ANUGESIC DESCRIPTION

Anugesic-Hc (Pramoxine Hcl/Hc Acetate/Zinc) - Suppository, Rectal

Brand Name
Anugesic-HC

Common Name
pramoxine - hydrocortisone - zinc sulfate monohydrate

Where can I order Anugesic from? Can I buy Anugesic at Canadian prices?

Yes, if you are from the U.S. then you can buy Anugesic at Canadian prices. Currently we will only accept an order for Anugesic from U.S. and Canadian residents. Both U.S. and Canadian residents require a prescription to purchase Anugesic and when you order Anugesic it will be delivered with express shipping.

How does Anugesic-HC work? What will Anugesic-HC do for me?

Anugesic-HC is used to relieve pain, swelling, itching, and discomfort in the anal area due to a variety of causes, including rectal surgery for hemorrhoids. Each ingredient has a different effect. Pramoxine has an anesthetic effect, which makes the affected areas numb. Hydrocortisone has an anti-inflammatory effect. It reduces swelling, itching, and discomfort. Zinc reduces itching and discomfort and helps prevent infection.

Your doctor may have suggested Anugesic-HC for conditions other than the ones listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

How should I use Anugesic-HC?

The recommended dose of Anugesic-HC is one suppository or application of ointment in the morning and at bedtime and after each bowel movement.

Suppository: Bathe and dry the affected anal area. Insert one suppository into the rectum. The suppository is most easily inserted while in a stooped or squatting position or while lying on your side with your knees flexed. By applying a slight bearing down pressure, the anal opening (sphincter) will relax and allow for easy insertion of the suppository.

Ointment: Bathe and dry the affected anal area. Attach the plastic applicator to the tube and insert it into the rectum to its full extent, then slowly withdraw while gently squeezing the tube. You may also apply the ointment to the outside surface of the anus to relieve any external discomfort. Wash the applicator after use.

Do not use Anugesic-HC for future hemorrhoid problems unless instructed to do so.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is very important to use this medication regularly, exactly as prescribed by your doctor. If you miss a dose, use it as soon as possible and continue on with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue on with your regular dosing schedule. Do not double doses.

What form(s) does Anugesic-HC come in?

Anugesic HC is available as a suppository and as an ointment.

Suppository: The suppository contains pramoxine HCl 20 mg, hydrocortisone acetate 10 mg, zinc sulfate monohydrate 10 mg in a base of triglycerides with methylparaben, propylparaben, calcium phosphate, and magnesium stearate.

Ointment: The ointment contains pramoxine 1%, hydrocortisone acetate 0.5%, zinc sulfate monohydrate 0.5% in a petroleum ointment base with methylparaben, propylparaben, calcium phosphate, and magnesium stearate. An applicator is supplied with the ointment.

This medication does not contain gluten, yeast, starch, or lactose.

Who should NOT take Anugesic-HC?

Pramoxine - hydrocortison - zinc sulfate topical medication should not be used by anyone with an allergy to any of the ingredients of the medication or by anyone with tuberculosis, fungal, or viral infections of the skin.

What side effects are possible with Anugesic-HC?

The Anugesic-HC side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. Your health professional may be able to help you deal with some of the effects.

The following Anugesic-HC side effects may go away as your body becomes used to the medicine; check with your doctor if they continue or become bothersome.

Less common or rare:

dizziness
dry, scaly skin
increase in appetite
increased sweating
lightened skin colour
sensation of spinning
thin, fragile skin
thinning hair on scalp
unusual weight gain
Check with your doctor as soon as possible if any of the following side effects occur:

Less common or rare:

burning and itching of skin
chills
depression
diarrhea
false sense of well-being
fever
infection
mood swings
painful, red or itchy, pus-containing blisters in hair follicles
personality changes
rectal bleeding, burning, dryness, itching, or pain not present before therapy
sensation of "pins and needles"
skin rash, redness, itching, or hives at or near place of application
stabbing pain
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for Anugesic-HC?

Pregnancy and breast-feeding: If you are pregnant or breast-feeding, consult your doctor about the benefits and risks of using this medication. This medication should not be used unnecessarily on extended areas, in large amounts, or for prolonged periods of time under these circumstances.

What other drugs could interact with Anugesic-HC?

If you are using any other medications speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
stop taking one of the medications,
change one of the medications to another,
change how you are taking one or both of the medications, or
leave everything as is.