HYDROCORTISONE CREAM 1%

85/100 · Critical

Manufactured by Aldermed Inc.

Hydrocortisone Cream 1% Adverse Events: High Serious Reaction Rate

229,246 FDA adverse event reports analyzed

Last updated: 2026-05-12

About HYDROCORTISONE CREAM 1%

HYDROCORTISONE CREAM 1% is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Aldermed Inc.. Based on analysis of 229,246 FDA adverse event reports, HYDROCORTISONE CREAM 1% 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 1% 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 1%.

AI Safety Analysis

Hydrocortisone Cream 1% 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 229,246 adverse event reports for this medication, which is primarily manufactured by Aldermed Inc..

The most commonly reported adverse events include Off Label Use, Drug Ineffective, Fatigue. Of classified reports, 83.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High rate of serious reactions, including pneumonia and death.

Multiple gastrointestinal issues reported, including diarrhea and nausea. Significant number of skin-related reactions, such as rash and pruritus. Common systemic effects like fatigue and headache observed. Reports of weight changes and musculoskeletal issues.

Patients taking Hydrocortisone Cream 1% should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Hydrocortisone cream can cause serious systemic effects and should be used with caution, especially in patients with pre-existing conditions. Consult a healthcare provider before use. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Hydrocortisone Cream 1% received a safety concern score of 85/100 (high concern). This is based on a 83.4% serious event ratio across 63,615 classified reports. The score accounts for 229,246 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 USE8,924 reports
DRUG INEFFECTIVE7,061 reports
FATIGUE5,580 reports
CONDITION AGGRAVATED5,227 reports
NAUSEA4,693 reports
RASH4,589 reports
PAIN4,240 reports
HEADACHE4,200 reports
DIARRHOEA4,195 reports
ARTHRALGIA4,049 reports
DYSPNOEA4,027 reports
PYREXIA3,766 reports
VOMITING3,685 reports
PRURITUS3,444 reports
MALAISE3,419 reports
INTENTIONAL PRODUCT USE ISSUE3,268 reports
INFUSION RELATED REACTION3,220 reports
HYPERTENSION2,837 reports
DIZZINESS2,811 reports
PNEUMONIA2,794 reports
WEIGHT INCREASED2,758 reports
ASTHENIA2,584 reports
ABDOMINAL DISCOMFORT2,564 reports
HYPERSENSITIVITY2,542 reports
WEIGHT DECREASED2,518 reports
ALOPECIA2,484 reports
PRODUCT USE IN UNAPPROVED INDICATION2,432 reports
URTICARIA2,380 reports
JOINT SWELLING2,325 reports
GENERAL PHYSICAL HEALTH DETERIORATION2,284 reports
SWELLING2,271 reports
PAIN IN EXTREMITY2,241 reports
ABDOMINAL PAIN2,196 reports
SYSTEMIC LUPUS ERYTHEMATOSUS2,164 reports
RHEUMATOID ARTHRITIS2,147 reports
NASOPHARYNGITIS2,129 reports
PRODUCT USE ISSUE2,119 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION2,106 reports
CONFUSIONAL STATE2,091 reports
HEPATIC ENZYME INCREASED2,035 reports
DECREASED APPETITE2,031 reports
DRUG INTOLERANCE2,031 reports
INSOMNIA1,983 reports
WOUND1,973 reports
DRUG HYPERSENSITIVITY1,963 reports
MATERNAL EXPOSURE DURING PREGNANCY1,941 reports
SYNOVITIS1,894 reports
GLOSSODYNIA1,855 reports
PERICARDITIS1,854 reports
HYPOAESTHESIA1,849 reports
PEMPHIGUS1,830 reports
ARTHROPATHY1,811 reports
ABDOMINAL PAIN UPPER1,807 reports
MUSCULOSKELETAL STIFFNESS1,796 reports
PERIPHERAL SWELLING1,786 reports
HAND DEFORMITY1,757 reports
INFECTION1,755 reports
TYPE 2 DIABETES MELLITUS1,743 reports
BLISTER1,742 reports
ERYTHEMA1,715 reports
DISCOMFORT1,664 reports
STOMATITIS1,662 reports
ANXIETY1,658 reports
CHEST PAIN1,655 reports
PSORIATIC ARTHROPATHY1,654 reports
COUGH1,652 reports
DEPRESSION1,644 reports
MOBILITY DECREASED1,636 reports
DUODENAL ULCER PERFORATION1,620 reports
BLOOD CHOLESTEROL INCREASED1,611 reports
HELICOBACTER INFECTION1,608 reports
ANTI CYCLIC CITRULLINATED PEPTIDE ANTIBODY POSITIVE1,603 reports
WHEEZING1,593 reports
LOWER RESPIRATORY TRACT INFECTION1,579 reports
HYPOTENSION1,575 reports
SINUSITIS1,562 reports
TREATMENT FAILURE1,553 reports
BLOOD PRESSURE INCREASED1,542 reports
DEATH1,528 reports
BACK PAIN1,497 reports
INJURY1,492 reports
FIBROMYALGIA1,472 reports
DYSPEPSIA1,456 reports
SLEEP DISORDER1,446 reports
GASTROINTESTINAL DISORDER1,437 reports
FEBRILE NEUTROPENIA1,425 reports
PARAESTHESIA1,405 reports
IMPAIRED HEALING1,397 reports
MIGRAINE1,389 reports
GAIT DISTURBANCE1,387 reports
CONTRAINDICATED PRODUCT ADMINISTERED1,382 reports
RHEUMATIC FEVER1,380 reports
MUSCLE SPASMS1,353 reports
CONSTIPATION1,344 reports
CONTUSION1,344 reports
FALL1,324 reports
FOLLICULITIS1,324 reports
IRRITABLE BOWEL SYNDROME1,310 reports
DRY MOUTH1,290 reports
RHEUMATOID FACTOR POSITIVE1,278 reports

Key Safety Signals

  • High percentage of serious reactions (83.4%).
  • Multiple gastrointestinal and respiratory issues reported.
  • Skin-related reactions are frequent.
  • Systemic effects like fatigue and headache are common.
  • Weight changes and musculoskeletal issues are reported.

Patient Demographics

Adverse event reports by sex: Female: 32,050, Male: 23,639, Unknown: 130. The most frequently reported age groups are age 43 (1,429 reports), age 44 (1,197 reports), age 40 (1,043 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 63,615 classified reports for HYDROCORTISONE CREAM 1%:

  • Serious: 53,050 reports (83.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 10,565 reports (16.6%)
Serious 83.4%Non-Serious 16.6%

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

Female32,050 (57.4%)
Male23,639 (42.3%)
Unknown130 (0.2%)

Reports by Age

Age 431,429 reports
Age 441,197 reports
Age 401,043 reports
Age 60839 reports
Age 65839 reports
Age 63817 reports
Age 66812 reports
Age 69806 reports
Age 68790 reports
Age 64786 reports
Age 58759 reports
Age 59751 reports
Age 62745 reports
Age 73744 reports
Age 67737 reports
Age 72736 reports
Age 50734 reports
Age 56727 reports
Age 74710 reports
Age 70707 reports

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

Drug Interactions & Warnings

Hydrocortisone cream can cause serious systemic effects and should be used with caution, especially in patients with pre-existing conditions. Consult a healthcare provider before use.

What You Should Know

If you are taking Hydrocortisone Cream 1%, 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 prescribed usage instructions carefully to minimize risk of adverse reactions. Report any unusual symptoms to a healthcare provider promptly. 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 1% and has not issued any specific warnings or changes to the labeling.

Frequently Asked Questions

How many adverse event reports has the FDA received for Hydrocortisone Cream 1%?

The FDA has received approximately 229,246 adverse event reports associated with Hydrocortisone Cream 1%. 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 1%?

The most frequently reported adverse events for Hydrocortisone Cream 1% include Off Label Use, Drug Ineffective, Fatigue, Condition Aggravated, Nausea. By volume, the top reported reactions are: Off Label Use (8,924 reports), Drug Ineffective (7,061 reports), Fatigue (5,580 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 1%.

What percentage of Hydrocortisone Cream 1% adverse event reports are serious?

Out of 63,615 classified reports, 53,050 (83.4%) were classified as serious and 10,565 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 1% (by sex)?

Adverse event reports for Hydrocortisone Cream 1% break down by patient sex as follows: Female: 32,050, Male: 23,639, Unknown: 130. 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 1%?

The most frequently reported age groups for Hydrocortisone Cream 1% adverse events are: age 43: 1,429 reports, age 44: 1,197 reports, age 40: 1,043 reports, age 60: 839 reports, age 65: 839 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 1%?

The primary manufacturer associated with Hydrocortisone Cream 1% adverse event reports is Aldermed Inc.. 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 1%?

Beyond the most common reactions, other reported adverse events for Hydrocortisone Cream 1% include: Rash, Pain, Headache, Diarrhoea, 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 1%?

You can report adverse events from Hydrocortisone Cream 1% 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 1%'s safety score and what does it mean?

Hydrocortisone Cream 1% 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. High rate of serious reactions, including pneumonia and death.

What are the key safety signals for Hydrocortisone Cream 1%?

Key safety signals identified in Hydrocortisone Cream 1%'s adverse event data include: High percentage of serious reactions (83.4%).. Multiple gastrointestinal and respiratory issues reported.. Skin-related reactions are frequent.. Systemic effects like fatigue and headache are common.. Weight changes and musculoskeletal issues are reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Hydrocortisone Cream 1% interact with other drugs?

Hydrocortisone cream can cause serious systemic effects and should be used with caution, especially in patients with pre-existing conditions. Consult a healthcare provider before use. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Hydrocortisone Cream 1%.

What should patients know before taking Hydrocortisone Cream 1%?

Follow prescribed usage instructions carefully to minimize risk of adverse reactions. Report any unusual symptoms to a healthcare provider promptly.

Are Hydrocortisone Cream 1% side effects well-documented?

Hydrocortisone Cream 1% has 229,246 adverse event reports on file with the FDA. Multiple gastrointestinal issues reported, including diarrhea and nausea. The volume of reports for Hydrocortisone Cream 1% reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Hydrocortisone Cream 1%?

The FDA continues to monitor the safety of hydrocortisone cream 1% and has not issued any specific warnings or changes to the labeling. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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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.