Hydrocortisone mousse rectale
Révision par Sid DajaniDernière mise à jour par Michael Stewart, MRPharmSDernière mise à jour le 17 avril 2025
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Clinical author's note Michael Stewart 17/05/2022: Colifoam® rectal foam was discontinued in the UK in November 2019. At the time of review there are no branded or generic products for rectal use containing hydrocortisone available in the UK. Hydrocortisone rectal foam may still be available in other countries. This medicine leaflet is based on medical information accessed in the UK at the time of writing and is left here for reference purposes. Please also refer to the manufacturer's information supplied with your medicine.
Hydrocortisone belongs to a class of medicines known as corticosteroids (more commonly called steroids). It reduces inflammation.
You will have been prescribed it to settle symptoms of flare-up inflammation in the lower parts of your bowel.
The leaflet that comes inside your pack will give you full step-by-step instructions for using the foam. Please read it carefully.
Dans cet article :
Poursuivre la lecture ci-dessous
About hydrocortisone rectal foam
Type de médicament | A corticosteroid, also commonly called a steroid |
Utilisé pour | Inflammation of the rectum and lower colon |
Également appelé | Colifoam® (discontinued) |
Disponible en | Foam-filled canister with a plastic applicator |
Ulcerative colitis (UC) is a condition where patches of inflammation develop in your large intestine. The most common symptoms when the disease flares up are diarrhoea mixed with blood, and tummy (abdominal) pain. In between these flare-ups you may have few or no symptoms. If the patches are confined to the lower parts of your bowel (the lower colon and rectum), it may be helpful during flare-ups for you to be treated with a rectal preparation. This means administering hydrocortisone into your back passage as a foam.
Hydrocortisone helps to reduce inflammation. A course of treatment will last a few weeks only - it will be stopped once your flare-up has settled.
Before using hydrocortisone
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start using hydrocortisone it is important that your doctor knows:
If you are pregnant or breastfeeding (even though hydrocortisone could still be prescribed for you).
If you think there may be any blockage in your bowel, or if there are any sore or bleeding areas of skin around your back passage.
Si vous avez une infection quelconque ou si vous avez déjà eu la tuberculose.
Si vous avez eu une crise cardiaque ou si vous souffrez d'une maladie cardiaque.
Si vous avez des problèmes de fonctionnement du foie ou des reins.
If you have diabetes (diabetes mellitus), or if you have an eye condition called glaucoma. You should also tell your doctor if a close member of your family has either of these conditions.
If you currently have any of the following conditions: high blood pressure, 'thinning' of the bones (osteoporosis), diverticulitis, an underactive thyroid, epilepsy, cataracts, or a condition causing severe muscle weakness, called myasthenia gravis.
Si vous avez déjà eu l'un des problèmes suivants : un caillot de sang dans un vaisseau sanguin, un ulcère d'estomac ou un problème de santé mentale tel que la dépression ou la psychose.
Si vous prenez d'autres médicaments. Cela inclut tous les médicaments disponibles sans ordonnance, ainsi que les médicaments à base de plantes et les médicaments complémentaires.
Si vous avez déjà eu une réaction allergique à un médicament, ou si vous avez déjà développé des douleurs musculaires après avoir pris un médicament stéroïdien.
Poursuivre la lecture ci-dessous
How to use hydrocortisone rectal foam
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about hydrocortisone, and will also provide you with a full list of the side-effects which you could experience from using it. It will also give you a step-by-step guide on how to use it.
Your doctor will tell you how often to use hydrocortisone foam. It is usual to administer it once or twice a day for 2-3 weeks, and then for the dose to be reduced to once daily or on alternate days for a short while. This information will be on the label of the pack to remind you.
How to use Colifoam®
Shake the canister well before each use.
Withdraw the plunger on the applicator until it stops at the catch line.
Hold the applicator with the nozzle downwards, and then insert the top of the canister of foam into the nozzle.
Press the canister top gently so that foam fills about a quarter of the applicator. Only a short press is needed to do this. Wait a few seconds for the foam to expand and then press the canister top again. Continue to fill the applicator a little at a time until the foam reaches the 'fill' line.
Stand with one leg raised on a chair (or lie down on your side if you prefer) and gently insert the applicator into your back passage. Push the plunger to empty the applicator.
Take the applicator apart and wash it after each use.
Tirer le meilleur parti de votre traitement
Try to keep your regular appointments with your doctor and clinic. This is so your doctor can check on your progress.
Continue to use the foam for as long as your doctor has told you to. A course of treatment is likely to last a few weeks.
If you forget a dose, don't worry, just remember to administer the next dose when it is due.
Hydrocortisone can suppress your immune system, so it is important if you become ill that you make an appointment to see your doctor straightaway. Also, if you come into contact with anyone who has measles, shingles or chickenpox (or anyone who suspects they might have one of these viruses), you should see your doctor as soon as possible.
Some vaccines may not be suitable for you while you are being treated with hydrocortisone. If you need any immunisations, make sure you mention that you are using a steroid medicine.
If you are having an operation or any medical treatment, tell the person carrying out the treatment that you are using hydrocortisone.
Si vous achetez des médicaments, vérifiez auprès d'un pharmacien qu'ils peuvent être pris en même temps que les médicaments qui vous sont prescrits.
Poursuivre la lecture ci-dessous
Can rectal hydrocortisone cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with hydrocortisone when used rectally, although these are uncommon. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Rectal hydrocortisone side-effects (these affect fewer than 1 in 100 people) | Que puis-je faire si je suis confronté à cette situation ? |
Local irritation | This should soon ease. If it continues, speak with your doctor |
Changes in behaviour or mood | Si vous devenez anxieux, confus, ou si vous commencez à avoir des pensées inquiétantes sur le fait de vous faire du mal, parlez-en à votre médecin dès que possible |
For more information about the side-effects which are possible when hydrocortisone is used over a long period of time, see the separate condition leaflet called Oral Steroids.
If you experience any other symptoms which you think may be due to hydrocortisone, speak with your doctor or pharmacist for further advice.
How to store hydrocortisone
Conservez tous les médicaments hors de la portée et de la vue des enfants.
Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.
Informations importantes sur tous les médicaments
Informations importantes sur tous les médicaments
Never use more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
Ce médicament est pour vous. Ne le donnez jamais à d'autres personnes, même si leur état semble être le même que le vôtre.
Ne gardez pas les médicaments périmés ou dont vous ne voulez plus. Apportez-les à votre pharmacie locale qui les éliminera pour vous.
Si vous avez des questions sur ce médicament, demandez à votre pharmacien.
Signaler les effets secondaires d'un médicament ou d'un vaccin
Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne sur le site web de la carte jaune.
Autres lectures et références
- Médicaments Complet BNF 89ème éditionBritish Medical Association et Royal Pharmaceutical Society of Great Britain, Londres.
Historique de l'article
Les informations contenues dans cette page sont rédigées et évaluées par des cliniciens qualifiés.
Prochaine révision prévue : 17 avril 2028
17 Avr 2025 | Dernière version

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