Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 1 day ago

Indications

This rectal ointment with Calcium Dobesilate, Lidocaine and Dexamethasone is used for internal and external hemorrhoids, anal pruritus, anal eczema, anitis and perianitis. It is also used for acute hemorrhoidal thrombosis and anal fissure, and for treatment before and after hemorrhoidectomy. Long-lasting treatment is not indicated.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Calcium Dobesilate works on the walls of the capillaries. It corrects their impaired physiological functions, which means the increased permeability and the decreased resistance, and it also acts on the different signs of inflammation. It has an antithrombotic activity as well.

Lidocaine hydrochloride is a local anesthetic and helps to relieve pain. Dexamethasone Acetate is a corticosteroid for topical use, and it has anti-inflammatory and antipruritic actions.

Pregnancy & Breastfeeding

Pregnancy category C. There are no studies in pregnant women or in animals, and it is not known whether Calcium Dobesilate crosses the placenta in humans. Lidocaine Hydrochloride and Dexamethasone Acetate are different. When applied topically they are absorbed in varying amounts and can have effects on the whole body, and both cross the placenta. Because of this, the rectal ointment containing Calcium Dobesilate, Lidocaine and Dexamethasone should be used in pregnancy only if the possible benefit justifies the possible risk to the fetus.

After oral use, Calcium Dobesilate passes into breast milk in small amounts, but it is not known whether the same happens with local use. After topical use, Lidocaine Hydrochloride and Dexamethasone Acetate do pass into breast milk. As a precaution, a decision should be made either to stop the treatment or to stop breastfeeding.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Use the ointment 2 to 3 times a day. The best times are morning and bedtime, and if you can, apply it after you have passed stools. If you prefer to use the applicator, screw it onto the tube. Push the applicator into the anus as far as it will go, then press the tube gently as you pull the applicator out. One tube is enough for 8 applications this way. For external haemorrhoids or itching around the anus (anal pruritus), put on a thin layer of the ointment several times a day. Treatment usually lasts a few days. Tell your doctor if the symptoms have not improved, or have got worse, after 1 to 2 weeks of treatment. Calcium Dobesilate, Lidocaine HCI & Dexamethasone Acetate Ointment is applied 2 to 3 times daily, preferably in the morning and at bedtime, and if possible after defecation. For internal haemorrhoids, use the applicator. For external haemorrhoids and anal pruritus, apply a thin layer several times a day. Treatment usually lasts a few days. The physician must be informed if the symptoms have not improved or have worsened after 1 to 2 weeks of treatment. Method of use of this ointment For internal use Take the cap off the tube before use. Turn the cap upside down and use it to pierce the tube membrane. Attach the applicator (it is supplied with the ointment) to the tube. Squeeze the tube to fill the applicator, and coat the tip with a little ointment so it slides in smoothly. Insert the applicator gently, to its full length, into the anus. Squeeze the end of the tube once more to push the required amount of ointment into the anal canal. Take the applicator out after use and throw it away. Try not to pass stools for a couple of hours after an internal application. For external use Squeeze a small amount of ointment onto your finger. Spread it around the outside of the anus. Wash your hands well with warm water and soap after each application. Put the cap back on the tube.