Hydrocortisone 1% Ointment / Efcortelan Ointment 1.0%

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Hydrocortisone Ointment is and what it is used for
2. What you need to know before you use Hydrocortisone Ointment
3. How to use Hydrocortisone Ointment
4. Possible side effects
5. How to store Hydrocortisone Ointment
6. Contents of the pack and other information

• if you are allergic to hydrocortisone, or any of the other ingredients of this medicine (listed in section 6).
• to treat any of the following skin problems, it could make them worse:
• viral infections, such as cold sores, herpes or chicken pox
• fungal infections, such as ringworm, athletes foot or thrush
• skin blisters or sores that are caused by an infection.

If any of the above apply to you, speak to your doctor or pharmacist.

Talk to your doctor or pharmacist before using Hydrocortisone Ointment if you are applying the ointment under an airtight dressing, including a child's nappy. These dressings make it easier for the active ingredient to pass through the skin. It is possible to accidentally end up using too much ointment.

If there is a worsening of your condition during use consult your prescriber – you may be experiencing an allergic reaction, have an infection or your condition requires a different treatment.

If you experience a recurrence of your condition shortly after stopping treatment, within 2 weeks, do not restart using the ointment without consulting your prescriber unless your prescriber has previously advised you to so. If your condition has resolved and on recurrence the redness extends beyond the initial treatment area and you experience a burning sensation, please seek medical advice before restarting treatment.

Contact your doctor if you experience blurred vision or other visual disturbances.

Do not smoke or go near naked flames - risk of severe burns. Fabric (clothing, bedding, dressings etc) that has been in contact with this product burns more easily and is a serious fire hazard. Washing clothing and bedding may reduce product build-up but not totally remove it.

If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before using this medicine.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

• You usually apply a small amount of Hydrocortisone Ointment 2 to 3 times a day. This may be reduced as your skin begins to get better.
• This ointment is for use on your skin only.
• Do not use on large areas of the body for a long time (such as every day for many weeks or months) - unless your doctor tells you to.
• If you are applying the ointment on someone else make sure you wash your hands after use or wear disposable plastic gloves.
• If your skin problem does not improve, talk to your doctor.

1. Wash your hands.
2. Gently rub the correct amount of ointment into the skin until it has all disappeared. You can measure how much Hydrocortisone Ointment to use with your fingertip. This picture shows one fingertip unit.

[Pictogram]

3. Unless you are meant to apply the ointment to your hands as a part of the treatment, wash them again after using the ointment.

For an adult

You should find that:

• two fingertips of ointment will cover both hands or one foot
• three fingertips of ointment will cover one arm
• six fingertips of ointment will cover one leg
• fourteen fingertips of ointment will cover the front and back of the body.

Do not worry if you find you need a little more or a little less than this. It is only a rough guide.

[Pictogram]

For a child

• The smaller the child the less you will need to use.
• A child of 4 years needs about a third of the adult amount.
• A course of treatment for a child should not normally last more than 7 days - unless your doctor has told you to use it for longer.

You should only apply the ointment to your face if your doctor tells you to. The ointment should not be used for too long as the skin on your face thins easily.

If, by mistake on a few occasions you use more than you should, do not worry. If you apply a lot or if a lot is accidentally swallowed, it could make you ill. Talk to your doctor or go to hospital as soon as possible.

If you forget to apply your ointment, apply it as soon as you remember. If it is close to the time you are next meant to apply it, wait until this time.

If you use Hydrocortisone Ointment regularly make sure you talk to your doctor before you stop using it.

• you find that your skin condition gets worse or becomes swollen during treatment. You may be allergic to the ointment, have an infection or need other treatment.

• irritation or itching where the ointment is applied
• increased hair growth and changes in skin colour
• blurred vision.

Side effects if you use Hydrocortisone Ointment for a long time, you use a lot each time you apply it, or you apply it under an airtight dressing or a nappy:

• thinning of your skin and it may also damage more easily
• weight gain, rounding of the face and high blood pressure. These are more likely to happen in infants and children.

Steroid withdrawal reaction: If used continuously for prolonged periods a withdrawal reaction may occur on stopping treatment with some or all of the following features: redness of the skin which can extend beyond the initial area treated, a burning or stinging sensation, intense itching, peeling of the skin, oozing open sores.

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

• The active substance is hydrocortisone. Each 1 g contains:
• 5 mg of hydrocortisone (0.5% w/w),
• 10 mg of hydrocortisone (1% w/w), or
• 25 mg of hydrocortisone (2.5% w/w).
• The other ingredients are: white soft paraffin and liquid paraffin.

Within each carton is a tube with a plastic screw cap, which contains 15 g, 30 g or 50 g of ointment.

Not all pack sizes may be marketed.