Hydrocortisone suspension is an oral form of cortef in a liquid. It is looks like thick cough medicine. The problem lately is that UpJohns (drug company) has had problems making it. Therefore a CAH baby must either take crushed pills (which is hard because it is hard to get pills in a small dose) or have the drugist mix the oral hydrocortisone. Personally - I would trust prefer crushing the pill myself and mixing it with water or juice. Cortef comes in 5 mg pill. 2.5 cc of the liquid cortef = one 5mg pill. Also florinef is only pill form (needed for salt wasting CAH). Again - I would crush it between two spoons and mix with alittle water or juice. Later my kids would just chew up the pills. If sleeping I would mix it with water or juice, put it in a syringe without a needle or dropper and squirt it in their mouth (early morning 7 am and 11pm doses). In 1997 and again in 1999 the liquid or oral mixture was not mixed right by UpJohns (manufacture). Which is a life threating problem. My ped endo would not believe me in 1997 that the liquid cortef was not mixed right. I begged her to give me the pill or the injection. My son was fine with the mixture but he was not severe but his sister (a year younger) was vomiting, lossing weight, and dark circles under her eyes, thin hair, no energy. She came down with a fever, and the doctor on call insisted that doubling the oral cortef would be enough. She died on 1 Sept 97 from that fever and adrenal shock. So the pill or injection is the safest medicine!!! Believe me. If I had another CAH now - I would NOT give the oral liquid cortef. Only the pill or injection. preston@kreative.net