Hydrocortisyl Skin Cream 1% Hydrocortisone

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PACKAGE LEAFLET: INFORMATION FOR THE USER Hydrocortisyl Skin Cream 1% Hydrocortisone Is this leaflet hard to see or read? Phone 01403 5600 for help Read all of this leaflet carefully before you start using this medicine because it contains important information for you. Keep this leaflet. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. If you get any of the side effects, talk to your doctor or pharmacist. This includes any side effects not listed in this leaflet. In this leaflet: 1. What Hydrocortisyl Skin Cream is and what it is used for 2. What you need to know before you use Hydrocortisyl Skin Cream 3. How to use Hydrocortisyl Skin Cream 4. Possible side effects 5. How to store Hydrocortisyl Skin Cream 6. Contents of the pack and other information 1. What Hydrocortisyl Skin Cream is and what it is used for The name of your medicine is Hydrocortisyl Skin Cream 1%. Hydrocortisyl Skin Cream contains the active ingredient Hydrocortisone 1% w/w. Hydrocortisone belongs to a group of medicines called corticosteroids. It works by lowering the production of substances that cause inflammation. This helps lower swelling and itching. Hydrocortisyl Skin Cream can be applied to the skin to treat a variety of skin conditions sensitive to corticosteroid treatment such as itching, eczema, dermatitis (inflamed skin), including the skin of the outer ear (otitis externa) and of your scalp, and rashes due to allergic reactions. 2. Before you use Hydrocortisyl Skin Cream Do not use this medicine and tell your doctor if: You are allergic (hypersensitive) to hydrocortisone or any of the other ingredients of Hydrocortisyl Skin Cream (listed in Section 6 below). Signs of an allergic Reference: 2810 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - POM Proposed - 540/46/1 0.1

reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue. You have any kind of infection this includes infections caused by viruses, bacteria or fungus or if you are being treated for tuberculosis. You have perioral dermatitis, acne, acne rosacea or psoriasis. Use of this product if you have psoriasis may cause your psoriasis to get worse or it could make your psoriasis return once you stop using the cream. Do not use this medicine if any of the above apply to you. If you are not sure, talk to your doctor before using Hydrocortisyl Skin Cream. Children Do not use in children under 12 years of age without medical supervision. If advised to use this product it must be applied sparingly over a small area once or twice a day for no longer than 7 days. Care must be taken with children under 3 years of age using this medicine for a long time (longer than 3 weeks), as there is a risk of adrenal suppression and stunted growth. Please see Section 4. Possible Side effects for further information. Taking other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because Hydrocortisyl Skin Cream can affect the way some other medicines work. Also some medicines can affect the way Hydrocortisyl Skin Cream works. Pregnancy and breast-feeding This product should not be used in pregnancy or during breast-feeding unless considered essential by your doctor. Talk to your doctor before using this medicine if You are pregnant, might become pregnant or think you may be pregnant You are breast-feeding or planning to breast-feed Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding. Driving and using machines This medicine should not have any effect on your ability to drive or use machines. Check with your doctor if you feel any side effect that may stop you from driving or using machines. Reference: 2810 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - POM Proposed - 540/46/1 0.1

Important information about some of the ingredients of Hydrocortisyl Skin Cream This medicine contains cetomacrogol emulsifying wax, which contains cetostearyl alcohol and may cause local skin reactions such as contact dermatitis. Contact dermatitis causes redness, itching or irritation of the skin. This medicine also contains chlorocresol, which may cause allergic reactions. 3. How to use Hydrocortisyl Skin Cream Always use this medicine exactly as your doctor has told you. You should check with your doctor if you are not sure. Using this medicine Do not use for longer than 7 days Apply sparingly to the affected area of the skin one to four times a day. When skin condition improves, frequency of application can be gradually reduced Do not cover the area with a plaster or any dressings (including nappies). Do not use on the eyes or face, anogenital region or on broken or infected skin e.g. cold sores, acne or athletes foot. If you feel the effect of your medicine is too weak or too strong, do not change the dose yourself, but ask your doctor Use in Children and Adolescents Do not use in children under 12 years of age without medical supervision. If advised to use this product it must be applied sparingly over a small area once or twice a day for no longer than 7 days. Care must be taken with children under 3 years of age using this medicine for a long time (longer than 3 weeks), as there is a risk of adrenal suppression and stunted growth. Please see Section 4. Possible side effects for further information. How to apply this medicine If your doctor has asked you to apply some cream to the affected area, follow the instructions below on how to apply this medicine: Wash your hands Squeeze a small amount of the cream onto your fingertip Gently rub a small layer of cream over the inflamed, itchy area Wash your hands If you use more Hydrocortisyl Skin Cream than you should Let your doctor know if you have used this cream for more than 7 days by mistake. If you forget to use Hydrocortisyl Skin Cream If you forget to use your cream, use it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose. Do not use a double dose to make up for a forgotten dose. Reference: 2810 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - POM Proposed - 540/46/1 0.1

If you have any further questions on the use of this product, ask your doctor or pharmacist. 4. Possible side effects Like all medicines, Hydrocortisyl Skin Cream can cause side effects, although not everybody gets them. Tell your doctor or pharmacist if the following side effect gets serious or lasts longer than a few days, or you notice any side effects not listed in this leaflet: Striae (narrow bands which appear on the skin) can sometimes occur especially in the skin folds Allergic (hypersensitive) reaction to hydrocortisone. Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue. Local thinning of the skin and more visible blood vessels and veins, particularly on the face. If you use this cream for a long time, or under dressings or nappies, it is possible that you could get something called adrenal suppression. Signs include lack of appetite, pain in the stomach, weight loss, feeling sick or being sick, lack of concentration, a feeling of hunger, nervousness and fits. Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Irish Medicines Board. Reports may be made by following the links to the online reporting option accessible from the IMB homepage, or by completing the downloadable report form also accessible from the IMB website, which may be completed manually and submitted to the IMB via freepost, to the following address: FREEPOST Pharmacovigilance Section Irish Medicines Board Kevin O Malley House Earlsfort Centre Earlsfort Terrace Dublin 2 Tel: +353 1 6764971 Fax: +353 1 6762517 Website: www.imb.ie e-mail: imbpharmacovigilance@imb.ie Reference: 2810 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - POM Proposed - 540/46/1 0.1

By reporting side effects you can help provide more information on the safety of this medicine. 5. How to store Hydrocortisyl Skin Cream Keep this medicine in a safe place out of the sight and reach of children. Do not use Hydrocortisyl Skin Cream after the expiry date which is stated on the label, carton or tube after EXP. The expiry date refers to the last day of that month. Do not store above 25 C. Keep the medicine in the pack in which it was given to you. Discard 4 weeks after first opening. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. 6. Contents of the pack and other information What Hydrocortisyl Skin Cream contains The active substance is hydrocortisone. Each gram of this medicine contains 0.01g hydrocortisone. The other ingredients are cetomacrogol emulsifying wax, chlorocresol, liquid paraffin, macrogol 300, white soft paraffin and purified water. What Hydrocortisyl Skin Cream looks like and contents of the pack Hydrocortisyl Skin Cream is a smooth white cream. It is available in a 30 gram aluminium tube. Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder sanofi-aventis Ireland Ltd., T/A SANOFI, Citywest Business Campus, Dublin 24 Tel: 01 403 5600 Fax: 01 403 5687 email: iemedinfo@sanofi.com. Manufacturer Sanofi Winthrop Industrie 196 rue du Maréchal Juin 45200 Amilly France This leaflet does not contain all the information about your medicine. If you have any questions or are not sure about anything, ask your doctor or pharmacist. Reference: 2810 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - POM Proposed - 540/46/1 0.1

This leaflet was last revised in June 2013. sanofi-aventis, 1998-2013. Reference: 2810 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - POM Proposed - 540/46/1 0.1

PACKAGE LEAFLET: INFORMATION FOR THE USER Hydrocortisyl Skin Cream 1% Hydrocortisone Is this leaflet hard to see or read? Phone 01403 5600 for help Read all of this leaflet carefully before you start using this medicine because it contains important information for you. Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Keep this leaflet. You may need to read it again. Ask your pharmacist if you need more information or advice. If you get any of the side effects, talk to your doctor or pharmacist. This includes any side effects not listed in this leaflet. In this leaflet: 1. What Hydrocortisyl Skin Cream is and what it is used for 2. What you need to know before you use Hydrocortisyl Skin Cream 3. How to use Hydrocortisyl Skin Cream 4. Possible side effects 5. How to store Hydrocortisyl Skin Cream 6. Contents of the pack and other information 1. What Hydrocrtisyl Skin Cream is and what it is used for The name of your medicine is Hydrocortisyl Skin Cream 1%. Hydrocortisyl Skin Cream contains the active ingredient Hydrocortisone 1% w/w. Hydrocortisone belongs to a group of medicines called corticosteroids. It works by lowering the production of substances that cause inflammation. This helps lower swelling and itching. It is used to treat conditions such as itching, dermatitis (inflamed skin) and rashes due to allergic reactions to certain things such as plants, jewellery, toiletries and deoderants, soaps and detergents and also insect bites. Hydrocortisyl Skin Cream can be applied to the skin to treat a variety of skin conditions in adults and children. If the child is under 12 years of age your doctor should give you advice on how long and often to use this product. Reference: 2809 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - OTC Proposed - 540/46/1 0.1

2. Before you use Hydrocortisyl Skin Cream Do not use this medicine and tell your doctor if: You are allergic (hypersensitive) to hydrocortisone or any of the other ingredients of Hydrocortisyl Skin Cream (listed in Section 6 below). Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue. You have any kind of infection, this includes infections caused by viruses, bacteria or fungus or if you are being treated for tuberculosis. You have perioral dermatitis, acne, acne rosacea or psoriasis. Use of this product if you have psoriasis may cause your psoriasis to get worse or it could make your psoriasis return once you stop using the cream. Do not use this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before using Hydrocortisyl Skin Cream. Children Do not use in children under 12 years of age without medical supervision. If advised to use this product it must be applied sparingly over a small area once or twice a day for no longer than 7 days. Care must be taken with children under 3 years of age using this medicine for a long time (longer than 3 weeks), as there is a risk of adrenal suppression and stunted growth. Please see Section 4. Possible Side effects for further information. Taking other medicines Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because Hydrocortisyl Skin Cream can affect the way some other medicines work. Also some medicines can affect the way Hydrocortisyl Skin Cream works. Pregnancy and breast-feeding This product should not be used in pregnancy or during breast-feeding unless considered essential by your doctor. Talk to your doctor before using this medicine if You are pregnant, might become pregnant or think you may be pregnant You are breast-feeding or planning to breast-feed Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding. Driving and using machines This medicine should not have any effect on your ability to drive or use machines. Check with your doctor if you feel any side effect that may stop you from driving or using machines. Reference: 2809 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - OTC Proposed - 540/46/1 0.1

Important information about some of the ingredients of Hydrocortisyl Skin Cream This medicine contains cetomacrogol emulsifying wax, which may cause local skin reactions such as contact dermatitis. Contact dermatitis causes redness, itching or irritation of the skin. This medicine also contains chlorocresol, which may cause allergic reactions. 3. How to use Hydrocortisyl Skin Cream Always use Hydrocortisyl Skin Cream exactly as your doctor or pharmacist has told you. You should check with your doctor or pharmacist if you are not sure. Using this medicine Do not use for longer than 7 days Apply sparingly to the affected area of the skin one to four times a day. When skin condition improves, frequency of application can be gradually reduced. Do not cover the area with a plaster or any dressings (including nappies). Do not use on the eyes or face, anogenital region or on broken or infected skin e.g. cold sores, acne or athletes foot. If you feel the effect of your medicine is too weak or too strong, ask your doctor or pharmacist Use in Children and Adolescents Do not use in children under 12 years of age without medical supervision. If advised to use this product it must be applied sparingly over a small area once or twice a day for no longer than 7 days. Care must be taken with children under 3 years of age using this medicine for a long time (longer than 3 weeks), as there is a risk of adrenal suppression and stunted growth. Please see Section 4. Possible side effects for further information. How to apply this medicine If your doctor or pharmacist has asked you to apply some cream to the affected area, follow the instructions below on how to apply this medicine: Wash your hands Squeeze a small amount of the cream onto your fingertip Gently rub a small layer of cream over the inflamed, itchy area Wash your hands If you use more Hydrocortisyl Skin Cream than you should Let your doctor or pharmacist know if you have used this cream for more than 7 days by mistake. Reference: 2809 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - OTC Proposed - 540/46/1 0.1

If you forget to use Hydrocortisyl Skin Cream If you forget to use your cream, use it as soon as you remember. However, if it is nearly time for the next dose, skip the missed dose. Do not use a double dose to make up for a forgotten dose. If you have any further questions on the use of this product, ask your doctor or pharmacist. 4. Possible side effects Like all medicines, Hydrocortisyl Skin Cream can cause side effects, although not everybody gets them. Tell your doctor or pharmacist if the following side effect gets serious or lasts longer than a few days, or you notice any side effects not listed in this leaflet: Striae (narrow bands which appear on the skin) can sometimes occur especially in the skin folds Allergic (hypersensitive) reaction to hydrocortisone. Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue. Local thinning of the skin and more visible blood vessels and veins, particularly on the face. If you use this cream for a long time, or under dressings or nappies, it is possible that you could get something called adrenal suppression. Signs include lack of appetite, pain in the stomach, weight loss, feeling sick or being sick, lack of concentration, a feeling of hunger, nervousness and fits. Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly to the Irish Medicines Board. Reports may be made by following the links to the online reporting option accessible from the IMB homepage, or by completing the downloadable report form also accessible from the IMB website, which may be completed manually and submitted to the IMB via freepost, to the following address: FREEPOST Pharmacovigilance Section Irish Medicines Board Kevin O Malley House Earlsfort Centre Earlsfort Terrace Dublin 2 Tel: +353 1 6764971 Reference: 2809 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - OTC Proposed - 540/46/1 0.1

Fax: +353 1 6762517 Website: www.imb.ie e-mail: imbpharmacovigilance@imb.ie By reporting side effects you can help provide more information on the safety of this medicine. 5. How to store Hydrocortisyl Skin Cream Keep this medicine in a safe place out of the sight and reach of children. Do not use Hydrocortisyl Skin Cream after the expiry date which is stated on the label, carton or tube after EXP. The expiry date refers to the last day of that month. Do not store above 25 C. Keep the medicine in the pack in which it was given to you. Discard 4 weeks after first opening. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. 6. Contents of the pack and other information What Hydrocortisyl Skin Cream contains The active substance is hydrocortisone. Each gram of this medicine contains 0.01g hydrocortisone. The other ingredients are cetomacrogol emulsifying wax, chlorocresol, liquid paraffin, macrogol 300, white soft paraffin and purified water. What Hydrocortisyl Skin Cream looks like and contents of the pack Hydrocortisyl Skin Cream is a smooth white cream. It is available in a 15 gram aluminium tube. Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder sanofi-aventis Ireland Ltd, T/A SANOFI, Citywest Business Campus, Dublin 24 Tel: 01 403 5600 Fax: 01 403 5687 email: iemedinfo@sanoficom Manufacturer Sanofi Winthrop Industrie 196 rue du Maréchal Juin 45200 Amilly France Reference: 2809 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - OTC Proposed - 540/46/1 0.1

This leaflet does not contain all the information about your medicine. If you have any questions or are not sure about anything, ask your doctor or pharmacist. This leaflet was last revised in June 2013. sanofi-aventis, 1998-2013. Reference: 2809 1.3.1.3 - Leaflet Text - PIL - 1% - 2012-07-19 - OTC Proposed - 540/46/1 0.1