How to Use

For safe and effective use of this drug:

• Rectal anesthetics usually come with patient directions. Read them carefully before using the drug, even if it was prescribed by your family doctor. Check with your pharmacist if you have any questions about how to use the product.
• Follow your family doctor's instructions if this drug was prescribed.
• Follow the manufacturer's package directions if you are treating yourself.
• Do not use more of this drug, do not use it more often and do not use it for a longer time than directed . To do so may increase the risk of absorption into the body and the risk of unwanted effects.

This drug must be using only for conditions being treated by your family doctor or for problems listed on the package label Do not use it for other problems without first checking with your family doctor . This drug must not be using if certain kinds of infections are present.

For applying a rectal anesthetic to the area around the rectum :

• First, clean the area, using mild soap and water or a cleansing wipe. Rinse the area carefully and dry it gently with a soft towel or toilet paper.
• Apply a small amount of drug to the sore area, using a piece of gauze, a tissue, or a ``finger cot.''

For inserting a rectal cream or ointment inside the rectum :

• Use only products that come packaged in pre-filled applicators or that come packaged with a special inserter called a rectal tube.
• If you are using a product that has an inserter - rectal tube packaged separately from the tube of cream or ointment:
  • Remove the cap from the tube of cream or ointment. Attach the inserter to the top of the tube. Squeeze the tube until a little cream or ointment comes out on the inserter. Then spread the cream or ointment over the inserter.
  • Place the inserter into your rectum and squeeze the tube until a small amount of drug comes out. Then remove the inserter from your body.
  • Remove the inserter from the tube and replace the cap. Then wash the applicator carefully.
• If you are using the product that comes in pre-filled applicators:
  • Follow the manufacturer's directions for using the applicator and inserting the drug. Each applicator is meant to be using only once. Throw the applicator away after using it.

For inserting the rectal aerosol foam - Proctofoam/nonsteroid into the rectum :

• Do not insert the container itself into your rectum. Use the applicator provided.
• To fill the container First, shake the container hard for few seconds. Then, holding the container upright, insert it into the applicator. Press the cap of the container until the foam reaches the fill line of the applicator. Remove the applicator from the container.
• To use the drug Place a small amount of foam on the tip of the applicator. Insert the applicator into your rectum, then push the plunger as far as possible. Remove the applicator. Then take it apart and wash it carefully.

Dosage

For benzocaine
• For pain and itching of hemorrhoids or other problems in the rectal area:
  • For rectal ointment dosage form:
    • Adults Apply a small amount of ointment to the area around the rectum up to six times a day.
    • Children Use and dose must be determined by the family doctor.

For dibucaine
• For pain and itching of hemorrhoids or other problems in the rectal area:
  • For rectal ointment dosage form:
    • Adults Insert a small amount of ointment into the rectum three or four times a day, in the morning, in the evening and after bowel movements. Or, apply a small amount of ointment to the area around the rectum three or four times a day.
    • Children Use and dose must be determined by the family doctor.

For pramoxine
• For pain and itching of hemorrhoids or other problems in the rectal area:
  • For rectal cream dosage form:
    • Adults Apply a small amount to the area around the rectum up to five times a day, in the morning, in the evening and after bowel movements.
    • Children Use and dose must be determined by the family doctor.
  • For rectal ointment dosage form:
    • Adults Insert a small amount of ointment into the rectum up to five times a day, in the morning, in the evening and after bowel movements. Or, apply a small amount to the area around the rectum up to five times a day, in the morning, in the evening and after bowel movements.
  • For the rectal aerosol foam dosage form:
    • Adults Insert 1 applicatorful into the rectum two or three times a day. Or, apply a small amount to the area around the rectum two or three times a day.
    • Children Use and dose must be determined by the family doctor.

For tetracaine and for tetracaine and menthol
• For pain and itching of hemorrhoids or other problems in the rectal area:
  • For the rectal cream or rectal ointment dosage form:
    • Adults Insert a small amount into the rectum up to six times a day. Or, apply a small amount to the area around the rectum up to six times a day.
    • Children Use and dose must be determined by the family doctor.

Missed dose If your family doctor has directed you to use this drug on a regular schedule and you miss a dose, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage To store this drug:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Keep the drug from freezing.
• Do not puncture, break, or burn the pramoxine aerosol foam container, even after it is empty.
• Do not keep outdated drug or drug no longer needed. Be sure that any discarded drug is out of the reach of children.