Before using this product, tell your doctor or pharmacist if you are allergic to lidocaine; or to other amide anesthetics (such as bupivacaine, prilocaine); or to hydrocortisone; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: diabetes, eye problems, current/recent infections (such as tuberculosis, chickenpox, herpes, fungal infection), rectal sores/infections, liver disease, stomach/intestinal problems, a certain blood disorder (methemoglobinemia).
Rarely, using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months.
Though it is unlikely, this medication may temporarily slow down a child's growth if used for a long time. See the doctor regularly so your child's height can be checked.
During pregnancy, this medication should be used only when clearly needed. It should not be used for long periods of time or in large amounts. Discuss the risks and benefits with your doctor.
Lidocaine passes into breast milk. It is unknown if hydrocortisone passes into breast milk. Consult your doctor before breastfeeding.
Redness, burning, or itching at the application site may occur. If any of these effects last or get worse, contact your doctor or pharmacist promptly.
Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: rectal bleeding, change in skin appearance (such as color, thickness), skin redness/tenderness/pus or other signs of infection.
Rarely, it is possible this medication will be absorbed into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children and people who use this medication for a long time. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems.
Get medical help right away if you have any very serious side effects, including: slow/shallow breathing, signs of serious infection (such as sore throat that doesn't go away, fever), seizures, pale/bluish/gray skin, shortness of breath, fast/slow/irregular heartbeat.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
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