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Two medicines, side by side

Hydrocortisone vs triamcinolone

Hydrocortisone and triamcinolone are both labeled for osteoarthritis, asthma, allergies, eczema (atopic dermatitis), leukemia and lymphoma and myeloma. Drugs@FDA records approvals of hydrocortisone since 1951 and of triamcinolone since 1957. Pharmacies paid $0.0613 per gram (Hydrocortisone 1% cream) and $0.0452 per gram (Triamcinolone 0.1% cream) (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. Triamcinolone's other strengths are brand-only: $2.33 per mL (Kenalog-10 50 mg/5 mL vial).

Check it at the source: the hydrocortisone FDA label on DailyMed (effective August 19, 2026); the triamcinolone FDA label on DailyMed (effective January 28, 2026).

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 triamcinolone record

Triamcinolone (Kenalog) · label of January 28, 2026

Used for

From the label: indications

Topical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.

On the market

Earliest approval on file
December 3, 1957
Generic labelers
73 labelers
Pharmacy cost
$0.0452 per gram

Supply and safety

Shortage
Listed; available
Recalls
27

Source: FDA drug labels via openFDA (Hydrocortisone label of August 19, 2026, Triamcinolone label of January 28, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do hydrocortisone and triamcinolone differ on the record?

Both are in FDA's class corticosteroids.

Generics: hydrocortisone since 1971; triamcinolone since 1972 (Drugs@FDA).

HydrocortisoneTriamcinolone
Labeled forOsteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Eczema (atopic dermatitis)Asthma, Eczema (atopic dermatitis), Anemia, Leukemia, lymphoma and myeloma, Allergies, Fever, Pain, Osteoarthritis
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)December 21, 1951December 3, 1957
First generic approvedDecember 22, 1971April 26, 1972
Generic labelers (NDC)49 labelers73 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0613 per gram (Hydrocortisone 1% cream)$0.0452 per gram (Triamcinolone 0.1% cream)
12-month price change+1%-18%
Boxed warningNoNo
Shortage nowA presentation being discontinuedListed; available
Recalls recorded727
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)97,78231,591
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?

Triamcinolone label, drug interactions

Amphotericin B: There have been cases reported in which concomitant use of Amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure (s ee Potassium Depleting Agents).

Triamcinolone label, drug interactions

There have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure.

Source: FDA drug labels via openFDA

What next?

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