Ruticool Cream

Ruticool Cream

Ruticool Cream is a topical medication manufactured by Lupin Ltd., primarily used for the effective management of symptoms associated with external hemorrhoids (piles), anal fissures, and proctitis. It also aids in post-hemorrhoidectomy recovery and helps prevent the recurrence of piles.

Composition Ruticool Cream contains a multi-ingredient formulation:

• Lidocaine (3% w/w): A local anesthetic that blocks nerve signals to reduce pain.
• Hydrocortisone (0.25% w/w): A mild corticosteroid with anti-inflammatory and anti-pruritic (anti-itching) effects, reducing redness and swelling.
• Phenylephrine (0.1% w/w): A decongestant that shrinks swollen blood vessels, alleviating itching and irritation.
• Zinc Oxide (5% w/w): Provides astringent and antiseptic actions, soothing irritated skin and forming a protective barrier.
• Calcium Dobesilate (0.25% w/w): A vasoprotective agent that strengthens capillaries, improves microcirculation, and reduces inflammation.
• Troxerutin (2% w/w): A flavonoid derivative that improves vascular tone and strengthens capillaries, possessing venoprotective and anti-inflammatory properties.

Uses

• Management of external hemorrhoids (piles)
• Relief from pain, swelling, itching, irritation, and discomfort during bowel movements
• Treatment of anal fissures
• Management of proctitis
• Aids healing after hemorrhoid removal surgery

Dosage and Administration Ensure the affected anal area is clean and dry before application. Apply a thin layer of the cream gently to the affected area, typically 2-3 times a day or as prescribed by a doctor. It is for external use only; avoid application inside the rectum. Wash hands thoroughly before and after use, and avoid using fingers for application to maintain hygiene. Do not discontinue use abruptly without consulting a doctor.

Side Effects Common side effects at the application site may include:

• Burning sensation
• Itching or stinging
• Skin redness (Erythema)
• Irritation
• Dryness or flaking of perianal skin Most side effects are temporary and resolve with continued use or discontinuation. Consult a doctor if symptoms persist or worsen. Rarely, more serious side effects such as methemoglobinemia may occur.

Precautions

• Pregnancy and Breastfeeding: Consult a doctor before use.
• Existing Medical Conditions: Use with caution in patients with liver, kidney, or heart conditions.
• Skin Infections: Avoid use if you have existing fungal or viral skin infections, as hydrocortisone may worsen them.
• Allergy: Do not use if allergic to any of the ingredients.
• Interactions: Inform your doctor about other topical steroids, antifungal medicines, or local anesthetics being used.
• Accidental Exposure: Avoid contact with eyes, nose, or mouth. In case of accidental exposure, rinse thoroughly with water and seek medical attention if irritation persists.

Storage Store Ruticool Cream below 25°C or at room temperature, away from heat and direct light. Keep the tube tightly closed and out of reach of children and pets.

Ruticool Cream by Lupin Ltd. is a topical medication primarily used to manage symptoms associated with external hemorrhoids, also known as piles. It combines several active ingredients to relieve pain, swelling, itching, and discomfort in the affected area.

What is Ruticool Cream used for?

Ruticool Cream is used to manage symptoms of external hemorrhoids (piles), including pain, swelling, itching, and discomfort, especially during bowel movements. It can also be used for anal fissures and proctitis, and may aid in preventing the recurrence of piles after surgery.

How does Ruticool Cream work?

Ruticool Cream works through a combination of active ingredients. Lidocaine is a local anesthetic that numbs nerve endings to provide quick pain relief by blocking pain signals. Hydrocortisone, a mild corticosteroid, reduces inflammation, redness, swelling, and itching. Phenylephrine is a decongestant that helps shrink swollen blood vessels, further alleviating itching and irritation. Zinc Oxide provides an astringent and antiseptic action, soothing and protecting irritated skin by forming a barrier. Troxerutin and Calcium Dobesilate are vasoprotective agents that improve vascular tone, strengthen capillaries, reduce their permeability, and improve microcirculation to decrease swelling and bleeding.

What is the usual dosage and how should it be applied?

Ruticool Cream is for external use only. The affected anal area should be clean and dry before application. Apply a thin layer of the cream gently to the affected area, usually 2-3 times a day or as directed by your doctor. Wash your hands thoroughly before and after applying the cream. Do not apply this cream inside the rectum. Avoid getting the cream in contact with your eyes, nose, or mouth.

What are the possible side effects?

Some common side effects of Ruticool Cream include a burning sensation, itching, skin redness (erythema), irritation, or dryness at the application site. These side effects are usually temporary and tend to resolve over time. If severe irritation occurs, or if these symptoms persist or worsen, it is important to consult your doctor.

Is it safe during pregnancy or breastfeeding?

Pregnancy: If you are pregnant or planning to conceive, it is best to consult your doctor before using Ruticool Cream. Limited human studies exist, and animal studies have shown potential harmful effects on the developing baby, so it should be used only if clearly necessary and recommended by your doctor. Only a small amount of the medicine gets into the blood.

Breastfeeding: Ruticool Cream is probably safe to use during breastfeeding, but use should be considered only if clearly needed and recommended by your doctor. Low levels are anticipated in breast milk due to minimal absorption when applied topically. It is advised to wash your hands thoroughly after application and before touching your infant to minimize exposure.

Can it be taken with other medications?

Ruticool Cream may interact with certain medications. For instance, using it with antifungal medicines like ketoconazole or clotrimazole, or other topical steroids (e.g., betamethasone, prednisolone), may increase the risk of skin irritation or thinning due to the hydrocortisone component. Due to the presence of lidocaine, caution is advised with other local anesthetics. It is important to inform your doctor about all other medications you are currently taking, including over-the-counter drugs and herbal supplements, before starting Ruticool Cream.

What precautions should be taken?

Ensure the affected area is clean and dry before applying the cream. This cream is for external use only, and contact with eyes, nose, or mouth should be avoided. Do not stop using the cream suddenly without consulting your doctor, as this may worsen your condition. Inform your doctor if you have any existing skin infections (especially fungal or viral), as the hydrocortisone in the cream could potentially worsen them. Also, disclose any known allergies to the ingredients of Ruticool Cream.

What happens if a dose is missed?

If you miss a dose of Ruticool Cream, apply it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one. Consistent application as prescribed by your doctor is important for optimal results.

How should it be stored?

Ruticool Cream should be stored below 25°C or at room temperature, away from heat and direct light. Keep the cream out of reach of children and pets. Ensure the tube is tightly closed after each use to prevent contamination.