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Drug Safety-related Labeling Changes (SrLC)

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CORTEF (NDA-008697)

(HYDROCORTISONE)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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12/20/2023 (SUPPL-38)

Approved Drug Label (PDF)

5 Warnings and Precautions

PRECAUTIONS

Additions and/or revisions underlined:

In post marketing experience, tumor lysis syndrome (TLS) has been reported in patients with malignancies, including hematological malignancies and solid tumors, following the use of systemic corticosteroids alone or in combination with other chemotherapeutic agents. Patients at high risk of TLS, such as patients with tumors that have a high proliferative rate, high tumor burden and high sensitivity to cytotoxic agents, should be monitored closely and appropriate precautions should be taken.

09/08/2016 (SUPPL-32)

Approved Drug Label (PDF)

5 Warnings and Precautions

General Precautions

  • Pheochromocytoma crisis, which can be fatal, has been reported after administration of systemic corticosteroids. In patients with suspected pheochromocytoma, consider the risk of pheochromocytoma crisis prior to administering corticosteroids.

09/08/2016 (SUPPL-33)

Approved Drug Label (PDF)

5 Warnings and Precautions

Carcinogenesis, Mutagenesis, Impairment of Fertility:

  • Corticosteroids have been shown to impair fertility in male rats.

6 Adverse Reactions

Neurological

  • Epidural lipomatosis (addition)

Ophthalmic

  • Central serous chorioretinopathy (addition)

Blood and lymphatic system disorders

  • Leukocytosis (addition)