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Two medicines, side by side

Pramoxine vs hydrocortisone

Pramoxine and hydrocortisone are both labeled for herpes and shingles. Pharmacies paid $0.0403 per mL (Poison ivy wash 1% cleanser) and $0.0613 per gram (Hydrocortisone 1% cream) (NADAC, October 7, 2026). Hydrocortisone's other strengths are brand-only: $51.43 per Solu-cortef 250 mg act-o-vial.

Check it at the source: the pramoxine FDA label on DailyMed (effective June 11, 2026); the hydrocortisone FDA label on DailyMed (effective August 19, 2026).

Highlights of the pramoxine record

Pramoxine · label of June 11, 2026

Used for

From the label: indications

For the temporary relief of itching associated with minor skin irritations.

On the market

Earliest approval on file
n/a
Generic labelers
none listed
Pharmacy cost
$0.0403 per mL

Supply and safety

Shortage
No current entry
Recalls
0

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 (Pramoxine label of June 11, 2026, Hydrocortisone label of August 19, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do pramoxine and hydrocortisone differ on the record?

Generics: pramoxine none approved; hydrocortisone since 1971 (Drugs@FDA).

PramoxineHydrocortisone
Labeled forPain, Herpes and shinglesOsteoarthritis, Asthma, Allergies, Herpes and shingles, Leukemia, lymphoma and myeloma, Crohn's disease and ulcerative colitis, Eczema (atopic dermatitis)
Pharmacologic classn/aCorticosteroid
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)n/aDecember 21, 1951
First generic approvednoneDecember 22, 1971
Generic labelers (NDC)none listed49 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0403 per mL (Poison ivy wash 1% cleanser)$0.0613 per gram (Hydrocortisone 1% cream)
12-month price changeno change+1%
Boxed warningNoNo
Shortage nowNo current entryA presentation being discontinued
Recalls recorded07
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)50097,782
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 pramoxine
every medicine labeled for the same conditions