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How To Wean Off Of Hydrocortisone Acetate?

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Posted on Tue, 9 Dec 2014
Question: i have been taking Hydrocortisone aceate 25 mg suppositories for almost 2years . 1 every
night for internal hemerroids bleeding. I have been advised that I should not take them anymore because they weaken tissue. And maybe be doing more harm then good. How do i stop.Can I just stop cold turkey or do I have to ween off slowly.,
doctor
Answered by Dr. M Y Shareef (24 minutes later)
Brief Answer:
Definitive treatment would be better for hemorrohoids.

Detailed Answer:
Hi XXXXXXX ! Good morning. I am Dr Shareef answering your query.

If I were your doctor, I would not advise you for Hydrocortisone acetate suppositories for such a long time for bleeding hemorrhoids. Rather I would advise you to go for a definitive treatment for hemorrhoids, which are safe and good enough in competent hands, unless there was any medical contraindication for undergoing such surgery. You could stop the suppository in a phased manner with advice from the doctor who advised you for this treatment after a proper clinical examination.

Apart from the above, I would also advise you to add sufficient roughage with enough liquids in your diet. This would help you avoid constipation, which is the main causative factor on formation of hemorrhoids.

You could continue all the present treatment for other conditions as mentioned by you in your history.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (3 hours later)
What would be a good phased manner if I have been taking 1/2 suppository daily?
i have low blood platelets and take Nplate to keep Platelets up. I been taking Hem Clear capsels three times daily for the minor bleeding. also using Hem Cream. They don't want to do surgery because of the low Platelet count and because of the radiation treatments at this time. I think I will start out taking the Hydroctsone every other day. then phase out. My radiation oncolgist has started me taking 10,000 iu of vitiumn A daily for the next 90 days.
doctor
Answered by Dr. M Y Shareef (1 hour later)
Brief Answer:
Could wean off in about 2-4 weeks time.

Detailed Answer:
Hi Bobby! Good afternoon. Good to listen from you.

Yes, you could start by making it alternate day in the first week, two times a week in the 2nd week, and so on , and completely wean it off in about 2-4 weeks. There are differing reviews on the Hem cream and Hemclear. If you got relief or benefit out of it, you could continue using it after consultation of your doctor over there. You could add sitz bath (sitting in a tub with XXXXXXX warm water) two times a day for relieving any inflammation associated with your hemorrhoids. You could discuss with your doctor the feasibility for banding procedure in your case.

I hope I have cleared your doubts. If there is any more, please feel free to ask.
Thanks. Dr Shareeef.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (12 hours later)
I talked to one of my Drs. and She said that Hem cream and Hemclear are OK to continue. Your sujestion for weening off suppositories also is sound advise. Thank You very much.
doctor
Answered by Dr. M Y Shareef (3 hours later)
Brief Answer:
Thanks for reassuring words from you.

Detailed Answer:
Hi XXXXXXX ! Good morning.

It was reassuring both for you and me to know that the opinion suggested by me was also approved by another colleague of mine at your place. Kindly rate the answer before closing the discussion if so desired.

Wishing you a quick relief of your symptoms with a sound recovery.

Dr Shareef.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. M Y Shareef

General Surgeon

Practicing since :1979

Answered : 2457 Questions

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How To Wean Off Of Hydrocortisone Acetate?

Brief Answer: Definitive treatment would be better for hemorrohoids. Detailed Answer: Hi XXXXXXX ! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would not advise you for Hydrocortisone acetate suppositories for such a long time for bleeding hemorrhoids. Rather I would advise you to go for a definitive treatment for hemorrhoids, which are safe and good enough in competent hands, unless there was any medical contraindication for undergoing such surgery. You could stop the suppository in a phased manner with advice from the doctor who advised you for this treatment after a proper clinical examination. Apart from the above, I would also advise you to add sufficient roughage with enough liquids in your diet. This would help you avoid constipation, which is the main causative factor on formation of hemorrhoids. You could continue all the present treatment for other conditions as mentioned by you in your history. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.