Analpram-HC topical / rectal

Name: Analpram-HC topical / rectal

What is Analpram-HC (hydrocortisone and pramoxine topical)?

Hydrocortisone is a steroid. It reduces the actions of chemicals in the body that cause inflammation.

Pramoxine is an anesthetic, or "numbing medicine." It works by interfering with pain signals sent from the nerves to the brain.

Hydrocortisone and pramoxine topical (for the skin) is a combination medicine used to treat itching and discomfort caused by allergic reactions, eczema, minor burns, insect bites, or other skin conditions.

Hydrocortisone and pramoxine rectal (for the rectum) is used to treat itching or swelling caused by hemorrhoids or other inflammatory conditions of the rectum or anus.

Hydrocortisone and pramoxine topical may also be used for other purposes not listed in this medication guide.

What should I discuss with my health care provider before using Analpram-HC (hydrocortisone and pramoxine topical)?

You should not use this medicine if you are allergic to hydrocortisone or pramoxine, or to any other anesthetics or "numbing medicines."

To make sure hydrocortisone and pramoxine is safe for you, tell your doctor if you have:

  • liver disease;

  • diabetes;

  • problems with your eyes;

  • a stomach or intestinal disorder;

  • a rectal sore or infection; or

  • if you use any drugs that weaken the immune system, including steroids.

Hydrocortisone and pramoxine topical will not treat a bacterial, fungal, or viral skin infection. If you have a skin infection, you should not use this medication until your infection is treated and clears up.

FDA pregnancy category C. It is not known whether hydrocortisone and pramoxine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether hydrocortisone and pramoxine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Do not use this medicine on a child without a doctor's advice. Children are more sensitive to the effects of topical hydrocortisone.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of hydrocortisone and pramoxine topical is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased facial hair, menstrual problems, impotence, or loss of interest in sex.

What should I avoid while using Analpram-HC (hydrocortisone and pramoxine topical)?

Do not apply this medication to swollen skin areas or deep puncture wounds. Avoid using the medicine on skin that is raw or blistered, such as a severe burn or abrasion. Avoid using on body areas where you have skin folds or thin skin unless your doctor has told you to.

Avoid getting this medication in your eyes, mouth, and nose, or on your lips. If this does happen, rinse with water.

Analpram-HC (hydrocortisone and pramoxine topical) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using this medication and call your doctor at once if you show signs of absorbing too much of the medicine through your skin, such as:

  • blurred vision, eye pain, or seeing halos around lights;

  • mood changes;

  • sleep problems (insomnia);

  • high blood sugar (increased thirst or urination, hunger, dry mouth, fruity breath odor,weight loss);

  • weight gain, puffiness in your face; or

  • muscle weakness, feeling tired.

Stop using the medicine and call your doctor if you have rectal bleeding or severe irritation in any treated skin.

Common side effects may include:

  • mild redness or swelling of treated skin;

  • thinning of treated skin; or

  • numbness on areas where the medicine is accidentally applied.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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