PRAMOXINE/HYDROCORTISONE CREAM, OINTMENT - RECTAL

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PRAMOXINE/HYDROCORTISONE CREAM, OINTMENT - RECTAL

PHONETIC PRONUNCIATION: (pram-OX-een/hi-dro-KOR-tih-sown)

COMMON BRAND NAME(S): Analpram

GENERIC NAME(S): hydrocortisone acetate/pramoxine HCl

Uses

USES: This combination medication is used to treat minor pain, itching, swelling, and discomfort caused by hemorrhoids and other problems of the anal area (e.g., anal fissures, itching). This medication contains pramoxine, an anesthetic that works by temporarily numbing the area. This product also contains hydrocortisone, a corticosteroid that reduces redness, itching, and swelling.


How to use PRAMOXINE/HYDROCORTISONE CREAM, OINTMENT - RECTAL

HOW TO USE: Before use, clean the affected area with mild soap and water, rinse well, and pat dry. To apply this product inside the anus, use the applicator tip/cap/nozzle, following all instructions in the product package, or use as directed by your doctor. Fill the applicator with medication from the container as directed. Gently insert the applicator tip just 1/2 to 1 inch (1.5 to 2.5 centimeters) inside the anus and apply in and around the anal opening as directed. Do not insert your finger or any part of the container into the anus, and do not insert the applicator tip/nozzle more than 1/2 to 1 inch (1.5 to 2.5 centimeters) inside the anus. Do not use your finger to apply this medication inside the anus. If you are using a single-use tube and applicator, discard after one use. To apply the product to the outside of the anus only, apply a small amount to the affected area and rub in gently. Do not cover the area with plastic or waterproof bandages unless directed to do so by your doctor. Covering the treated area may increase the absorption of the medication through the skin. This may improve how well the drug works, but it may also increase the risk of side effects. Wash hands immediately after use. Avoid getting the product in your eyes, nose, ears or mouth. If the medication gets in these areas, rinse the area immediately with clean water. Some brands are packaged in kits which have wipes. Before applying this medication, use the wipes as directed. The wipes are usually flushable, so discard the used wipes in the toilet. This product is usually used 3 to 4 times daily, or after each bowel movement, or as directed by your doctor. Dosage is based on your medical condition and response to therapy. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day. Do not use more of this product, use it more often, or keep using it longer than prescribed by your doctor. If you have been using this medication for a long time or in high doses, do not suddenly stop using it without your doctor's approval. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased. Inform your doctor if your condition does not improve or if it worsens after 1 to 2 weeks.

Side Effects

SIDE EFFECTS: Redness, burning, or itching at the application site may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects Tell your doctor right away if any of these unlikely but serious side effects occur: rectal bleeding, change in skin appearance (e.g., color, thickness), skin redness/tenderness/pus or other signs of skin infection. Rarely, it is possible this medication will be absorbed into the bloodstream. This can lead to side effects of too much corticosteroid. These side effects are more likely in children and people who use this medication for a long time. Tell your doctor right away if any of the following side effects occur: unusual/extreme tiredness, weight loss, headache, swelling ankles/feet, increased thirst/urination, vision problems. Tell your doctor right away if any of these rare but very serious side effects occur: signs of serious infection (e.g., fever, persistent sore throat). A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: Before using this product, tell your doctor or pharmacist if you are allergic to pramoxine; or to hydrocortisone; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: diabetes, eye problems, infections (especially rectal sores/infections), liver disease, stomach/intestinal problems. Rarely, using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used this medication within the past few months. Caution is advised when using this drug in children. Do not use this product over a large area or use tight-fitting diapers/plastic pants unless directed by your doctor. Though it is unlikely, this medication may slow down a child's growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your child's height can be checked. During pregnancy, this medication should be used only when clearly needed. It should not be used for long periods of time or in large amounts. Discuss the risks and benefits with your doctor. It is not known if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: other corticosteroids/immunosuppressants (e.g., prednisone), other rectal products. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Overdose

OVERDOSE: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

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Faq for PRAMOXINE/HYDROCORTISONE CREAM, OINTMENT - RECTAL

Pramoxine/Hydrocortisone cream/ointment is primarily used to relieve itching, discomfort, and inflammation associated with certain rectal conditions such as hemorrhoids and anal fissures.

The combination of pramoxine and hydrocortisone in the cream/ointment provides a dual-action treatment. Pramoxine is a local anesthetic that temporarily numbs the area to reduce itching and pain. Hydrocortisone is a corticosteroid that helps reduce inflammation, itching, and redness.

Wash your hands before and after applying the cream/ointment. Clean the affected area thoroughly and then gently apply a thin layer of the medication to the area. It is usually recommended to apply the cream/ointment three to four times a day, or as directed by your doctor.

Some potential side effects may include skin irritation, burning, stinging, or allergic reactions. If any of these side effects persist or worsen, contact your healthcare provider immediately.

Prolonged use of this cream/ointment should be avoided unless specifically instructed by your doctor. Overuse can lead to thinning of the skin, increased risk of infections, or other adverse effects. Always follow the recommended dosage and duration provided by your healthcare professional.

It is advisable to consult with your healthcare provider before using this medication during pregnancy or breastfeeding. They can weigh the potential risks and benefits and provide suitable recommendations.

If accidentally swallowed, seek immediate medical attention or contact a Poison Control Center. Ingesting the cream/ointment meant for rectal use can cause serious side effects, especially in children.

Inform your healthcare provider about all the medications, including over-the-counter drugs and supplements, you are taking. They can evaluate potential drug interactions and provide appropriate guidance.

The time it takes for the cream/ointment to provide relief varies from person to person and depends on the severity of the condition. It is typically recommended to use the medication consistently for a few days to observe improvement. If there is no improvement or symptoms worsen, consult your healthcare provider.

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Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.