This medication is used to treat diseases caused by inflammation of the colon and rectum such as certain types of ulcerative colitis, ulcerative proctitis, regional enteritis with left side involvement, proctitis, proctocolitis, and proctitis caused by radiation. It is usually used in combination with other medications. It works within the colon and rectum to decrease inflammation.
Pain/discomfort in the rectal area, headache, dizziness, menstrual period changes (e.g., delayed/irregular/absent periods), trouble sleeping, increased sweating, acne, increased appetite, or unusual weight gain may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
The usual adult dose of hydrocortisone enema is one 60 mL enema daily for two or three weeks, and every second day after that, used in the evening before going to bed, as directed by your doctor.
To use the medication:
* Lie on your left side, shake the bottle well, and grasp the bottle at the neck where it is most rigid.
* Expose the lubricated tip of the bottle by removing the protective sheath.
* Carefully insert the lubricated tip into the rectum in the direction of the sacrum (a bone in the lower back).
* Slowly squeeze the container until empty.
* Remain in the same position for at least 30 minutes to allow distribution of the medication in the colon.
Improvement of the condition being treated usually occurs within five to seven days. If you do not notice improvement within two to three weeks, or if your condition worsens, call your doctor.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones above, do not change the way that you are taking the medication without consulting your doctor.
It is very important to use this medication exactly as prescribed by your doctor. If you forget a dose of this medication use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and carry on with your regular schedule. Do not double-up on doses.
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