Hydrocortisone Cream Australia: Uses, Safety & Best Brands

What Is Hydrocortisone Cream?

Hydrocortisone cream is a mild topical corticosteroid that may help relieve itching, redness and inflammation from mild eczema, contact dermatitis, insect bites and similar skin irritations. In Australia, formulations up to 1% (such as DermAid and Sigmacort) are available without a prescription: the 0.5% strength on the shelf (Schedule 2) and the 1% strength as a pharmacist-only (Schedule 3) medicine. How often to apply it, how long to use it and whether it can be used on a child depend on the product, so follow the label of the pack you buy. Do not use it on broken or infected skin, and ask a pharmacist or GP before using it on the face, groin or a child. If symptoms don't improve within 7 days, see a GP.

In plainer terms, hydrocortisone is an anti-inflammatory medicine you apply directly to the skin. It works by calming the redness, swelling, itching and irritation at the site of application. Hydrocortisone is the weakest topical steroid available, which is exactly why it is considered safe enough for over-the-counter sale in Australia.

In Australia, hydrocortisone cream is available in two OTC strengths: 0.5% and 1%. The 0.5% strength is a Pharmacy Medicine (Schedule 2) that can often be found on the shelf, while the 1% strength is a pharmacist-only medicine (Schedule 3), meaning you need to ask at the pharmacy counter. Each registered product carries an AUST R number on its pack, which you can look up on the Australian Register of Therapeutic Goods (ARTG).

What Does Hydrocortisone Cream Treat?

OTC hydrocortisone creams may be used for the temporary relief of minor skin irritations such as those below. Each product's label lists the conditions it is for, so check that the pack you choose covers your problem or ask a pharmacist.

• radio_button_uncheckedMild eczema (atopic dermatitis) — reduces the itchy, red, inflamed patches that characterise flare-ups.
• radio_button_uncheckedContact dermatitis — irritation caused by contact with soaps, detergents, plants, metals (e.g. nickel in jewellery), or cosmetics.
• radio_button_uncheckedInsect bites and stings — calms the swelling, redness, and itch from mosquito bites, ant bites, and bee stings.
• radio_button_uncheckedMild allergic rashes — localised itchy rashes from allergic reactions on the skin.
• radio_button_uncheckedMild psoriasis — can reduce scaling and redness in mild cases, though psoriasis often needs stronger treatment.
• radio_button_uncheckedNappy rash (non-infected) — only if a doctor directs it. Nappy rash affects babies, and the Sigmacort and DermAid labels restrict use in young children unless a doctor says so.
• radio_button_uncheckedSunburn itch — can provide short-term relief of the inflammatory itch phase of mild sunburn.

Best Hydrocortisone Creams in Australia

How We Assessed

• radio_button_uncheckedActive ingredient and strength: hydrocortisone or hydrocortisone acetate, at 0.5% or 1%.
• radio_button_uncheckedFormulation: the cream base described by the manufacturer.
• radio_button_uncheckedLabel directions: how often to apply, how long to use and any age limit, from the current consumer medicine information or product information where we could find it.
• radio_button_uncheckedAccessibility: whether it is on the shelf (Schedule 2) or requires pharmacist consultation (Schedule 3).

Sigmacort Hydrocortisone 1% (Pharmacist Only)

Sigmacort 1% Cream contains hydrocortisone acetate and is used for non-infected inflammatory skin conditions such as eczema and dermatitis, to relieve redness, swelling and itching. The 30 g tube is a pharmacist-only medicine (Schedule 3), so you will need to ask at the counter — the pharmacist will check it is appropriate for your situation. Its label has its own directions: a thin smear two to four times a day or as directed, with your doctor or pharmacist advising how long to use it, and no use in children unless a doctor tells you to.

DermAid Soft 0.5% (Pharmacy Medicine)

DermAid Soft 0.5% is a lower-strength cream in a soft cream base. It contains hydrocortisone 0.5% and is a Pharmacy Medicine (Schedule 2), so it is often on the shelf without needing to ask the pharmacist. Its product information says to apply a thin layer two to four times a day and does not recommend it for children under 2 except on a doctor's advice. If you need to treat the face or neck, ask your pharmacist first — these areas absorb more steroid and need extra care.

DermAid 1% (Pharmacist Only)

DermAid 1% is another 1% option. Its label lists uses such as dermatitis, eczema, psoriasis, rashes from cosmetics and jewellery, itching genital and anal areas, and sunburn; insect bites are not named, so ask your pharmacist whether it suits a bite. DermAid 1% contains hydrocortisone (Sigmacort contains hydrocortisone acetate), and its label gives its own directions: a thin layer one to two times a day as required, no use on children under 2 unless a doctor tells you to, and stop and see a doctor or pharmacist if the condition persists for more than 7 days.

Chemists' Own Skin Irritation Cream 1% (Pharmacist Only)

Chemists' Own Skin Irritation Cream is a pharmacy-brand cream containing hydrocortisone acetate 1%. Its label lists uses such as rashes due to eczema, dermatitis, soap, detergent, cosmetics and jewellery, insect bites, itching anal and genital areas not due to infection, and sunburn. The 30 g tube is a pharmacist-only medicine (Schedule 3), so you will need to ask at the counter. Its label gives its own directions: a thin layer two to four times a day or as directed, no use on children under 2 unless a doctor tells you to, no use on psoriasis unless a doctor recommends it, and no use for more than 7 days except on a doctor's advice. A matching percentage does not make two creams interchangeable: the cream base differs and each label sets its own directions. Prices change, so compare current prices at the pharmacy.

Hydrocortisone Cream Comparison

Sigmacort vs DermAid: Which Should You Choose?

Shoppers often ask whether Sigmacort or DermAid is better. Neither product's information reports clinical trials comparing it with the other, so there is no basis here for calling one better. They are not identical products, though, and their labels differ in ways that matter when choosing one.

• radio_button_uncheckedActive ingredient: Sigmacort contains hydrocortisone acetate 1%; DermAid creams contain hydrocortisone at 0.5% or 1%. A matching percentage does not by itself show the two work the same way.
• radio_button_uncheckedRange: DermAid (made by Ego Pharmaceuticals) offers more options, including DermAid 0.5%, DermAid 1%, and DermAid Soft 0.5% in a soft cream base.
• radio_button_uncheckedFormulation: DermAid Soft uses a soft cream base. Sigmacort comes as a cream and an ointment.
• radio_button_uncheckedDirections: Sigmacort's label says a thin smear two to four times a day or as directed; DermAid 1%'s says a thin layer one to two times a day as required.
• radio_button_uncheckedChildren: Sigmacort's label says not to use it in children unless a doctor tells you to; DermAid's labels restrict use in children under 2 unless a doctor advises it.
• radio_button_uncheckedSchedule: The 0.5% strengths are Pharmacy Medicines (Schedule 2); the 1% strengths are pharmacist-only (Schedule 3).

What About Hydrozole? (Hydrocortisone + Antifungal)

Hydrozole is a combination cream that pairs hydrocortisone 1% with the antifungal clotrimazole. It is designed for skin problems where inflammation and a fungal infection occur together — for example, an inflamed fungal rash in a skin fold, or some cases of athlete's foot or jock itch where the area is also red and itchy. The antifungal targets the fungus while the hydrocortisone may help relieve the itch and inflammation.

How to Apply Hydrocortisone Cream Correctly

Applying the right amount matters. Too much increases the risk of side effects, while too little may not be effective. Dermatologists use the "fingertip unit" (FTU) system to guide application.

• radio_button_uncheckedOne fingertip unit (FTU) is a strip of cream squeezed from the tip to the first crease of an adult index finger — roughly 0.5g.
• radio_button_uncheckedOne FTU covers an area roughly the size of two adult flat hands.
• radio_button_uncheckedWash and dry the affected area before applying.
• radio_button_uncheckedApply a thin layer to the affected area only — do not spread it beyond the irritated skin.
• radio_button_uncheckedGently rub in until the cream disappears. Do not cover with bandages or dressings unless directed by a doctor.
• radio_button_uncheckedApply as often as the pack directs or your pharmacist advises — frequency differs between products, so do not carry one product's directions over to another.
• radio_button_uncheckedWash your hands after application (unless your hands are the treated area).

Safety: How Long Can You Use Hydrocortisone Cream?

Hydrocortisone is the mildest topical corticosteroid, but it is still a steroid and must be used within safe limits. The key safety rules for OTC hydrocortisone in Australia are:

• radio_button_uncheckedDuration: Follow the pack. DermAid 1% and DermAid Soft 1% labels say to stop and see a doctor or pharmacist if the condition persists for more than 7 days, while Sigmacort's label says your doctor or pharmacist will tell you how long to use it. If your skin is not improving, see a pharmacist or GP rather than continuing to apply it, and never use a product for longer than its label allows.
• radio_button_uncheckedAmount: Apply a thin layer to the affected area only, no more often than the label directs. More is not better.
• radio_button_uncheckedDo not use on broken or infected skin.
• radio_button_uncheckedDo not use on large areas of the body at once.
• radio_button_uncheckedDo not use under occlusive dressings (e.g. cling wrap) unless directed by a doctor — this dramatically increases absorption.
• radio_button_uncheckedChildren: Age limits differ by product. Sigmacort's label says not to use it in children unless a doctor tells you to; DermAid labels restrict use in children under 2 unless a doctor advises it. Ask a pharmacist or GP before using any hydrocortisone on a child.
• radio_button_uncheckedPregnancy and breastfeeding: Consult your GP or pharmacist before use. Small amounts on limited areas are generally considered low risk, but get professional advice tailored to your situation.

Where Should You Not Apply Hydrocortisone Cream?

Some areas of the body are thin-skinned, more absorbent, or prone to irritation, so OTC hydrocortisone should be avoided there unless a pharmacist or GP has specifically advised it. Do not apply hydrocortisone cream to:

• radio_button_uncheckedThe face — thin, absorbent skin; only use on the face if a pharmacist or GP advises it, and never near the eyes.
• radio_button_uncheckedAround or in the eyes (and the eyelids) — risk of eye side effects; never use eye-area products without medical advice.
• radio_button_uncheckedThe groin and genitals — skin folds absorb far more steroid and are prone to thinning.
• radio_button_uncheckedThe underarms (armpits) and other skin folds — same increased-absorption risk as the groin.
• radio_button_uncheckedBroken, cracked, weeping, or infected skin — hydrocortisone is for intact skin only.
• radio_button_uncheckedLarge areas of the body at once — keep treatment to small, localised patches.

When NOT to Use Hydrocortisone Cream

Hydrocortisone cream is not suitable for every skin problem. Using it on the wrong condition can make things worse. Do not use hydrocortisone on:

• radio_button_uncheckedInfected skin — bacterial, viral, or fungal infections (e.g. impetigo, tinea/ringworm, cold sores). Steroids suppress local immunity and can help infections spread.
• radio_button_uncheckedCold sores (herpes simplex) — hydrocortisone can worsen and spread the virus.
• radio_button_uncheckedAcne — topical steroids can trigger or worsen acne, and cause steroid-induced rosacea with prolonged facial use.
• radio_button_uncheckedRosacea — steroids initially improve redness but cause severe rebound flaring.
• radio_button_uncheckedFungal infections (tinea, athlete's foot, ringworm) — the itch may feel similar to eczema, but steroids help the fungus grow. Use an antifungal cream instead.
• radio_button_uncheckedOpen wounds, cuts, or grazes — hydrocortisone is for intact skin only.
• radio_button_uncheckedBurns (other than very mild sunburn) — seek medical advice for anything beyond minor sunburn.
• radio_button_uncheckedPerioral dermatitis (rash around the mouth) — often caused or worsened by topical steroids.

When to See a GP

OTC hydrocortisone is designed for mild, short-term skin irritation. See your GP if:

• radio_button_uncheckedYour skin condition has not improved after 7 days of hydrocortisone use.
• radio_button_uncheckedThe rash is spreading, getting worse, or developing signs of infection (pus, crusting, increasing pain, warmth, swelling).
• radio_button_uncheckedYou have recurring eczema that keeps flaring up — you may need a management plan with stronger treatments or allergy testing.
• radio_button_uncheckedThe affected area covers a large portion of your body.
• radio_button_uncheckedYou want to use hydrocortisone on a child and the pack's label restricts it — for example, Sigmacort's label requires a doctor's direction for any child, and DermAid's for children under 2.
• radio_button_uncheckedYou are pregnant or breastfeeding and unsure about topical steroid safety.
• radio_button_uncheckedYou suspect the rash may be a fungal infection rather than eczema or dermatitis.
• radio_button_uncheckedYou have eczema on the face, eyelids, or genitals — these areas need careful medical supervision.

Frequently Asked Questions

Can I buy hydrocortisone cream over the counter in Australia?

Yes. Hydrocortisone 0.5% cream is usually available on the shelf at pharmacies (Schedule 2). Hydrocortisone 1% is a pharmacist-only medicine (Schedule 3) — you can buy it without a prescription, but you need to ask at the pharmacy counter, and the pharmacist will ask a few questions to make sure it is suitable for you. Neither strength requires a GP visit or prescription in packs of 30 g or less; larger packs (such as the Sigmacort 50 g tube) and strengths above 1% are prescription-only.

What is the difference between 0.5% and 1% hydrocortisone cream?

The 1% strength contains twice the concentration of hydrocortisone. The 0.5% strength is a Pharmacy Medicine (Schedule 2) that is often on the shelf, while 1% is pharmacist-only (Schedule 3). Start with the lowest strength that does the job, and ask a pharmacist which strength suits the area being treated — especially the face, groin or skin folds, where skin absorbs more.

Where should you not apply hydrocortisone cream?

Avoid the face, the skin around the eyes and the eyelids, the groin and genitals, and the underarms or other skin folds — these areas are thin-skinned or highly absorbent, which raises the risk of side effects like skin thinning. Also avoid any broken, cracked, weeping or infected skin, and don't treat large areas at once. Only use hydrocortisone on these areas if a pharmacist or GP has specifically advised it.

Is it safe to use hydrocortisone cream daily?

For a short course, applying a thin layer as often as the pack directs is normal — but OTC hydrocortisone is not meant for ongoing daily use. Follow the pack's duration directions, and see a pharmacist or GP if your skin has not improved within 7 days. Using a topical steroid daily over weeks or months, especially on the face or skin folds, can lead to skin thinning and rebound flare-ups when you stop. If you find you need it most days, that is a sign to see a GP for a proper management plan rather than continuing to self-treat.

What's the strongest steroid cream available over the counter in Australia?

Hydrocortisone 1% is the strongest topical steroid you can buy without a prescription in Australia, and it is a pharmacist-only (Schedule 3) medicine. Stronger topical corticosteroids — such as betamethasone (Diprosone, Eleuphrat), mometasone (Elocon), or hydrocortisone butyrate (Locoid) — all require a prescription from your GP. If 1% hydrocortisone isn't controlling your symptoms, see a doctor rather than trying to use more of it.

Is Sigmacort or DermAid better?

Neither product's information reports clinical trials comparing the two, so there is no basis for calling one better — but they are not interchangeable. Sigmacort contains hydrocortisone acetate 1%, while DermAid creams contain hydrocortisone, and their labels differ: Sigmacort's says to apply two to four times a day or as directed and not to use it in children unless a doctor tells you to, while DermAid 1%'s says one to two times a day as required and not on children under 2 unless a doctor tells you to. The DermAid range also includes DermAid Soft 0.5% in a soft cream base. Ask your pharmacist to help you choose based on the label of the exact pack, and do not assume a cream at the same percentage — including a pharmacy brand — has the same directions.

Can I use hydrocortisone cream on my child?

Ask a pharmacist or GP before using any hydrocortisone on a child, and check the exact label, because age limits differ between products. Sigmacort's label says not to use it in children unless a doctor tells you to, and DermAid labels restrict use in children under 2 unless a doctor advises it. Children have thinner skin and a higher surface-area-to-body-weight ratio, so they absorb proportionally more steroid. For children with recurring eczema, see a GP for a proper management plan including a moisturising routine and, if needed, prescription options.

Can I use hydrocortisone cream for nappy rash?

Only if a doctor directs it. Nappy rash affects babies, and hydrocortisone labels restrict use in young children: Sigmacort's says not to use it in children unless a doctor tells you to, and DermAid's say not under 2 unless a doctor advises it. The nappy area is warm and moist, and tight-fitting nappies or plastic pants can act like a covering dressing, which increases steroid absorption. For persistent nappy rash that has not responded to barrier creams like zinc-based products (e.g. Sudocrem, Bepanthen), see your GP or child health nurse. Also consider whether the rash could be fungal (candidal nappy rash), which needs antifungal treatment instead.

When should I see a GP instead?

See a GP if your skin hasn't improved after 7 days of hydrocortisone, if the rash is spreading or shows signs of infection (pus, crusting, increasing pain, warmth or swelling), if flare-ups keep coming back, or if the rash covers a large area. You should also see a GP before treating a child when the pack's label says a doctor should direct it, if you're pregnant or breastfeeding and unsure, if you suspect a fungal infection rather than eczema, or if the problem is on the face, eyelids or genitals — these areas need careful medical supervision.