Hydrocortisone for Skin

What is hydrocortisone for skin?

Hydrocortisone is a mild corticosteroid used topically to treat inflammation, itching, and redness caused by various skin problems. It comes in different formulations and strengths, generally between 0.5% and 2.5%, and is available in creams, ointments, lotions, and foams. Most forms are available to buy from shops or pharmacies, but higher strengths are only available on prescription[1]. 

What is hydrocortisone for skin used for?

Hydrocortisone helps calm flare-ups of skin irritation caused by a range of conditions. These include[1]: 

• Eczema (including atopic eczema) 

• Dermatitis (e.g. contact, seborrhoeic, or intertrigo) 

• Insect bites 

• Photodermatitis (sunlight-induced skin reaction) 

• Prurigo nodularis (itchy skin lumps) 

• Cradle cap (under supervision in infants) 

• Inflammation of the outer ear 

How does hydrocortisone for skin work?

Hydrocortisone reduces inflammation by[1]: 

• Suppressing the release of inflammatory chemicals in the skin 

• Narrowing blood vessels to decrease swelling and redness 

• Reducing immune responses that cause itching and irritation 

Who can take hydrocortisone for skin?

Hydrocortisone is safe for most people, but there are a few exceptions. It is suitable for[1]: 

• Adults and children over 10 years old 

• Children under 10 if prescribed by a doctor 

Speak to a doctor or pharmacist first if you[1]: 

• Are allergic to hydrocortisone or any ingredients in the product 

• Have an untreated skin or eye infection (bacterial, fungal, or viral) 

• Are treating acne, rosacea, or perioral dermatitis 

• Are pregnant, trying to get pregnant, or breastfeedingPlease tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

What is the typical dosage of hydrocortisone for skin? 

Your doctor or pharmacist may advise a specific amount based on the area treated. A useful guide is the fingertip unit (FTU) method[1]: 

• 1 FTU = enough cream from the fingertip to the first crease 

• 2 FTUs is enough to cover both hands 

• 6 FTUs is enough to cover one leg 

• Children generally need lower amounts and shorter treatment courses (no more than 7 days) 

How do you take hydrocortisone for skin?

When applying hydrocortisone, follow these steps[1]: 

• Wash hands before and after applying 

• Apply a thin layer to the affected area. Apply sparingly as directed by you pharmacist or doctor 

• Gently rub in 

• Do not use dressings unless advised 

• Avoid using on or near the eyes unless specifically instructed 

• Do not apply to the face unless prescribed 

• Do not apply to broken skin unless instructed by a prescriber 

What is the typical dosage of hydrocortisone for skin?

Your doctor or pharmacist may advise a specific amount based on the area treated. A useful guide is the fingertip unit (FTU) method[1]: 

• 1 FTU = enough cream from the fingertip to the first crease 

• 2 FTUs is enough to cover both hands 

• 6 FTUs is enough to cover one leg 

• Children generally need lower amounts and shorter treatment courses (no more than 7 days) 

Can you stop taking hydrocortisone for skin?

Yes, if it’s used short-term for mild conditions. However, for longer courses, speak to your doctor or pharmacist before stopping, as sudden withdrawal may cause rebound symptoms like redness, burning, or peeling[1]. 

What do you do if you use too much hydrocortisone for skin?

Washing off excess is often sufficient. Long-term overuse may lead to[1]: 

• Thinning of the skin 

• Stretch marks 

• Hormonal side effects 

• If accidentally swallowed, seek immediate medical help 

What do you do if you forget to use hydrocortisone for skin?

Apply as soon as you remember. Skip it if it’s nearly time for the next dose. Do not double up[1]. 

How do I store hydrocortisone for skin?

Keep hydrocortisone stored correctly to ensure its effectiveness[1]: 

• Store below 25°C 

• Keep out of reach of children 

• Do not use after the expiry date 

• Dispose of any leftover cream safely [2][3] 

What medicines can’t you take with hydrocortisone for skin?

Hydrocortisone cream is generally safe, but always inform your pharmacist or doctor if you’re using: 

• Other topical corticosteroids 

• Immunosuppressants 

• Antibiotic or antifungal creams 

• Any other prescribed or over-the-counter treatments 

• It is safe to use alongside vaccines but avoid applying near injection sites 

Always inform your doctor or pharmacist about all medications and supplements you take before you start a new medicine, and follow the instructions in the Patient Information Leaflet[2]. 

What are the side effects of hydrocortisone for skin?

Most people do not experience problems, but side effects can occur[1]. 

Common side effects[1]: 

• Mild burning or stinging in the short period after application 

• Itching 

Less common side effects[1]: 

• Skin thinning 

• Stretch marks 

• Increased hair growth 

• Changes in skin pigmentation 

• Blurred vision (if used near eyes) 

Rare but serious[1]: 

• Steroid withdrawal (redness, peeling, oozing skin) 

• Skin infections, either new or an existing one getting worse 

• Adrenal gland problems 

• Raised pus-filled bumps with psoriasis 

• Eyesight changes 

You should contact your GP if you experience any of these symptoms. In rare cases, the medicine may cause a serious allergic reaction (anaphylaxis). You should call 999 or visit A&E immediately if you believe this is happening[1]. 

Symptoms of anaphylaxis include[1]:  

• Difficulty breathing  

• Tightness in throat and chest  

• Swelling of the tongue or throat  

• Feeling faint or dizzy  

• Blue/grey skin or lips  

• Loss of consciousness 

If you experience any side effects, including those not listed, you are encouraged to report them via the Yellow Card Scheme or contact your doctor, pharmacist, or nurse. This information is intended as a summary for general awareness and does not replace professional medical advice. 

The information provided in the side effects section is not a comprehensive list of all possible side effects associated with this medication. For a complete list of side effects, please refer to the Patient Information Leaflet (PIL) provided with your medication or consult your healthcare professional[2]. 

Frequently asked questions about hydrocortisone for skin

Can I use hydrocortisone on my face? 
The products bought over the counter are not licensed to be used on the face. Only apply to the face if specifically prescribed as facial skin is thin and sensitive. It is licensed however to be used on the ear lobes for dermatitis [1]. 

Can children use hydrocortisone? 
Yes, from age 1 and above, when prescribed under medical supervision. When buying for self-treatment, it is not licensed to be used in children under 10 years of age[1]. 

Can I use it long-term? 
Not without supervision. Prolonged use can lead to side effects[1]. 

Can I use hydrocortisone with moisturisers? 
Yes – apply moisturiser first, wait 30 minutes, then apply hydrocortisone[1]. 

Can I use hydrocortisone while pregnant? 
Yes, under recommendation and supervision of a doctor[1]. 

Can I use hydrocortisone while breastfeeding? 
Yes, but do not apply near the nipple[1]. 

Can I use hydrocortisone on broken skin? 
Only if instructed by a healthcare professional[1]. 

Can I combine hydrocortisone with other skin treatments? 
Yes but confirm with your doctor or pharmacist[1]. 

For the official NHS guide to hydrocortisone for skin, visit their website.