II. Indications

III. Dosing

  1. Hydrocortisone Rectal Foam 10% (Cortifoam)
    1. Affects the distal left colon and Rectum (last 15 to 20 cm)
    2. Use 1 applicator (90 mg) once to twice daily for 2 to 3 weeks
    3. May extend to use 1 applicator (90 mg) every other day until remission
  2. Hydrocortisone Rectal Suspension for Enema 100 mg/60 ml (Colocort, Cortenema)
    1. Affects the entire left or descending colon
    2. Use one enema (100 mg) each evening for 3 weeks until remission
    3. Preferred over rectal foam if patient able to tolerate

V. References

  1. (2022) Treatment of Mild to Moderate Ulcerative Colitis, Presc Lett, #350406
  2. (2023) Drugs for Inflammatory Bowel Disease, Med Lett Drug Ther 65: 105-12

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Cost: Medications

cortifoam (on 3/15/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
CORTIFOAM 10% AEROSOL $26.45 per gram