About rectal hydrocortisone

Hydrocortisone given into the rectum can be used to help inflammation in the lower parts of the large intestine (bowel). It is a corticosteroid and works by reducing inflammation.

It is given into the back passage so that it is in the part of the bowel which needs treatment.

Before using rectal hydrocortisone

Before using rectal hydrocortisone make sure your doctor or pharmacist knows:

• If you have ever had an allergic reaction to this medicine.
• If you are taking any other medicines, including those available to buy without a prescription.
• If there is any irritation around your back passage.
• If you have any blockage of your bowel.
• If you have a viral or fungal infection or tuberculosis.
• If you, or a close member of your family, have ever had depression or another mental health problem.
• If you are pregnant, trying for a baby or breast-feeding.

How to use rectal hydrocortisone

Before beginning treatment, read the manufacturer's printed information leaflet, and use this preparation exactly as directed by your doctor.

1. Shake the canister thoroughly for 30 seconds before use.
2. Withdraw the plunger slowly until it stops at the catch line.
3. Holding it firmly, insert the canister top into the applicator tip.
4. Press down gently on the canister top so that the foam fills one quarter of the applicator. Only a short press is needed to do this.
5. Wait a few seconds for the foam to settle.
6. Repeat steps 4. and 5. until the foam reaches the fill line.
7. Stand with one leg raised on a chair or lie on one side.
8. Gently insert the applicator into the back passage and push the plunger fully into the applicator.
9. Wash the applicator after use.

Getting the most from your treatment

• Keep your regular appointments with your doctor so that your progress can be checked.
• If you forget a dose, do not worry, just have the next dose when it is due.
• Complete the course as prescribed by your doctor.
• If you are having any treatment like an operation or dental treatment, tell the person carrying out the treatment that you are using hydrocortisone.

Can rectal hydrocortisone cause problems

Along with their useful effects all medicines can cause unwanted side-effects. These usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

How to store rectal hydrocortisone

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light.

Important information about all medicines

References

• Manufacturer's PIL, Colifoam®, Meda Pharmaceuticals, electronic Medicines Compendium. Dated December 2008, accessed December 2009.
• British National Formulary; 58th Edition (September 2009) British Medical Association and Royal Pharmaceutical Society of Great Britain, London (link to current BNF).