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Two medicines, side by side

Hydrocortisone vs prednisone

Hydrocortisone and prednisone are both labeled for osteoarthritis, asthma, allergies, crohn's disease and ulcerative colitis, herpes and shingles, eczema (atopic dermatitis), leukemia and lymphoma and myeloma. Drugs@FDA records approvals of hydrocortisone since 1951 and of prednisone since 1955. Pharmacies paid $0.0613 per gram (Hydrocortisone 1% cream) and $0.0643 per prednisone 20 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Hydrocortisone's other strengths are brand-only: $51.43 per Solu-cortef 250 mg act-o-vial.

Check it at the source: the hydrocortisone FDA label on DailyMed (effective August 19, 2026); the prednisone FDA label on DailyMed (effective April 22, 2025).

Highlights of the hydrocortisone record

Hydrocortisone (Solu-Cortef) · label of August 19, 2026

Used for

From the label: indications

• temporarily relieves itching associated with minor skin irritations, inflammation, and rashes due to: • eczema • psoriasis • poison ivy, oak, sumac • insect bites • detergents • jewelry • seborrheic dermatitis • cosmetics • soaps • temporarily relieves external anal and genital itching • other uses of this product should only be under the advice and supervision of a doctor

On the market

Earliest approval on file
December 21, 1951
Generic labelers
49 labelers
Pharmacy cost
$0.0613 per gram

Supply and safety

Shortage
A presentation being discontinued
Recalls
7

Highlights of the prednisone record

Prednisone (Meticorten) · label of April 22, 2025

Used for

From the label: indications

Prednisone tablets and solutions are indicated in the following conditions: 1. […]

On the market

Earliest approval on file
February 21, 1955
Generic labelers
45 labelers
Pharmacy cost
$0.0643 per tablet

Supply and safety

Shortage
No current entry
Recalls
10

Source: FDA drug labels via openFDA (Hydrocortisone label of August 19, 2026, Prednisone label of April 22, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do hydrocortisone and prednisone differ on the record?

Both are in FDA's class corticosteroids.

Generics: hydrocortisone since 1971; prednisone since 1971 (Drugs@FDA).

HydrocortisonePrednisone
Labeled forOsteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Eczema (atopic dermatitis)Osteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Multiple sclerosis, Eczema (atopic dermatitis), Anemia, Organ transplant rejection
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)December 21, 1951February 21, 1955
First generic approvedDecember 22, 1971December 23, 1971
Generic labelers (NDC)49 labelers45 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0613 per gram (Hydrocortisone 1% cream)$0.0643 per tablet (Prednisone 20 mg tablet)
12-month price change+1%-15%
Boxed warningNoNo
Shortage nowA presentation being discontinuedNo current entry
Recalls recorded710
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)97,782499,950
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

Do their labels mention each other?

Prednisone label, warnings

Average and large doses of hydrocortisone or cortisone can cause elevation of blood pressure, salt and water retention, and increased excretion of potassium.

What both labels say about taking them together

Source: FDA drug labels via openFDA

What next?

Alternatives to hydrocortisone
every medicine labeled for the same conditions