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Two medicines, side by side

Mometasone vs hydrocortisone

Mometasone and hydrocortisone are both labeled for asthma and allergies. Drugs@FDA records approvals of mometasone since 1987 and of hydrocortisone since 1951. Pharmacies paid $0.354 per gram (Mometasone furoate 0.1% cream) and $0.0613 per gram (Hydrocortisone 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.

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

Highlights of the mometasone record

Mometasone (Allergy) · label of August 19, 2026

Used for

From the label: indications

temporarily relieves these symptoms of hay fever or other upper respiratory allergies: • nasal congestion • runny nose • sneezing • itchy nose

On the market

Earliest approval on file
April 30, 1987
Generic labelers
16 labelers
Pharmacy cost
$0.354 per gram

Supply and safety

Shortage
No current entry
Recalls
8

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

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

How do mometasone and hydrocortisone differ on the record?

Both are in FDA's class corticosteroids.

Generics: mometasone since 2002; hydrocortisone since 1971 (Drugs@FDA).

MometasoneHydrocortisone
Labeled forAllergies, AsthmaOsteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Eczema (atopic dermatitis)
Pharmacologic classCorticosteroidCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)April 30, 1987December 21, 1951
First generic approvedMarch 18, 2002December 22, 1971
Generic labelers (NDC)16 labelers49 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.354 per gram (Mometasone furoate 0.1% cream)$0.0613 per gram (Hydrocortisone 1% cream)
12-month price change-3%+1%
Boxed warningNoNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded87
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)41,53197,782
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)

What next?

Alternatives to mometasone
every medicine labeled for the same conditions