Proctofoam HC (Hydrocortisone / Pramoxine Hydrochloride)
1%/1% Aerosol, Foam
Prescription required. Product of Canada. Shipped from Canada.
This item is backorded. May require additional wait time.
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Hydrocortisone / Pramoxine Hydrochloride Information
(hye droe kor' ti sone)
- Try to have a bowel movement. The medication will work best if your bowels are empty.
- Shake the enema bottle well to make sure the medication is mixed.
- Remove the protective cover from the applicator tip. Be careful to hold the bottle by the neck so that the medication will not leak out of the bottle.
- Lie down on your left side with your lower (left) leg straight and your right leg bent toward your chest for balance. You can also kneel on a bed, resting your upper chest and one arm on the bed.
- Gently insert the applicator tip into your rectum, pointing it slightly toward your navel (belly button).
- Hold the bottle firmly and tilt it slightly so that the nozzle is aimed toward your back. Squeeze the bottle slowly and steadily to release the medicine.
- Withdraw the applicator. Remain in the same position for at least 30 minutes. Try to keep the medicine inside of your body all night (while you sleep).
- Wash your hands thoroughly. Throw away the bottle in a trash can that is out of the reach of children and pets. Each bottle contains only one dose and should not be reused.
Before using rectal hydrocortisone,
- tell your doctor and pharmacist if you are allergic to hydrocortisone, any other medications, or any of the ingredients in rectal hydrocortisone products. Ask your pharmacist for a list of the ingredients.
- tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: amphotericin B (Abelcet, Ambisome, Fungizone); anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven); aspirin or other NSAIDs such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn); barbiturates; carbamazepine (Carbatrol, Epitol, Tegretol, others); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); hormonal contraceptives (birth control pills, patches, rings, implants, and injections); isoniazid (in Rifamate, in Rifater); ketoconazole (Extina, Nizoral, Xolegel); macrolide antibiotics such as clarithromycin (Biaxin, in Prevpac) or erythromycin (E.E.S., Eryc, Eryped, others); medications for diabetes; phenytoin (Dilantin, Phenytek); and rifampin (Rifadin, Rimactane, in Rifamate, in Rifater). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with hydrocortisone, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.
- tell your doctor if you have a fungal infection (other than on your skin or nails), peritonitis (inflammation of the lining of the stomach area), intestinal obstruction, a fistula (abnormal connection between two organs inside your body or between an organ and the outside of your body) or a tear in the wall of your stomach or intestine. Your doctor may tell you not use rectal hydrocortisone.
- tell your doctor if you have or have ever had threadworms (a type of worm that can live inside the body); diabetes; diverticulitis (inflamed bulges in the lining of the large intestine); heart failure; high blood pressure; a recent heart attack; osteoporosis (condition in which the bones become weak and fragile and can break easily); myasthenia gravis (a condition in which the muscles become weak); emotional problems, depression or other types of mental illness; tuberculosis (TB: a type of lung infection); ulcers; cirrhosis; or liver, kidney, or thyroid disease. Also tell your doctor if you have any type of untreated bacterial, parasitic, or viral infection anywhere in your body or a herpes eye infection (a type of infection that causes a sore on the eyelid or eye surface).
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using rectal hydrocortisone, call your doctor.
- do not have any vaccinations (shots to prevent diseases) without talking to your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are using rectal hydrocortisone.
- you should know that rectal hydrocortisone may decrease your ability to fight infection and may prevent you from developing symptoms if you get an infection. Stay away from people who are sick and wash your hands often while you are using this medication. Be sure to avoid people who have chicken pox or measles. Call your doctor immediately if you think you may have been around someone who had chicken pox or measles.
- local pain or burning
- muscle weakness
- extreme changes in mood changes in personality
- inappropriate happiness
- difficulty falling asleep or staying asleep
- slowed healing of cuts and bruises
- irregular or absent menstrual periods
- thin, fragile, or dry skin
- increased sweating
- changes in the way fat is spread around the body
- vision changes
- swelling of the eyes, face, lips, tongue, throat, hands, arms, feet, ankles, or lower legs
- difficulty breathing or swallowing