Indications

The reduction of swelling, pain and inflammation of hemorrhoids and other rectal lesions. The management of acute and chronic nonspecific proctitis, acute internal hemorrhoids, cryptitis, fissures and incomplete fistulas, internal and external pruritus ani. May be used in pre- and postoperative hemorrhoidectomy and repair of fissures.

Contraindications

Hydrocortisone must not be used in the presence of tuberculosis, fungal and viral infections. Sensitivity to any of the components.

Precautions

Discontinue use if sensitization occurs. Hydrocortisone should not be used until an adequate proctologic examination is completed and a diagnosis made. Other specific measures against infections, allergy, and other causal factors must not be neglected. The possibility, however rare, that prolonged use of this preparation might produce systemic corticosteroid effects, should be borne in mind. Patients should be advised to inform subsequent physicians of the previous use of hydrocortisone.

Pregnancy

The safe use of topical corticosteroids during pregnancy has not been fully established. Therefore, during pregnancy, they should not be used unnecessarily on extended areas, in large amounts or for prolonged periods of time.

Adverse Effects

Certain patients may experience burning upon application, especially if the mucous membrane is not intact.

Dosage

Ointment:
For external treatment: Apply a small quantity morning and evening and after each bowel movement, to the affected area. For internal application: attach rectal cannula to tube, insert to full extent and squeeze tube gently from lower end while withdrawing.

Suppositories:
1 suppository morning and evening and after each bowel movement.