H-Cort Special Precautions

Discontinue use if irritation, sensitivity or other reaction develop and institute appropriate treatment. Corticosteroid applied to the skin can be absorbed in sufficient amount to produce systemic effects such as hypothalamic-pituitary-adrenal axis suppression, manifestation of Cushing's syndrome, hyperglycaemia and glucosuria. Thus suitable precautions should be taken during prolonged treatment, when treating extensive body surface areas, when using the occlusive technique and when treating children (because of a large skin surface area to body weight ratio).
Not suitable for ophthalmic use.
Visual disturbance may be reported with systemic and topical corticosteroids use. If a patient presents with symptoms such as blurred vision or other visual disturbances, the patient should be considered for referral to an ophthalmologist for evaluation of possible causes which may include cataract, glaucoma, or rare diseases such as central serous chorioretinopathy (CSCR) which may have been reported after use of systemic and topical corticosteroids.