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Lidocaine/Hydrocortisone

    Brands

    DEA Class;  Rx

    Common Brand Names; AnaMantle, Ana-Lex

    • Anesthetics, Topical; 
    • Anesthetics/Corticosteroid Combos; 
    • Corticosteroids, Topical

    Combination therapy; anti-inflammatory, antipruritic, and vasoconstrictive effects

    Indicated for Skin Disorders, Hemorrhoids, Anal fissures, Pruritus ani

    Hypersensitivity

    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

    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 Category: C

    Lactation: Unknown if distributed in breast milk; exercise caution

    Adults

    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

    Lidocaine/Hydrocortisone

    topical pads

    • 2%/2%

    rectal gel

    • 2%/2.5%

    rectal cream

    • 2%/2%