Hydrocortisone – Pramoxine 2.5 % – 1 % Rectal Cream, Ointment
Common brand name(s)
Analpram, Rectocort – HC, Pramosone; generics
Lidocaine and hydrocortisone Rectal cream, ointment
Common brand name(s)(or generic)
AnaMantle HC® Cream, AnaMantle HC® Forte; AnaMantle HC® Gel;
LidaMantle HC®, LidaMantle HC® Relief Pad™, LidoCort™
Peranex™ HC; Peranex™ HC Medi-Pad; RectaGel™ HC
These combination medications are used to treat minor pain, itching, swelling, and discomfort caused by hemorrhoids and other problems of the anal area (e.g., anal fissures, itching). These medications contain pramoxine or lidocaine, an anesthetic that works by temporarily numbing the area. These products also contain hydrocortisone, a corticosteroid that reduces redness, itching, and swelling.
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. 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. 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. 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. 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.
Before using this product, tell your doctor or pharmacist if you are allergic to pramoxine or lidocaine.
Redness, burning, or itching at the application site may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. A very serious allergic reaction to this drug is rare.
Store at room temperature away from light and moisture. Do not refrigerate.