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hydrocortisone acetate-injection (cont.)

SIDE EFFECTS: Nausea or stomach upset may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: fever, increased pain or swelling at the treatment/injection site, limited movement of the joint, increased appetite, stomach pain, headache, increased thirst or urination, unusual weight loss or gain, mental/mood changes, trouble sleeping, reddening of the face or neck. Tell your doctor immediately if any of these unlikely but serious side effects occur: vision problems, eye pain, seizures, changes in the appearance of the skin, problems with wounds healing, unusual bruising, unusual weakness, unusual menstrual periods, failure to grow (in children), excess hair growth, tendon or bone/joint pain. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: any allergies (particularly to corticosteroids such as prednisone), thyroid conditions (e.g., hyperthyroid, hypothyroid), bone loss (e.g., osteoporosis), stomach problems (e.g., ulcers, ulcerative colitis), heart problems (e.g., congestive heart failure), current infections (e.g., tuberculosis, fungal, parasitic infection), eye problems (e.g., herpes infection, cataracts, glaucoma), nerve problems (e.g., myasthenia gravis), bleeding problems (e.g., hypoprothrombinemia), liver problems, high blood pressure, seizures, diabetes, recent vaccinations, mental/mood problems, kidney problems. This medication can lower the body's ability to fight an infection. Notify your doctor promptly if you develop any signs of an infection such as fever, chills, or sore throat. Also contact your doctor if you notice white patches in your mouth, a change in vaginal discharge, or any other new symptoms. Avoid contact with people currently infected with the chicken pox or the measles. Consult your doctor immediately if you think you have been exposed to the chicken pox or measles virus. Do not have immunizations/vaccinations without the consent of your doctor and avoid contact with people who have recently received live vaccines (e.g., oral polio vaccine). This medication is not recommended for use in premature infants. Caution is advised when prescribing or using this drug in children since they may be more sensitive to the effects of the drug. A preservative (benzyl alcohol) which may be found in this product or in the liquid used to mix this product (diluent) can infrequently cause serious problems (sometimes death), if given in large amounts (more than 100 mg/kg daily) to an infant during the first months of life (neonatal period). The risk is also greater with low birth weight infants. Symptoms include sudden gasping, low blood pressure, or a very slow heartbeat. Report these symptoms to the doctor immediately should they occur. If possible, a preservative-free product should be used when treating neonates. Caution is advised when prescribing or using this drug in the elderly since they may be more sensitive to the effects of the drug. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug passes into breast milk. Consult your doctor before breast-feeding.



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