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Hydrocortisone 1% Ointment

Hydrocortisone 1% Ointment

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  • ✔️ Relieves itching and redness from eczema and dermatitis
  • ✔️ Targets skin inflammation with mild 1% hydrocortisone
  • ✔️ Occlusive ointment base locks in moisture for dry skin
  • ✔️ Suitable for adults and children aged 10 and over
  • ✔️ Effective for insect bite reactions and contact dermatitis

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What Is Hydrocortisone 1% Cream Ointment Used For?

 

If your skin is red, itchy, and inflamed, you are not alone. Millions of people in the UK deal with conditions like eczema, contact dermatitis, and insect bite reactions every year. Hydrocortisone 1% cream ointment is a mild topical corticosteroid that has been used for decades to bring fast, targeted relief to irritated skin. Available over the counter without a prescription, it is one of the most widely recommended first-line treatments for mild inflammatory skin conditions. You can browse our full range of creams and ointments to find the right product for your needs.

The ointment formulation is particularly well suited to dry, thickened, or scaly skin because its greasier base creates an occlusive barrier that locks in moisture while delivering the active ingredient directly to the affected area. It contains 1% hydrocortisone as the active ingredient, which is the standard OTC strength approved by the MHRA for use in adults and children aged 10 and over.

 

How Does Hydrocortisone 1% Ointment Work on Inflamed Skin?

 

Hydrocortisone belongs to a class of medicines called corticosteroids. When applied to the skin, it works by reducing the activity of the immune cells responsible for triggering inflammation. Here is a simplified breakdown of the mechanism:

  • Hydrocortisone binds to glucocorticoid receptors inside skin cells.
  • This binding suppresses the production of pro-inflammatory chemicals such as prostaglandins and cytokines.
  • Reduced inflammation leads to a decrease in redness, swelling, and itching.
  • The ointment base helps maintain skin hydration, supporting the skin barrier during recovery.

Because it is a mild-strength steroid, it is less likely to cause side effects compared to stronger prescription corticosteroids, making it appropriate for short-term self-treatment of minor skin conditions.

 

Who Should Use Hydrocortisone 1% Ointment?

 

This ointment is suitable for a wide range of people dealing with mild to moderate inflammatory skin conditions. It is not a one-size-fits-all solution, though — there are specific groups who benefit most from this formulation.

  • Adults with mild eczema or atopic dermatitis on the body (not face).
  • People experiencing contact dermatitis from irritants such as detergents, metals, or plants.
  • Those with insect bite reactions causing localised itching and swelling.
  • Individuals with dry, scaly skin conditions who need an occlusive base to improve absorption.

It is not recommended for use on infected skin, broken skin, or around the eyes without medical advice. If you are unsure whether this product is right for you, speak to a pharmacist before purchasing. For broader skin health support, our skin care collection includes a variety of products to complement your routine.

 

How Does Hydrocortisone Ointment Compare to Hydrocortisone Cream?

 

Feature Hydrocortisone 1% Ointment Hydrocortisone 1% Cream
Base formulation Greasy, occlusive (paraffin-based) Water-based, lighter texture
Best suited for Dry, thickened, or scaly skin Weeping, moist, or acute skin conditions
Skin hydration Higher — locks in moisture Lower — absorbs more quickly
Active ingredient strength 1% hydrocortisone 1% hydrocortisone

 

Is Hydrocortisone 1% Ointment Suitable for Sensitive or Delicate Skin Areas?

 

This is a question worth thinking about carefully. The ointment is generally well tolerated, but certain areas of the body — such as the face, groin, and underarms — have thinner skin that absorbs topical steroids more readily. Using hydrocortisone 1% cream ointment on these areas for extended periods increases the risk of local side effects including skin thinning. For the face, use should be limited to no more than 7 days and only under pharmacist or GP guidance.

Store the ointment below 25°C, away from direct sunlight, and keep it out of reach of children. Check the expiry date before each use and do not use the product if the tube has been damaged or the seal broken.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Hydrocortisone 1% Ointment specifications
Treatment category Topical corticosteroid / Skin inflammation
Mechanism of action Suppresses inflammatory mediators via glucocorticoid receptor binding
Effective for Eczema, contact dermatitis, insect bite reactions, mild skin inflammation
Suitable for Adults and children aged 10 and over
Active ingredient Hydrocortisone 1%
Strengths 1%
UK classification Pharmacy (P) medicine
Drug class Mild topical corticosteroid
Preparation Ointment
Route of administration Topical (cutaneous)

Specifications of Hydrocortisone 1% Ointment

 

What Is Hydrocortisone 1% Ointment and What Is It Used For?

 

Hydrocortisone 1% Ointment is a mild topical corticosteroid medicine used to relieve the symptoms of inflammatory skin conditions. It is licensed in the UK as an over-the-counter (OTC) Pharmacy medicine for adults and children aged 10 and over. The NHS recommends hydrocortisone as a first-line treatment for mild eczema, contact dermatitis, and reactions to insect bites or stings. It works by calming the skin's inflammatory response, reducing redness, itching, and swelling at the site of application.

The ointment formulation is particularly effective for dry or thickened skin patches because the greasy base improves penetration of the active ingredient and helps restore the skin's natural moisture barrier. It is not a cure for underlying skin conditions, but it provides meaningful symptomatic relief during flare-ups.

 

What Do You Need to Know Before Using Hydrocortisone 1% Ointment?

 

Do not use this ointment if any of the following apply to you:

  • You are allergic to hydrocortisone or any other ingredient in the product.
  • The affected skin is infected (bacterial, viral, or fungal infection present).
  • You have acne, rosacea, or perioral dermatitis on the area to be treated.
  • The skin is broken, ulcerated, or severely damaged.
  • You are treating a child under 10 years of age without a doctor's advice.
  • You wish to apply it around the eyes without medical supervision.

Use with caution if you are pregnant or breastfeeding — speak to your GP or pharmacist before use. Prolonged or widespread use of topical corticosteroids can lead to systemic absorption, particularly in children and when applied under occlusive dressings.

Drug interactions: Topical hydrocortisone at OTC strength has minimal known drug interactions. However, inform your pharmacist if you are using other topical medicines on the same area, or if you are taking systemic corticosteroids.

  • Avoid using alongside other topical steroids on the same skin area.
  • Do not use with topical antifungals unless specifically directed by a healthcare professional.

 

How Should You Use Hydrocortisone 1% Ointment Correctly?

 

  1. Wash and dry your hands thoroughly before applying the ointment.
  2. Clean and gently pat dry the affected skin area.
  3. Squeeze a small amount of ointment onto your fingertip — a thin layer is all that is needed.
  4. Apply gently to the affected area and smooth in lightly. Do not rub vigorously.
  5. Wash your hands again after application unless the hands are the area being treated.
  6. Do not cover the treated area with an airtight dressing unless advised by a doctor.
Indication Age Group Dose Frequency
Mild eczema / dermatitis Adults and children 10+ Thin layer to affected area Once or twice daily
Insect bite reaction Adults and children 10+ Thin layer to bite site Once or twice daily
Contact dermatitis Adults Thin layer to affected area Once or twice daily, max 7 days on face
Children under 10 Under 10 years Only on doctor's advice As directed by doctor

If symptoms do not improve after 7 days of treatment, stop using the ointment and consult your GP. Do not use for longer than recommended without medical advice. If you are managing a skin condition alongside other concerns, our allergy and hay fever range may also be relevant if your skin reactions are allergy-related.

 

What Are the Possible Side Effects of Hydrocortisone 1% Ointment?

 

Like all medicines, hydrocortisone 1% ointment can cause side effects, although not everyone experiences them. Most side effects are related to prolonged or incorrect use.

Common side effects:

  • Mild burning or stinging sensation at the application site.
  • Temporary skin irritation or itching after application.
  • Dryness or peeling of the treated skin area.

Less common side effects (usually associated with prolonged use):

  • Skin thinning (atrophy) at the site of application.
  • Stretch marks (striae), particularly in skin folds.
  • Changes in skin pigmentation (lightening or darkening).
  • Increased hair growth at the application site.
  • Allergic contact dermatitis — a worsening of the skin condition rather than improvement.

If you notice any worsening of your skin condition, signs of infection (increased redness, warmth, pus), or an allergic reaction (rash spreading beyond the treated area, swelling, difficulty breathing), stop using the product immediately and seek medical advice.

 

How Should You Store Hydrocortisone 1% Ointment?

 

  • Store below 25°C in a cool, dry place.
  • Keep away from direct sunlight and heat sources.
  • Keep the tube tightly closed when not in use.
  • Keep out of the sight and reach of children.
  • Do not use after the expiry date printed on the tube or carton.
  • Do not dispose of medicines via wastewater or household waste — return unused product to your pharmacy.

For other skin-related products and treatments, explore our skin care collection for a wider range of options suited to different skin concerns.

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy hydrocortisone 1% ointment online in the UK?

You can buy Hydrocortisone 1% Ointment directly from Cured Pharmacy, a GPhC-registered online pharmacy in the UK. It is available over the counter without a prescription for adults and children aged 10 and over. Simply add it to your basket and it will be dispatched quickly to your door.

How does hydrocortisone 1% ointment work in the body?

Hydrocortisone is a mild corticosteroid that works by binding to glucocorticoid receptors in skin cells, suppressing the release of inflammatory chemicals like prostaglandins and cytokines. This reduces the redness, swelling, and itching associated with inflammatory skin conditions. It acts locally on the skin rather than throughout the whole body when used correctly at OTC strength.

How do I apply hydrocortisone 1% ointment step by step?
  1. Wash your hands before and after application.
  2. Clean and dry the affected skin area gently.
  3. Apply a thin layer of ointment to the affected area once or twice daily.
  4. Do not cover with an airtight dressing unless advised by a doctor.

Avoid contact with eyes, mouth, or broken skin during application.

How long does hydrocortisone 1% ointment take to work?

Most people notice a reduction in itching and redness within 24 to 48 hours of starting treatment. Full improvement of the skin condition may take several days of consistent, twice-daily application. If there is no improvement after 7 days, stop using the product and consult your GP or pharmacist.

What is the correct dose of hydrocortisone 1% ointment for adults?

Adults should apply a thin layer of hydrocortisone 1% ointment to the affected area once or twice daily. You do not need to apply a thick layer — a small amount spread thinly is more effective and reduces the risk of side effects. Do not apply more frequently than twice daily unless directed by a healthcare professional.

Can I use hydrocortisone 1% ointment on my face?

You can use hydrocortisone on the face, but only for a maximum of 7 days and ideally under the guidance of a pharmacist or GP. The skin on the face is thinner and absorbs topical steroids more readily, increasing the risk of skin thinning with prolonged use. Avoid applying near the eyes or on areas affected by rosacea or acne.

Is hydrocortisone 1% ointment safe for children?

Hydrocortisone 1% ointment can be used in children aged 10 and over without a prescription. For children under 10, you must seek advice from a doctor before use. Always apply the smallest effective amount and avoid using under nappies or occlusive dressings in young children, as this increases absorption.

What are the side effects of hydrocortisone 1% ointment?

Common side effects include mild burning, stinging, or itching at the application site. With prolonged or incorrect use, less common side effects can occur:

  • Skin thinning (atrophy)
  • Stretch marks
  • Changes in skin colour
  • Increased hair growth at the treated site

Stop using and seek medical advice if your condition worsens or you notice signs of a skin infection.

What is the difference between hydrocortisone cream and ointment?

The key difference lies in the base formulation. Hydrocortisone cream is water-based and lighter, making it better suited to weeping or moist skin conditions. The ointment is greasier and more occlusive, which makes it more effective for dry, thickened, or scaly skin as it locks in moisture and improves penetration of the active ingredient. Both contain the same 1% hydrocortisone active ingredient.

Can I use hydrocortisone 1% ointment if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, you should speak to your GP or pharmacist before using hydrocortisone 1% ointment. While topical use at OTC strength is generally considered low risk, it is important to avoid applying it to large areas of skin or under occlusive dressings during pregnancy. Your healthcare professional can advise on the safest approach for your situation.

What conditions can hydrocortisone 1% ointment treat?

Hydrocortisone 1% ointment is used to treat a range of mild inflammatory skin conditions, including:

  • Mild eczema and atopic dermatitis
  • Contact dermatitis (from irritants or allergens)
  • Insect bite and sting reactions
  • Mild seborrhoeic dermatitis

It is not suitable for infected skin, acne, or rosacea without medical advice.

How long can you use hydrocortisone 1% ointment for?

For most conditions, hydrocortisone 1% ointment should be used for no longer than 7 days without consulting a doctor or pharmacist. On the face, use should be limited to 7 days maximum. Prolonged use beyond recommended periods increases the risk of skin thinning and other local side effects. If your condition requires longer treatment, your GP may prescribe a different approach.

What happens if I use too much hydrocortisone 1% ointment?

Applying too much hydrocortisone ointment or using it too frequently does not improve results and increases the risk of side effects such as skin thinning. If you accidentally apply a large amount, wipe off the excess gently with a clean tissue. If you are concerned about overuse over a prolonged period, speak to your pharmacist or GP for guidance.

What are the alternatives to hydrocortisone 1% ointment?

Alternatives depend on the condition being treated. For mild eczema, emollients and moisturisers are often used alongside or instead of topical steroids. For fungal skin infections, antifungal creams are more appropriate — you can explore our athletes foot and fungal infections range for options. For more severe inflammatory skin conditions, a GP may prescribe a stronger corticosteroid or an alternative treatment.

What are the latest findings on topical hydrocortisone use?

Current NHS and NICE guidance continues to support the use of mild topical corticosteroids like hydrocortisone 1% as a first-line treatment for mild eczema and contact dermatitis. Research consistently shows that short-term, correctly applied use is safe and effective for most patients. The emphasis in recent guidance is on using the lowest effective strength for the shortest necessary duration to minimise side effects. For first aid needs alongside skin treatment, our first aid collection may also be useful.

How Should You Use Hydrocortisone 1% Ointment?

Using hydrocortisone 1% ointment correctly makes a real difference to how well it works and how safe it is. Always read the patient information leaflet supplied with your product before starting treatment, and follow these steps carefully.

What Is the Correct Dose of Hydrocortisone 1% Ointment?

The correct dose depends on the condition being treated and the age of the patient. Always use the smallest amount that provides effective relief. Applying more than needed does not speed up recovery and increases the risk of side effects.

When Is the Best Time to Use Hydrocortisone 1% Ointment?

There is no single fixed time of day that is clinically superior for applying hydrocortisone ointment. However, many people find it helpful to apply it after bathing or showering, when the skin is clean and slightly warm, as this may aid absorption. If you are applying it twice daily, spacing the applications roughly 12 hours apart — for example morning and evening — helps maintain a consistent effect throughout the day.

Avoid applying immediately before swimming or bathing, as water will wash the ointment away before it has had time to work properly.

How Long Can You Use Hydrocortisone 1% Ointment For?

For most conditions, you should not use hydrocortisone 1% ointment for longer than 7 days without seeking advice from a pharmacist or GP. On the face, the 7-day limit is particularly important due to the thinner skin in that area. If your symptoms have not improved within a week, this may indicate that the condition requires a different treatment or further investigation.

Prolonged use beyond recommended periods — especially on sensitive areas such as the face, groin, or underarms — increases the risk of skin thinning, stretch marks, and other local side effects. Your pharmacist can advise on whether continued use is appropriate for your specific situation.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

What Are the Most Common Side Effects of Hydrocortisone 1% Ointment?

Most people who use hydrocortisone 1% ointment as directed do not experience significant side effects. When side effects do occur, they are usually mild and localised to the area of application. Common side effects include:

  • Mild burning or stinging sensation immediately after application
  • Temporary itching at the treated site
  • Skin dryness or mild peeling
  • Slight redness at the application site

These effects are generally short-lived and tend to settle as your skin adjusts to the treatment. If they persist or worsen, speak to your pharmacist.

What Are the Less Common Side Effects of Hydrocortisone 1% Ointment?

Less common side effects are more likely to occur with prolonged use, use on large areas of skin, or application under occlusive dressings. They include:

  • Skin thinning (atrophy) at the site of application
  • Stretch marks (striae), particularly in skin folds or areas of friction
  • Changes in skin pigmentation — either lightening or darkening
  • Increased hair growth (hypertrichosis) at the treated area
  • Dilated blood vessels visible under the skin (telangiectasia)
  • Allergic contact dermatitis — a paradoxical worsening of the skin condition

These effects are uncommon when the product is used correctly for short periods. They are more likely in children, elderly patients, and those applying the ointment to sensitive areas such as the face or skin folds.

What Are the Serious Side Effects of Hydrocortisone 1% Ointment?

Serious side effects from OTC-strength hydrocortisone ointment are rare but can occur if the product is misused over a prolonged period or applied to large areas of skin. Systemic absorption — where the active ingredient enters the bloodstream — can theoretically suppress the adrenal glands, though this is extremely unlikely with correct short-term use at 1% strength. Signs that may indicate a more serious reaction include significant skin infection developing at the treated site, widespread skin changes, or symptoms suggesting an allergic reaction such as facial swelling, difficulty breathing, or a spreading rash. Seek immediate medical attention if any of these occur.

What Should You Do If You Experience Side Effects of Hydrocortisone 1% Ointment?

If you experience mild side effects such as temporary stinging or dryness, these usually resolve on their own and do not require you to stop treatment. However, if your skin condition worsens, you develop signs of a skin infection (increased warmth, pus, or spreading redness), or you suspect an allergic reaction, stop using the ointment immediately and contact your GP or pharmacist. You can also report suspected side effects to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk.

Can Hydrocortisone 1% Ointment Interact With Other Medicines?

Topical hydrocortisone at OTC strength has very few clinically significant drug interactions. However, you should inform your pharmacist if you are using any other topical medicines on the same area of skin, as combining topical steroids with other products may alter absorption or cause unexpected reactions. If you are taking systemic corticosteroids (steroid tablets or injections) for another condition, using topical hydrocortisone simultaneously adds to the overall steroid load on your body, which your doctor should be aware of. Always disclose all medicines — including over-the-counter products — to your healthcare team.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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