How to Use

It is important that your family doctor check your progress at regular appointments .

For diseaseds using the enema form of this drug:

• This drug usually comes with patient directions. Read and follow them carefully before using this drug.

For diseaseds using the foam form of this drug:

• This drug is using with a special applicator. Do not insert any part of the aerosol container into the rectum.

For diseaseds using the suppository form of this drug:

• If the suppository is too soft to insert, chill it in the refrigerator for 30 minutes or run cold water over it before removing the wrapper.
• To insert the suppository: First remove the wrapper and moisten the suppository with cold water. Lie down on your side and use your finger to push the suppository well up into the rectum.

Do not use rectal corticosteroids in larger amounts, more often, or for a longer time than your family doctor ordered . To do so may increase the risk of absorption through the lining of the rectum and the risk of side effects.

Dosage

For betamethasone
• For enema dosage form:
  • For ulcerative colitis:
    • Adults The usual dose is 5 milligrams - mg - 1 unit, using as directed, every night for two to four weeks.
    • Children Dose must be determined by your family doctor.

For budesonide
• For enema dosage form:
  • For ulcerative colitis:
    • Adults The usual dose is 2 milligrams - mg - 1 unit, using as directed, every night for four to eight weeks.
    • Children Use and dose must be determined by your family doctor.

For hydrocortisone
• For enema dosage form:
  • For ulcerative colitis:
    • Adults The usual dose is 100 milligrams - mg - 1 unit, using as directed, every night for two or three weeks or until condition improves as determined by your family doctor.
    • Children Dose must be determined by your family doctor.

For hydrocortisone acetate
• For foam dosage form:
  • For ulcerative colitis:
    • Adults At first, 1 applicatorful, using as directed, one or two times a day for two or three weeks. Then, the dose may be decreased to 1 applicatorful every other day.
    • Children Dose must be determined by your family doctor.
• For suppository dosage form:
  • For ulcerative colitis:
    • Adults The usual dose is 25 or 30 milligrams - mg two times a day, in the morning and at night, for two weeks. In more severe cases, the dose may be 25 or 30 mg three times a day or 50 or 60 mg two times a day.
    • Children Dose must be determined by your family doctor.
  • For inflammation of the rectum causing by radiation therapy:
    • Adults The usual dose is 25 or 30 mg two times a day, in the morning and at night, for six to eight weeks.
    • Children Dose must be determined by your family doctor.
  • For other rectal problems:
    • Adults The usual dose is 20 to 30 mg a day for three days, or 40 to 80 mg a day as needed.
    • Children Dose must be determined by your family doctor.

For tixocortol
• For enema dosage form:
  • For ulcerative colitis:
    • Adults The usual dose is 250 milligrams - mg - 1 unit, using as directed, at bedtime for twenty-one days in a row.
    • Children Use and dose must be determined by your family doctor.

Missed dose If you miss a dose of this drug, use it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage To store this drug:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Do not store suppositories in the bathroom drug cabinet because the heat or moisture may cause the drug to break down.
• Keep the drug from freezing.
• Do not puncture, break, or burn the rectal foam aerosol container, even when it is empty.
• Do not keep outdated drug or drug no longer needed. Be sure that any discarded drug is out of the reach of children.