Proctofoam HC (Hydrocortisone/Pramoxine)

Do’s

• Clean the affected area with mild soap and water if possible (wash well and pat dry).
• Shake the canister well before each use.
• Use the applicator provided to insert the medication.
• Insert the applicator tip only 1/2 to 1 inch (1.5 to 2.5 centimeters) inside the anus.
• Wash your hands immediately after use.
• Use the medication as directed by your healthcare provider, typically 3-4 times daily or after bowel movements.
• Use the medication regularly for best results.
• Inform your healthcare provider if your condition improves or worsens.

Don'ts

• Don't insert any part of the canister directly into your anus.
• Don't insert the applicator more than 1/2 inch inside.
• Don't use your finger or tissue to apply the medication internally.
• Don't apply the medication to your eyes, nose, ears, or mouth.
• Don't cover the treated area with plastic or bandages unless your healthcare provider instructs you to.
• Don't use more medication, use it more often, or use it for longer than prescribed.
• Don't stop using the medication abruptly, especially if you've been using it for a long time or in high doses. Talk to your healthcare provider first.

Common side effects:

• Dry skin
• Burning
• Itching
• Skin redness
• Skin tenderness
• Skin irritation
• Changes in skin appearance (such as color, thickness)
• Rectal bleeding
• Signs of infection (such as pus, redness, tenderness)
• Sore throat
• Increased thirst and urination
• Vision problems
• Swelling of ankles/feet
• Unusual or extreme tiredness
• Headache

Serious side effects that may require immediate medical attention include:

• Signs of high blood sugar, such as confusion, increased thirst, increased hunger, frequent urination, flushing, fast breathing, or breath that smells like fruit
• Very bad bleeding from the rectum or severe rectal pain
• Signs of serious infection (such as sore throat that doesn't go away, fever)
• Severe allergic reactions, including rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing

This is not an exhaustive list, and other side effects may occur. If you experience any unusual or severe side effects while taking Proctofoam hc, contact your healthcare provider for medical advice.

Tell your healthcare provider about any allergies you have, especially to pramoxine or hydrocortisone.

Inform your healthcare provider of your medical history, particularly:

• Diabetes
• Eye problems
• Infections, especially rectal sores/infections
• Liver disease
• Stomach/intestinal problems

Long-term use of Proctofoam HC may weaken your body's response to stress. Inform your healthcare provider about Proctofoam HC use before surgery, emergency treatment, or a serious illness/injury.

Proctofoam HC may slow down growth in children if used for a long time. Regular healthcare provider visits to monitor height are recommended.

Proctofoam HC should only be used during pregnancy if clearly necessary and not for long periods or in large amounts. Discuss the risks and benefits with your healthcare provider.

It is unknown if Proctofoam HC passes into breast milk. Consult your healthcare provider before breastfeeding.