Xyloproct Ointment

Xyloproct is an ointment used for hemorrhoids, anal tears, and other anal discomforts. This product is made up of two main active ingredients: hydrocortisone, an anti-inflammatory and itch reliever, and lidocaine. This is a local anesthetic medication. This combination ensures that discomforts like itching and pain around the anus are quickly relieved.

Xyloproct is an association of lidocaine, hydrocortisone, aluminum subacetate, and zinc oxide for anorectal use. Lidocaine is a local anesthetic that produces topical anesthesia of anorectal tissues. Hydrocortisone is a corticosteroid with moderate anti-inflammatory activity. Aluminum subacetate and zinc oxide have astringent and antiseptic properties.

Xyloproct is prescribed for itching and pain as a result of anal hemorrhoids and tears. Hemorrhoids are common and develop under high pressure as erectile tissue over the sphincter. This happens, for example, by pressing too hard during bowel movements or giving birth. Hemorrhoids cause itching, irritation, and pain in and around the anus. Also, the blood vessels in hemorrhoids can be damaged, causing bleeding during bowel movements. Occasionally, hemorrhoids hang out. These are called "external hemorrhoids". In addition to itching and pain relievers, Xyloproct also contains zinc oxides. They contract hemorrhoids. This makes hemorrhoids smaller and the accompanying symptoms quickly disappear.

Xyloproct ointment should be applied as a thin layer to the affected areas around the anus. Xyloproct is available with the attached applicator, which means that the ointment can also be applied deeper into the anus. The package leaflet contains more information on the use of the applicator. Xyloproct should not be used for a long time in a row. Therefore, deviation from the prescribed dose is not allowed. If there is no improvement after a week, the doctor should be consulted.

Always follow your doctor's instructions and read the package leaflet before using this treatment. These measures will help you to get the maximum benefit from this treatment and to reduce the risk of experiencing side effects. Follow your doctor's instructions. In most cases, the usual dose will be one application to the affected area at regular intervals. Your doctor will tell you the dose and how often to use it. The maximum daily dose is 6g. For long-term treatment, your doctor may recommend rest periods from treatment to reduce the risk of irritation. The product comes with an applicator for internal use. Do not exceed the dose that your doctor has prescribed. If you miss a dose, do not make up for it by doubling the next. Just continue treatment with the next dose as normal.

Rare cases of allergic reactions have been reported with local anesthetics with amide (in the most severe cases, anaphylactic shock).

Local reactions

Contact sensitivity to lidocaine has been reported after perianal use (region surrounding the anus).

Contact sensitivity can also occur after the use of topical hydrocortisone.

The risk of local adverse reactions is increased with increasing corticosteroid potency and duration of treatment. Misuse can mask or worsen bacterial, parasitic, fungal, or viral infections. Hydrocortisone belongs to the group of corticosteroids that are least likely to cause adverse reactions.

Systemic reactions

Systemic adverse reactions due to local anesthetics are rare and may occur due to excessive dosage, rapid absorption, hypersensitivity, idiosyncrasy (patient characteristics), or reduced tolerance.

Reactions can be:

Central nervous system reactions, including:

Nervousness, dizziness, seizures, loss of consciousness and possibly respiratory arrest.

Cardiovascular reactions, including:

Hypotension (drop in blood pressure), myocardial depression (decreased contraction or force of contraction of the heart), bradycardia (slow heartbeat), and possibly cardiac arrest.

Precautions.

Excessive doses of lidocaine products or short intervals between doses can cause serious adverse reactions, therefore, follow the dose recommended by your doctor.

Care should be taken when applying Xyloproct ointment to the rectum with a special applicator, to avoid introducing an excessive amount, especially in children. Systemic absorption of lidocaine can occur, and high doses can cause reactions of the central nervous system.

Xyloproct should not be used before performing an adequate proctological examination to exclude the possibility of malignant processes.

Prolonged and excessive use of hydrocortisone can produce systemic effects typical of corticosteroids, or local effects such as skin atrophy. At the recommended dose, the systemic effects of hydrocortisone are unlikely.

Consult your doctor if irritation or rectal bleeding occurs.

Xyloproct is possibly a trigger for porphyria (a disorder related to red blood cell proteins) and should only be prescribed to patients with acute porphyria when there is no safe alternative available. Precautions must be taken in vulnerable patients.

Effects on ability to drive vehicles and operate machinery

Depending on the dose, local anesthetics may have little effect on mental function and coordination, even in the absence of obvious central nervous system toxicity, and may temporarily affect locomotion and agility. At the recommended doses, adverse reactions are unlikely to occur.

This medicine should not be used by pregnant women without medical or dental advice.

Lidocaine and hydrocortisone are excreted in breast milk in small amounts. No effect on child breastfeeding at therapeutic doses is unlikely.

Due to the presence of hydrocortisone: this medicine can cause doping.

Avoid eye contact.

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