Cortavance (Hydrocortisone)

Cortavance Spray is a form of topical steroid which contains hydrocortisone aceponate as the active ingredient. It is used to treat inflamed and itching skin, commonly seen in skin disorders such as atopic dermatitis and pruritic dermatosis.

Cortavance spray reduces inflammation and itchiness via the active ingredient hydrocortisone. The steroid is absorbed into the lipids of the skin leading to an anti-inflammatory reaction in the epidermis. The benefit of this formulation means the potency of the steroid is almost completely metabolised before it reaches the bloodstream which in turn minimises the side effects associated with steroid use.

The application method varies depending on the treated body area and your pets specific needs. Always follow the directions on the label or as advised by your veterinarian. The spray form of Cortavance is usually guided as a once a day application for seven days, however this may vary based on your veterinarian's advice.  

Missed Dose:

Generally, it's advised to administer the missed dose when remembered, unless it's close to the next scheduled dose. Avoid giving double doses.

Overdose:

Topical hydrocortisone should only be applied externally. In rare cases, excessive application can lead to absorption into the body, causing symptoms like increased thirst or urination, vomiting, or diarrhoea. In case of suspected overdose, seek immediate veterinary care or contact the New Zealand National Poisons Centre at www.poisons.co.nz/animal-helpline/ or 0800 869 738.

If your pet has skin problems but also has infections caused by bacteria, fungus, or parasites, those infections need to be treated first with the right medicine. Your vet will decide how much and how long your pet should take this medicine. For puppies or young animals less than 7 months old, using Cortavance needs careful consideration because it can affect their growth. Your vet will keep a close eye on your pet if they decide to use it.

The effects of Cortavance during pregnancy or nursing are not fully known. However, since the medicine works on the skin and doesn't really get into the body, it's not expected to harm unborn or newborn animals at the recommended dose. Still, it should only be used if your vet thinks the benefits outweigh the risks.

The most common side effect is irritation at the application site, which may manifest as redness, swelling, itching, or hives. In cases of long-term use, it can lead to skin thinning which should be discussed with your veterinarian if this becomes a concern.

Cortavance Spray should be stored at a room temperature and out of direct sunlight. Keep it tightly closed in its original container and out of reach of children and pets. It is recommended to discard 12 months after initial use. It is recommended to wear gloves when administering this product and to thoroughly wash your hands after applying it to your pet.

Routine testing isn't typically required, but your vet might recommend them or a revisit based on your pet's individual needs. Contact your vet if severe side effects occur, your pet's condition worsens, or if you suspect an overdose.

Can I use human hydrocortisone based products on my dog or cat?  

• Human hydrocortisone products are not recommended for pets. Consult your vet for pet-appropriate products.

Is it safe for my pet to lick the Cortavance Spray?

• If the medication has dried, occasional licking is generally safe. However, fresh applications can cause digestive upset. Prevent licking for at least 30 minutes after application.

Are there any specific conditions where I should avoid using hydrocortisone on my dog or cat?

• Yes, hydrocortisone should not be used on dogs with cutaneous (skin) ulcers. Additionally, when applying this medication, ensure that the treatment area does not cover more than one-third of your dog's body surface area. Using hydrocortisone on larger areas or on open wounds can increase the risk of systemic absorption and potential side effects. Always consult your veterinarian for guidance on the safe use of hydrocortisone for your pet's specific condition.