Anorel (5 mg+5 mg+10 mg+10 mg)/gm (Ointment)

15 gm tube: ৳ 80.30

Medicine Details

Category	Details
Generic	Cinchocaine hydrocortisone neomycin esculin
Company	Popular pharmaceuticals ltd

Indications

Internal and external hemorrhoids
Post-partum hemorrhoidal condition
Anal pruritus
Peri-anal eczema
Anal fissures
Proctitis
Post-hemorrhoidectomy application to relieve pain and discomfort

Composition

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

Pharmacology

Cinchocaine is a local anesthetic which relieves severe pain and relaxes sphincteric spasm. Hydrocortisone acts as an anti-inflammatory and anti-pruritic agent. Neomycin is a broad-spectrum antibiotic which eradicates most infections. Esculin improves skin vasculature and is effective in management of cellulitis.

Dosage & Administration

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

Contraindications

Contraindicated in patients hypersensitive to any component of the product

Side Effects

Side effects which have been reported for individual constituents may occur and appropriate precautions should be taken when using Anorel

Pregnancy & Lactation

The safe use of topical corticosteroids during pregnancy has not been fully established

Precautions & Warnings

Long term use should be avoided. Adrenal suppression may occur even without occlusion. When used for prolonged period striae may occur. Skin sensitisation may occur due to Neomycin. Absorption of the antibiotic from wound or inflamed skin may occur and this may affect the hearing irreversibly. Anorel should not be given to extensively damaged skin