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INTRODUCTION

RUTICOOL CREAM is a combination of Calcium Dobesilate, Hydrocortisone Acetate, Lignocaine, Phenylephrine, Troxerutin and Zinc Oxide which belong to the group of medicines called Anti-haemorrhoids. It is indicated for pain and bleeding associated with anal fissures (a small tear in the lining of anus), haemorrhoids or piles (lumps inside or around your anus), after haemorrhoids removal surgery and in prevention of recurrence of piles following surgery.

RUTICOOL CREAM is also used to treat proctitis (inflammation of lining of rectum) and painful evacuation. RUTICOOL CREAM is not recommended for use if you have tuberculous or fungal lesions or skin vaccinia (viral infection), chicken pox and acute herpes simplex infection. Consult with your doctor before using it.

RUTICOOL CREAM should be used with caution in patients with lung, liver and heart problems. RUTICOOL CREAM should be used during pregnancy only if clearly necessary. It should be used with caution in breastfeeding women. Consult your doctor before using it.

RUTICOOL CREAM is not recommended for use in children under 12 years of age. It should be used with caution in elderly patients. The most common side effects of using RUTICOOL CREAM are burning, irritation, redness, itchiness at the application site. Consult your doctor if any of the symptoms worsen.

USES OF RUTICOOL CREAM

RUTICOOL CREAM is used in following conditions:

  • anal fissures
  • haemorrhoids or piles
  • after haemorrhoids removal surgery
  • prevention of recurrence of piles following surgery
  • proctitis
  • painful evacuation

HOW RUTICOOL CREAM WORKS

Troxerutin and Calcium Dobesilate are vasoprotective medicine that works by strengthening the blood vessels at the affected site and also promote fast healing. Lignocaine is a local anaesthetic and Hydrocortisone belongs to the class of steroids together works by decreasing itching, inflammation, redness and swelling. Phenylephrine belongs to the group of decongestants that works by shrinking the swollen blood vessels and eventually relieving site irritation and itching in piles. Zinc oxide is an astringent, which helps to reduce painful swelling and shrink the haemorrhoids. It also protects the skin on the anus from infections. Thus RUTICOOL CREAM helps to shrink pile mass and heals anal fissure effectively.

DIRECTIONS FOR USE

Apply RUTICOOL CREAM as advised by your physician. It is for topical use only. Wash your hands before and after use. Apply a thin layer of this medicine over the affected area with the help of an applicator or as directed by physician. Avoid the medicine in contact with your eyes, ears, nose or mouth.

SIDE EFFECTS OF RUTICOOL CREAM

COMMON

  • burning, irritation, redness, itchiness at the application site

RARE

Stop using RUTICOOL CREAM and contact your doctor immediately if you experience any of the following side effects:

  • constipation
  • irritation or occurrence of sensitivity or appearance of infection
  • signs and symptoms of methemoglobinemia characterized by pale, grey or blue coloured skin (cyanosis), headache, fits, rapid heart rate, shortness of breath, light-headedness or fatigue

WARNING & PRECAUTIONS

PREGNANCY
Monitoring required

RUTICOOL CREAM should be used during pregnancy only if clearly necessary. Consult your doctor before using it.

BREASTFEEDING
Use with Caution

RUTICOOL CREAM should be used with caution in breastfeeding women. Consult your doctor before using it.

LIVER
Use with Caution

RUTICOOL CREAM should be used with caution in patients with liver problems. Consult with your doctor before using it.

ALLERGY
Contraindicated

Do not use RUTICOOL CREAM if you are allergic to Calcium Dobesilate, Hydrocortisone Acetate, Lignocaine, Phenylephrine, Troxerutin, Zinc Oxide or any other ingredient of this medicine.

HEART DISEASE
Use with Caution

RUTICOOL CREAM should be used with caution in patients having heart problems. Consult with your doctor before using it.

OTHERS

RUTICOOL CREAM is not recommended for use if you have:

  • tuberculous or fungal lesions or skin vaccinia (viral infection)
  • varicella (chicken pox)
  • acute herpes simplex infection

Before using RUTICOOL CREAM inform your doctor if you have:

  • glucose-6- phosphate dehydrogenase deficiency (a genetic disorder that affects red blood cells)
  • methemoglobinemia (blood disorder)

Use in pediatrics:

RUTICOOL CREAM is not recommended for use in children under 12 years of age. Consult your doctor before using it.

Use in geriatrics:

RUTICOOL CREAM should be used with caution in elderly patients. Consult your doctor before using it.

INTERACTIONS

A. Drug-Drug Interactions:

Before using RUTICOOL CREAM, inform your doctor if you are using any of the following medicine:

  • medicine used to treat chest pain, high blood pressure (Ex. nitroglycerin, nitroprusside, nitric oxide, nitrous oxide)
  • anaesthetics (medicines used to produce temporary loss of consciousness (Ex. benzocaine, lidocaine, bupivacaine, mepivacaine)
  • medicine used for cancer (Ex. cyclophosphamide, flutamide, rasburicase, ifosfamide, hydroxyurea)
  • antibiotics (medicine used to treat infections) (Ex. dapsone, sulfonamides, nitrofurantoin, para-aminosalicylic acid)
  • medicine used to treat malaria (Ex. quinine, chloroquine, primaquine)
  • medicine used to treat fits (Ex. phenytoin, sodium valproate, phenobarbital)
  • acetaminophen (used to treat pain and fever)
  • metoclopramide (used to treat nausea and vomiting)
  • sulfasalazine (used to treat ulcerative colitis and Chron’s disease)
  • oral laxatives (used to treat constipation) (Ex. lactulose)
  • antiarrhythmics (used to treat irregular heartbeats) (Ex. quinidine)

Overdosage:

If you or anyone else accidentally ingested or used too much of RUTICOOL CREAM, consult your doctor immediately or visit the nearby hospital.

SYNOPSIS

Drug :   Calcium Dobesilate, Hydrocortisone Acetate, Lignocaine, Phenylephrine, Troxerutin and Zinc Oxide
Pharmacological Category :   Vaso protectives, Corticosteroids, Local Anaesthetics, Alpha-1 adrenergic receptor agonist, Flavonoid and Astringent
Therapeutic Indication :   anal fissures, piles, proctitis, painful evacuation
Dosage Forms :   Cream

MORE INFORMATION

  • Keep RUTICOOL CREAM out of reach of children
  • Store RUTICOOL CREAM below 25°C

FAQs ABOUT RUTICOOL CREAM

Q: How often can I use RUTICOOL CREAM?

A: Use RUTICOOL CREAM as advised by your physician. Apply in the affected area 3 times a day or as directed by the physician. Consult your doctor if symptoms persist.

Q: What lifestyle modifications have to be taken while using RUTICOOL CREAM?

A: Take bath with warm water while using this medicine. This will soothe the area and will also aid in pain. Take fiber rich foods in your diet such as fresh fruits, vegetables and whole grain cereals. Drink at least 6-8 glasses of water daily and exercise regularly to maintain healthy bowel movement.

Q: How to use RUTICOOL CREAM?

A: Apply RUTICOOL CREAM as advised by your physician. It is for topical use only. Wash your hands before and after use. Apply a thin layer of this medicine over the affected area with the help of an applicator or as directed by physician.

Q: Who should not use RUTICOOL CREAM?

A: RUTICOOL CREAM is not recommended for use if you have tuberculous or fungal lesions or skin vaccinia (viral infection), varicella (chicken pox) and acute herpes simplex infection. Consult your doctor before using it.

Q: Can I stop using RUTICOOL CREAM when my symptoms are cleared or relieved?

A: No, do not stop using RUTICOOL CREAM and complete the full course of treatment. Your symptoms may improve before your condition is completely cured. Please consult your doctor before stopping it. Otherwise your symptoms may return.

Q: Will RUTICOOL CREAM be more effective if taken more than prescribed?

A: No, a higher than the recommended dosage of RUTICOOL CREAM will not be more effective. Moreover, it can result in too much medicine being absorbed into the body and cause unwanted side effects. If you are experienced any increased severity of your symptoms, please consult your doctor for re-evaluation.

REFERENCES

1. K.D. Tripathi. Drugs Acting on Skin and Mucous Membranes, Local Anaesthetics. Essentials of medical pharmacology. Seventh edition. 2013. Page – 895, 887, 360.

2. Bethesda (MD). Calcium Dobesilate. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th August 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Calcium%20Dobesilate

3. Bethesda (MD). Hydrocortisone. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th August 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Hydrocortisone

4. Bethesda (MD). Lignocaine. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th August 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Lignocaine

5. Bethesda (MD). Zinc Oxide. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th August 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Zinc%20Oxide

6. Bethesda (MD). Troxerutin. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th August 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Troxerutin

7. Bethesda (MD). Phenylephrine. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 30th August 2022] https://pubchem.ncbi.nlm.nih.gov/compound/Phenylephrine

8. The Boots Company. Electronic Medicines Compendium (EMC). [Revised in July 2016] [Accessed on 30th August 2022] https://www.medicines.org.uk/emc/files/pil.6730.pdf

9. Lidocaine and Hydrocortisone Cream. Daily Med: National Library of Medicine: National Institute of Health. [Revised in February 2022] [Accessed on 30th August 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c57a310-8d46-4862-bf2a-a7e4fd5bee57

10. Hydrocortisone Ointment. Daily Med: National Library of Medicine: National Institute of Health. [Revised in January 2022] [Accessed on 30th August 2022] https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=7ba59aa6-b828-4048-bf86-90c90d9894a0&type=pdf

11. Lidocaine Ointment. Daily Med: National Library of Medicine: National Institute of Health. [Revised in May 2018] [Accessed on 30th August 2022] https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=12639881-632d-445d-9ff5-b84567f49179

12. Pilogud cream (Calcium Dobesilate + Hydrocortisone Acetate + Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide). Scot Derma Private Limited. [Accessed on 30th August 2022] https://www.scotderma.com/products/pilogud

13. Pilogo Plus cream (Calcium Dobesilate + Hydrocortisone Acetate + Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide). Leeford Healthcare Ltd. [Accessed on 30th August 2022] https://www.leeford.in/product/1291/pilogo-plus

14. Piledac Plus Ointment (Calcium Dobesilate + Hydrocortisone Acetate + Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide). Innovative Pharmaceuticals. [Accessed on 30th August 2022] https://www.innovativepharma.in/product/piledac-plus-ointment/

15. Dobitex Cream (Calcium Dobesilate + Hydrocortisone Acetate + Lignocaine + Phenylephrine + Troxerutin + Zinc Oxide). Texas Pharmaceuticals Pvt Ltd. [Accessed on 30th August 2022] https://www.texasusa.in/product/dobitex/

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    40 g
    Ingredient
    CALCIUM DOBESILATE 0.25%+HYDROCORTISONE 0.25%+LIGNOCAINE(LIDOCAINE) 3%+PHENYLEPHRINE 0.1%+TROXERUTIN 2%+ZINC OXIDE 5%
    Hsn Code
    30049099
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DISCLAIMER

The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.

Ruticool Cream 30gm

Ruticool Cream 30gm Mkt: Lupin Ltd

M.R.P.: Rs.158.00
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