Home/Drugs By Ailments / Calcium Dobesilate + Hydrocortisone + Lidocaine / Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide

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

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

  • Calcium Dobesilate + Hydrocortisone + Lidocaine/Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide is usually used for managing symptoms of internal and external haemorrhoids, a condition characterised by swollen blood vessels in the rectum. It belongs to the category of haemorrhoidal preparations.
  • This combination may also provide relief from symptoms of other inflammatory anorectal conditions, such as anal fissures and proctitis, where there is inflammation around the anus or rectum.

Side effects of Calcium Dobesilate + Hydrocortisone + Lidocaine / Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide

  • Local burning at the application site
  • Itching
  • Stinging
  • Dryness at the application site
  • Rarely, rash or angioedema (swelling under the skin)

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

  • Calcium Dobesilate + Hydrocortisone + Lidocaine/Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide is a combination used to manage haemorrhoids and anal conditions.
  • Calcium Dobesilate is a vasoprotective agent. It strengthens blood vessel walls and reduces fluid leakage, thus helping decrease swelling.
  • Hydrocortisone is a corticosteroid. It suppresses the immune response, reducing inflammation, itching, and discomfort.
  • Lidocaine/Lignocaine is a local anaesthetic. It blocks nerve signals in the area it is applied to, numbing pain and itching sensations.
  • Phenylephrine is a decongestant. It constricts blood vessels, reducing engorgement and bleeding in haemorrhoidal tissue.
  • Troxerutin is a flavonoid that enhances microcirculation, reduces inflammation, and supports connective tissues in the venous walls.
  • Zinc Oxide is an astringent and antiseptic that protects irritated perianal skin while relieving irritation through its mild astringent effects.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

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.

Frequently asked questions

This combination is formulated for external application, particularly on the anal area. However, it should not be applied on broken, lacerated or infected skin.

Yes. Besides haemorrhoids, this medication may also be used for other inflammatory anorectal conditions like anal fissures and proctitis. However, always consult your doctor before using it for these purposes.

Rarely, this medicine can cause allergic reactions like a rash or angioedema (swelling under the skin). If you notice any such reactions after applying this combination, stop its use and immediately consult your doctor.

There is no evidence to suggest that this combination affects mood or hormones. However, if you experience any unusual symptoms while using this combination, please consult your doctor.

Prolonged use of topical corticosteroids like Hydrocortisone, one of the components in this combination, can cause skin discolouration. If you notice any changes in your skin colour while using this combination, please consult your doctor.

The exact ingredient content of the combination may vary depending on the manufacturer. If you have any concerns about animal-derived ingredients, please check the product packaging or consult your doctor.

Concomitant use of other topical preparations in the anal area should be avoided to prevent cumulative irritation. Always inform your doctor about all medicines you are currently using before starting any new medication.

Terms & Conditions


Calcium Dobesilate + Hydrocortisone + Lidocaine / Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide in other salts

CALCIUM DOBESILATECETIRIZINE + PARACETAMOL + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + PARACETAMOL + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + PHENYLEPHRINE HYDROCHLORIDECALCITRIOL/ CHOLECALCIFEROL + CALCIUM CITRATE MALEATE + MAGNESIUM OXIDE + ZINC OXIDECHLORPHENIRAMINE + PHENYLEPHRINECHLORPHENIRAMINE + DEXTROMETHORPHAN + PHENYLEPHRINECPM + DEXTROMETHORPHAN + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + DEXTROMETHORPHAN HYDROBROMIDE + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + DEXTROMETHORPHAN HYDROBROMIDE + PHENYLEPHRINE HYDROCHLORIDECAFFEINE + LEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEHYDROCORTISONE + HYDROQUINONE + TRETINOINLIDOCAINE / LIGNOCAINE + NIFEDIPINELIDOCAINE / LIGNOCAINE + METRONIDAZOLE + SUCRALFATEBECLOMETHASONE DIPROPIONATE + LIDOCAINE / LIGNOCAINE + PHENYLEPHRINELIDOCAINE / LIGNOCAINE + PRILOCAINECROTAMITON + HYDROCORTISONEHYDROCORTISONEBENZALKONIUM CHLORIDE + CHOLINE SALICYLATE + LIDOCAINE / LIGNOCAINEZINC OXIDEFUSIDIC ACID + HYDROCORTISONEGABAPENTIN + LIDOCAINE / LIGNOCAINECHOLINE SALICYLATE + LIDOCAINE / LIGNOCAINECHLORHEXIDINE + LIDOCAINE / LIGNOCAINE + SILVER SULFADIAZINECALAMINE + CETRIMIDE + CHLOROCRESOL + DIMETHICONE + SUCRALFATE + ZINC OXIDELIDOCAINE / LIGNOCAINE + TETRACAINEBORIC ACID + ZINC OXIDEBENZALKONIUM CHLORIDE + ZINC OXIDECHLORHEXIDINE GLUCONATE + LIDOCAINE / LIGNOCAINE + METRONIDAZOLECALCIUM DOBESILATE + HYDROCORTISONE + LIDOCAINE / LIGNOCAINE + ZINCCALCIUM DOBESILATE + HYDROCORTISONE ACETATE + LIDOCAINE / LIGNOCAINE + ZINCCLOTRIMAZOLE + LIDOCAINE / LIGNOCAINEPHENYLEPHRINECETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE HYDROCHLORIDECARBOXY METHYL CELLULOSE + NAPHAZOLINE + PHENYLEPHRINENAPHAZOLINE + PHENYLEPHRINEBECLOMETHASONE DIPROPIONATE + CLOTRIMAZOLE + LIDOCAINE / LIGNOCAINE + OFLOXACINAMBROXOL + LEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINELIDOCAINE / LIGNOCAINE + PHENAZONEBECLOMETHASONE DIPROPIONATE + CHLORAMPHENICOL + CLOTRIMAZOLE + LIDOCAINE / LIGNOCAINECHLORBUTOL + PHENYLEPHRINE + TROPICAMIDECHLORPHENIRAMINE MALEATE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECHLORPHENIRAMINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEAMBROXOL + CHLORPHENIRAMINE + DEXTROMETHORPHAN + MENTHOL + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + DEXTROMETHORPHAN + PHENYLEPHRINEBECLOMETHASONE DIPROPIONATE + CLOTRIMAZOLE + LIDOCAINE / LIGNOCAINE + NEOMYCINLIDOCAINE / LIGNOCAINE + PARADICHLOROBENZENE + TURPENTINE OILBECLOMETHASONE DIPROPIONATE + CLOTRIMAZOLE + GENTAMICIN + LIDOCAINE / LIGNOCAINEBROMHEXINE + GUAIFENESIN + PHENYLEPHRINEBROMHEXINE + PHENYLEPHRINE + SALBUTAMOLBENZALKONIUM CHLORIDE + PHENYLEPHRINE + TROPICAMIDEGENTAMICIN + HYDROCORTISONEPHENYLEPHRINE + TROPICAMIDECAMPHOR + MENTHOL + NAPHAZOLINE HYDROCHLORIDE + PHENYLEPHRINE HYDROCHLORIDEBENZALKONIUM CHLORIDE + CAMPHOR + MENTHOL + NAPHAZOLINE HYDROCHLORIDE + PHENYLEPHRINE HYDROCHLORIDECHLORAMPHENICOL + HYDROCORTISONEBACLOFEN + GABAPENTIN + LIDOCAINE / LIGNOCAINECETRIMIDE + CHOLINE SALICYLATE + LIDOCAINE / LIGNOCAINE + TANNIC ACIDAVOBENZONE + OCTINOXATE + OXYBENZONE + ZINC OXIDEAVOBENZONE + OCTINOXATE + OCTOCRYLENE + OXYBENZONE + ZINC OXIDEADRENALINE + LIDOCAINE / LIGNOCAINEAMBROXOL + CHLORPHENIRAMINE + GUAIFENESIN + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + MENTHOL + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE HYDROCHLORIDE + SODIUM CITRATECHLORPHENIRAMINE MALEATE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE HYDROCHLORIDE + SODIUM CITRATECHLORPHENIRAMINE MALEATE + MENTHOL + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE HYDROCHLORIDECHLORPHENIRAMINE MALEATE + MENTHOL + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE + SODIUM CITRATECHLORPHENIRAMINE MALEATE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE + SODIUM CITRATELEVOCETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECHLORPHENIRAMINE + DEXTROMETHORPHAN + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + DEXTROMETHORPHAN + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECHLORPHENIRAMINE MALEATE + DEXTROMETHORPHAN + PHENYLEPHRINE HYDROCHLORIDEALLANTOIN + HYDROCORTISONE + LIDOCAINE / LIGNOCAINE + ZINC OXIDEAMBROXOL + CHLORPHENIRAMINE MALEATE + GUAIFENESIN + PHENYLEPHRINECHLORPHENIRAMINE + DEXTROMETHORPHAN HYDROBROMIDE + PHENYLEPHRINECETIRIZINE + DEXTROMETHORPHAN + PHENYLEPHRINEBROMHEXINE + CHLORPHENIRAMINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECHLORPHENIRAMINE + DEXTROMETHORPHAN + GUAIFENESIN + PHENYLEPHRINEDEXTROMETHORPHAN + PHENYLEPHRINE + TRIPROLIDINEAMBROXOL + CHLORPHENIRAMINE + GUAIFENESIN + MENTHOL + PHENYLEPHRINELEVOCETIRIZINE + PHENYLEPHRINEAMBROXOL + GUAIFENESIN + LEVOCETIRIZINE + PHENYLEPHRINEBROMHEXINE + DEXTROMETHORPHAN + PHENYLEPHRINECHLORPHENIRAMINE + DEXTROMETHORPHAN + PHENYLEPHRINE HYDROCHLORIDECETIRIZINE + DEXTROMETHORPHAN HYDROBROMIDE + PHENYLEPHRINE HYDROCHLORIDECETIRIZINE + DEXTROMETHORPHAN + PHENYLEPHRINE HYDROCHLORIDECAFFEINE + CHLORPHENIRAMINE MALEATE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEAMBROXOL + CHLORPHENIRAMINE MALEATE + GUAIFENESIN + MENTHOL + PHENYLEPHRINEAMBROXOL + CETIRIZINE + GUAIFENESIN + PHENYLEPHRINECAFFEINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECETIRIZINE + PHENYLEPHRINECAFFEINE + DIPHENHYDRAMINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECAFFEINE + CHLORPHENIRAMINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEFEXOFENADINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEBROMHEXINE + CPM + GUAIFENESIN + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEBROMHEXINE + CHLORPHENIRAMINE MALEATE + GUAIFENESIN + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINEAMBROXOL + LEVOCETIRIZINE + PHENYLEPHRINECAFFEINE + CETIRIZINE + NIMESULIDE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECAFFEINE + CETIRIZINE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECALCIUM DOBESILATE + EUPHORBIA PROSTRATECALCIUM CITRATE MALEATE + MAGNESIUM OXIDE + VITAMIN D3 (CHOLECALCIFEROL) + VITAMIN K27 + ZINC OXIDECAFFEINE + CHLORPHENIRAMINE MALEATE + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINE HYDROCHLORIDELEVOCETIRIZINE + NIMESULIDE + PHENYLEPHRINEAMBROXOL + CETIRIZINE + GUAIFENESIN + PARACETAMOL/ACETAMINOPHEN + PHENYLEPHRINECAFFEINE + CETIRIZINE + NIMESULIDE + PHENYLEPHRINE
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