This combination is indicated for the treatment of:

• Internal and external hemorrhoids
• Postpartum hemorrhoidal conditions
• Anal itching, perianal eczema, anal fissures, and proctitis
• Relief of pain and discomfort after hemorrhoid surgery
• Use medicines only as advised by a registered physician

Each gram of ointment contains:

• Cinchocaine Hydrochloride BP 5 mg
• Hydrocortisone USP 5 mg
• Neomycin Sulphate BP equivalent to 10 mg Neomycin
• Esculin Sesquihydrate equivalent to 10 mg Esculin

Each suppository contains:

• Cinchocaine Hydrochloride BP 5 mg
• Hydrocortisone USP 5 mg
• Neomycin Sulphate BP equivalent to 10 mg Neomycin
• Esculin Sesquihydrate equivalent to 10 mg Esculin

Cinchocaine acts as a local anesthetic that relieves severe pain and helps reduce sphincter spasm. Hydrocortisone provides anti-inflammatory and anti-pruritic effects, thereby reducing itching and swelling. Neomycin is a broad-spectrum antibiotic that eliminates or prevents bacterial infections in anorectal lesions. Esculin enhances vascular tone and improves microcirculation, contributing to healing and protection of the affected area.

Ointment: A small quantity of the ointment should be applied with finger in the painful pruritic area in the morning and evening and after each stool. For deep application nozzle should be attached to the tube and inserted to full extent and should be squeezed gently from the lower end while withdrawing.

Suppository: One suppository in the morning and one in the evening, and one after each stool.

Use in children: Not recommended for children.

This preparation is contraindicated in patients with known hypersensitivity to any of its components.

Adverse effects associated with the individual components may occur. Appropriate precautions should be taken during use.

Use in pregnancy: The safety of topical corticosteroids during pregnancy has not been fully established.

Hydrocortisone, like other corticosteroids, may be absorbed in sufficient amounts under certain conditions to produce systemic effects; therefore, prolonged use should be avoided. Adrenal suppression may occur even without occlusive dressing. With long-term use, skin changes such as striae may develop. Skin sensitization may occur due to neomycin. Absorption of neomycin from wounds or inflamed skin may occur and could potentially lead to irreversible hearing impairment. Therefore, this preparation should not be applied to extensively damaged skin.

Compound steroidal preparations, Drugs used in Ano-rectal region

Store in a cool and dry place, protected from light. Keep out of the reach of children.