suppositories or their proper administration, please do not hesitate to reach out to us at Bayview Pharmacy. Our team is well-equipped to offer professional advice and support to both patients and prescribers regarding this formulation.

Frequently Asked Questions

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What is Hydrocortisone 100 mg Vaginal Suppository used for?

Hydrocortisone 100 mg Vaginal Suppository is used to provide local relief from inflammation, itching, or discomfort caused by conditions such as hemorrhoids, certain vaginal infections, or other inflammatory diseases of the vagina or rectum. It may also be used to administer medication for systemic effects in certain medical conditions that require corticosteroid treatment.

How does this medication work?

Once inserted into the vagina, the suppository dissolves or melts, releasing hydrocortisone, which is a corticosteroid that acts to decrease inflammation and suppress an overactive immune response. This leads to relief of symptoms in the affected area.

How often should I use a Hydrocortisone Vaginal Suppository?

The specific dosage and frequency of use for Hydrocortisone Vaginal Suppositories will be prescribed by your healthcare provider. It is important to follow the dosage instructions provided to ensure the effectiveness and safety of the treatment.

What is the correct way to insert a Hydrocortisone Vaginal Suppository?

To insert the suppository, lie on your back with your knees drawn up toward your chest. Using your finger, gently insert the suppository into the vagina as far as it will comfortably go. Remain lying down for a few minutes to ensure the suppository stays in place and begins to dissolve.

Can I use Hydrocortisone Vaginal Suppositories during my menstrual period?

Consult your healthcare provider before using Hydrocortisone Vaginal Suppositories during your menstrual period, as it may affect the absorption and efficacy of the medication.

Are there any side effects I should be aware of?

Possible side effects of Hydrocortisone Vaginal Suppositories include local irritation or burning, increased vaginal discharge, and in some cases, systemic effects such as mood swings if absorbed in significant amounts. If you experience these or any other persistent side effects, contact your healthcare provider.

Can I engage in sexual activity after inserting a Hydrocortisone Vaginal Suppository?

It is recommended to avoid sexual activity immediately after inserting a Hydrocortisone Vaginal Suppository to allow the medication to be absorbed properly. Consult your healthcare provider for more specific guidance.

What should I do if I miss a dose?

If you miss a dose, insert the missed suppository as soon as you remember, unless it is close to the time of your next scheduled dose. In that case, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for a missed one without consulting your healthcare provider.

How should I store Hydrocortisone Vaginal Suppositories?

Store the suppositories in a cool and dry place, away from heat and moisture. Keep them in their original packaging until ready to use and out of reach of children and pets.

Is it safe to use Hydrocortisone Vaginal Suppositories during pregnancy or while breastfeeding?

The safety of Hydrocortisone Vaginal Suppositories during pregnancy or while breastfeeding has not been fully established. Always consult your healthcare provider before beginning any new medication if you are pregnant or breastfeeding.

Can Hydrocortisone Vaginal Suppositories be used with other medications?

Always inform your healthcare provider about all medications you are currently taking, including over-the-counter drugs and herbal supplements. Some medications may interact with hydrocortisone, affecting its efficacy or increasing the risk of side effects.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
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