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Hydrocortisone 25 mg Capsules

FDA-approved generic
Dose form
Capsules
Active ingredients
Hydrocortisone

Hydrocortisone 25 mg Capsules are solid dosage forms composed of two gelatin or vegetarian shells that enclose the medication, allowing for convenient and easy swallowing, and providing a precise dosage of the active ingredient.

This formulation is used to treat a variety of conditions, including adrenal insufficiency, inflammation, and certain allergic reactions.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Hydrocortisone
Capsules
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Hydrocortisone 25 mg capsules are a potent corticosteroid medication formulated to deliver precise dosing for individuals requiring systemic corticosteroid therapy. Encapsulated within easy-to-swallow gelatin or vegetarian shells, these capsules provide a convenient and accurate method for administering hydrocortisone, ensuring optimal therapeutic efficacy and patient compliance.

Hydrocortisone, a synthetic analogue of the naturally occurring hormone cortisol, plays a crucial role in regulating various bodily functions, including immune response, metabolism, and stress management. These capsules are primarily used in the treatment of adrenal insufficiency conditions such as Addison's disease, where the adrenal glands do not produce sufficient amounts of cortisol. By supplementing cortisol levels, hydrocortisone capsules help maintain normal physiological functions and prevent adrenal crisis.

In addition to adrenal insufficiency, hydrocortisone capsules are utilized in managing a range of inflammatory and autoimmune disorders. They help alleviate symptoms associated with conditions like rheumatoid arthritis, systemic lupus erythematosus, severe asthma, and certain allergic reactions. By modulating the body's immune response and reducing inflammation, hydrocortisone aids in relieving pain, swelling, and other related symptoms.

For prescribers, hydrocortisone 25 mg capsules offer flexibility in dosing and individualized patient care. The precise dosage form allows for tailored treatment plans, enabling adjustments based on patient response and specific therapeutic needs. Compounded capsules can also exclude certain excipients found in commercial products, catering to patients with specific allergies or sensitivities.

Patients prescribed hydrocortisone capsules should adhere strictly to their dosing schedule and consult their healthcare provider before making any changes. It's essential to recognize potential side effects, which may include increased susceptibility to infections, changes in mood or behavior, elevated blood sugar levels, and, with long-term use, possible bone density reduction. Regular monitoring and communication with a healthcare professional can help manage these risks effectively.

At Bayview Pharmacy, our team of expert compounding pharmacists is dedicated to providing high-quality, customized medications like hydrocortisone 25 mg capsules. We prioritize patient well-being by ensuring each formulation meets exact specifications for safety and effectiveness. If you have any questions about hydrocortisone capsules or how they might benefit you or your patients, please reach out to us.

Drug Interactions

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Hydrocortisone 25 mg capsules are a solid dosage form designed for convenient and precise administration of medication. These capsules are composed of two gelatin or vegetarian shells that enclose the active ingredient, hydrocortisone, which is a corticosteroid used to treat a variety of conditions such as adrenal insufficiency, inflammation, and certain autoimmune disorders.

Patients and prescribers should be aware that hydrocortisone can interact with a range of medications. One significant interaction is with nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin. Concurrent use of hydrocortisone and NSAIDs may increase the risk of gastrointestinal bleeding and ulceration. It is advisable to monitor for signs of gastrointestinal distress and consider alternative pain management strategies if necessary.

Hydrocortisone may also interact with anticoagulants like warfarin. Corticosteroids can affect the metabolism of warfarin, potentially leading to altered prothrombin time and increased risk of bleeding. Regular monitoring of INR levels is recommended, and dosage adjustments of the anticoagulant may be necessary to maintain therapeutic efficacy and safety.

Another important interaction to consider is with certain vaccines. Live vaccines, such as the measles, mumps, and rubella (MMR) vaccine, may have reduced efficacy when administered concurrently with hydrocortisone due to its immunosuppressive effects. It is generally recommended to avoid live vaccines during corticosteroid therapy or to consult with a healthcare provider to determine the appropriate timing for vaccination.

Hydrocortisone can also interact with medications that induce or inhibit cytochrome P450 enzymes, particularly CYP3A4. Drugs that induce CYP3A4, such as rifampin and phenytoin, may decrease the plasma concentration of hydrocortisone, potentially reducing its therapeutic effects. Conversely, CYP3A4 inhibitors like ketoconazole and erythromycin may increase hydrocortisone levels, raising the risk of side effects. Dose adjustments and careful monitoring may be required when these medications are used concurrently.

Additionally, patients taking hydrocortisone should be cautious with the use of diuretics, as the combination can lead to an increased risk of hypokalemia (low potassium levels). Monitoring of electrolyte levels is recommended, and potassium supplementation may be necessary to prevent complications.

It is crucial for both patients and prescribers to be aware of these potential interactions and to communicate openly about all medications being taken, including over-the-counter drugs and supplements. If you have any questions or concerns about drug interactions with hydrocortisone 25 mg capsules, please reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

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Hydrocortisone 25 mg capsules are a solid dosage form designed to deliver a precise and consistent dose of hydrocortisone, a corticosteroid hormone that mimics the effects of cortisol, a naturally occurring hormone produced by the adrenal glands. These capsules are composed of two gelatin or vegetarian shells that encapsulate the medication, ensuring stability and ease of administration. The encapsulation process not only protects the active ingredient from environmental factors such as moisture and light but also facilitates convenient and easy swallowing for patients, enhancing adherence to prescribed treatment regimens.

Hydrocortisone works by exerting anti-inflammatory and immunosuppressive effects. When ingested, the capsule dissolves in the gastrointestinal tract, releasing hydrocortisone into the bloodstream. Once in circulation, hydrocortisone binds to glucocorticoid receptors in various tissues, modulating the expression of specific genes that control inflammatory and immune responses. This action results in the reduction of swelling, redness, and pain associated with inflammatory conditions, as well as the suppression of immune system activity in autoimmune disorders.

For patients, the use of hydrocortisone 25 mg capsules can provide relief from symptoms associated with conditions such as adrenal insufficiency, where the body does not produce adequate amounts of cortisol, and inflammatory diseases like arthritis, asthma, and certain skin disorders. The precise dosing offered by the capsule form ensures that patients receive the exact amount of medication needed to manage their condition effectively, minimizing the risk of under or overdosing.

For prescribers, hydrocortisone 25 mg capsules offer a reliable and standardized method of delivering corticosteroid therapy. The encapsulated form allows for flexibility in dosing regimens and can be easily adjusted to meet the specific needs of individual patients. Additionally, the use of gelatin or vegetarian shells provides options for patients with dietary restrictions or preferences, ensuring that the treatment is accessible to a broader patient population.

If you have any questions about hydrocortisone 25 mg capsules or how they may be used to treat specific conditions, 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 make informed decisions about your health and treatment options.

Other Uses

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Hydrocortisone 25 mg capsules, formulated as solid dosage forms composed of two gelatin or vegetarian shells, offer a convenient and precise method for administering this corticosteroid medication. While hydrocortisone is primarily used for its anti-inflammatory and immunosuppressive properties, there are several other potential uses for this formulation that may be of interest to both patients and prescribers. These capsules can be utilized in the management of adrenal insufficiency, where they serve as a replacement therapy to compensate for the body's inadequate production of cortisol. This is particularly important for patients with Addison's disease or those who have undergone adrenalectomy.

Additionally, hydrocortisone capsules may be employed in the treatment of certain allergic reactions, where they help to reduce symptoms such as swelling, redness, and itching. They can also be beneficial in managing autoimmune conditions, where the immune system mistakenly attacks the body's own tissues, leading to inflammation and damage. In such cases, hydrocortisone can help to modulate the immune response and alleviate symptoms. Furthermore, these capsules may be used in the management of certain skin conditions, such as severe eczema or psoriasis, where systemic treatment is necessary to control widespread inflammation.

For patients undergoing chemotherapy or experiencing severe nausea and vomiting, hydrocortisone capsules can be part of a supportive care regimen to help manage these symptoms. They may also be used in the treatment of certain types of shock, such as septic shock, where they can help to stabilize blood pressure and improve patient outcomes. In some cases, hydrocortisone may be prescribed for the management of chronic fatigue syndrome or fibromyalgia, where it is thought to help improve energy levels and reduce pain, although more research is needed to fully understand its efficacy in these conditions.

It is important for both patients and prescribers to be aware of the potential side effects and interactions associated with hydrocortisone use. Long-term use of corticosteroids can lead to complications such as osteoporosis, weight gain, and increased susceptibility to infections. Patients should also be monitored regularly to assess their response to treatment and adjust the dosage as needed. If you have any questions or require further information about the use of hydrocortisone 25 mg capsules, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Hydrocortisone 25 mg used for?

Hydrocortisone 25 mg is commonly used to treat inflammation, allergic reactions, and certain medical conditions that involve the immune system. It is a corticosteroid that helps reduce swelling, redness, and itching.

How should I take Hydrocortisone 25 mg capsules?

Hydrocortisone 25 mg capsules should be taken orally with a full glass of water. It is important to follow your healthcare provider's instructions regarding dosage and timing to ensure effectiveness and minimize side effects.

Can I take Hydrocortisone 25 mg capsules with food?

Yes, you can take Hydrocortisone 25 mg capsules with or without food. However, taking it with food may help reduce stomach upset.

Are there any side effects associated with Hydrocortisone 25 mg capsules?

Common side effects may include upset stomach, headache, dizziness, and trouble sleeping. If you experience severe side effects such as vision problems, swelling, or unusual weight gain, contact your healthcare provider immediately.

Can I open the Hydrocortisone 25 mg capsules and take the contents directly?

It is not recommended to open the capsules as they are designed to provide a precise dosage and ensure proper absorption. Swallow the capsules whole unless directed otherwise by your healthcare provider.

Is it safe to use Hydrocortisone 25 mg capsules during pregnancy?

If you are pregnant or planning to become pregnant, consult your healthcare provider before using Hydrocortisone 25 mg capsules. They will weigh the potential benefits and risks to determine if it is safe for you.

How should I store Hydrocortisone 25 mg capsules?

Store Hydrocortisone 25 mg capsules at room temperature, away from moisture and heat. Keep them in their original container and out of reach of children and pets.

What should I do if I miss a dose of Hydrocortisone 25 mg?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Can I drink alcohol while taking Hydrocortisone 25 mg capsules?

It is advisable to limit alcohol consumption while taking Hydrocortisone 25 mg capsules, as alcohol can increase the risk of stomach irritation and other side effects. Consult your healthcare provider for personalized advice.

Are there any medications that interact with Hydrocortisone 25 mg capsules?

Yes, certain medications may interact with Hydrocortisone 25 mg capsules, including blood thinners, diabetes medications, and vaccines. Inform your healthcare provider about all the medications and supplements you are taking to avoid potential interactions.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

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.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Hydrocortisone 25 mg Capsules
Capsules
90 capsules
controlled

Take 1 capsule by mouth

Every 6 hours as needed