Hemmorex-HC Description

Hydrocortisone acetate is a corticosteroid designed chemically as pregn-4-ene 3, 20-dione, 21-(acetyloxy)-11, 17-dihydroxy––(11 β) with the following structural formula:

Each rectal suppository contains hydrocortisone acetate, USP 25 mg in a specially blended hydrogenated vegetable oil base.

Hemmorex-HC - Clinical Pharmacology

In normal subjects, about 26% of hydrocortisone acetate is absorbed when the suppository is applied to the rectum. Absorption of hydrocortisone acetate may vary across abraded or inflamed surfaces. Topical steroids are primarily effective because of their anti-inflammatory, anti-pruritic and vasoconstrictive action.

Indications and Usage for Hemmorex-HC

Hydrocortisone Acetate Suppositories 25mg are indicated for use in inflamed hemorrhoids, post-irradiation (factitial) proctitis; as an adjunct in the treatment of chronic ulcerative colitis; cryptitis; and other inflammatory conditions of anorectum and pruritus ani.

Contraindications

Hydrocortisone Acetate Suppositories 25mg are contraindicated in those patients having a history of hypersensitivity to hydrocortisone acetate or any of the components.

Precautions

Do not use Hydrocortisone Acetate Suppositories 25mg unless adequate proctologic examination is made. If irritation develops, the product should be discontinued and appropriate therapy instituted. In the presence of an infection, the use of an appropriate antifungal or antibacterial agent should be instituted. If a favorable response does not occur promptly, Hydrocortisone Acetate Suppositories 25mg should be discontinued until the infection has been adequately controlled.

Adverse Reactions/Side Effects

The following local adverse reactions have been reported with corticosteroid suppositories; burning, itching, irritation, dryness, folliculitis, hypopigmentation, allergic contact dermatitis, secondary infection.

Drug Abuse and Dependence

Drug abuse and dependence have not been reported in patients treated with Hydrocortisone Acetate Suppositories 25mg.

Overdosage

If signs and symptoms of systemic overdosage occur, discontinue use.

Hemmorex-HC Dosage and Administration

For rectal administration. Detach one suppository from strip of suppositories. Remove the wrapper. Avoid excessive handling of the suppository which is designed to melt at body temperature. Insert suppository into the rectum with gentle pressure, pointed end first. Insert one suppository in the rectum twice daily, morning and night for two weeks, in nonspecific proctitis. In more severe cases, one suppository three times a day or two suppositories twice daily. In factitial proctitis, the recommended duration of therapy is six to eight weeks or less, according to the response of the individual case.

All prescription substitutions and/or recommendations using this product shall be made subject to state and federal statutes as applicable. PleaseNOTE: This is notanOrange Book product and hasnot been subjected to FDA therapeutic or other equivalencytesting. No representation is made asto generic status orbioequivalency. Each person recommending a prescription substitution using this product shall make such recommendation based on his/her professional knowledge and opinion, upon evaluating the active ingredients, inactive ingredients, excipients and chemical information provided herein.

How is Hemmorex-HC supplied

Hydrocortisone Acetate Suppositories 25mg are off-white, smooth surfaced and bullet shaped with one pointed end.

Box of 12 and 24 suppositories, NDC 51407-665-12 and NDC 51407-665-24.

Storage and Handling

Store at 20º-25ºC (68º-77ºF) [See USP Controlled Room Temperature]. Excursions permitted to 15º-30ºC (59º-86ºF). Store away from heat. Protect from freezing.

Manufactured for:

Laser Pharmaceuticals, LLC

1015 Nine North Drive, Ste 400

Alpharetta, GA 30004

770-754-9846

Rev. 04/20

Marketed by:

GSMS, Inc.

Camarillo, CA USA 93012