Hydrocortisone Acetate 0.25% w/w, Lidocaine (Lignocaine) 3% w/w, Zinc Oxide 5% w/w, and Allantoin 0.5% w/w.
Class: Topical anorectal anti-inflammatory + local anesthetic + soothing/healing agent
Manufacturer: Bliss GVS Pharma Limited
Dosage Form: Rectal suppositories
Similar Brands:
Uses:
Symptomatic relief of inflammatory and painful anorectal conditions, including:
- Bleeding or non-bleeding hemorrhoids (internal/external piles).
- Anal fissures (mild to moderate).
- Anal pruritus (itching around anus).
- Proctitis (rectal inflammation).
- Acute post-traumatic or postoperative anorectal discomfort.
Reduces swelling, itching, pain, spasms, oozing/exudation, irritation, and promotes healing. Not for severe infections (requires antimicrobial cover if bacterial/viral) or as sole treatment for underlying causes—use short-term alongside lifestyle measures (high-fiber diet, hydration, stool softeners).
Dosage:
Rectal route only—insert deep into rectum (preferably after bowel movement/defecation for best results).
Adults/children >12 years: 1 suppository 2–3 times daily (e.g., morning, evening, and after bowel movements if needed).
Frequency can be reduced once acute phase improves.
How to use: Wash hands/area; lie on side with upper leg bent; hold suppository (pointed end first) between thumb/index finger; gently insert fully using finger (may moisten with water if needed); hold buttocks together 30–60 seconds to prevent expulsion.
Duration: Usually short-term (e.g., 5–7 days max without medical advice—prolonged corticosteroid use risks local atrophy or masking issues). Not routinely for children <12 years; adjust/avoid in severe renal/hepatic impairment or pregnancy without advice.
Adults/children >12 years: 1 suppository 2–3 times daily (e.g., morning, evening, and after bowel movements if needed).
Frequency can be reduced once acute phase improves.
How to use: Wash hands/area; lie on side with upper leg bent; hold suppository (pointed end first) between thumb/index finger; gently insert fully using finger (may moisten with water if needed); hold buttocks together 30–60 seconds to prevent expulsion.
Duration: Usually short-term (e.g., 5–7 days max without medical advice—prolonged corticosteroid use risks local atrophy or masking issues). Not routinely for children <12 years; adjust/avoid in severe renal/hepatic impairment or pregnancy without advice.
Side Effects:
Common (local, mild/transient): Burning, stinging, itching, irritation, dryness, or discomfort at site; rectal leakage/melting sensation.
Less common: Skin thinning/atrophy (with prolonged use), secondary infection, allergic rash/redness.
Serious (rare, seek immediate care): Severe hypersensitivity (swelling, rash, breathing difficulty), new/persistent rectal bleeding, unusual bruising/bleeding, black/tarry stools, signs of systemic absorption (e.g., in large amounts/prolonged use: Cushingoid features, adrenal suppression).
Less common: Skin thinning/atrophy (with prolonged use), secondary infection, allergic rash/redness.
Serious (rare, seek immediate care): Severe hypersensitivity (swelling, rash, breathing difficulty), new/persistent rectal bleeding, unusual bruising/bleeding, black/tarry stools, signs of systemic absorption (e.g., in large amounts/prolonged use: Cushingoid features, adrenal suppression).
Warnings & Precautions:
For rectal use only—avoid eyes/mouth.
Do not use >7 days without medical supervision (risk of local atrophy, delayed healing, or masking infection).
Not in untreated viral/bacterial/fungal anorectal infection (unless covered by appropriate antimicrobials).
Use caution in pregnancy/breastfeeding (topical corticosteroids can cause fetal abnormalities in animals; limited data—consult doctor).
Monitor for worsening symptoms (e.g., increased bleeding/pain—see doctor promptly).
If no improvement after a few days or symptoms worsen, seek medical help.
Clean area gently; avoid excessive straining/wiping.
Do not use >7 days without medical supervision (risk of local atrophy, delayed healing, or masking infection).
Not in untreated viral/bacterial/fungal anorectal infection (unless covered by appropriate antimicrobials).
Use caution in pregnancy/breastfeeding (topical corticosteroids can cause fetal abnormalities in animals; limited data—consult doctor).
Monitor for worsening symptoms (e.g., increased bleeding/pain—see doctor promptly).
If no improvement after a few days or symptoms worsen, seek medical help.
Clean area gently; avoid excessive straining/wiping.
Pregnancy & Lactation:
Pregnancy: Limited human data; animal studies show potential fetal harm (e.g., growth issues with corticosteroids)—use only if clearly needed and benefit outweighs risk; short-term/low-dose preferred—consult doctor.
Lactation: Minimal systemic absorption expected; generally low risk topically, but consult provider—avoid large/prolonged application.
Lactation: Minimal systemic absorption expected; generally low risk topically, but consult provider—avoid large/prolonged application.
Drug Interactions:
Minimal for topical/rectal use (low systemic absorption).
Avoid concurrent strong topical corticosteroids or irritants in same area.
No major systemic interactions reported, but inform doctor if using other anorectal products.
Avoid concurrent strong topical corticosteroids or irritants in same area.
No major systemic interactions reported, but inform doctor if using other anorectal products.
Contraindications:
Known hypersensitivity to hydrocortisone, lidocaine, zinc oxide, allantoin, or any excipient.
Untreated acute viral/bacterial/fungal anorectal infection.
Tuberculous or syphilitic lesions in application area (relative).
Not for infants/young children without specialist advice.
Untreated acute viral/bacterial/fungal anorectal infection.
Tuberculous or syphilitic lesions in application area (relative).
Not for infants/young children without specialist advice.
Price: Ksh 366/-
Notes:
Pack Size: 5s