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Lidocort

Lidocort is a brand name for hydrocortisone acetate, a topical corticosteroid used to treat inflammatory skin conditions such as eczema, psoriasis, dermatitis, and allergic reactions. It helps reduce redness, swelling, itching, and discomfort associated with these conditions by suppressing the immune response in the affected areas.

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Frequently Asked Questions

How long can I use Lidocort?
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Lidocort should be used for the shortest duration necessary to control symptoms. Prolonged use, especially on the face or sensitive areas, should be avoided due to the risk of skin thinning and other side effects.

Can I use Lidocort on my face?
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While Lidocort can be used on the face for short-term treatment of inflammatory conditions, it should not be used long-term due to the risk of skin thinning and other side effects. Always consult your doctor before using corticosteroids on the face.

What should I do if I experience irritation after using Lidocort?
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If you experience burning, stinging, or irritation after using Lidocort, stop using the medication and contact your healthcare provider for guidance.

Can I use Lidocort for insect bites?
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Yes, Lidocort can be used to relieve itching and swelling caused by insect bites. Apply a small amount to the affected area as directed.

Can I use Lidocort on broken skin?
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No, Lidocort should not be used on broken, infected, or oozing skin unless directed by your healthcare provider, as it may increase the risk of infection.

Comprehensive Drug Guide

How Does Lidocort Work?

Lidocort works by suppressing the immune response that causes inflammation in the skin. By reducing the production of substances like prostaglandins and cytokines, it decreases redness, swelling, itching, and discomfort. This allows the skin to heal and reduces symptoms associated with skin inflammation.

Common Dosages

  • 1% or 2.5% hydrocortisone acetate topical cream, ointment, or lotion.

The usual application is 2 to 4 times daily, depending on the severity of the condition and the doctor’s recommendations.

Typical Dosing

  • For inflammatory skin conditions: Apply a thin layer of Lidocort to the affected area 2 to 4 times daily. Rub it in gently, and avoid covering the area with tight bandages unless directed by your doctor.
  • For itching and discomfort relief: Apply as directed by your healthcare provider, generally 2 to 4 times daily, or as needed for relief.

Typical Dosing

FDA Approved Indications

  • Treatment of inflammatory skin conditions, including eczema, dermatitis, psoriasis, and allergic skin reactions.
  • Relief of itching and discomfort caused by rashes and insect bites.

Who Shouldn't Take Lidocort?

  • Viral skin infections, such as herpes simplex or chickenpox.
  • Fungal or bacterial skin infections unless treated concurrently with appropriate antifungal or antibacterial agents.
  • Known hypersensitivity to hydrocortisone or any components of the formulation.

Advice From The Pharmacist

  • Apply a thin layer of Lidocort to the affected area and rub it in gently. Avoid using large amounts or applying it to large areas of skin unless directed by your doctor.
  • Do not use Lidocort on broken or infected skin unless advised by your healthcare provider.
  • Avoid prolonged use, especially on the face or areas where the skin is thin, as prolonged use may lead to skin thinning or other side effects.
  • Do not cover or bandage the treated area tightly unless instructed to do so by your doctor.
  • Wash your hands before and after applying Lidocort, unless you are treating your hands.

Side Effects of Lidocort

Common Side Effects

  • Dryness or irritation at the application site.
  • Burning or stinging after application.
  • Skin thinning with prolonged use.
  • Acne-like breakouts or increased hair growth at the application site.

Uncommon/Severe Side Effects

  • Skin infections if applied to broken or infected skin.
  • Allergic reactions (e.g., rash, swelling, difficulty breathing).
  • Systemic effects (rare), such as suppression of the adrenal glands, if used in high doses or over large areas of the body for an extended period.

Risks and Warnings of Lidocort

  • Skin Thinning: Prolonged use of Lidocort, especially on sensitive areas like the face or underarms, can lead to thinning of the skin (atrophy). Use for the shortest duration possible and avoid long-term use without your doctor’s guidance.
  • Infection Risk: Lidocort may increase the risk of skin infections, especially if applied to areas with untreated infections or broken skin. If a skin infection develops, contact your healthcare provider.
  • Systemic Absorption: If used over large areas or under occlusion (covered by a bandage), Lidocort may be absorbed into the bloodstream, potentially causing systemic corticosteroid side effects, such as adrenal suppression.

Interactions with Lidocort

Common Drug Interactions

  • Topical antifungals or antibacterials: Concurrent use of topical medications should be done under the guidance of a healthcare provider to avoid interactions or interference with treatment.
  • Other corticosteroids: Combining multiple corticosteroid treatments, whether topical or systemic, may increase the risk of side effects like skin thinning or adrenal suppression.

Alternatives to Lidocort

  • Fluocinonide (Lidex): A more potent corticosteroid for treating severe inflammatory skin conditions.
  • Triamcinolone (Kenalog): A commonly used medium-potency corticosteroid for treating various inflammatory skin conditions.
  • Over-the-counter hydrocortisone: Lower-strength (0.5% to 1%) hydrocortisone creams are available for milder inflammatory skin conditions.