Calcium Dobesilate + Hydrocortisone + Lidocaine / Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide

Dosage Forms Available

• Calcium Dobesilate + Hydrocortisone + Lidocaine/Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide is available as a topical cream, ointment, or suppository for rectal use.

Age and Dose Restrictions

• This combination is meant for use by adults and children above 12 years of age.

Contraindications

• This combination is contraindicated for patients with known hypersensitivity to any of its components.
• It is also contraindicated for use in cases involving bacterial, fungal, or viral infections in the anorectal area.

Other Medications to Avoid

• This combination may interact with other local anaesthetics (such as benzocaine and prilocaine), other corticosteroids (like prednisolone and dexamethasone), and other vasoconstrictors (such as ephedrine and pseudoephedrine).

Overdose and Missed Dose

• Overdose of this combination is unlikely as it is intended for external use only. Using the prescribed dosage is recommended to avoid any side effects.
• If you forget to apply a dose of this combination, apply it as soon as you remember, unless it is almost time for your next scheduled application. Do not double the application to make up for the missed dose.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this combination. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If you experience dryness or irritation at the application site, consider applying the combination at different times to avoid worsening the irritation.
• Local stinging can be minimised by ensuring the area is clean and dry before application.

Use in Driving and Operating Machinery

• This combination does not affect your ability to drive or operate machinery. However, if you experience any discomfort or distracting symptoms post-application, it is advisable to avoid such activities until these sensations subside.

Use in Pregnancy and Lactation

• The safety of Calcium Dobesilate + Hydrocortisone + Lidocaine/Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide during pregnancy or lactation has not been fully established. Consult your doctor before using this combination during pregnancy or while breastfeeding.

Caution in Other Conditions

• Caution is advised when using this combination in patients with severe liver or kidney impairment.

Special Dietary and Lifestyle Recommendations

• Incorporate a high-fibre diet to help soften stools and reduce straining during bowel movements, which can exacerbate haemorrhoidal symptoms.
• Stay hydrated by drinking plenty of water throughout the day.
• Avoid prolonged sitting or standing which can increase pressure on the veins in the lower rectum.
• Practise good hygiene, especially around the anal area, to prevent irritation and infections that could worsen haemorrhoid conditions.