Cortenemaand/or alternativesChemical Ingredient: Hydrocortisone
Cortenema Drug Information
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Cortenema Drug Information
Cortenema is used to treat the symptoms of a certain intestinal problem called ulcerative colitis. It is not a cure for this condition, but it is usually used with other treatments to manage this problem. Hydrocortisone enemas help to decrease diarrhea and bloody stools by reducing swelling (inflammation) in the rectum and colon. Hydrocortisone belongs to a class of drugs called corticosteroids.
How to Use Cortenema
Read the directions for use that come with Cortenema. If you have any questions, ask your doctor or pharmacist. Use Cortenema in the rectum as directed by your doctor, usually once nightly before bedtime. The usual length of treatment is 2 to 3 weeks or until symptoms go away (remission). In some cases, remission may take up to 2 or 3 months. The dosage and length of treatment are based on your medical condition and response to treatment. For best results, use after a bowel movement. Shake the bottle thoroughly before use. Lie on your left side with your right knee bent toward the chest. Gently insert the applicator tip into the rectum. Gently but firmly squeeze the bottle so that all of the drug flows into the rectum. Remain lying on your left side for at least 30 minutes. Keep the medicine in your rectum for at least 1 hour and overnight if possible. Use Cortenema regularly as prescribed to get the most benefit from it. It may take 3 to 5 days to notice an improvement. Do not use more of Cortenema, use it more often, or use it for longer than prescribed. Your condition will not improve any faster, and your risk of side effects may increase. If you have been using Cortenema for a long time (more than 3 weeks), do not stop using it without consulting your doctor. Some conditions may become worse when Cortenema is suddenly stopped. Your dose may need to be gradually decreased. Tell your doctor if your condition does not improve after 2 to 3 weeks of treatment or if it worsens.
Before using hydrocortisone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (such as prednisone); or if you have any other allergies. Cortenema may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Cortenema, tell your doctor or pharmacist your medical history,other stomach/intestinal problems (such as ulcers, blockage, bleeding, infection, recent surgery), infections (such as tuberculosis, fungal infections), certain eye conditions (cataracts, glaucoma, herpes infection of the eye), heart problems (such as congestive heart failure, recent heart attack), high blood pressure, liver disease, kidney disease, thyroid problems (overactive or underactive thyroid disease), diabetes, bone loss (osteoporosis), bleeding or blood clotting problems, mental/mood conditions (such as psychosis, depression), low potassium or calcium blood levels, a certain muscle/nerve disease (myasthenia gravis). Cortenema may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages to also decrease the risk of stomach/intestinal bleeding. Talk to your doctor if you are using marijuana (cannabis). Using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using Cortenema or have used Cortenema within the past 12 months. Tell your doctor right away if you develop unusual/extreme tiredness or weight loss. If you will be using Cortenema for a long time, carry a warning card or medical ID bracelet that identifies your use of Cortenema. Do not have immunizations, vaccinations, or skin tests without the consent of your doctor. Avoid contact with people who have recently received live vaccines (such as flu vaccine inhaled through the nose). Cortenema can make you more likely to get infections or may worsen any current infections. Therefore, wash your hands well to prevent the spread of infection. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). Consult your doctor if you have been exposed to an infection or for more details. If you have diabetes, Cortenema may affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Older adults may be more sensitive to the side effects of Cortenema, especially bone loss/pain, stomach/intestinal bleeding, and mental/mood changes (such as confusion). Cortenema may slow down a child's growth if used for a long time. Consult the doctor or pharmacist for more details. See the doctor regularly so your child's height and growth can be checked. During pregnancy, Cortenema should be used only when clearly needed and not for prolonged periods. Other forms of hydrocortisone (given by mouth or by injection) may harm an unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have been using Cortenema for an extended time may have low levels of the natural corticosteroid hormone in their bodies and may need more monitoring. Tell your doctor right away if you notice symptoms such as vomiting, severe diarrhea, or weakness in your newborn. It is unknown if Cortenema passes into breast milk. However, it is unlikely to harm a nursing infant. Consult your doctor before breast-feeding.
If you miss a dose of Cortenema, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.
The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring. To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with Cortenema. While using Cortenema, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.aldesleukin, "blood thinners" (such as warfarin), vaccines. Check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (including aspirin, salicylates, NSAIDs such as ibuprofen, naproxen) that may increase your risk of bleeding when taken with corticosteroids. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking the aspirin unless your doctor instructs you otherwise. Ask your pharmacist about using those products safely. This document does not contain all possible drug interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to lessen your risk for serious medication problems.
Cortenema Side Effects
What are Cortenema side effects?
Side effects are physical, mental or emotional symptoms which occur in addition to or outside of the desired effect of a therapeutic treatment such as an over-the-counter or prescribed drug or medication. Side effects from Cortenema may occur at the beginning or at the end of treatment and may also depend on the length of time an individual remains on the treatment. Side effects, also known as adverse effects, are generally more likely to occur when starting treatment. Individuals may also experience side effects from Cortenema as a result of an interaction with other medications.
Side Effects of Cortenema
The side effects of Cortenema may vary in number and intensity for many different reasons. Factors such as age, weight, gender and ethnicity may influence the side effects of Cortenema. Also, an individual’s state of general physical health and seriousness of the disease or illness as well as an increase or decrease in dosage may lead to side effects. Further, side effects from Cortenema may also occur as a result of an interaction with certain herbal supplements, foods or drinks.
Prescription drug side effects can be serious and may cause patients to stop the treatment. However, when side effects from the use of a prescription drug, such as Cortenema, do occur a patient should consult their physician. A physician may prescribe an additional treatment in order to control the symptoms or an adjustment in the dosage may be made. In addition, changes to diet, exercise or other lifestyle activities may help to lessen the side effects of Cortenema.
By understanding side effects and the factors which may influence the occurrence of side effects patients are empowered to take an active role in their care. Patients who have specific questions about the side effects of Cortenema, or any other medication, should contact their physician. General information about Cortenema and the side effects associated with Cortenema are described in the following:
Common Cortenema Side Effects
- increased appetite
Less Frequent Cortenema Side Effects
- adrenal cortical insufficiency
- irregular menstrual periods
Rare or Very Rare Cortenema Side Effects
- body fluid retention
- acute confusion
- paranoid disorder
- idiopathic intracranial hypertension
- ocular hypertension
- chronic heart failure
- thromboembolic disorder
- pulmonary edema
- peptic ulcer
- intestinal perforation
- gastrointestinal hemorrhage
- abdominal distension
- abnormal hepatic function tests
- drug-induced psychosis
- personality disorders
- impaired wound healing
- rectal irritation
- mood changes
- sleep disorder
- acne vulgaris
- allergic dermatitis
Store at room temperature between 68-77 degrees F (20-25 degrees C). Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Cortenema when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
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