Hydrocortisone Cream
Approved Treatment for Eczema

Hydrocortisone 1% Cream is a topical corticosteroid used to treat skin conditions such as eczema, psoriasis, contact dermatitis, heat rash, insect bites, and stings. It reduces swelling, redness, and itching by suppressing inflammatory chemicals in the skin. Hydrocortisone is available in different forms, such as cream, ointment, and lotion, and can be purchased over the counter for mild cases.

Hydrocortisone is a mild steroid that helps reduce inflammation in the skin. When applied, it works by stopping the release of certain chemicals that cause swelling and itching. This helps alleviate symptoms and promote healing of the affected area. It is most effective when used sparingly and as directed, particularly on skin conditions that flare up due to irritation or allergic reactions.

Your skin should start to improve after a few days of using hydrocortisone. For most conditions, visible relief from symptoms like itching and redness can be seen within a week. However, if you're using hydrocortisone purchased from a pharmacy and symptoms persist after 1 week, it's important to consult a doctor for further advice.

Common side effects include mild skin irritation, burning, or redness at the application site. Long-term or improper use can lead to thinning of the skin (skin atrophy), visible blood vessels (telangiectasia), and stretch marks. If used for extended periods, some of the medication may enter the bloodstream, leading to rare but serious side effects such as adrenal gland issues or high blood sugar. Always follow the recommended usage duration and consult your healthcare provider if you're unsure.

It is generally not recommended to use hydrocortisone cream on the face unless directed by a doctor, as facial skin is more delicate. Using hydrocortisone on the face can worsen certain conditions like rosacea, acne, and impetigo. Always follow your doctor's advice if they prescribe hydrocortisone for use on the face and avoid applying it near the eyes.

Hydrocortisone is available in several forms, including cream, ointment, and lotion, with strengths ranging from 0.1% to 2.5%. Over-the-counter hydrocortisone products are available up to 1% strength. For more severe conditions, a prescription for stronger formulations such as hydrocortisone butyrate (Locoid) may be required. Some hydrocortisone treatments are mixed with antimicrobials to treat skin infections caused by bacteria or fungi.

Most hydrocortisone treatments should be used once or twice a day for 1 to 2 weeks. If purchased over the counter, do not use hydrocortisone for more than one week without consulting a doctor. Prolonged use of corticosteroids can increase the risk of side effects, so it's essential to follow your healthcare provider’s guidance.

Hydrocortisone should only be used on children under 10 years old if prescribed by a doctor. The skin of young children is more sensitive, and long-term use of hydrocortisone on sensitive areas can lead to side effects. For conditions such as nappy rash, a doctor should always be consulted before use.

It's important to inform your healthcare provider about other medications or treatments you're using, as interactions may occur. Hydrocortisone is generally safe to use alongside most other medications, but always check with a healthcare professional before combining treatments.

Avoid using hydrocortisone on broken or infected skin, around the eyes, or on the genitals unless advised by a doctor. You can continue with normal activities like driving, riding a bike, or drinking alcohol, as hydrocortisone does not cause drowsiness or interact with food or drink. If you're scheduled for vaccinations, inform your healthcare provider that you're using hydrocortisone to avoid applying the vaccine in an affected area.

For more detailed information about hydrocortisone and its usage, consult your healthcare provider or visit reputable sources such as the NHS or British Association of Dermatologists. You can also speak with a licensed clinician at My London Pharmacy for personalised advice and guidance on managing your skin condition.