Hydrocortisone (Topical) — NZ Medication Guide
📋 Reviewed by a Registered Pharmacist NZ — This information is for general educational purposes only and does not replace professional medical advice. Always consult your doctor or pharmacist before starting, stopping, or changing any medication.
What is Hydrocortisone (Topical)?
Hydrocortisone 1% cream and ointment is a mild topical corticosteroid for mild skin inflammation. This medication is available over-the-counter without prescription; also funded by Pharmac on prescription.
What is Hydrocortisone (Topical) Used For?
Hydrocortisone 1% is used for mild inflammatory and allergic skin conditions including mild eczema (atopic dermatitis), mild psoriasis, contact dermatitis, insect bite reactions, nappy rash, and mild intertrigo.
How Does Hydrocortisone (Topical) Work?
At 1% concentration, hydrocortisone is the mildest class of topical corticosteroid, providing gentle anti-inflammatory effects in superficial skin layers with minimal systemic absorption and low risk of skin atrophy.
How to Take Hydrocortisone (Topical)
Apply a thin layer to the affected area once to three times daily. For the face: safe for short courses (1–2 weeks). For infants and children: use the smallest effective amount for the shortest time needed. Hydrocortisone 1% cream is suitable for moist/weeping skin; ointment is better for dry, scaly conditions.
Common Side Effects of Hydrocortisone (Topical)
- Mild skin thinning (with prolonged use)
- Mild stinging on application
- Perioral dermatitis (with prolonged facial use)
Serious Side Effects — Seek Medical Attention
Contact your doctor or call 111 immediately if you experience any of the following:
- HPA axis suppression (extremely rare at 1% in adults — more possible in infants with extensive use)
- Skin atrophy (rare with 1% — much less than potent steroids)
- Infection masking
Drug Interactions
Hydrocortisone (Topical) may interact with other medicines. Always inform your doctor and pharmacist of all medications you are taking. Key interactions include:
- Minimal systemic interactions at 1% topical
New Zealand Prescribing Information
Hydrocortisone 1% cream and ointment are available over-the-counter at NZ pharmacies without prescription for mild skin conditions. They are also funded on Pharmac when prescribed by a doctor. Hydrocortisone is the preferred first-line topical corticosteroid for facial eczema, eczema in children under 2 years, and skin fold areas. Available as Cortic-DS®, Sigmacort®, and generic brands.
Frequently Asked Questions
Can I buy hydrocortisone cream without a prescription in NZ?
Yes — hydrocortisone 1% cream and ointment are available over-the-counter at NZ pharmacies for mild skin conditions without a prescription. However, for persistent, severe, or widespread skin conditions, medical review is recommended for proper diagnosis and treatment planning.
How is hydrocortisone different from stronger steroid creams?
Hydrocortisone 1% is the mildest (Group 1) topical corticosteroid — suitable for delicate or sensitive areas and short-term treatment. Betamethasone (Betnovate®) is Group 3 (potent) and triamcinolone is Group 2 (moderate). The mildest effective preparation should always be chosen.
⚠️ Disclaimer: This page is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or a qualified health provider. In New Zealand, medication availability and funding may vary — check with Pharmac or your pharmacist for current information.
Reviewed by a Registered Pharmacist NZ
References & Further Information
The following New Zealand and international resources were used to inform this page: