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Chemistry

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Also known as: Cortisol, 50-23-7, Acticort, Cetacort, Cortef, Hydrasson
Molecular Formula
C21H30O5
Molecular Weight
362.5  g/mol
InChI Key
JYGXADMDTFJGBT-VWUMJDOOSA-N
FDA UNII
WI4X0X7BPJ

Hydrocortisone
The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions.
Hydrocortisone is a Corticosteroid. The mechanism of action of hydrocortisone is as a Corticosteroid Hormone Receptor Agonist.
1 2D Structure

Hydrocortisone

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(8S,9S,10R,11S,13S,14S,17R)-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-2,6,7,8,9,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthren-3-one
2.1.2 InChI
InChI=1S/C21H30O5/c1-19-7-5-13(23)9-12(19)3-4-14-15-6-8-21(26,17(25)11-22)20(15,2)10-16(24)18(14)19/h9,14-16,18,22,24,26H,3-8,10-11H2,1-2H3/t14-,15-,16-,18+,19-,20-,21-/m0/s1
2.1.3 InChI Key
JYGXADMDTFJGBT-VWUMJDOOSA-N
2.1.4 Canonical SMILES
CC12CCC(=O)C=C1CCC3C2C(CC4(C3CCC4(C(=O)CO)O)C)O
2.1.5 Isomeric SMILES
C[C@]12CCC(=O)C=C1CC[C@@H]3[C@@H]2[C@H](C[C@]4([C@H]3CC[C@@]4(C(=O)CO)O)C)O
2.2 Other Identifiers
2.2.1 UNII
WI4X0X7BPJ
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 11 Epicortisol

2. 11-epicortisol

3. Cortef

4. Cortifair

5. Cortisol

6. Cortril

7. Epicortisol

8. Hydrocortisone, (11 Alpha)-isomer

9. Hydrocortisone, (9 Beta,10 Alpha,11 Alpha)-isomer

10. Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11beta)-

2.3.2 Depositor-Supplied Synonyms

1. Cortisol

2. 50-23-7

3. Acticort

4. Cetacort

5. Cortef

6. Hydrasson

7. Hydrocortisyl

8. Hydrocortone

9. Cobadex

10. Hytone

11. Cortenema

12. Cortril

13. Dermacort

14. Proctocort

15. Hycort

16. Signef

17. 17-hydroxycorticosterone

18. Optef

19. Kendall's Compound F

20. Cort-dome

21. Cortanal

22. Corticreme

23. Cortifan

24. Cortiment

25. Cortispray

26. Cortonema

27. Dermolate

28. Efcorbin

29. Efcortelan

30. Eldecort

31. Ficortril

32. Genacort

33. Hycortol

34. Hycortole

35. Penecort

36. Permicort

37. Tarcortin

38. Traumaide

39. Alacort

40. Cleiton

41. Epicort

42. Dihydrocostisone

43. Hytone Lotion

44. Hidro-colisona

45. Hydro-adreson

46. Scheroson F

47. Incortin-h

48. Reichstein's Substance M

49. Ala-scalp

50. Domolene-hc

51. Epiderm H

52. Esiderm H

53. Otosone-f

54. Polcort H

55. Aeroseb-hc

56. Cortolotion

57. Cortoxide

58. Cremesone

59. Eldercort

60. Heb-cort

61. Maintasone

62. Nutracort

63. Delacort

64. Dioderm

65. Mildison

66. Rectoid

67. Synacort

68. Anflam

69. Hydrocorticosterone

70. Hydroxycortisone

71. H-cort

72. Hydro-colisona

73. Cortisol Alcohol

74. Incortin-hydrogen

75. Ala-cort

76. Barseb Hc

77. Dermocortal

78. Flexicort

79. Texacort

80. Timocort

81. Evacort

82. Komed Hc

83. Hydrocortisone Base

84. Lacticare-hc

85. Texacort Lotion 25

86. Anti-inflammatory Hormone

87. Hydrocortisone Alcohol

88. Algicirtis

89. Aquacort

90. Colocort

91. Cortesal

92. Cortisolonum

93. Hidalone

94. Hytisone

95. Kyypakkaus

96. Lactisona

97. Lubricort

98. Meusicort

99. Milliderm

100. Sanatison

101. Schericur

102. Sigmacort

103. Stiefcorcil

104. Amberin

105. Cutisol

106. Dermil

107. Glycort

108. Uniderm

109. Foille Insetti

110. Gyno-cortisone

111. Balneol-hc

112. Transderma H

113. Basan-corti

114. Clear Aid

115. Cremicort-h

116. Dome-cort

117. Stie-cort

118. Beta-hc

119. Neosporin-h Ear

120. Remederm Hc

121. Aquanil Hc

122. Cortisporin Otico

123. Derm-aid

124. Heb Cort

125. Nogenic Hc

126. Scalpicin Capilar

127. Systral Hydrocort

128. Prevex Hc

129. Cortisporin

130. Efcortelin

131. Fiocortril

132. Hidrocortisona

133. Hydrocortisone Free Alcohol

134. Hydrocortisonum

135. Proctofoam

136. Alphaderm

137. Hydracort

138. Medicort

139. Otocort

140. Zenoxone

141. Drotic

142. Vytone

143. 11beta-hydroxycortisone

144. Nystaform-hc

145. Aeroseb Hc

146. Caldecort Spray

147. Anusol Hc

148. Pediotic Suspension

149. Vosol Hc

150. Idrocortisone

151. 17alpha-hydroxycorticosterone

152. Hydrocortal

153. Hydroskin

154. Otalgine

155. Otobiotic

156. Plenadren

157. Protocort

158. Hysone

159. Racet

160. Ef Corlin

161. 11beta-hydrocortisone

162. Compound F

163. Lacticare Hc

164. Compound F (kendall)

165. 11-beta-hydrocortisone

166. 11-beta-hydroxycortisone

167. Hydrocortisone (cortisol)

168. Chronocort

169. Hydrocort

170. Preparation H Hydrocortisone Cream

171. Neo-cort-dome

172. 11beta,17alpha,21-trihydroxy-4-pregnene-3,20-dione

173. Otic-neo-cort-dome

174. 11beta,17,21-trihydroxypregn-4-ene-3,20-dione

175. Nsc 10483

176. Hc

177. [3h]cortisol

178. Nsc-10483

179. (11beta)-11,17,21-trihydroxypregn-4-ene-3,20-dione

180. Prestwick_265

181. (8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-2,6,7,8,9,11,12,14,15,16-decahydro-1h-cyclopenta[a]phenanthren-3-one

182. 4-pregnene-11beta,17alpha,21-triol-3,20-dione

183. Chebi:17650

184. 11beta,17alpha,21-trihydroxypregn-4-ene-3,20-dione

185. Nsc10483

186. 11.beta.-hydrocortisone

187. Dermaspray

188. Wi4x0x7bpj

189. 11beta,17,21-trihydroxyprogesterone

190. 11.beta.-hydroxycortisone

191. Ophthocort

192. Terra-cortril

193. Mls000069609

194. 17.alpha.-hydroxycorticosterone

195. Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11.beta.)-

196. Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11beta)-

197. 4-pregnen-11beta,17alpha,21-triol-3,20-dione

198. Idrocortisone [dcit]

199. Genacort (lotion)

200. Anucort

201. Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11b)-

202. Prepcort

203. Smr000059022

204. Dsstox_cid_714

205. Hydrocortisonum [inn-latin]

206. Proctozone Hc

207. Scalp-cort

208. Hidrocortisona [inn-spanish]

209. Rectasol-hc

210. Anucort-hc

211. Hydro-rx

212. Dsstox_rid_75753

213. Dsstox_gsid_20714

214. (8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-1h-cyclopenta[a]phenanthren-3(2h)-one

215. Hc (hydrocortisone)

216. 11.beta.,17,21-trihydroxypregn-4-ene-3,20-dione

217. Corhydron

218. (11alpha,14beta)-11,17,21-trihydroxypregn-4-ene-3,20-dione

219. Duocort

220. Hydrocortisone In Absorbase

221. Proctosol-hc

222. Hc #1

223. Hc #4

224. Acticort (tn)

225. Colocort (tn)

226. (1s,2r,10s,11s,14r,15s,17s)-14,17-dihydroxy-14-(2-hydroxyacetyl)-2,15-dimethyltetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadec-6-en-5-one

227. Smr000653523

228. Cortef (tn)

229. Hytone (tn)

230. Ccris 5854

231. Component Of Otalgine

232. Anusol Hc (tn)

233. Component Of Lubricort

234. Cor-oticin

235. Hsdb 3339

236. Einecs 200-020-1

237. Unii-wi4x0x7bpj

238. Mfcd00011654

239. Component Of Neo-cort-dome

240. Cortizol

241. Efmody

242. Ai3-25006

243. 3h-cortisol

244. 11beta-cortisol

245. Cas-50-23-7

246. 11-hydrocortisone

247. Plenadren (tn)

248. Ncgc00022848-06

249. 11b-hydrocortisone

250. Hydrocortisone [usp:inn:ban:jan]

251. Drotic (salt/mix)

252. 11b-hydroxycortisone

253. Otocort (salt/mix)

254. Pregn-4-ene-3,20-dione, 11beta,17,21-trihydroxy-

255. Otalgine (salt/mix)

256. Hydrocortisone, 98%

257. 11,17,21-trihydroxypregn-4-ene-3,20-dione

258. Alkindi Sprinkle

259. Alphaderm (salt/mix)

260. Hydrocortisone, Topical

261. Otobiotic (salt/mix)

262. 4p6x

263. Cort-quin (salt/mix)

264. Cortisporin (salt/mix)

265. Vosol Hc (salt/mix)

266. 11a-hydroxycorticosterone

267. 17a-hydroxycorticosterone

268. Opera_id_1292

269. Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11-beta)-

270. Prestwick0_000447

271. Prestwick1_000447

272. Prestwick2_000447

273. Prestwick3_000447

274. Epitope Id:174851

275. Upcmld-dp133

276. Ec 200-020-1

277. H 4001

278. Hydrocortisone [ii]

279. Hydrocortisone [mi]

280. Schembl4148

281. Neo-cort-dome (salt/mix)

282. Hydrocortisone [inn]

283. Hydrocortisone [jan]

284. Lopac0_000594

285. 11alpha-hydroxycorticosterone

286. Bspbio_000494

287. Hydrocortisone [hsdb]

288. Mls001148103

289. Mls002207135

290. Mls002222189

291. Mls002548868

292. Hydrocortisone [vandf]

293. Spbio_002433

294. Hydrocortisone [mart.]

295. Bpbio1_000544

296. Chembl389621

297. Gtpl2868

298. Hydrocortisone [usp-rs]

299. Hydrocortisone [who-dd]

300. Hydrocortisone [who-ip]

301. Pediotic Suspension (salt/mix)

302. Dtxsid7020714

303. Upcmld-dp133:001

304. Bdbm13775

305. Otic-neo-cort-dome (salt/mix)

306. 2v95

307. Hydrocortisone (jp17/usp/inn)

308. Hms1569i16

309. Hms2090m04

310. Hms2096i16

311. Hms2230b18

312. Hms2235f17

313. Hms3259c05

314. Hms3261h10

315. Hms3713i16

316. Hydrocortisone, >=98% (hplc)

317. Vioform-hydrocortisone (salt/mix)

318. 11b,17,21-trihydroxyprogesterone

319. Hydrocortisone [green Book]

320. Bcp09054

321. Hy-n0583

322. Hydrocortisone [orange Book]

323. Tox21_110883

324. Tox21_200815

325. Tox21_500594

326. Hydrocortisone [ep Monograph]

327. Lmst02030001

328. S1696

329. Zinc13540519

330. Hydrocortisone [usp Monograph]

331. Akos001582651

332. Hydrocortisonum [who-ip Latin]

333. Oticair Component Hydrocortisone

334. Otocort Component Hydrocortisone

335. Tox21_110883_1

336. Ccg-204683

337. Db00741

338. Lp00594

339. Nc00456

340. Sdccgsbi-0050576.p003

341. 11.beta.,17,21-trihydroxyprogesterone

342. Cipro Hc Component Hydrocortisone

343. Orlex Hc Component Hydrocortisone

344. Otobione Component Hydrocortisone

345. Pediotic Component Hydrocortisone

346. Pyocidin Component Hydrocortisone

347. Smp1_000156

348. Vosol Hc Component Hydrocortisone

349. Alphaderm Component Hydrocortisone

350. Ncgc00022848-07

351. Ncgc00022848-09

352. Ncgc00022848-10

353. Ncgc00022848-11

354. Ncgc00022848-12

355. Ncgc00022848-13

356. Ncgc00022848-14

357. Ncgc00022848-15

358. Ncgc00022848-17

359. Ncgc00022848-26

360. Ncgc00258369-01

361. Ncgc00261279-01

362. Otobiotic Component Hydrocortisone

363. (1s,10s,11s,15s,17s,2r,14r)-14,17-dihydroxy-14-(2-hydroxyacetyl)-2,15-dimethyl Tetracyclo[8.7.0.0<2,7>.0<11,15>]heptadec-6-en-5-one

364. (8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-1,2,6,7,8,9,10,11,12,13,14,15,16,17-tetradecahydro-3h-cyclopenta[a]phenanthren-3-one

365. Ac-12902

366. As-11651

367. Bp-20390

368. Hydrocortisone 100 Microg/ml In Methanol

369. Hydrocortisone Component Of Oticair

370. Hydrocortisone Component Of Otocort

371. Nci60_000118

372. Acetasol Hc Component Hydrocortisone

373. Calmurid Hc Component Hydrocortisone

374. Hydrocortisone Component Of Otobione

375. Hydrocortisone Component Of Pediotic

376. Hydrocortisone Component Of Pyocidin

377. 4-pregnene-11alpha,21-triol 3,20-dione

378. Hydrocortisone Component Of Alphaderm

379. Hydrocortisone Component Of Cipro Hc

380. Hydrocortisone Component Of Orlex Hc

381. Hydrocortisone Component Of Otobiotic

382. Hydrocortisone Component Of Vosol Hc

383. B1951

384. Eu-0100594

385. Prednisolone Impurity A [ep Impurity]

386. 4-pregnene-11b,17a,21-triol-3,20-dione

387. Hydrocortisone 100 Microg/ml In Acetonitrile

388. Hydrocortisone Component Of Acetasol Hc

389. Hydrocortisone Component Of Calmurid Hc

390. 50h237

391. C00735

392. D00088

393. U 1851

394. Hydrocortisone, Meets Usp Testing Specifications

395. Pregn-4-ene-3, 11.beta.,17,21-trihydroxy-

396. 11?,17?,21-trihydroxypregn-4-ene-3,20-dione

397. A929789

398. Hydrocortisone, Vetranal(tm), Analytical Standard

399. Q190875

400. Sr-01000000139

401. Q-201211

402. Sr-01000000139-3

403. Brd-k93568044-001-03-1

404. Brd-k93568044-001-11-4

405. Brd-k93568044-001-32-0

406. Hydrocortisone Acetate Impurity A [ep Impurity]

407. Hydrocortisone, Bioreagent, Suitable For Cell Culture

408. 4-pregnen-11.beta.,17.alpha.,21-triol-3,20-dione

409. 4-pregnene-11.beta.,17.alpha.,21-triol-3,20-dione

410. Pregn-4-ene-3,20-dione, 11.beta.,17,21-trihydroxy-

411. Z2786051549

412. (11beta)-11,17,21-trihydroxy-pregn-4-ene-3,20-dione

413. 11.beta.,17.alpha.,21-trihydroxy-4-pregnene-3,20-dione

414. 11.beta.,17.alpha.,21-trihydroxypregn-4-ene-3,20-dione

415. B48448a1-24ba-47ca-8d9e-43e5bc949386

416. Hydrocortisone, British Pharmacopoeia (bp) Assay Standard

417. Pregn-4-ene-3, 11,17,21-trihydroxy-, (11.beta.)-

418. 11,17,21-trihydroxypregn-4-ene-3,20-dione, (11.beta.)-

419. Hydrocortisone Sodium Succinate Impurity A [ep Impurity]

420. Hydrocortisone, European Pharmacopoeia (ep) Reference Standard

421. Hydrocortisone Hydrogen Succinate Impurity A [ep Impurity]

422. Hydrocortisone, United States Pharmacopeia (usp) Reference Standard

423. Hydrocortisone-water Soluble, Bioreagent, Suitable For Cell Culture

424. Hydrocortisone, Gamma-irradiated, Powder, Bioxtra, Suitable For Cell Culture

425. 4-(6-chloro-4-oxoquinazolin-3(4h)-yl)-n-(3-methoxyphenyl)piperidine-1-carboxamide

426. Cortisol Solution, 1.0 Mg/ml In Methanol, Ampule Of 1 Ml, Certified Reference Material

427. Hydrocortisone For Peak Identification, European Pharmacopoeia (ep) Reference Standard

428. Hydrocortisone Solution, 50 Mum, Sterile-filtered, Bioxtra, Suitable For Cell Culture

429. Hydrocortisone, Pharmaceutical Secondary Standard; Certified Reference Material

430. (10r,13s,17r)-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13-dimethyl-2,6,7,8,9,11,12,14,15,16-decahydro-1h-cyclopenta[a]phenanthren-3-one

2.3.3 Other Synonyms

1. Efficort

2. Retef

3. Hydrocortisone Aceponate

4. Cortef Fluid

5. Hydrocortisone Cypionate

6. Hidroaltesona

7. Hydrocortone Phosphate

8. Hydrocortisone Phosphate

9. Hydrocortisone Sodium Phosphate

10. Aacicortisol

11. Hydrocortisone Hydrogen Succinate

12. Hydrocortisone Hemisuccinate Hydrate

13. Hydrocortisone Hemisuccinate

14. Hydrocortisone 21-hemisuccinate

2.4 Create Date
2004-09-16
3 Chemical and Physical Properties
Molecular Weight 362.5 g/mol
Molecular Formula C21H30O5
XLogP31.6
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count5
Rotatable Bond Count2
Exact Mass362.20932405 g/mol
Monoisotopic Mass362.20932405 g/mol
Topological Polar Surface Area94.8 Ų
Heavy Atom Count26
Formal Charge0
Complexity684
Isotope Atom Count0
Defined Atom Stereocenter Count7
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 36  
Drug NameAcetasol hc
PubMed HealthAcetic Acid/Hydrocortisone (Into the ear)
Drug ClassesAnti-Infective/Anti-Inflammatory Combination
Active IngredientAcetic acid, glacial; hydrocortisone
Dosage FormSolution/drops
RouteOtic
Strength1%; 2%
Market StatusPrescription
CompanyActavis Mid Atlantic

2 of 36  
Drug NameAla-cort
PubMed HealthHydrocortisone
Drug ClassesAnti-Inflammatory, Corticosteroid, Intermediate, Corticosteroid, Weak, Endocrine-Metabolic Agent, Gastrointestinal Agent, Hemorrhoidal Anti-Inflammatory, Hydrocortisone, Immune Suppressant
Active IngredientHydrocortisone
Dosage FormCream
RouteTopical
Strength1%
Market StatusPrescription
CompanyCrown Labs

3 of 36  
Drug NameAla-scalp
PubMed HealthHydrocortisone (On the skin)
Drug ClassesCorticosteroid, Intermediate, Corticosteroid, Weak
Active IngredientHydrocortisone
Dosage FormLotion
RouteTopical
Strength2%
Market StatusPrescription
CompanyCrown Labs

4 of 36  
Drug NameAnusol hc
PubMed HealthHydrocortisone (By mouth)
Drug ClassesAnti-Inflammatory, Endocrine-Metabolic Agent, Immune Suppressant
Active IngredientHydrocortisone
Dosage FormCream
RouteTopical
Strength2.5%
Market StatusPrescription
CompanySalix Pharms

5 of 36  
Drug NameColocort
PubMed HealthHydrocortisone Enema (Rectal)
Drug ClassesAnti-Inflammatory, Gastrointestinal Agent
Drug LabelHydrocortisone is a white to practically white, odorless, crystalline powder, very slightly soluble in water. It has the chemical name Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-,(11)- and the following structural formula:Colocort is a convenien...
Active IngredientHydrocortisone
Dosage FormEnema
RouteRectal
Strength100mg/60ml
Market StatusPrescription
CompanyPaddock

6 of 36  
Drug NameCortef
PubMed HealthHydrocortisone (Rectal)
Drug ClassesAnti-Inflammatory, Hemorrhoidal Anti-Inflammatory
Drug LabelCORTEF Tablets contain hydrocortisone which is a glucocorticoid. Glucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract. Hydrocortisone USP is white to practical...
Active IngredientHydrocortisone
Dosage FormTablet
RouteOral
Strength5mg; 10mg; 20mg
Market StatusPrescription
CompanyPharmacia And Upjohn

7 of 36  
Drug NameCortenema
PubMed HealthNeomycin, Polymyxin B, and Hydrocortisone
Drug ClassesAdrenal Glucocorticoid, Aminoglycoside/Corticosteroid Combination, Anti-Infective/Anti-Inflammatory Combination, Neomycin
Drug LabelHydrocortisone is a white to practically white, odorless, crystalline powder, very slightly soluble in water. It has the chemical name Pregn-4-ene-3,20-dione,11,17,21-trihydroxy,(11)-and the following structural formula: CORTENEMA is a convenient...
Active IngredientHydrocortisone
Dosage FormEnema
RouteRectal
Strength100mg/60ml
Market StatusPrescription
CompanyAni Pharms

8 of 36  
Drug NameCortifoam
PubMed HealthHydrocortisone
Drug ClassesAnti-Inflammatory, Corticosteroid, Intermediate, Corticosteroid, Weak, Endocrine-Metabolic Agent, Gastrointestinal Agent, Hemorrhoidal Anti-Inflammatory, Hydrocortisone, Immune Suppressant
Active IngredientHydrocortisone acetate
Dosage FormAerosol, metered
RouteRectal
Strength10%
Market StatusPrescription
CompanyMeda Pharms

9 of 36  
Drug NameCortisporin
PubMed HealthHydrocortisone
Drug ClassesAnti-Inflammatory, Corticosteroid, Intermediate, Corticosteroid, Weak, Endocrine-Metabolic Agent, Gastrointestinal Agent, Hemorrhoidal Anti-Inflammatory, Hydrocortisone, Immune Suppressant
Active IngredientHydrocortisone acetate; polymyxin b sulfate; Hydrocortisone; Bacitracin zinc; hydrocortisone; neomycin sulfate
Dosage FormSolution/drops; Suspension/drops; Ointment; Cream
RouteTopical; Otic
Strength400 units/gm; 10,000 units/gm; 0.5%; 10,000 units/ml; 1%; eq 3.5mg base/ml; eq 3.5mg base/gm; 5,000 units/gm
Market StatusPrescription
CompanyMonarch Pharms; Citron Pharma

10 of 36  
Drug NameHydrocortisone
Active IngredientHydrocortisone
Dosage FormOintment; Enema; Tablet; Cream; Lotion
RouteRectal; Oral; Topical
Strength1%; 5mg; 10mg; 2.5%; 100mg/60ml; 20mg
Market StatusPrescription
CompanyVintage Pharms; Amedra Pharms; Taro; Fougera; Lyne; Fougera Pharms; Teva Pharms; Actavis Mid Atlantic; Vintage; Perrigo New York

11 of 36  
Drug NameHydrocortisone and acetic acid
Drug LabelTopical corticosteroids constitute a class of primarily synthetic steroids used as anti-inflammatory and antipruritic agents. Texacort Topical Solution contains hydrocortisone as the active corticosteroid, having the chemical formula of Pregn-4-ene-3...
Active IngredientAcetic acid, glacial; hydrocortisone
Dosage FormSolution/drops
RouteOtic
Strength1%; 2%
Market StatusPrescription
CompanyTaro; Vintage

12 of 36  
Drug NameHydrocortisone in absorbase
Active IngredientHydrocortisone
Dosage FormOintment
RouteTopical
Strength1%
Market StatusPrescription
CompanyCarolina Medcl

13 of 36  
Drug NameHydro-rx
PubMed HealthAcetic Acid/Hydrocortisone (Into the ear)
Drug ClassesAnti-Infective/Anti-Inflammatory Combination
Drug LabelGlucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract.Hydrocortisone is a white to practically white, odorless, crystalline powder, very slightly soluble in wat...
Active IngredientHydrocortisone
Dosage FormPowder
RouteFor rx compounding
Strength100%
Market StatusPrescription
CompanyX Gen Pharms

14 of 36  
Drug NameNutracort
Active IngredientHydrocortisone
Dosage FormLotion
RouteTopical
Strength2.5%
Market StatusPrescription
CompanyDow Pharm

15 of 36  
Drug NameStie-cort
Active IngredientHydrocortisone
Dosage FormLotion
RouteTopical
Strength2.5%
Market StatusPrescription
CompanyPerrigo

16 of 36  
Drug NameSynacort
Active IngredientHydrocortisone
Dosage FormCream
RouteTopical
Strength1%; 2.5%
Market StatusPrescription
CompanyMedicis

17 of 36  
Drug NameTexacort
Active IngredientHydrocortisone
Dosage FormSolution
RouteTopical
Strength2.5%
Market StatusPrescription
CompanyMission Pharma

18 of 36  
Drug NameVosol hc
Active IngredientAcetic acid, glacial; hydrocortisone
Dosage FormSolution/drops
RouteOtic
Strength1%; 2%
Market StatusPrescription
CompanyHi Tech Pharma

19 of 36  
Drug NameAcetasol hc
PubMed HealthAcetic Acid/Hydrocortisone (Into the ear)
Drug ClassesAnti-Infective/Anti-Inflammatory Combination
Active IngredientAcetic acid, glacial; hydrocortisone
Dosage FormSolution/drops
RouteOtic
Strength1%; 2%
Market StatusPrescription
CompanyActavis Mid Atlantic

20 of 36  
Drug NameAla-cort
PubMed HealthHydrocortisone
Drug ClassesAnti-Inflammatory, Corticosteroid, Intermediate, Corticosteroid, Weak, Endocrine-Metabolic Agent, Gastrointestinal Agent, Hemorrhoidal Anti-Inflammatory, Hydrocortisone, Immune Suppressant
Active IngredientHydrocortisone
Dosage FormCream
RouteTopical
Strength1%
Market StatusPrescription
CompanyCrown Labs

21 of 36  
Drug NameAla-scalp
PubMed HealthHydrocortisone (On the skin)
Drug ClassesCorticosteroid, Intermediate, Corticosteroid, Weak
Active IngredientHydrocortisone
Dosage FormLotion
RouteTopical
Strength2%
Market StatusPrescription
CompanyCrown Labs

22 of 36  
Drug NameAnusol hc
PubMed HealthHydrocortisone (By mouth)
Drug ClassesAnti-Inflammatory, Endocrine-Metabolic Agent, Immune Suppressant
Active IngredientHydrocortisone
Dosage FormCream
RouteTopical
Strength2.5%
Market StatusPrescription
CompanySalix Pharms

23 of 36  
Drug NameColocort
PubMed HealthHydrocortisone Enema (Rectal)
Drug ClassesAnti-Inflammatory, Gastrointestinal Agent
Drug LabelHydrocortisone is a white to practically white, odorless, crystalline powder, very slightly soluble in water. It has the chemical name Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-,(11)- and the following structural formula:Colocort is a convenien...
Active IngredientHydrocortisone
Dosage FormEnema
RouteRectal
Strength100mg/60ml
Market StatusPrescription
CompanyPaddock

24 of 36  
Drug NameCortef
PubMed HealthHydrocortisone (Rectal)
Drug ClassesAnti-Inflammatory, Hemorrhoidal Anti-Inflammatory
Drug LabelCORTEF Tablets contain hydrocortisone which is a glucocorticoid. Glucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract. Hydrocortisone USP is white to practical...
Active IngredientHydrocortisone
Dosage FormTablet
RouteOral
Strength5mg; 10mg; 20mg
Market StatusPrescription
CompanyPharmacia And Upjohn

25 of 36  
Drug NameCortenema
PubMed HealthNeomycin, Polymyxin B, and Hydrocortisone
Drug ClassesAdrenal Glucocorticoid, Aminoglycoside/Corticosteroid Combination, Anti-Infective/Anti-Inflammatory Combination, Neomycin
Drug LabelHydrocortisone is a white to practically white, odorless, crystalline powder, very slightly soluble in water. It has the chemical name Pregn-4-ene-3,20-dione,11,17,21-trihydroxy,(11)-and the following structural formula: CORTENEMA is a convenient...
Active IngredientHydrocortisone
Dosage FormEnema
RouteRectal
Strength100mg/60ml
Market StatusPrescription
CompanyAni Pharms

26 of 36  
Drug NameCortifoam
PubMed HealthHydrocortisone
Drug ClassesAnti-Inflammatory, Corticosteroid, Intermediate, Corticosteroid, Weak, Endocrine-Metabolic Agent, Gastrointestinal Agent, Hemorrhoidal Anti-Inflammatory, Hydrocortisone, Immune Suppressant
Active IngredientHydrocortisone acetate
Dosage FormAerosol, metered
RouteRectal
Strength10%
Market StatusPrescription
CompanyMeda Pharms

27 of 36  
Drug NameCortisporin
PubMed HealthHydrocortisone
Drug ClassesAnti-Inflammatory, Corticosteroid, Intermediate, Corticosteroid, Weak, Endocrine-Metabolic Agent, Gastrointestinal Agent, Hemorrhoidal Anti-Inflammatory, Hydrocortisone, Immune Suppressant
Active IngredientHydrocortisone acetate; polymyxin b sulfate; Hydrocortisone; Bacitracin zinc; hydrocortisone; neomycin sulfate
Dosage FormSolution/drops; Suspension/drops; Ointment; Cream
RouteTopical; Otic
Strength400 units/gm; 10,000 units/gm; 0.5%; 10,000 units/ml; 1%; eq 3.5mg base/ml; eq 3.5mg base/gm; 5,000 units/gm
Market StatusPrescription
CompanyMonarch Pharms; Citron Pharma

28 of 36  
Drug NameHydrocortisone
Active IngredientHydrocortisone
Dosage FormOintment; Enema; Tablet; Cream; Lotion
RouteRectal; Oral; Topical
Strength1%; 5mg; 10mg; 2.5%; 100mg/60ml; 20mg
Market StatusPrescription
CompanyVintage Pharms; Amedra Pharms; Taro; Fougera; Lyne; Fougera Pharms; Teva Pharms; Actavis Mid Atlantic; Vintage; Perrigo New York

29 of 36  
Drug NameHydrocortisone and acetic acid
Drug LabelTopical corticosteroids constitute a class of primarily synthetic steroids used as anti-inflammatory and antipruritic agents. Texacort Topical Solution contains hydrocortisone as the active corticosteroid, having the chemical formula of Pregn-4-ene-3...
Active IngredientAcetic acid, glacial; hydrocortisone
Dosage FormSolution/drops
RouteOtic
Strength1%; 2%
Market StatusPrescription
CompanyTaro; Vintage

30 of 36  
Drug NameHydrocortisone in absorbase
Active IngredientHydrocortisone
Dosage FormOintment
RouteTopical
Strength1%
Market StatusPrescription
CompanyCarolina Medcl

31 of 36  
Drug NameHydro-rx
PubMed HealthAcetic Acid/Hydrocortisone (Into the ear)
Drug ClassesAnti-Infective/Anti-Inflammatory Combination
Drug LabelGlucocorticoids are adrenocortical steroids, both naturally occurring and synthetic, which are readily absorbed from the gastrointestinal tract.Hydrocortisone is a white to practically white, odorless, crystalline powder, very slightly soluble in wat...
Active IngredientHydrocortisone
Dosage FormPowder
RouteFor rx compounding
Strength100%
Market StatusPrescription
CompanyX Gen Pharms

32 of 36  
Drug NameNutracort
Active IngredientHydrocortisone
Dosage FormLotion
RouteTopical
Strength2.5%
Market StatusPrescription
CompanyDow Pharm

33 of 36  
Drug NameStie-cort
Active IngredientHydrocortisone
Dosage FormLotion
RouteTopical
Strength2.5%
Market StatusPrescription
CompanyPerrigo

34 of 36  
Drug NameSynacort
Active IngredientHydrocortisone
Dosage FormCream
RouteTopical
Strength1%; 2.5%
Market StatusPrescription
CompanyMedicis

35 of 36  
Drug NameTexacort
Active IngredientHydrocortisone
Dosage FormSolution
RouteTopical
Strength2.5%
Market StatusPrescription
CompanyMission Pharma

36 of 36  
Drug NameVosol hc
Active IngredientAcetic acid, glacial; hydrocortisone
Dosage FormSolution/drops
RouteOtic
Strength1%; 2%
Market StatusPrescription
CompanyHi Tech Pharma

4.2 Therapeutic Uses

Anti-Inflammatory Agents, Steroidal

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


MEDICATION (VET): Acute urticaria /can be treated by/ rapid-acting adrenocorticosteroids, eg, hydrocortisone ... .

Kahn, C.M. (Ed.); The Merck Veterinary Manual 9th ed. Merck & Co. Whitehouse Station, NJ. 2005, p. 690


MEDICATION (VET): /USED/ IV, IN PREVENTING OR TREATING ADRENAL FAILURE & SHOCK-LIKE CONDITIONS IN SURGICAL CASES WHICH HAVE BEEN ON CORTICOSTEROIDS, IN ACUTE ALLERGIC REACTIONS...IN POOR SURGICAL RISKS, & IN CASES WHICH HAVE HAD OVERWHELMING SYSTEMIC INFECTIONS...IN DOGS OR CATTLE...

Rossoff, I.S. Handbook of Veterinary Drugs. New York: Springer Publishing Company, 1974., p. 266


MEDICATION (VET) /EXPL:/: 5 Standardbreds and 4 Dutch Warmblood horses /were/ used to examine sensitivity of peripheral tissues to exogenous insulin 24 hours after administration of a single dose of hydrocortisone (0.06 mg/kg), eGH (20 ug/kg), or saline (0.9% NaCl) solution and after long-term administration (11 to 15 days) of eGH to horses. The amounts of metabolized glucose (M) and plasma insulin concentration (I) were determined. Values for M and the M-to-I ratio were significantly higher 24 hours after administration of a single dose of hydrocortisone than after single-dose administration of eGH or saline solution. After long-term administration of eGH, basal I concentration was increased and the mean M-to-I ratio was 22% lower, compared with values for horses treated with saline solution. Increases in M and the M-to-I ratio after a single dose of hydrocortisone imply that short-term hydrocortisone treatment increases glucose use by, and insulin sensitivity of, peripheral tissues. Assuming a single dose of hydrocortisone improves sensitivity of peripheral tissues to insulin, it may be an interesting candidate for use in reducing insulin resistance in peripheral tissues of horses with several disease states.

PMID:6334949 de Graaf-Roelfsema E et al; Am J Vet Res 66 (11): 1907-13 (2005)


For more Therapeutic Uses (Complete) data for HYDROCORTISONE (23 total), please visit the HSDB record page.


4.3 Drug Warning

It is not known whether rectal corticosteroids are distributed into breast milk. Systemic corticosteroids are distributed into breast milk and may cause unwanted effects, such as growth suppression, in the infant. Rectal corticosteroids are not recommended for use by breast-feeding mothers. /Corticosteroids, rectal/

Thomson/Micromedex. Drug Information for the Health Care Professional. Volume 1, Greenwood Village, CO. 2007., p. 913


The results of a prospective randomized controlled trial, which looked at the incidence of postoperative diabetes insipidus following the use of three different hydrocortisone protocols, and the results of a study, on the incidence of diabetes insipidus and cortisol response in patients not given hydrocortisone /was reported/. In study 1, 114 patients with pituitary macroadenoma were randomized into three groups: conventional dose (injected hydrocortisone 100 mg IV 6-hourly for 3 days); intermediate dose (injected hydrocortisone 100 mg IV 6-hourly on day 1, 100 mg IV 8-hourly on day 2, and 100 mg IV 12-hourly on day 3); low dose protocol (injected hydrocortisone 25 mg IV 6-hourly on day 1, 25 mg IV 8-hourly on day 2 and 25 mg IV 12-hourly on day 3). Radical excision was achieved in 92 patients. The incidence of diabetes insipidus with the conventional dose was 52%, intermediate dose, 36% and low dose, 24% (p = 0.025). Study 2 included 16 consecutive patients with Hardy's grade A & B pituitary adenoma. These patients were randomized to receive (Group I) or not receive (Group II) hydrocortisone. Patients in Group II demonstrated normal cortisol response intraoperatively and no patient developed features of hypocortisolism; the incidence of diabetes insipidus in this group was 14%. The low dose hydrocortisone protocol reduced the incidence of diabetes insipidus by 46% when compared with the conventional dose hydrocortisone protocol. In patients with grade A and B tumor with normal preoperative cortisol levels, the use of perioperative hydrocortisone can be avoided.

PMID:14635749 Rajaratnam S et al; Br J Neurosurg 17 (5): 437-42 (2003)


ACUTE ADRENAL INSUFFICIENCY RESULTS FROM TOO RAPID WITHDRAWAL OF CORTICOSTEROID THERAPY. /CORTICOSTEROIDS/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 1496


POTENTIAL ADVERSE EFFECTS ON FETUS: Cleft palate, spontaneous abortions, and intrauterine growth retardation in animals. Potential for cleft palate formation and adrenal suppression in humans, although teratogenic effects have not been confirmed. POTENTIAL SIDE EFFECTS ON BREAST-FED INFANT: Passes into breast milk in small amounts. Administration of physiologic doses unlikely to adversely affect infant. FDA Category: C (C = Studies in laboratory animals have revealed adverse effects on the fetus (teratogenic, embryocidal, etc.) but there are no controlled studies in pregnant women. The benefits from use of the drug in pregnant women may be acceptable despite its potential risks, or there are no laboratory animal studies or adequate studies in pregnant women.) /Adrenocorticosteroids/ /from table II/

PMID:2195076 Stockton DL, Palle AS; J Am Acad Dermatol 23 (1): 87-103 (1990)


For more Drug Warnings (Complete) data for HYDROCORTISONE (31 total), please visit the HSDB record page.


4.4 Drug Indication

Otic solutions are indicated for infections of the external auditory canal caused by susceptible organisms and with inflammation. Hydrocortisone tablets are indicated for certain endocrine, rheumatic, collagen, allergic, ophthalmic, respiratory, hematologic, neoplastic, edematous, gastrointestinal, and other conditions. A hydrocortisone enema is indicated for ulcerative colitis, a topical ointment with antibiotics is indicated for corticosteroid responsive dermatoses with infections, and a topical cream with [acyclovir] is indicated to treat cold sores. Oral granules of hydrocortisone are used as a replacement therapy for Adrenocortical Insufficiency (AI) in children under 17 years of age.


FDA Label


Replacement therapy of adrenal insufficiency in infants, children and adolescents (from birth to < 18 years old).


Treatment of adrenal insufficiency in adults.


Treatment of adrenocortical insufficiency


Treatment of congenital adrenal hyperplasia (CAH) in adolescents aged 12 years and over and adults.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Hydrocortisone binds to the glucocorticoid receptor leading to downstream effects such as inhibition of phospholipase A2, NF-kappa B, other inflammatory transcription factors, and the promotion of anti-inflammatory genes. Hydrocortisone has a wide therapeutic index and a moderate duration of action. Patients should stop taking the medication if irritation or sensitization occurs.


5.2 MeSH Pharmacological Classification

Anti-Inflammatory Agents

Substances that reduce or suppress INFLAMMATION. (See all compounds classified as Anti-Inflammatory Agents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
HYDROCORTISONE
5.3.2 FDA UNII
WI4X0X7BPJ
5.3.3 Pharmacological Classes
Corticosteroid [EPC]; Corticosteroid Hormone Receptor Agonists [MoA]
5.4 ATC Code

H02AB09


H02AB09


H02AB09


D07AA02

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


A - Alimentary tract and metabolism

A01 - Stomatological preparations

A01A - Stomatological preparations

A01AC - Corticosteroids for local oral treatment

A01AC03 - Hydrocortisone


A - Alimentary tract and metabolism

A07 - Antidiarrheals, intestinal antiinflammatory/antiinfective agents

A07E - Intestinal antiinflammatory agents

A07EA - Corticosteroids acting locally

A07EA02 - Hydrocortisone


C - Cardiovascular system

C05 - Vasoprotectives

C05A - Agents for treatment of hemorrhoids and anal fissures for topical use

C05AA - Corticosteroids

C05AA01 - Hydrocortisone


D - Dermatologicals

D07 - Corticosteroids, dermatological preparations

D07A - Corticosteroids, plain

D07AA - Corticosteroids, weak (group i)

D07AA02 - Hydrocortisone


D - Dermatologicals

D07 - Corticosteroids, dermatological preparations

D07X - Corticosteroids, other combinations

D07XA - Corticosteroids, weak, other combinations

D07XA01 - Hydrocortisone


H - Systemic hormonal preparations, excl. sex hormones and insulins

H02 - Corticosteroids for systemic use

H02A - Corticosteroids for systemic use, plain

H02AB - Glucocorticoids

H02AB09 - Hydrocortisone


S - Sensory organs

S01 - Ophthalmologicals

S01B - Antiinflammatory agents

S01BA - Corticosteroids, plain

S01BA02 - Hydrocortisone


S - Sensory organs

S01 - Ophthalmologicals

S01C - Antiinflammatory agents and antiinfectives in combination

S01CB - Corticosteroids/antiinfectives/mydriatics in combination

S01CB03 - Hydrocortisone


S - Sensory organs

S02 - Otologicals

S02B - Corticosteroids

S02BA - Corticosteroids

S02BA01 - Hydrocortisone


5.5 Absorption, Distribution and Excretion

Absorption

Oral hydrocortisone at a dose of 0.2-0.3mg/kg/day reached a mean Cmax of 32.69nmol/L with a mean AUC of 90.63h\*nmol/L A 0.4-0.6mg/kg/day dose reached a mean Cmax of 70.81nmol/L with a mean AUC of 199.11h\*nmol/L. However, the pharmacokinetics of hydrocortisone can vary by 10 times from patient to patient. Topical hydrocortisone cream is 4-19% bioavailable[8546995] with a Tmax of 24h. Hydrocortisone retention enemas are have a bioavailability of 0.810 for slow absorbers and 0.502 in rapid absorbers. Slow absorbers take up hydrocortisone at a rate of 0.3610.255/h while fast absorbers take up hydrocortisone at a rate of 1.050.255/h. A 20mg IV dose of hydrocortisone has an AUC of 1163277ng\*h/mL.


Route of Elimination

Corticosteroids are eliminated predominantly in the urine. However, data regarding the exact proportion is not readily available.


Volume of Distribution

Total hydrocortisone has a volume of distribution of 39.82L, while the free fraction has a volume of distribution of 474.38L.


Clearance

Total hydrocortisone by the oral route has a mean clearance of 12.85L/h, while the free fraction has a mean clearance of 235.78L/h. A 20mg IV dose of hydrocortisone has a clearance of 18.24.2L/h.


Following percutaneous penetration of a topical corticosteroid, the drug that is systemically absorbed probably follows the metabolic pathways of systemically administered corticosteroids. Corticosteroids usually are metabolized in the liver and excreted by the kidneys. Some topical corticosteroids and their metabolites are excreted in bile. /Topical corticosteroids/

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, MD. 2007., p. 3525


Topical application of corticosteroids to the mucosa of the genitourinary or lower intestinal tract may result in substantial systemic absorption of the drugs. In healthy individuals, as much as 30-90% of rectally administered hydrocortisone as a retention enema may be absorbed. Greater amounts of hydrocortisone may be absorbed rectally if the intestinal mucosa is inflamed.

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, MD. 2007., p. 3525


Following topical application of a corticosteroid to most areas of normal skin, only minimal amounts of the drug reach the dermis and subsequently the systemic circulation; however, absorption is markedly increased when the skin has lost its keratin layer and can be increased by inflammation and/or diseases of the epidermal barrier (e.g., psoriasis, eczema). The drugs are absorbed to a greater degree from the scrotum, axilla, eyelid, face, and scalp than from the forearm, knee, elbow, palm, and sole. Even after washing the area being treated, prolonged absorption of the corticosteroid occurs, possibly because the drug is retained in the stratum corneum. /Topical corticosteroids/

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, MD. 2007., p. 3525


Percutaneous penetration of corticosteroids varies among individual patients and can be increased by the use of occlusive dressings, by increasing the concentration of the corticosteroid, and by using different vehicles. The use of an occlusive dressing with hydrocortisone for 96 hours substantially enhances percutaneous penetration of the drug; however, such use for up to 24 hours does not appear to alter penetration of topically applied hydrocortisone.

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, MD. 2007., p. 3525


For more Absorption, Distribution and Excretion (Complete) data for HYDROCORTISONE (15 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Hydrocortisone is metabolised to 6-beta hydrocortisol via CYP3A, 5-beta tetrahydrocortisol via 3-oxo-5-beta-steroid 4-dehydrogenase, 5-alpha tetrahydrocortisol via 3-oxo-5-alpha-steroid 4-dehydrogenase 2, cortisone via Corticosteroid 11-beta-dehydrogenase isozyme 1 and Corticosteroid 11-beta-dehydrogenase isozyme 2, and glucuronide products. Cortisone is further metabolized to tetrahydrocortisone and dihydrocortisol.


A study was made of the absorption of exogenous hydrocortisone and formation of its metabolites in isolated liver of intact and exposed rats in conditions of recirculating perfusion. It was shown that the absorption of the hormone by the liver of irradiated rats was greatly lowered but the content of most metabolites found in the perfused medium of irradiated liver increased as compared to the control. It is suggested that irradiation inhibits subsequent transformations of the hydrocortisone metabolism products.

PMID:4001319 Litskevich LA, Dokshina GA; Radiobiologiia 25 (2): 200-3 (1985)


Subcellular distribution of (3)H-hydrocortisone and its metabolites in the liver and kidney of intact and alloxan diabetic rats was investigated. Ten minutes after the administration of this hormone several metabolites (mostly tetrahydrocortisol) and the native hormone were found in liver cytosol, microsomes, mitochondria and nuclei, the relative content of individual compounds in various subcellular fractions being different. In liver mitochondria, microsomes and nuclei of alloxan diabetic rats the concentration of tetrahydrocortisol was decreased, while that of native hormone was increased as compared to normal animals. It was suggested that such changes found in diabetic animals may be one of the causes of increased sensitivity of transcription and translation processes to glucocorticoids. In kidney cytosol and microsomes of intact rats cortisone and tetrahydrocortisol were found. In diabetic animals, however, the concentration of tetrahydrocortisol increased, while that of cortisone was undetectable.

PMID:3259502 Minchenko AG, Tronjko ND; Endocrinol Exp 22 (1): 19-28 (1988)


5.7 Biological Half-Life

Total hydrocortisone via the oral route has a half life of 2.15h while the free fraction has a half life of 1.39h. A 20mg IV dose of hydrocortisone has a terminal half life of 1.90.4h.


... After IV administration, hydrocortisone was eliminated with a total body clearance of 18 L/hr and a half-life of 1.7 hr.

PMID:2050835 Derendorf H et al; J Clin Pharmacol 31 (5): 473-6 (1991)


5.8 Mechanism of Action

The short term effects of corticosteroids are decreased vasodilation and permeability of capillaries, as well as decreased leukocyte migration to sites of inflammation. Corticosteroids binding to the glucocorticoid receptor mediates changes in gene expression that lead to multiple downstream effects over hours to days. Glucocorticoids inhibit neutrophil apoptosis and demargination; they inhibit phospholipase A2, which decreases the formation of arachidonic acid derivatives; they inhibit NF-Kappa B and other inflammatory transcription factors; they promote anti-inflammatory genes like interleukin-10. Lower doses of corticosteroids provide an anti-inflammatory effect, while higher doses are immunosuppressive. High doses of glucocorticoids for an extended period bind to the mineralocorticoid receptor, raising sodium levels and decreasing potassium levels.


Following topical application, corticosteroids produce anti-inflammatory, antipruritic, and vasoconstrictor actions. The activity of the drugs is thought to result at least in part from binding with a steroid receptor. Corticosteroids decrease inflammation by stabilizing leukocyte lysosomal membranes, preventing release of destructive acid hydrolases from leukocytes; inhibiting macrophage accumulation in inflamed areas; reducing leukocyte adhesion to capillary endothelium; reducing capillary wall permeability and edema formation; decreasing complement components; antagonizing histamine activity and release of kinin from substrates; reducing fibroblast proliferation, collagen deposition, and subsequent scar tissue formation; and possibly by other mechanisms as yet unknown. Corticosteroids, especially the fluorinated corticosteroids, have antimitotic activity on cutaneous fibroblasts and the epidermis. /Corticosteroids/

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists, Bethesda, MD. 2007., p. 3525


Reactive oxygen species (ROS) generation by polymorphonuclear leukocytes (PMNL) and mononuclear cells (MNC) is inhibited following the intravenous administration of hydrocortisone. This is associated with a parallel decrease in intranuclear NFkappaB, known to modulate inflammatory responses including ROS generation. Plasma levels of interleukin-10 (IL-10), an anti-inflammatory and immunosuppressive cytokine produced by TH2 cells, are also increased after hydrocortisone administration. In this study, we have investigated the effect of hydrocortisone on p47(phox) subunit, a key component of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, in MNC and the pharmacodynamics of this effect with ROS generation and plasma IL-10 levels /were investigated/. p47(phox) subunit protein levels in MNC showed a progressive decrease after hydrocortisone administration. It reached a nadir at 4 hours and increased thereafter to a baseline level at 24 hours. ROS generation also decreased, reached a nadir between 2 and 4 hours, and returned to a baseline level at 24 hours. IL-10 concentrations increased, peaked at 4 hours, and reverted to the baseline levels at 24 hours. In conclusion, p47(phox) subunit suppression may contribute to the inhibition of ROS generation in MNC after hydrocortisone administration. This suppression occurs in parallel with the suppression of NFkappaB and an increase in IL-10 plasma levels. Therefore, it would appear that the decrease in intranuclear NFkappaB and an increase in IL-10 may cause the inhibitory modulation on p47(phox) subunit and ROS generation by MNC following hydrocortisone and other glucocorticoids.

PMID:11319715 Dandona P et al; Metabolism 50 (5): 548-52 (2001)


NDC API

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HYDROCORTISONE

NDC Package Code : 22552-0037

Start Marketing Date : 2013-06-04

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HYDROCORTISONE

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Sanofi chimie

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HYDROCORTISONE HEMISUCCINATE

NDC Package Code : 0009-5086

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HYDROCORTISONE

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Hydrocortisone

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Pfizer CentreOne® is an altogether different global contract development and manufacturing organization (CDMO), and a leading supplier of specialty APIs and intermediates. Backed by Pfizer resources, we’ve been delivering technical expertise, regulatory support and long-term supply for over 40 years. With 35+ sites across six continents, our expansive network allows us to securely and efficiently guide complex compounds from development through commercial manufacture. For more information, visit http://www.pfizercentreone.com
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Hydrocortisone

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Symbiotec, a leading API manufacturing company based in Indore, Central India, specializes in Cortico-Steroids and Steroid-Hormone APIs. Since 1995, their focus on R&D, sustainable operations, and innovation has driven their commitment to improving global healthcare access. With a state-of-the-art manufacturing facility inaugurated in 2004, Symbiotec has become a trusted provider in the industry. Their certifications including WHO-GMP, ISO, US FDA, and EU GMP showcase their dedication to quality and excellence. Over two decades, they've maintained their position through adaptability, efficiency, and competitive pricing.
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Axplora

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Hydrocortisone Hemisuccinate

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Bioquim

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Hydrocortisone Sodium Phosphate

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Envee Drugs

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Envee Drugs

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Hydrocortisone Hemisuccinate

About the Company : We take pride and pleasure to introduce “Envee Drugs Pvt. Ltd.” a leading manufacturer of Active Pharmaceutical Ingredients (APIs). Envee Drugs is a API manufacturer since 1998...

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07-Jan-2021
21-Jan-2025
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Drugs in Development

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Details:

ODM-208 (or MK-5684) is an investigational oral, non-steroidal and selective inhibitor of the CYP11A1 enzyme discovered and developed by Orion for the treatment of hormone-dependent cancers, such as metastatic castration-resistant prostate cancer.


Lead Product(s): Opevesostat,Dexamethasone,Hydrocortisone

Therapeutic Area: Oncology Brand Name: ODM-208

Study Phase: Phase IIIProduct Type: Other Small Molecule

Sponsor: Merck & Co

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable November 21, 2023

Fermion Orion Company Banner

01

Details : ODM-208 (or MK-5684) is an investigational oral, non-steroidal and selective inhibitor of the CYP11A1 enzyme discovered and developed by Orion for the treatment of hormone-dependent cancers, such as metastatic castration-resistant prostate cancer.

Product Name : ODM-208

Product Type : Other Small Molecule

Upfront Cash : Inapplicable

November 21, 2023

Fermion Orion Company Banner

Details:

ETON in-licensed commercialization rights to ZENEO® Hydrocortisone, a unique, and proprietary ready-to-use liquid formulation of hydrocortisone, for the US and Canadian markets.


Lead Product(s): Hydrocortisone

Therapeutic Area: Neurology Brand Name: Zeneo

Study Phase: UndisclosedProduct Type: Steroid

Sponsor: Eton Pharmaceuticals

Deal Size: Undisclosed Upfront Cash: Undisclosed

Deal Type: Collaboration March 25, 2025

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02

Crossject

France
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Arvo
Not Confirmed

Crossject

France
arrow
Arvo
Not Confirmed

Details : ETON in-licensed commercialization rights to ZENEO® Hydrocortisone, a unique, and proprietary ready-to-use liquid formulation of hydrocortisone, for the US and Canadian markets.

Product Name : Zeneo

Product Type : Steroid

Upfront Cash : Undisclosed

March 25, 2025

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Details:

ET-400 is Eton’s proprietary patented formulation of hydrocortisone oral solution. Company has submitted NDA for ET-400 use in endocrine system disorders.


Lead Product(s): Hydrocortisone

Therapeutic Area: Endocrinology Brand Name: ET-400

Study Phase: Phase IIIProduct Type: Steroid

Sponsor: Inapplicable

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable July 15, 2024

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03

Arvo
Not Confirmed
Arvo
Not Confirmed

Details : ET-400 is Eton’s proprietary patented formulation of hydrocortisone oral solution. Company has submitted NDA for ET-400 use in endocrine system disorders.

Product Name : ET-400

Product Type : Steroid

Upfront Cash : Inapplicable

July 15, 2024

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Details:

ET-400 is Eton’s proprietary patented formulation of hydrocortisone oral solution. Company has submitted NDA for ET-400 use in endocrine system disorders.


Lead Product(s): Hydrocortisone

Therapeutic Area: Endocrinology Brand Name: ET-400

Study Phase: Phase IIIProduct Type: Steroid

Sponsor: Inapplicable

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable April 30, 2024

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04

Arvo
Not Confirmed
Arvo
Not Confirmed

Details : ET-400 is Eton’s proprietary patented formulation of hydrocortisone oral solution. Company has submitted NDA for ET-400 use in endocrine system disorders.

Product Name : ET-400

Product Type : Steroid

Upfront Cash : Inapplicable

April 30, 2024

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Details:

The results of the Phase I study met its primary objective showing ATRS-1902 delivered a comparable pharmacokinetic profile and also demonstrated that ATRS-1902 was safe and well-tolerated for the treatment of acute adrenal insufficiency.


Lead Product(s): Hydrocortisone

Therapeutic Area: Endocrinology Brand Name: ATRS-1902

Study Phase: Phase IProduct Type: Steroid

Sponsor: Inapplicable

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable November 01, 2022

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05

Arvo
Not Confirmed
Arvo
Not Confirmed

Details : The results of the Phase I study met its primary objective showing ATRS-1902 delivered a comparable pharmacokinetic profile and also demonstrated that ATRS-1902 was safe and well-tolerated for the treatment of acute adrenal insufficiency.

Product Name : ATRS-1902

Product Type : Steroid

Upfront Cash : Inapplicable

November 01, 2022

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Details:

Efmody® is a modified-release preparation of hydrocortisone that has been specifically designed for the treatment of patients with CAH, a rare condition caused by a genetic deficiency of adrenal enzymes.


Lead Product(s): Hydrocortisone

Therapeutic Area: Genetic Disease Brand Name: Efmody

Study Phase: Approved FDFProduct Type: Steroid

Sponsor: Diurnal Group

Deal Size: Undisclosed Upfront Cash: Undisclosed

Deal Type: Licensing Agreement April 26, 2022

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06

EffRx Pharmaceuticals

Switzerland
arrow
Arvo
Not Confirmed

EffRx Pharmaceuticals

Switzerland
arrow
Arvo
Not Confirmed

Details : Efmody® is a modified-release preparation of hydrocortisone that has been specifically designed for the treatment of patients with CAH, a rare condition caused by a genetic deficiency of adrenal enzymes.

Product Name : Efmody

Product Type : Steroid

Upfront Cash : Undisclosed

April 26, 2022

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Details:

The submission for the MHRA is based on the data from the Company’s Phase 3 study, an open-label safety extension study of Chronocort® and written formal Scientific Advice received in April 2019 confirming the clinical and regulatory pathway for Chronocort® for CAH treatment.


Lead Product(s): Hydrocortisone

Therapeutic Area: Genetic Disease Brand Name: Alkindi Sprinkle

Study Phase: Phase IIIProduct Type: Steroid

Sponsor: Inapplicable

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable December 01, 2021

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07

Diurnal Group

United Kingdom
arrow
Arvo
Not Confirmed

Diurnal Group

United Kingdom
arrow
Arvo
Not Confirmed

Details : The submission for the MHRA is based on the data from the Company’s Phase 3 study, an open-label safety extension study of Chronocort® and written formal Scientific Advice received in April 2019 confirming the clinical and regulatory pathway for Chron...

Product Name : Alkindi Sprinkle

Product Type : Steroid

Upfront Cash : Inapplicable

December 01, 2021

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Details:

Under terms of the agreement, Tolmar’s sales force will promote ALKINDI SPRINKLE® to their pediatric endocrinology targets alongside FENSOLVI®. ALKINDI SPRINKLE® (hydrocortisone) oral granules is FDA-approved as replacement therapy for Adrenocortical Insufficiency (AI).


Lead Product(s): Hydrocortisone

Therapeutic Area: Endocrinology Brand Name: Alkindi Sprinkle

Study Phase: Approved FDFProduct Type: Steroid

Sponsor: Eton Pharmaceuticals

Deal Size: Undisclosed Upfront Cash: Undisclosed

Deal Type: Agreement November 15, 2021

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Tolmar

U.S.A
arrow
Arvo
Not Confirmed

Tolmar

U.S.A
arrow
Arvo
Not Confirmed

Details : Under terms of the agreement, Tolmar’s sales force will promote ALKINDI SPRINKLE® to their pediatric endocrinology targets alongside FENSOLVI®. ALKINDI SPRINKLE® (hydrocortisone) oral granules is FDA-approved as replacement therapy for Adrenocortica...

Product Name : Alkindi Sprinkle

Product Type : Steroid

Upfront Cash : Undisclosed

November 15, 2021

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Details:

Efmody® is a preparation of hydrocortisone that has been specifically designed for patients with CAH, a rare condition caused by deficiency of adrenal enzymes, most commonly 21-hydroxylase.


Lead Product(s): Hydrocortisone

Therapeutic Area: Genetic Disease Brand Name: Alkindi Sprinkle

Study Phase: Approved FDFProduct Type: Steroid

Sponsor: Inapplicable

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable September 13, 2021

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09

Diurnal Group

United Kingdom
arrow
Arvo
Not Confirmed

Diurnal Group

United Kingdom
arrow
Arvo
Not Confirmed

Details : Efmody® is a preparation of hydrocortisone that has been specifically designed for patients with CAH, a rare condition caused by deficiency of adrenal enzymes, most commonly 21-hydroxylase.

Product Name : Alkindi Sprinkle

Product Type : Steroid

Upfront Cash : Inapplicable

September 13, 2021

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Details:

The active IND enables Antares to initiate a Phase 1 clinical study for ATRS-1902 for the treatment of acute adrenal insufficiency, known as adrenal crisis, in adults and adolescents, using a novel proprietary auto-injector platform to deliver hydrocortisone.


Lead Product(s): Hydrocortisone

Therapeutic Area: Endocrinology Brand Name: ATRS-1902

Study Phase: IND EnablingProduct Type: Steroid

Sponsor: Inapplicable

Deal Size: Inapplicable Upfront Cash: Inapplicable

Deal Type: Inapplicable July 22, 2021

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Arvo
Not Confirmed
Arvo
Not Confirmed

Details : The active IND enables Antares to initiate a Phase 1 clinical study for ATRS-1902 for the treatment of acute adrenal insufficiency, known as adrenal crisis, in adults and adolescents, using a novel proprietary auto-injector platform to deliver hydrocorti...

Product Name : ATRS-1902

Product Type : Steroid

Upfront Cash : Inapplicable

July 22, 2021

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FDA Orange Book

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RLD : No

TE Code :

HYDROCORTISONE

Brand Name : HYDROCORTISONE

Dosage Form : TABLET;ORAL

Dosage Strength : 5MG

Approval Date : 2007-07-16

Application Number : 40761

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

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RLD : No

TE Code :

HYDROCORTISONE

Brand Name : HYDROCORTISONE

Dosage Form : TABLET;ORAL

Dosage Strength : 10MG

Approval Date : 2007-07-16

Application Number : 40761

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

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RLD : No

TE Code :

HYDROCORTISONE

Brand Name : HYDROCORTISONE

Dosage Form : TABLET;ORAL

Dosage Strength : 20MG

Approval Date : 2007-07-16

Application Number : 40761

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

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RLD : No

TE Code : AB

HYDROCORTISONE

Brand Name : HYDROCORTISONE

Dosage Form : TABLET;ORAL

Dosage Strength : 5MG

Approval Date : 2017-04-27

Application Number : 207029

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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RLD : No

TE Code : AB

HYDROCORTISONE

Brand Name : HYDROCORTISONE

Dosage Form : TABLET;ORAL

Dosage Strength : 10MG

Approval Date : 2017-04-27

Application Number : 207029

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

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RLD : No

TE Code : AB

HYDROCORTISONE

Brand Name : HYDROCORTISONE

Dosage Form : TABLET;ORAL

Dosage Strength : 20MG

Approval Date : 2017-04-27

Application Number : 207029

RX/OTC/DISCN : RX

RLD : No

TE Code : AB

Strides Pharma Science

07

DERMIK LABS

France
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RLD : Yes

TE Code :

HYDROCORTISONE

Brand Name : HYTONE

Dosage Form : OINTMENT;TOPICAL

Dosage Strength : 1% **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

Approval Date : 1982-01-01

Application Number : 80474

RX/OTC/DISCN : DISCN

RLD : Yes

TE Code :

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DERMIK LABS

France
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RLD : Yes

TE Code :

HYDROCORTISONE

Brand Name : HYTONE

Dosage Form : OINTMENT;TOPICAL

Dosage Strength : 2.5% **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

Approval Date : 1982-01-01

Application Number : 80474

RX/OTC/DISCN : DISCN

RLD : Yes

TE Code :

Sanofi Company Banner

09

HYDROCORTISONE

Brand Name : PENECORT

Dosage Form : GEL;TOPICAL

Dosage Strength : 1%

Approval Date : 1984-06-06

Application Number : 88215

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

Abbvie CB

10

HYDROCORTISONE

Brand Name : PENECORT

Dosage Form : CREAM;TOPICAL

Dosage Strength : 1%

Approval Date : 1984-06-06

Application Number : 88216

RX/OTC/DISCN : DISCN

RLD : No

TE Code :

Abbvie CB
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Europe

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SANOFI SpA

France
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Regulatory Info :

Registration Country : Italy

Hydrocortisone

Brand Name : Flebocortid Richter

Dosage Form : Hydrocortisone 1G 1 Units Parenteral Use

Dosage Strength : 1 bottle EV 1 g + 1 ampoule solv 10 ml

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Italy

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Regulatory Info :

Registration Country : Norway

Hydrocortisone

Brand Name : Proctosedyl

Dosage Form : Rectal Salve

Dosage Strength : (not entered)

Packaging : Tube

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Norway

Sanofi Company Banner

03

hydrokortison

Brand Name : Hydrokortison Orion

Dosage Form : TABLETT

Dosage Strength : 10 MG

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Sweden

Fermion Orion Company Banner

04

Arvo
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Ciprofloxacin Hydrochloride; Hydrocortisone

Brand Name : Mediflox

Dosage Form :

Dosage Strength : Gtt Orl 10 Ml

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Italy

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05

LEO PHARMA (2)

Denmark
Arvo
Not Confirmed
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LEO PHARMA (2)

Denmark
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Arvo
Not Confirmed

Hydrocortisone

Brand Name : Mildison Lipid

Dosage Form : Cream

Dosage Strength : 1%

Packaging : Tube

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Norway

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Pfizer

U.S.A
Arvo
Not Confirmed
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Pfizer

U.S.A
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Arvo
Not Confirmed

hydrocortisone

Brand Name : Solu-Cortef

Dosage Form : POWDER AND SOLVENT FOR SOLUTION FOR INJECTION

Dosage Strength : 100 MG

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Sweden

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Hydrocortisone

Brand Name : Solucortef

Dosage Form :

Dosage Strength : 1 Bottle Im Ev 100 Mg 2 Ml  

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Italy

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08

Pfizer AS

U.S.A
Arvo
Not Confirmed
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Pfizer AS

U.S.A
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Arvo
Not Confirmed

Hydrocortisone

Brand Name : Terra-Cortril Polymyxin B

Dosage Form : Øredråper, suspension

Dosage Strength : (not entered)

Packaging : Tube

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Norway

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Arvo
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Hydrocortisone

Brand Name : Plenadren

Dosage Form : Hydrocortisone 20Mg 50 Combined Oral Use Rm

Dosage Strength : 50 CPR 20 mg modified release bottle

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Italy

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Not Confirmed
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Hydrocortisone acetates

Brand Name : Hydrocortisone-POS

Dosage Form : Eye Ointment

Dosage Strength : 1%

Packaging :

Approval Date :

Application Number :

Regulatory Info :

Registration Country : Switzerland

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DRUG PRODUCT COMPOSITIONS

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DOSAGE - SUSPENSION/DROPS;OTIC - EQ 0.2% BASE...DOSAGE - SUSPENSION/DROPS;OTIC - EQ 0.2% BASE;1%

USFDA APPLICATION NUMBER - 20805

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DOSAGE - CREAM;TOPICAL - 5%;1%

USFDA APPLICATION NUMBER - 22436

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DOSAGE - OINTMENT;TOPICAL - 400 UNITS/GM;1%;E...DOSAGE - OINTMENT;TOPICAL - 400 UNITS/GM;1%;EQ 3.5MG BASE/GM;5,000 UNITS/GM **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 50168

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DOSAGE - CREAM;TOPICAL - 1%

USFDA APPLICATION NUMBER - 80693

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DOSAGE - LOTION;TOPICAL - 2%

USFDA APPLICATION NUMBER - 83231

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DOSAGE - TABLET;ORAL - 10MG

USFDA APPLICATION NUMBER - 8697

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DOSAGE - TABLET;ORAL - 20MG

USFDA APPLICATION NUMBER - 8697

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DOSAGE - TABLET;ORAL - 5MG

USFDA APPLICATION NUMBER - 8697

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ABOUT THIS PAGE

Looking for 50-23-7 / Hydrocortisone API manufacturers, exporters & distributors?

Hydrocortisone manufacturers, exporters & distributors 1

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PharmaCompass offers a list of Hydrocortisone API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Hydrocortisone manufacturer or Hydrocortisone supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Hydrocortisone manufacturer or Hydrocortisone supplier.

PharmaCompass also assists you with knowing the Hydrocortisone API Price utilized in the formulation of products. Hydrocortisone API Price is not always fixed or binding as the Hydrocortisone Price is obtained through a variety of data sources. The Hydrocortisone Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Hydrocortisone

Synonyms

Cortisol, 50-23-7, Acticort, Cetacort, Cortef, Hydrasson

Cas Number

50-23-7

Unique Ingredient Identifier (UNII)

WI4X0X7BPJ

About Hydrocortisone

The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions.

Lactisona Manufacturers

A Lactisona manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Lactisona, including repackagers and relabelers. The FDA regulates Lactisona manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Lactisona API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Lactisona manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Lactisona Suppliers

A Lactisona supplier is an individual or a company that provides Lactisona active pharmaceutical ingredient (API) or Lactisona finished formulations upon request. The Lactisona suppliers may include Lactisona API manufacturers, exporters, distributors and traders.

click here to find a list of Lactisona suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Lactisona USDMF

A Lactisona DMF (Drug Master File) is a document detailing the whole manufacturing process of Lactisona active pharmaceutical ingredient (API) in detail. Different forms of Lactisona DMFs exist exist since differing nations have different regulations, such as Lactisona USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Lactisona DMF submitted to regulatory agencies in the US is known as a USDMF. Lactisona USDMF includes data on Lactisona's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Lactisona USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Lactisona suppliers with USDMF on PharmaCompass.

Lactisona JDMF

The Pharmaceuticals and Medical Devices Agency (PMDA) established the Japan Drug Master File (JDMF), also known as the Master File (MF), to permit Japanese and foreign manufacturers of drug substances, intermediates, excipients, raw materials, and packaging materials (‘Products’) to voluntarily register confidential information about the production and management of their products in Japan.

The Lactisona Drug Master File in Japan (Lactisona JDMF) empowers Lactisona API manufacturers to present comprehensive information (e.g., production methods, data, etc.) to the review authority, i.e., PMDA (Pharmaceuticals & Medical Devices Agency).

PMDA reviews the Lactisona JDMF during the approval evaluation for pharmaceutical products. At the time of Lactisona JDMF registration, PMDA checks if the format is accurate, if the necessary items have been included (application), and if data has been attached.

click here to find a list of Lactisona suppliers with JDMF on PharmaCompass.

Lactisona KDMF

In Korea, the Ministry of Food and Drug Safety (MFDS) is in charge of regulating pharmaceutical products and services.

Pharmaceutical companies submit a Lactisona Drug Master File in Korea (Lactisona KDMF) to the MFDS, which includes comprehensive information about the production, processing, facilities, materials, packaging, and testing of Lactisona. The MFDS reviews the Lactisona KDMF as part of the drug registration process and uses the information provided in the Lactisona KDMF to evaluate the safety and efficacy of the drug.

After submitting a Lactisona KDMF to the MFDS, the registered manufacturer can provide importers or distributors with the registration number without revealing confidential information to Korean business partners. Applicants seeking to register their Lactisona API can apply through the Korea Drug Master File (KDMF).

click here to find a list of Lactisona suppliers with KDMF on PharmaCompass.

Lactisona CEP

A Lactisona CEP of the European Pharmacopoeia monograph is often referred to as a Lactisona Certificate of Suitability (COS). The purpose of a Lactisona CEP is to show that the European Pharmacopoeia monograph adequately controls the purity of Lactisona EP produced by a given manufacturer. Suppliers of raw materials can prove the suitability of Lactisona to their clients by showing that a Lactisona CEP has been issued for it. The manufacturer submits a Lactisona CEP (COS) as part of the market authorization procedure, and it takes on the role of a Lactisona CEP holder for the record. Additionally, the data presented in the Lactisona CEP (COS) is managed confidentially and offers a centralized system acknowledged by numerous nations, exactly like the Lactisona DMF.

A Lactisona CEP (COS) is recognised by all 36 nations that make up the European Pharmacopoeia Convention. Lactisona CEPs may be accepted in nations that are not members of the Ph. Eur. at the discretion of the authorities there.

click here to find a list of Lactisona suppliers with CEP (COS) on PharmaCompass.

Lactisona WC

A Lactisona written confirmation (Lactisona WC) is an official document issued by a regulatory agency to a Lactisona manufacturer, verifying that the manufacturing facility of a Lactisona active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting Lactisona APIs or Lactisona finished pharmaceutical products to another nation, regulatory agencies frequently require a Lactisona WC (written confirmation) as part of the regulatory process.

click here to find a list of Lactisona suppliers with Written Confirmation (WC) on PharmaCompass.

Lactisona NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Lactisona as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Lactisona API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Lactisona as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Lactisona and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Lactisona NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Lactisona suppliers with NDC on PharmaCompass.

Lactisona GMP

Lactisona Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Lactisona GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Lactisona GMP manufacturer or Lactisona GMP API supplier for your needs.

Lactisona CoA

A Lactisona CoA (Certificate of Analysis) is a formal document that attests to Lactisona's compliance with Lactisona specifications and serves as a tool for batch-level quality control.

Lactisona CoA mostly includes findings from lab analyses of a specific batch. For each Lactisona CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Lactisona may be tested according to a variety of international standards, such as European Pharmacopoeia (Lactisona EP), Lactisona JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Lactisona USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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