Crema Ano Cream 20 G

CREMA ANO CREAM 20 G by ABBOTT INDIA LIMITED is a topical medication designed to alleviate symptoms and promote healing in various anorectal conditions.

Name

• Brand Name: Crema-Ano Cream
• Common Name: Lidocaine, Metronidazole, Sucralfate Cream

Composition

Crema-Ano Cream contains a combination of three active ingredients:

• Lidocaine (Lignocaine): 4% w/w (local anaesthetic)
• Metronidazole: 1% w/w (antibiotic)
• Sucralfate: 7% w/w (protectant/cytoprotective agent)

Uses

This cream is prescribed for the treatment and management of several medical conditions affecting the anal and rectal area:

• Anal Fissures: Small tears in the lining of the anus, promoting healing and reducing pain.
• Piles (Haemorrhoids): Inflamed and swollen veins in the rectum, providing relief from itching, inflammation, and discomfort.
• Fistula: Abnormal skin openings near the anus, preventing bacterial infection and aiding healing.
• Bedsores: Injuries that occur on areas of the skin under prolonged pressure.
• Relief from anal pain, itching, and burning sensations.

Dosage and Administration

Crema-Ano Cream is for external use only.

• Clean and dry the affected area thoroughly before application.
• Apply a thin layer 2-3 times daily or as directed by your doctor.
• Wash hands thoroughly before and after applying the cream.
• Avoid contact with the nose, ears, mouth, or eyes. In case of accidental contact, rinse thoroughly with water.
• Do not use in large amounts or for a longer duration than prescribed.

Side Effects

Common side effects may include:

• Skin rash
• Mild irritation
• Tingling or burning sensation
• Dry skin
• Redness

Most side effects are temporary and resolve over time. If they persist or worsen, consult a doctor.

Precautions

• Inform your doctor if you are allergic to Crema-Ano Cream or any of its components.
• Consult a doctor if pregnant or breastfeeding.
• Do not apply on cuts, wounds, grazes, or raw or blistered skin.
• Inform your doctor about pre-existing medical conditions like kidney or liver disease, diabetes, or blood disorders.
• Avoid accidental swallowing. In case of ingestion, consult a doctor immediately.
• Do not stop using the cream suddenly without consulting your doctor, as it may worsen your condition.

Storage

• Store in a cool and dry place, away from direct sunlight.
• Keep out of sight and reach of children.
• Store at temperatures between 10ºC to 25ºC or below 30ºC.

What is Crema Ano Cream used for?

Crema Ano Cream is primarily used to manage conditions such as bedsores (pressure injuries), hemorrhoids (piles), fistulae (infected tunnels between skin and anus), and anal fissures (small cuts or tears in the anal lining). It helps relieve pain, itching, discomfort, and inflammation associated with these conditions.

How does Crema Ano Cream work?

Crema Ano Cream is a combination of three active ingredients: Lignocaine, Metronidazole, and Sucralfate. Lignocaine is a local anesthetic that works by temporarily blocking nerve signals to reduce pain sensation. Metronidazole has anti-inflammatory properties and also acts as an antibiotic to help promote wound healing and prevent infections. Sucralfate forms a protective layer over the affected area, shielding it from irritation and further injury, thereby promoting healing and improved blood flow.

What is the usual dosage for Crema Ano Cream?

Crema Ano Cream is for external use only. It should be applied as directed by your physician. Generally, a thin layer is applied to the affected area 2 to 3 times daily. The exact dose and duration will be determined by your doctor based on your age, body weight, and the severity of your condition.

What are the possible side effects of Crema Ano Cream?

Common side effects may include dry skin, redness, itching, skin rash, pain, a burning sensation, discomfort, and the appearance of red, itchy welts on the skin surface at the application site. If any of these symptoms worsen or persist, it is advisable to contact your doctor. In rare cases, severe, potentially life-threatening allergic reactions can occur, indicated by symptoms like skin rash, nausea, vomiting, wheezing, difficulty breathing, fast heartbeat, clammy skin, or losing consciousness. Seek immediate medical attention if these occur.

Is Crema Ano Cream safe during pregnancy or breastfeeding?

Crema Ano Cream should be used with caution during pregnancy and breastfeeding, and only if considered necessary by your doctor. It is recommended to consult your doctor for advice, as there is limited information on its effects during these periods. If breastfeeding, avoid applying the cream to large areas of skin or for prolonged periods.

Can Crema Ano Cream be taken with other medications?

Since Crema Ano Cream is applied externally, it is less likely to interact with other medicines. However, you should inform your doctor about all medications you are currently taking, especially those used to manage cardiac arrhythmias (such as tocainide and mexiletine) or blood clotting (like warfarin), as interactions may occur.

What precautions should be taken while using Crema Ano Cream?

This cream is for external use only. Avoid contact with your eyes, nose, or mouth. If accidental contact occurs, rinse the area thoroughly with water. Wash your hands thoroughly before and after applying the cream. Do not apply the cream to open wounds, cuts, grazes, or raw or blistered skin. Inform your doctor if you have irritated skin or any known allergies to the cream's components. Do not suddenly stop using the medicine without consulting your doctor, as it may worsen your condition.

What happens if a dose of Crema Ano Cream is missed?

If you miss an application of Crema Ano Cream, apply it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular application schedule. Do not apply a double dose to compensate for the missed one.

How should Crema Ano Cream be stored?

Crema Ano Cream should be stored at room temperature, ideally between 20°C to 25°C, or below 30°C, in a cool and dry place. Keep it away from direct heat and sunlight. Ensure it is kept out of the reach of children and pets. Do not freeze the cream.