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Adeel Arshad

Authored on 24 January 2024 by Adeel Arshad,

Reviewed 24 January 2024 by Dr Ruch Karunadasa.

Fucidin H Cream

Cream medication

Fucidin H is a combination product containing hydrocortisone and fusidic acid. Hydrocortisone is a mild steroid effective in the treatment of eczema and dermatitis. Fusidic acid acts as an anti-bacterial agent and is effective against skin conditions which are also infected.

Medication effect duration

Like any other prescription medication you must consult a doctor before using it. PrivateDoc offers a confidential free consultation service that may result in you receiving a prescription for Fucidin H Cream if it is deemed appropriate and Fucidin H Cream can be prescribed safely.

Skin treatment

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Active ingredients

Fucidin H cream contains two active ingredients –

Hydrocortisone acetate 1%

Fusidic acid 2%

The cream is white in appearance

How much does Fucidin H Cream cost?

What conditions can Fucidin H be used to treat

Fucidin H can be used to treat dry skin conditions which may also have a secondary bacterial infection. These conditions can include –

  • Atopic eczema
  • Primary irritant dermatitis
  • Allergic dermatitis
  • Seborrheic dermatitis

Fucidin H Cream is a sensible choice of treatment where the organism is known to be or believed to be sensitive to fusidic acid.

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How to use Fucidin H Cream

Fucidin H is formulated to be applied topically to the affected skin only.

The cream should be applied sparingly to the affected area, taking care not to get too much on the surrounding healthy skin. Application of the cream is usually cream is usually twice a day until the condition has improved. Once the symptoms have settled, treatment should be discontinued or switched to a less potent preparation.

Continuous treatment with Fucidin H should be for no longer than two weeks. If you have not seen any improvement in your condition within this timeframe then this should be reviewed by your GP.

Fucidin H can be used in all age groups including children and the elderly. The cream should always be used in accordance with the prescribers instructions.

Who cannot use Fucidin H Cream

Do not use Fucidin H if –

  • If you have a known allergy to any of the active ingredients or the excipients within the cream
  • If you have an untreated skin infection (viral, bacterial or fungal) or an infection which is being treated but is uncontrolled
  • A systemic fungal infection
  • Symptoms of the skin which could be related to tuberculosis or syphilis (either untreated or uncontrolled)
  • Rosacea or perioral dermatitis

Long-term continuous treatment with Fucidin H Cream should be avoided as this can lead to skin atrophy. Depending on site of administration, systemic absorption is possible. Special care should be taken to avoid any contact with the eyes or the area surrounding the eyes. Other factors which may contribute towards systemic absorption include –

  • How long the drug treatment is likely to be
  • If you are applying the cream to a large surface area
  • Use on thin skin such as the face
  • Use on broken skin
  • Occlusion

Fucidin H should be with extreme care in children because they are more likely to absorb the drug systemically compared to adults. As with other antibiotics, continuous use or repeated use has been linked with bacterial resistance to fusidic acid.

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Pregnancy and breastfeeding

Systemic absorption of fusidic acid is almost non-existent and is therefore anticipated to be safe to use during pregnancy.

A large pool of data where hydrocortisone has been used in pregnant woman has shown no ill effects on the unborn child. Therefore, it is generally safe to use Fucidin H Cream during pregnancy. However, based upon the knowledge we have of other corticosteroids use during pregnancy (possible systemic absorption), caution should be taken when using the cream on a pregnant female.

When applied to a small area of the breastfeeding mother’s skin, the systemic absorption is limited and is not known to cause any harm to a breastfed child. Therefore, Fucidin H Cream is safe to use during breastfeeding. Take care not to apply the cream to the breasts as to avoid the risk of accidental ingestion by the child.

Side effects

Fucidin H is generally safe to use and the incidence of side effects is extremely low. However, as with all medication, there is the possibly some patients will experience some ill effects.

The most commonly reported side effect is itchy skin (pruritus) or a burning sensation at the site of administration. Other hypersensitivity reactions and localised skin reactions (eczema, dermatitis) have also been reported.

Systemic absorption may lead to Cushing’s Syndrome or hypothalamic-pituitary adrenal axis suppression. Contact with the eyes can lead to the development of glaucoma, cataracts or blurred vision.

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