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Common brand names: Proctofoam HC, Epifoam
Why is this medication prescribed?
Pramoxine is a topical anesthetic (pain-relieving) medication.
Hydrocortisone is a corticosteroid, a type of anti-inflammatory medication.
Pramoxine and hydrocortisone are combined to provide temporary relief from
itching, pain, redness, or swelling of the perianal (around the anus) area and
hemorrhoids.
How and when should this medication be used?
This medication is available as a topical cream and a topical aerosol foam
for anal and perianal use. Wash your hands before using this medication and
apply to the affected area three to four times a day.
For anal use: Use the applicator to insert foam into the anus. Follow
the directions printed on the medication package for proper use of the
applicator. Do not insert any part of the aerosol container directly into the
anus. Insert the medication only with supplied applicator. Do not insert any
part of the applicator past the anus into the rectum.
For perianal use: First wash and dry the perianal skin. Apply a small
amount of medicine to the skin and rub in gently. Do not bandage or wrap the
affected area unless otherwise directed by your health care provider.
Thoroughly wash your hands and applicator (if used) after using this
medication.
What special instructions should I follow while using this drug?
- Before this medication is prescribed, tell your health care provider if
you have any allergies, infections, skin sores at the treatment area, or
medical conditions such as diabetes, tuberculosis, or skin conditions.
- Do not get this medication in your eyes.
- If you are using this medication to treat rectal conditions:
-- Check with your health care provider before taking a stool softener or
bulk laxative to relieve your symptoms.
-- Avoid wearing tight-fitting pants or underwear while using this
medication.
- Do not take more of this medication than is recommended on the
prescription label or medication package.
- Do not use any leftover medication for future skin conditions without
checking with your health care provider.
- Breastfeeding: When used as directed, this product has not been
reported to cause problems in breastfed babies.
What should I do if I forget to apply a dose?
If you are instructed to use this medication regularly, apply the missed
dose as soon as you remember it. However, if it is almost time for you to apply
the next dose, skip the missed dose and apply only the scheduled dose. Do not
apply a double dose.
What are the common side effects of this drug?
- Burning
- Itching
- Mild skin irritation or dryness
When should I call my health care provider?
Call your health care provider if you have:
- Pain, burning, blistering, itching, bleeding or irritation (pain that you
did not have before taking this medication)
- Symptoms that do not improve within a few days or any symptoms that are
persistent or severe
- Any other symptoms that cause concern
What storage conditions are necessary for this drug?
- Keep this medication out of the reach of children.
- Store upright at room temperature, away from heat, light and moisture. Do
not refrigerate.
- Never share your medication with anyone.
- Never take outdated medications. Some medication prescription labels list
an expiration date. If such a date is not on your medication label or if you
are unsure how old a medication is, call your pharmacy.
This handout summarizes information to help you understand and
safely take your medication. Other information--not included in this
handout--may be important for you to know because of your unique health status.
Ask your doctor and/or pharmacist for more information on the medications
prescribed for you and your unique health care needs.
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