Corticosteroids (Rectal)
Proper Use of This MedicineIt is important that your doctor check your progress at regular visits
.
For patients using the enema
form of this medicine:
-
This medicine usually comes with patient directions. Read and follow
them carefully before using this medicine.
For patients using the foam
form of this medicine:
-
This medicine is used with a special applicator. Do not insert any
part of the aerosol container into the rectum.
For patients using the suppository
form of
this medicine:
-
If the suppository is too soft to insert, chill it in the refrigerator
for 30 minutes or run cold water over it before removing the wrapper.
-
To insert the suppository: First remove the wrapper and moisten
the suppository with cold water. Lie down on your side and use your finger
to push the suppository well up into the rectum.
Do not use rectal corticosteroids in larger amounts,
more often, or for a longer time than your doctor ordered
. To do so
may increase the chance of absorption through the lining of the rectum and
the chance of side effects.
Dosing - The dose of rectal corticosteroids may be different
for different patients. Follow your doctor's orders or
the directions on the label
. The following information includes only
the average doses of corticosteroids. If your dose is
different, do not change it
unless your doctor tells you to do so.
For betamethasone
-
For enema
dosage form:
-
For ulcerative colitis:
-
Adults - The usual dose is 5 milligrams (mg) (1 unit), used as
directed, every night for two to four weeks.
-
Children - Dose must be determined by your doctor.
For budesonide
-
For enema
dosage form:
-
For ulcerative colitis:
-
Adults - The usual dose is 2 milligrams (mg) (1 unit), used as
directed, every night for four to eight weeks.
-
Children - Use and dose must be determined by your doctor.
For hydrocortisone
-
For enema
dosage form:
-
For ulcerative colitis:
-
Adults - The usual dose is 100 milligrams (mg) (1 unit), used
as directed, every night for two or three weeks or until condition improves
as determined by your doctor.
-
Children - Dose must be determined by your doctor.
For hydrocortisone acetate
-
For foam
dosage form:
-
For ulcerative colitis:
-
Adults - At first, 1 applicatorful, used as directed, one or
two times a day for two or three weeks. Then, the dose may be decreased to
1 applicatorful every other day.
-
Children - Dose must be determined by your doctor.
-
For suppository
dosage form:
-
For ulcerative colitis:
-
Adults - The usual dose is 25 or 30 milligrams (mg) two times
a day, in the morning and at night, for two weeks. In more severe cases, the
dose may be 25 or 30 mg three times a day or 50 or 60 mg two times a day.
-
Children - Dose must be determined by your doctor.
-
For inflammation of the rectum caused by radiation therapy:
-
Adults - The usual dose is 25 or 30 mg two times a day, in the
morning and at night, for six to eight weeks.
-
Children - Dose must be determined by your doctor.
-
For other rectal problems:
-
Adults - The usual dose is 20 to 30 mg a day for three days,
or 40 to 80 mg a day as needed.
-
Children - Dose must be determined by your doctor.
For tixocortol
-
For enema
dosage form:
-
For ulcerative colitis:
-
Adults - The usual dose is 250 milligrams (mg) (1 unit), used
as directed, at bedtime for twenty-one days in a row.
-
Children - Use and dose must be determined by your doctor.
Missed dose - If you miss a dose of this medicine, use it as
soon as you remember. However, if it is almost time for your next dose, skip
the missed dose and go back to your regular dosing schedule. Do not double
doses.
Storage - To store this medicine:
-
Keep out of the reach of children.
-
Store away from heat and direct light.
-
Do not store suppositories in the bathroom medicine cabinet because
the heat or moisture may cause the medicine to break down.
-
Keep the medicine from freezing.
-
Do not puncture, break, or burn the rectal foam aerosol container,
even when it is empty.
-
Do not keep outdated medicine or medicine no longer needed. Be sure
that any discarded medicine is out of the reach of children.
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