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cortisol/pramoxine rectal (Anusol HC, Pramosone, Proctofoam-HC)
Indications:
- symptomatic relief of discomfort associated with hemorrhoids & perianal itching or irritation
Contraindications:
pregnancy-category +, ? (Anusol-HC)
safety in lactation +
Dosage:
Ointment or suppository BID/TID PRN.
Anusol contains 1% pramoxine HCl.
Anusol HC includes hydrocortisone:
- apply cream every 6 hours PRN or suppository BID.
Ointment: 1 oz.
Pharmacokinetics: elimination: Not absorbed.
Adverse effects:
- most common (1-10%)
- itching, dryness, folliculitis, hypopigmentation, contact dermatitis, burning, irritation, secondary infection
Mechanism of action:
1) glucocorticoid
2) inhibition of nerve impulses
General
cortisol/pramoxine
rectal agent
References
- The Pharmacological Basis of Therapeutics, 9th ed.
Gilman et al, eds. Permagon Press/McGraw Hill, 1996
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Drug Information & Medication Formulary, Veterans Affairs,
Central California Health Care System, 1st ed., Ravnan et al
eds, 1998
Department of Veterans Affairs, VA National Formulary