Hydrocortisone Rectal Suppository

Introduction

This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains full information on potential medication interactions, side effects, and other important information you should know about the medicine before you start.

Instructions

You have stated that you wish to obtain treatment with Hydrocortisone Acetate 25mg Rectal Suppository for management and treatment of your hemorrhoids. You are to insert 1 suppository twice daily for one week. Ensure to wash your hands before and after administration. If you continue to experience intolerable symptoms after treatment we recommend you follow up with your in person provider.

Hemorrhoids are veins in the lower rectum that have become swollen or enlarged. They can develop either internally, inside the rectum, or externally, where they may be visible or felt around the anus.

While typically not dangerous, hemorrhoids can be bothersome and lead to symptoms such as painless bleeding during bowel movements, anal discomfort or itching, a bulge of tissue near the anus, and difficulty with hygiene or occasional stool leakage. (source)

Allergies

This medicine, like all medications, may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please do not take the medicine and call or message us or see your doctor in person.

• Hydrocortisone
  

Conditions

We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop one of these conditions, please stop taking this medicine and call or message us immediately. This list may not be all inclusive.

• Pregnancy
• Breastfeeding
• Fever
• Severe abdominal or rectal pain
• Recent bowel changes with additional concerning findings
• Presence of blood in the stool with systemic symptoms
• Heart Failure
• High Blood Pressure
• Cirrhosis of the liver
• History of a heart attack
• Ocular disease (including cataracts or glaucoma)
• Osteoporosis
• Kidney disease
• History of inflammatory bowel disease (Ulcerative Colitis or Crohn’s Disease)
• History of gastrointestinal cancers
• Current systemic fungal infection
• Recent Ileostomy (within the last 6 months)
• Recent rectal surgery (within the last 6 months)
• Recent pelvic surgery (within the last 6 months)
• Current bowel obstruction
• Current bowel perforation
• Current peritonitis infection
• Current perianal fistulas
• Current rectal abscess
• History of adrenal suppression
• Immunosuppression
• History or current tuberculosis
  

Pregnancy and Breastfeeding

There are no adequate and well-controlled studies in pregnant women. Wisp does not treat pregnant patients on our platform for your safety. If you are pregnant you should see an in person provider for additional monitoring and oversight.

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from hydrocortisone acetate suppositories. Wisp does not recommend using this treatment in breastfeeding mothers.

Medicines, Supplements, and Foods

We have evaluated the specific health information you provided us, however if you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan. Please ensure your chart is up to date with your current medications, allergies, and medical conditions so your provider can safely treat you as this list may not be all inclusive.

Emergency Side Effects

This medicine can cause dangerous and potentially life-threatening side effects. If any of the emergency side effects listed in the manufacturer’s pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in person.

• Sudden onset of chest pain
• Shortness of breath
• Difficulty or painful swallowing
• Severe skin rash and/or itching
• Facial or throat swelling
• Blurred vision
• Severe bloody diarrhea
• Severe mood disturbances
  

Other Side Effects

This medicine can also cause other side effects including (this list is not all inclusive):

• Localized burning
• Skin irritation
• Inflammation of the nearby hair follicles
• Skin pigmentation changes around the anus
• Dry skin around the anus
  

Risks

Accurate Information

We have evaluated your health history and your specific health information you provided and determined it is safe to proceed with this treatment at this time. If your health history changes including diagnoses or medications please message or call us before you take the medicine to ensure it's safe to proceed. Some medications and conditions can cause dangerous interactions with the medicine we are prescribing and we will help you evaluate that risk and decide on an appropriate treatment plan.

Treatment Failure

This treatment is not guaranteed to be effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency, call 911 or seek immediate medical help in person. You may need to seek alternative treatment such as those listed below or in the follow up plan.

Misdiagnosis or Delayed Diagnosis.

Through telehealth, there is also a risk that we misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in person as well but they may have additional resources to aid their evaluation. We use evidence-based practice and guidelines as well as clinical decision-making to minimize these risks.

Accepting or Declining Our Recommendation

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide. Message us or talk to your doctor in person to discuss alternative treatments.

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.

You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.