HYDROCORTISONE CREAM

85/100 · Critical

Manufactured by CVS Pharmacy

Hydrocortisone Cream Adverse Events: High Seriousness and Diverse Reactions

229,712 FDA adverse event reports analyzed

Last updated: 2026-05-12

About HYDROCORTISONE CREAM

HYDROCORTISONE CREAM is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by CVS Pharmacy. Based on analysis of 229,712 FDA adverse event reports, HYDROCORTISONE CREAM has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for HYDROCORTISONE CREAM include OFF LABEL USE, DRUG INEFFECTIVE, FATIGUE, CONDITION AGGRAVATED, NAUSEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for HYDROCORTISONE CREAM.

AI Safety Analysis

Hydrocortisone Cream has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 229,712 adverse event reports for this medication, which is primarily manufactured by Cvs Pharmacy.

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Fatigue. Of classified reports, 83.3% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of adverse events are serious, with a high percentage of reports involving systemic effects and infections.

A wide range of reactions are reported, indicating diverse safety concerns. Reports of fatalities and severe conditions like pneumonia and systemic lupus erythematosus are notable. The drug is frequently reported to be ineffective, suggesting potential issues with its efficacy. There are significant reports of weight changes and gastrointestinal issues, which could be related to prolonged use.

Patients taking Hydrocortisone Cream should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Hydrocortisone cream can cause systemic effects and infections, and should be used with caution, especially in patients with pre-existing conditions. It is important to follow the prescribed treatment plan and avoid off-label use. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Hydrocortisone Cream received a safety concern score of 85/100 (high concern). This is based on a 83.3% serious event ratio across 63,925 classified reports. The score accounts for 229,712 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

OFF LABEL USE8,931 reports
DRUG INEFFECTIVE7,070 reports
FATIGUE5,595 reports
CONDITION AGGRAVATED5,228 reports
NAUSEA4,721 reports
RASH4,622 reports
PAIN4,252 reports
DIARRHOEA4,212 reports
HEADACHE4,209 reports
ARTHRALGIA4,054 reports
DYSPNOEA4,040 reports
PYREXIA3,776 reports
VOMITING3,701 reports
PRURITUS3,480 reports
MALAISE3,424 reports
INTENTIONAL PRODUCT USE ISSUE3,269 reports
INFUSION RELATED REACTION3,221 reports
HYPERTENSION2,839 reports
DIZZINESS2,821 reports
PNEUMONIA2,800 reports
WEIGHT INCREASED2,763 reports
ASTHENIA2,590 reports
ABDOMINAL DISCOMFORT2,565 reports
HYPERSENSITIVITY2,548 reports
WEIGHT DECREASED2,523 reports
ALOPECIA2,493 reports
PRODUCT USE IN UNAPPROVED INDICATION2,434 reports
URTICARIA2,388 reports
JOINT SWELLING2,329 reports
GENERAL PHYSICAL HEALTH DETERIORATION2,284 reports
SWELLING2,274 reports
PAIN IN EXTREMITY2,248 reports
ABDOMINAL PAIN2,199 reports
SYSTEMIC LUPUS ERYTHEMATOSUS2,165 reports
RHEUMATOID ARTHRITIS2,147 reports
NASOPHARYNGITIS2,134 reports
PRODUCT USE ISSUE2,119 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION2,107 reports
CONFUSIONAL STATE2,097 reports
DECREASED APPETITE2,036 reports
HEPATIC ENZYME INCREASED2,036 reports
DRUG INTOLERANCE2,032 reports
INSOMNIA1,995 reports
WOUND1,973 reports
DRUG HYPERSENSITIVITY1,966 reports
MATERNAL EXPOSURE DURING PREGNANCY1,943 reports
SYNOVITIS1,894 reports
GLOSSODYNIA1,855 reports
PERICARDITIS1,855 reports
HYPOAESTHESIA1,851 reports
PEMPHIGUS1,830 reports
ABDOMINAL PAIN UPPER1,812 reports
ARTHROPATHY1,811 reports
MUSCULOSKELETAL STIFFNESS1,796 reports
PERIPHERAL SWELLING1,789 reports
INFECTION1,758 reports
HAND DEFORMITY1,757 reports
BLISTER1,750 reports
TYPE 2 DIABETES MELLITUS1,743 reports
ERYTHEMA1,733 reports
ANXIETY1,665 reports
DISCOMFORT1,665 reports
STOMATITIS1,663 reports
CHEST PAIN1,657 reports
COUGH1,657 reports
PSORIATIC ARTHROPATHY1,654 reports
DEPRESSION1,649 reports
MOBILITY DECREASED1,636 reports
DUODENAL ULCER PERFORATION1,620 reports
BLOOD CHOLESTEROL INCREASED1,612 reports
HELICOBACTER INFECTION1,608 reports
ANTI CYCLIC CITRULLINATED PEPTIDE ANTIBODY POSITIVE1,603 reports
WHEEZING1,594 reports
HYPOTENSION1,582 reports
LOWER RESPIRATORY TRACT INFECTION1,579 reports
SINUSITIS1,565 reports
TREATMENT FAILURE1,554 reports
BLOOD PRESSURE INCREASED1,543 reports
DEATH1,531 reports
BACK PAIN1,506 reports
INJURY1,492 reports
FIBROMYALGIA1,474 reports
DYSPEPSIA1,459 reports
SLEEP DISORDER1,447 reports
GASTROINTESTINAL DISORDER1,439 reports
FEBRILE NEUTROPENIA1,429 reports
PARAESTHESIA1,411 reports
IMPAIRED HEALING1,399 reports
GAIT DISTURBANCE1,393 reports
MIGRAINE1,389 reports
CONTRAINDICATED PRODUCT ADMINISTERED1,382 reports
RHEUMATIC FEVER1,380 reports
MUSCLE SPASMS1,358 reports
CONSTIPATION1,350 reports
CONTUSION1,348 reports
FALL1,332 reports
FOLLICULITIS1,324 reports
IRRITABLE BOWEL SYNDROME1,310 reports
DRY MOUTH1,288 reports
RHEUMATOID FACTOR POSITIVE1,278 reports

Key Safety Signals

  • High number of serious adverse events (53,272 out of 63,925 total, 83.3%)
  • Diverse reactions including systemic lupus erythematosus, pneumonia, and weight changes
  • Reports of fatalities and severe conditions like pericarditis and duodenal ulcer perforation
  • Frequent reports of drug ineffectiveness and off-label use
  • Multiple reports of gastrointestinal issues and infections

Patient Demographics

Adverse event reports by sex: Female: 32,248, Male: 23,746, Unknown: 132. The most frequently reported age groups are age 43 (1,432 reports), age 44 (1,203 reports), age 40 (1,046 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 63,925 classified reports for HYDROCORTISONE CREAM:

  • Serious: 53,272 reports (83.3%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 10,653 reports (16.7%)
Serious 83.3%Non-Serious 16.7%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female32,248 (57.5%)
Male23,746 (42.3%)
Unknown132 (0.2%)

Reports by Age

Age 431,432 reports
Age 441,203 reports
Age 401,046 reports
Age 60843 reports
Age 65842 reports
Age 63821 reports
Age 66815 reports
Age 69809 reports
Age 68799 reports
Age 64790 reports
Age 58762 reports
Age 59757 reports
Age 62752 reports
Age 73750 reports
Age 50741 reports
Age 67740 reports
Age 72738 reports
Age 56730 reports
Age 70716 reports
Age 74713 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Hydrocortisone cream can cause systemic effects and infections, and should be used with caution, especially in patients with pre-existing conditions. It is important to follow the prescribed treatment plan and avoid off-label use.

What You Should Know

If you are taking Hydrocortisone Cream, here are important things to know. The most commonly reported side effects include off label use, drug ineffective, fatigue, condition aggravated, nausea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Follow the prescribed treatment plan and avoid using the cream for off-label purposes. Monitor for any signs of systemic effects or infections and report them to your healthcare provider immediately. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of hydrocortisone cream, and updates will be provided based on new data. Healthcare providers should report any adverse events to the FDA's MedWatch program.

Frequently Asked Questions

How many adverse event reports has the FDA received for Hydrocortisone Cream?

The FDA has received approximately 229,712 adverse event reports associated with Hydrocortisone Cream. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Hydrocortisone Cream?

The most frequently reported adverse events for Hydrocortisone Cream include Off Label Use, Drug Ineffective, Fatigue, Condition Aggravated, Nausea. By volume, the top reported reactions are: Off Label Use (8,931 reports), Drug Ineffective (7,070 reports), Fatigue (5,595 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Hydrocortisone Cream.

What percentage of Hydrocortisone Cream adverse event reports are serious?

Out of 63,925 classified reports, 53,272 (83.3%) were classified as serious and 10,653 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Hydrocortisone Cream (by sex)?

Adverse event reports for Hydrocortisone Cream break down by patient sex as follows: Female: 32,248, Male: 23,746, Unknown: 132. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Hydrocortisone Cream?

The most frequently reported age groups for Hydrocortisone Cream adverse events are: age 43: 1,432 reports, age 44: 1,203 reports, age 40: 1,046 reports, age 60: 843 reports, age 65: 842 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Hydrocortisone Cream?

The primary manufacturer associated with Hydrocortisone Cream adverse event reports is Cvs Pharmacy. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Hydrocortisone Cream?

Beyond the most common reactions, other reported adverse events for Hydrocortisone Cream include: Rash, Pain, Diarrhoea, Headache, Arthralgia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Hydrocortisone Cream?

You can report adverse events from Hydrocortisone Cream to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Hydrocortisone Cream's safety score and what does it mean?

Hydrocortisone Cream has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The majority of adverse events are serious, with a high percentage of reports involving systemic effects and infections.

What are the key safety signals for Hydrocortisone Cream?

Key safety signals identified in Hydrocortisone Cream's adverse event data include: High number of serious adverse events (53,272 out of 63,925 total, 83.3%). Diverse reactions including systemic lupus erythematosus, pneumonia, and weight changes. Reports of fatalities and severe conditions like pericarditis and duodenal ulcer perforation. Frequent reports of drug ineffectiveness and off-label use. Multiple reports of gastrointestinal issues and infections. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Hydrocortisone Cream interact with other drugs?

Hydrocortisone cream can cause systemic effects and infections, and should be used with caution, especially in patients with pre-existing conditions. It is important to follow the prescribed treatment plan and avoid off-label use. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Hydrocortisone Cream.

What should patients know before taking Hydrocortisone Cream?

Follow the prescribed treatment plan and avoid using the cream for off-label purposes. Monitor for any signs of systemic effects or infections and report them to your healthcare provider immediately.

Are Hydrocortisone Cream side effects well-documented?

Hydrocortisone Cream has 229,712 adverse event reports on file with the FDA. A wide range of reactions are reported, indicating diverse safety concerns. The volume of reports for Hydrocortisone Cream reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Hydrocortisone Cream?

The FDA continues to monitor the safety of hydrocortisone cream, and updates will be provided based on new data. Healthcare providers should report any adverse events to the FDA's MedWatch program. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to HYDROCORTISONE CREAM based on therapeutic use, drug class, or shared indications:

PrednisoneFluticasoneBetamethasoneTriamcinoloneMometasone
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.