SMUTH CREAM
30g Cream in Tube
Product Summary
Smuth Cream is used to treat piles (hemorrhoids) and contains a combination of Hydrocortisone, Calcium Dobesilate, Zinc, and Lidocaine. It should only be applied externally as directed by your doctor. Avoid using it if you're allergic to any of its ingredients. Some mild side effects may occur at the application site, but they usually subside. If side effects worsen or persist, consult your doctor. Wash your hands thoroughly after applying the cream. Before starting treatment, inform your doctor about all medications, supplements, and existing medical conditions.
Medically Reviewed by Dr. Ritu Budania
Last updated on: 13 October 2026 | 6:10 PM (IST)
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Dose Form
CREAM
Expiry
General Information
Calcium Dobesilate 0.25 %W/W+Lidocaine / Lignocaine 3.0 %W/W+Hydrocortisone 0.25 %W/W+Zinc 5.0 %W/W
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*Offer applicable on orders above ₹1000About Smuth
Smuth Cream is used to treat piles (hemorrhoids) and contains a combination of Hydrocortisone, Calcium Dobesilate, Zinc, and Lidocaine. It should only be applied externally as directed by your doctor. Avoid using it if you're allergic to any of its ingredients. Some mild side effects may occur at the application site, but they usually subside. If side effects worsen or persist, consult your doctor. Wash your hands thoroughly after applying the cream. Before starting treatment, inform your doctor about all medications, supplements, and existing medical conditions.
In addition to using Smuth Cream, warm baths can help soothe the affected area and relieve pain. Avoid delaying bowel movements, as this can lead to larger, harder stools that are more difficult to pass. Do not take any oral laxatives while using Smuth Cream without consulting your doctor.
Some medications, such as iron tablets and antibiotics, can cause constipation. Inform your doctor if you are taking any of these. Maintaining a healthy bowel function is crucial. Include plenty of fiber in your diet (fruits, vegetables, whole grains) and drink six to eight glasses of water daily. Regular exercise is also beneficial.
Uses
Contraindications
Side effects
Precautions and Warnings
Alcohol
Although there is no known interaction between alcohol and Smuth cream, however, you should avoid consuming alcohol if you have piles.
Pregnancy
You should consult your doctor before using Smuth cream as there is limited information about its safety during pregnancy. Your doctor will only prescribe you this medicine if considered essential after assessing the benefits over risks.
Breastfeeding
Please consult your doctor before using Smuth cream while breastfeeding as there is limited safety information available.
Driving
As Smuth cream is meant to be used externally, it may not have any effect on the ability to drive or operate machines. However, as both, activities may require you to sit continuously and as sitting may exacerbate pain due to piles, it is advisable not to perform activities requiring prolonged sitting.
Other General Warnings
- You develop an allergic reaction after using Smuth cream.
- You have problems with your heart, liver or kidneys.
- You do not notice any improvement in your condition.
- Avoid contact with your eyes, nose, mouth or open skin wounds.
- In case your eyes come in contact with this medicine, rinse your eyes with clean water immediately.
- Do not use Smuth cream for any other condition or more frequently than that prescribed by the doctor.
Directions for use
- Smuth cream is meant for external use only.
- Use it as directed by the doctor.
- Wash your hands before and after using this medicine.
- Take a sufficient quantity of this medicine and gently apply it over the affected area.
- Do not use it for a longer duration than that prescribed.
- In case your eyes come in contact with this medicine rinse your eyes with clean water immediately. Please contact your doctor if you still feel any discomfort.
Storage and disposal
- Store Smuth cream in the original container in a clean and dry place, protected from moisture, sunlight and heat.
- Keep the medicine away from children and pets.
- Do not use expired or damaged medicines.
Quick tips
- Smuth cream helps to treat piles. This medicine has multiple ingredients and its combined action provides relief from swelling, pain, and redness. Do not use this cream for any other condition other than that specified by your doctor.
- This medicine is meant for external application and should not be swallowed. Wash your hands before and after using this medicine. If your eyes come in contact with this cream, then rinse your eyes with clean water immediately.
- Do not use more than the recommended amount of this medicine or do not use it for longer periods of time than directed.
- It is not recommended for use in children below 12 years of age. Inform your doctor if you are allergic to any medicine or have heart, kidney, or liver disease.
- Before starting Smuth cream, inform your doctor if you are pregnant, planning on becoming pregnant, or breastfeeding. Also, inform your doctor about all other medicines that you are using and your complete medical history.
- Redness, itching, irritation, or burning sensation may occur in some individuals with the use of this medicine. Inform your doctor if these effects bother you or do not go away.
Dosage
Overdose
Missed a dose
How Smuth works
- Smuth cream works by the combined action of all its components.
- Calcium dobesilate acts by protecting the blood vessels of the anal and lowest part of the rectum area. It promotes normal blood flow by reducing the blood viscosity and improves blood supply through the blood vessels of the anal area. It also helps in reducing swelling.
- Hydrocortisone works by blocking or reducing the action of some natural substances in the skin that cause swelling, redness and allergies.
- Zinc has astringent and antiseptic properties.
- Lidocaine (also called Lignocaine) is a local anaesthetic and works by blocking pain.
Interactions
Interactions with other medicines
- Some medicines can affect the way Smuth cream works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
- Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.
Food interactions
Follow your doctor or pharmacist advice about taking this medicine with food.
Frequently asked questions
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References
- Doxium Full Prescribing Information, Dosage & Side Effects | MIMS Philippines [Internet]. Mims.com. 2022 [cited 5 May 2022]
- Germoloids Cream - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2022 [cited 5 May 2022]
- National Center for Biotechnology Information (2025). PubChem Compound Summary for CID 5754, Hydrocortisone. Retrieved January 1, 2025
- ScienceDirect. Dobesilate calcium. Accessed January 1, 2025.
- Beecham GB, Nessel TA, Goyal A. Lidocaine. [Updated 2024 Aug 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan
- MedlinePlus. Zinc in diet. Accessed January 1, 2025.
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