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

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Molecule Summary

Uses
Piles (Haemorrhoids)
Therapy
Drugs For Piles
Side Effects
Allergy at the application site, irritation, bleeding, hives, discomfort
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Molecule Description

Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine is a combination medicine used for the treatment of haemorrhoids or piles. It contains Calcium dobesilate, Lidocaine, Zinc oxide, Phenylephrine, Troxerutin and Hydrocortisone as active ingredients. It helps in relieving symptoms like itching, swelling, pain, rectal irritation or rectal bleeding associated with piles. Along with the medication, a high fibrous diet and stool softeners can be more effective. You should also avoid using it on large areas of skin or for a prolonged period and follow the recommended dosage regimen. Avoid performing activities that require continuous sitting as sitting may exacerbate pain due to piles. Maintain proper hygiene condition while applying this medicine.

Uses

For the treatment of haemorrhoids, also known as piles.

Contraindications

When should one not use Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine

  • If you are allergic to Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine or any of the ingredient of this medicine.
  • If you are pregnant.
  • If you have a bacterial, viral or fungal skin infection.
  • This medicine is not meant to be used for children below 12 years of age.

Side effects

Common side effects of this drug are:

  • Allergy at the application site
  • Irritation on the rectal area
  • Bleeding
  • Hives
  • Discomfort

Precautions and Warnings

Pregnancy

Pregnancy

It is advised to consult your doctor before using Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine, especially during the first trimester. It should not be used during pregnancy unless your doctor advises it.

Breast Feeding

Breast Feeding

It is advised to consult your doctor before applying Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine while breastfeeding. In case you have been prescribed this medicine, avoid using large quantity for the long term.

Driving

Driving

Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine does not influence your driving ability. However, it is advised to avoid activities requiring long sitting as it may increase the pain due to rectal fissure.

Alcohol

Alcohol

There is no known interaction with alcohol along with this medicine. Consult your doctor if you drink too often.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You feel that symptoms are getting worse instead of getting better.
  • You do not feel any improvement within a week.
  • You feel any adverse effects like rectal bleeding, pain, burning sensation, blistering etc. report to your doctor immediately.
  • You are suffering from any serious health issue like heart disorder, liver problem or any blood-related disorder.
  • You should discuss your complete medical history and ongoing medications with your doctor before using this medicine.
  • Children below 12 years should not use this medicine unless advised by a doctor.
  • You are pregnant or breastfeeding.
  • You should try to avoid having constipation, as it may exaggerate the symptoms.
  • You have diabetes, high blood pressure, an overactive thyroid or difficulty in passing urine.

Mode of Action

How Does It Work?

  • Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine is a combination of six different active components. The collective action of each ingredient helps in relieving symptoms of piles and anal fissures.
  • Hydrocortisone is a steroid. It works by blocking or reducing the action of some natural substances that causes pain, swelling and irritation.
  • Phenylephrine works by narrowing the blood vessels of the affected area and thus helps in relieving swelling and may reduce bleeding and pain.
  • Zinc oxide acts as a skin protectant. It acts as a barrier and protects the anal skin from irritants.
  • Lidocaine is a local anaesthetic. It acts on nerves and blocks the conduction of pain sensations for a short duration of time, Thereby helps in reducing pain sensation.
  • Calcium dobesilate acts by protecting the blood vessels of the anal and lowest part of the rectum area. It decreases the blood viscosity so that blood can easily flow through the blood vessels of the anal area and promotes normal blood flow. Thereby helps in reducing the swelling.
  • Troxerutin strengthens the blood vessels of the anal and rectum area and also helps in reducing abnormal leakage.

Interactions

Interactions with other medicines

  • There is limited information available on the interaction of Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine with other medicines. Since this medicine is to be used externally on the skin, it is less likely to interact with other medicines. However, you should always consult your doctor if you are taking other medicines for treating other health conditions.
  • Avoid simultaneous application of any other medicine on the affected area after applying Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine.

Interactions with food items

  • You should avoid oily and spicy food. Minimize the intake of dairy products as it may cause constipation sometimes. Increase the intake of fluid and fibrous food.

Dosage

Overdose

Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine is meant for external application, cases of overdose are unlikely. However, upon accidental ingestion contact your doctor immediately or visit the nearest hospital. If you have applied extra quantities of it, then wipe out the excess of the medicine with tissue or cotton.

Missed a Dose

If you have missed applying Calcium Dobesilate+Troxerutin+Zinc Oxide+Hydrocortisone+Phenylephrine+Lidocaine / Lignocaine, then apply it as soon as possible. Do not over-apply this medicine to compensate for the missed dose.

Frequently Asked Questions (FAQs)

Piles are also called haemorrhoids. It is a condition of swollen and inflamed veins in your lower rectum and anal area. It can occur inside the rectum or the skin around the anus. It may be characterised by a sign like rectal bleeding, pain, irritation, swelling or itching in your anal area.

Avoid meat, white bread, cheese, dairy, spicy, oily, processed food. Your diet should include more fibres, as it can improve the passage of the bowels. Consume leafy vegetables, lentils, broccoli, banana, pears, sprouts, brown rice. Avoid binge drinking and smoking, and drink plenty of water. Avoid lifting heavy weights as it can put pressure on the anal area.

An anal fissure is a small cut in the skin of the anal area. It is usually caused by constipation, passing of large and hard stools, prolonged diarrhoea, unhygienic toilet habits in children or long term diseases with prolonged diarrhoea, blood-stained stools, pain and cramping in the stomach.

You should read the instruction label carefully before using this medicine. You also must wash your hands before and after using this medicine. Use an applicator if it has to be applied internally. Wash the applicator after use. Cleanse the sore area gently with warm water using a moist cotton cloth. Generally, it should be applied morning and night and after every time you pass stool.

A diet and lifestyle changes (like adequate sleep and plenty of exercises) and jacuzzi or hot tub bath. In a jacuzzi bath, you take warm water and Epsom salt, to about half the capacity of the tub and sit for around 15-20 minutes. Also, avoid activities that require continuous sitting. You can also have stool softeners to avoid constipation.

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