Hydrocortisone during pregnancy

Hydrocortisone during pregnancy and lactation, Hydrocortisone category by FDA, its use during pregnancy and lactation its teratogenic effects are described

Pregnancy     Category  C     ( by FDA )

                           Category  C     (AU TGA) (acetate suspension)

                           Category  A    ( AU TGA ) (oral, rectal foam)

Drug crosses placenta, teratogenic effects in animal studies – Cleft palate, adrenal cortex suppression.

Breast feeding  160 mg per day are generally compatible with breastfeeding, higher doses adrenal suppression.