Hydrokortison Ccs
summary of the product characteristics
Name of the Medicinal Product
Hydrokortison CCS, 10 mg/g, cream
Qualitative and Quantitative Composition
1 g cream contains 10 mg hydrocortisone.
Excipients with known effect: cetostearyl alcohol 72 mg, methyl parahydroxybenzoate (E218), ethyl parahydroxybenzoate (E214), propyl parahydroxybenzoate (E216), butyl parahydroxybenzoate, isobutyl parahydroxybenzoate.
For a full list of excipients, see section 6.1.
Pharmaceutical Form
White to yellow-white cream
Clinical Particulars
Therapeutic indications
Acute and chronic eczema of varying genesis. Anogenital pruritus.
Posology and method of administration
The cream should be thinly applied in the morning and evening. When the symptoms are under control the number of applications can usually be decreased and alternated with emollient therapy.
Contraindications
Hypersensitivity to the active substance or to any of the excipients listed in section 6.1.
Special warnings and precautions for use
Contact with the eyes should be avoided.
Should not be applied in open wounds.
As with all corticosteroids for external use, care should be taken when treating large body areas and during long-term treatment.
Hydrokortison CCS cream contains cetostearyl alcohol which may cause local skin reactions (e.g. contact dermatitis) and parahydroxybenzoic esters which may cause allergic reactions (possibly delayed).
Children under 2 years should only be treated with Hydrokortison CCS if prescribed by a doctor.
Treatment duration should not be more than 4-6 weeks, unless the patients are under regular supervision by physician.
In case of concomitant infection, an appropriate antifungal or antibacterial agent needs to be administered.
The risk for local adverse events is reduced if hydrocortisone is used without occlusion.
Topical corticosteroids are not suitable for treatment of perioral dermatitis, rosacea and acne vulgaris.
Interaction with other medicinal products and other forms of interaction
No interactions studies have been performed.
Fertylity, pregnancy and lactation
Pregnancy
No effects during pregnancy are anticipated, since systemic exposure to hydrocortisone is negligible. Hydrokortison CCS can be used during pregnancy. However, prolonged use and large amounts of cream should be avoided.
Breastfeeding
Hydrocortisone is excreted in human milk, but at therapeutic doses of Hydrokortison CCS no effects on the breastfed newborns/infants are anticipated. Hydrokortison CCS can be used during breast-feeding. However, prolonged use and large amounts of cream should be avoided.
Effects on ability to drive and use machines
Not relevant.
Undesirable effects
Side effects can be expected in approximately 1% of patients. Cases of sensitisation caused by hydrocortisone are rare, but have been reported.
Skin and subcutaneous tissue disorders:
Uncommon (>1/1,000, <1/100): Irritation, contact dermatitis
Cases of allergic contact dermatitis (hydrocortisone) have been reported.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the national reporting system listed in Appendix V
Overdose
Overdose is not expected, since the cream is intended for external use. If the cream has nevertheless accidentally been ingested, undertake supporting measures as necessary.
Pharmacological Properties
Pharmacodynamic properties
ATC-code: D07AA02
Pharmacotherapeutic group: corticosteroids, weak (Group 1)
Hydrocortisone is a group I steroid with an anti-inflammatory and antipruritic effect.
Pharmacokinetic properties
Glucocorticoids have the ability to penetrate stratum corneum of the epidermis and affect the deeper cell layers. Usually only a small proportion of the dose is absorbed, and it is thus not expected to affect the hormonal balance. The systemic effect of glucocorticoids can occur in the event of increased absorption, e.g. when applied on large inflamed areas of skin, or on skin of which the stratum corneum of the epidermis is damaged. Occlusive bandages increase absorption.
Preclinical safety data
There are no preclinical data considered relevant to clinical safety beyond data included in other sections of the SPC.
Pharmaceutical Particulars
List of excipients
cetostearyl alcohol
macrogol cetostearyl ether
light liquid paraffin
white soft paraffin
citric acid
sodium citrate
methyl parahydroxybenzoate (E218)
ethyl parahydroxybenzoate (E214)
propyl parahydroxybenzoate (E216)
butyl parahydroxybenzoate
isobutyl parahydroxybenzoate
water
Incompatibilities
Not relevant.
Shelf‑life
3 years.
Special precautions for storage
No special storage instructions.
Nature and content of container
20 g, 50 g and 100 g in aluminium-laminated plastic tubes in outer box.
Special precautions for disposal and other handling
No special requirements.
Marketing Authorisation Holder
CCS Healthcare AB
Box 10054
SE-781 10 Borlänge
Sweden
Marketing Authorisation Number(s)
Date of First Authorisation/Renewal of the Authorisation
Date of first authorisation: 21 Dec 1990
Date of latest renewal: 21 Dec 2010
Date of Revision of the Text
2015-12-28