Why is this medication prescribed?

Cortifoam, a rectal foam containing the corticosteroid hydrocortisone acetate, is primarily prescribed for the treatment of inflammatory conditions of the rectum and lower colon. These conditions include:

• Ulcerative Colitis: Specifically, distal ulcerative colitis, which affects the lower part of the colon and rectum.
• Proctitis: Inflammation of the lining of the rectum.
• Proctosigmoiditis: Inflammation of the rectum and the sigmoid colon.

The corticosteroid in Cortifoam helps reduce inflammation, swelling, and irritation, providing relief from symptoms such as pain, bleeding, and discomfort associated with these conditions.

How should this medicine be used?

Cortifoam (hydrocortisone acetate) is a medication used to treat inflammatory conditions of the rectum and colon, such as ulcerative colitis. Here’s how Cortifoam should typically be used:

• Preparation: Before using Cortifoam, shake the canister well to ensure the contents are properly mixed.
• Administration:
  • Insert the applicator tip into the rectum.
  • Gently squeeze the canister to release the foam into the rectum as directed by your healthcare provider.
  • The usual dose is one application in the morning and one in the evening, but follow your doctor’s instructions carefully.
• Positioning: After administering the foam, remain lying down for about 10 to 15 minutes to allow the medication to spread through the rectum.
• Storage: Store Cortifoam at room temperature, away from heat and direct light. Do not puncture or incinerate the container, even if it is empty.
• Duration: Use Cortifoam for the full prescribed length of time, even if your symptoms improve. Abruptly stopping the medication may lead to a recurrence of symptoms.
• Adverse Effects: Common side effects may include headache, nausea, vomiting, rectal discomfort, or a rash around the rectal area. Contact your healthcare provider if you experience severe discomfort or any unusual symptoms.
• Follow-up: Regularly follow up with your healthcare provider to monitor your condition and discuss any concerns or changes in your symptoms.

Always follow the specific instructions provided by your healthcare provider and the manufacturer’s guidelines for the proper use of Cortifoam. If you have any questions about its use, do not hesitate to consult your healthcare provider or pharmacist for clarification.

Other uses for this medicine

• Proctitis: Cortifoam can be used to treat inflammation of the rectum (proctitis), which may be caused by various conditions including inflammatory bowel disease (IBD) or radiation therapy.
• Distal Ulcerative Colitis: It is also used for treating inflammation in the distal (lower) part of the colon in patients with ulcerative colitis.

What special precautions should I follow?

When using Cortifoam, it’s important to follow these precautions:

• Allergies: Inform your healthcare provider if you are allergic to hydrocortisone acetate or any other medications.
• Medical History: Provide a detailed medical history, especially if you have conditions such as diabetes, high blood pressure, osteoporosis, or any infections.
• Pregnancy and Breastfeeding: Discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding. The use of Cortifoam during pregnancy should be carefully considered based on potential risks and benefits.
• Interactions: Inform your doctor about all prescription, non-prescription, and herbal medications you are taking, as Cortifoam may interact with certain medications.
• Side Effects: Be aware of potential side effects such as headache, nausea, rectal discomfort, or skin reactions. Report any severe or unusual symptoms to your healthcare provider promptly.
• Routine Monitoring: Regularly follow up with your healthcare provider to monitor your response to treatment and any potential side effects. Your doctor may also monitor your bone density and blood glucose levels if you are using Cortifoam long-term.
• Use as Directed: Use Cortifoam exactly as prescribed by your doctor. Do not exceed the recommended dosage or duration of treatment unless instructed by your healthcare provider.
• Storage: Store Cortifoam at room temperature, away from heat and direct light. Keep it out of the reach of children.
• Handling: Follow the instructions for administering Cortifoam carefully to ensure proper use and effectiveness.

If you have any concerns or questions about the use of Cortifoam, always consult your healthcare provider or pharmacist for guidance.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with the use of Cortifoam. However, if you have conditions such as diabetes or hypertension, your healthcare provider may recommend dietary adjustments to manage these conditions effectively.

What should I do if I forget a dose?

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

What side effects can this medication cause?

Cortifoam (hydrocortisone acetate) can cause a variety of side effects, although not everyone using it will experience them. Common side effects include:

• Local Irritation: Mild rectal discomfort, itching, or burning sensation at the application site.
• Headache: Some users may experience headaches.
• Nausea: Mild nausea can occur in some cases.
• Skin Reactions: Rarely, allergic skin reactions such as rash or hives around the rectal area may occur.
• Increased Blood Sugar Levels: Corticosteroids like hydrocortisone can elevate blood glucose levels, especially in people with diabetes.
• Adrenal Suppression: Prolonged use of corticosteroids can suppress the adrenal glands’ ability to produce cortisol naturally, though this is less common with topical forms like Cortifoam.
• Infection Risk: Long-term use of corticosteroids may increase susceptibility to infections.
• Bone Density Loss: Extended use of corticosteroids can lead to bone density loss (osteoporosis), particularly with systemic absorption.
• Eye Problems: If accidentally introduced into the eyes, Cortifoam can cause eye irritation or damage.
• Other Systemic Effects: Although rare with topical use, systemic effects such as weight gain, mood changes, insomnia, or changes in menstrual periods can occur with prolonged or high-dose use.

It’s essential to use Cortifoam exactly as prescribed by your healthcare provider to minimize the risk of these side effects. If you experience any persistent or severe side effects, contact your doctor promptly. They may adjust your treatment regimen or provide supportive care to manage side effects effectively.

What should I know about storage and disposal of this medication?

Storage and Disposal of Cortifoam:

• Storage:
  • Store Cortifoam at room temperature, away from heat and direct light.
  • Do not store Cortifoam in the bathroom or near the kitchen sink where it could be exposed to moisture.
  • Keep the canister tightly closed when not in use.
  • Keep Cortifoam out of reach of children and pets.
• Disposal:
  • Dispose of Cortifoam according to local regulations or guidelines.
  • Do not puncture or incinerate the container, even if it is empty.
  • If you have specific questions about disposal, consult your pharmacist or healthcare provider for guidance.

In case of emergency/overdose

• Emergency Contact: In case of accidental ingestion or overdose, immediately contact your local poison control center (1-800-222-1222 in the United States) or emergency medical services.
• Symptoms of Overdose: Symptoms of Cortifoam overdose may include severe headache, dizziness, confusion, extreme fatigue, increased thirst or urination, vision problems, seizures, or unconsciousness.
• Treatment: Treatment for overdose may involve supportive care to manage symptoms. Depending on the severity of symptoms, hospitalization and monitoring may be necessary.

What other information should I know?

• Regular Monitoring: Your doctor may periodically monitor your condition and assess the need for continued use of Cortifoam. Long-term use may require monitoring of adrenal function, bone density, and blood glucose levels.
• Follow Instructions: Use Cortifoam exactly as prescribed by your healthcare provider. Do not exceed the recommended dosage or duration of treatment without consulting your doctor.
• Inform Healthcare Providers: Inform all healthcare providers involved in your care (including dentists and specialists) about your use of Cortifoam, as it may interact with other medications or treatments.
• Caution with Use: Avoid getting Cortifoam in your eyes. If accidental contact occurs, rinse thoroughly with water. Wash hands thoroughly after each use of Cortifoam.
• Patient Education: Understand the proper technique for using Cortifoam to ensure effective administration and minimize side effects. If you have any questions or concerns about Cortifoam, do not hesitate to discuss them with your healthcare provider or pharmacist.

By following these guidelines for storage, disposal, emergency procedures, and additional information, you can use Cortifoam safely and effectively as prescribed by your healthcare provider.