Classes
DEA Class; Rx
Common Brand Names; AnaMantle, Ana-Lex
- Anesthetics, Topical;
- Anesthetics/Corticosteroid Combos;
- Corticosteroids, Topical
Description
Combination therapy; anti-inflammatory, antipruritic, and vasoconstrictive effects
Indications
Indicated for Skin Disorders, Hemorrhoids, Anal fissures, Pruritus ani
Contraindications
Hypersensitivity
Adverse Effects
Adrenal suppression
Anaphylaxis
Angioedema
Blanching
Cushing syndrome
Stinging
Hirsutism
Acne
Cutaneous and subcutaneous atrophy
Dry scaly skin
Echymoses and petechia
Hyperpigmentation
Hypopigmentation
Edema
Urticaria
Impaired wound healing
Rash
Warnings
Systemic absorption of topical corticosteroids may cause hypothalamic-pituitary axis suppression when applied over large surface areas; other adverse effects include hyperglycemia, HPA suppression, glycosuria, fluid and electrolyte changes, hyperglycemia etc
Allergic contact dermatitis
Prolonged treatment with corticosteroids is associated with development of Kaposi’s sarcoma
Discontinue if infection develops.
Pregnancy and Lactation
Pregnancy Category: C
Lactation: Unknown if distributed in breast milk; exercise caution
Maximum Dosage
Skin Disorders
Apply q8-12hr
Hemorrhoids, Anal fissures, Pruritus ani
Apply BID to areas of discomfort and anal opening
Pediatric
Safety and efficacy not established
How supplied
Lidocaine/Hydrocortisone
topical pads
2%/2%
rectal gel
2%/2.5%
rectal cream
2%/2%