Drug Action
Hydrocortisone has equal glucocorticoid and mineralocorticoid activity.
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Drug reference
Hydrocortisone has equal glucocorticoid and mineralocorticoid activity.
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Oral and perioral lesions ▶TO THE LESION USING BUCCAL TABLET ▶Child 1 month–11 years: Only on medical advice ▶Child 12–17 years: 1 lozenge 4 times a day, allowed to dissolve slowly in the mouth in contact with the ulcer ▶Adult: 1 lozenge 4 times a day, allowed to dissolve slowly in the mouth in contact with the ulcer l UNLICENSED USE Hydrocortisone mucoadhesive buccal tablets licensed for use in children (under 12 years—on medical advice only).
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Untreated local infection
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MHRA/CHM ADVICE: HYDROCORTISONE MUCO-ADHESIVE BUCCAL TABLETS: SHOULD NOT BE USED OFF-LABEL FOR ADRENAL INSUFFICIENCY IN CHILDREN DUE TO SERIOUS RISKS (DECEMBER 2018) The MHRA has received reports of off-label use of hydrocortisone muco-adhesive buccal tablets for adrenal insufficiency in children. Healthcare professionals are advised that: . hydrocortisone muco-adhesive buccal tablets are indicated only for local use in the mouth for aphthous ulceration and should not be used to treat adrenal insufficiency; . substitution of licensed oral hydrocortisone formulations with muco-adhesive buccal tablets can result in insufficient cortisol absorption and, in stress situations, life-threatening adrenal crisis; . only hydrocortisone products licensed for adrenal replacement therapy should be used.
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→Appendix 1: corticosteroids l PROFESSION SPECIFIC INFORMATION Dental practitioners’ formulary Mucoadhesive buccal tablets may be prescribed as Hydrocortisone Oromucosal Tablets.
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There can be variation in the licensing of different medicines containing the same drug. Ear, nose and oropharynx Muco-adhesive buccal tablet ▶Hydrocortisone (Non-proprietary) Hydrocortisone (as Hydrocortisone sodium succinate) 2.5 mg Hydrocortisone 2.5mg muco-adhesive buccal tablets sugar free sugar-free | 20 tablet p £8.96 DT = £8.96 SALICYLIC ACID AND DERIVATIVES
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Only on medical advice
First-line fragment. Read the complete Indications and Dose section above.
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1 lozenge 4 times a day, allowed to
First-line fragment. Read the complete Indications and Dose section above.
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1 lozenge 4 times a day, allowed to dissolve
First-line fragment. Read the complete Indications and Dose section above.
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