Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) is a medicine used to relieve symptoms of haemorrhoids, anal fissures, and other inflammatory conditions affecting the anal area. It combines several agents with different roles. Hydrocortisone helps reduce swelling and irritation. Lidocaine numbs the tissues to provide temporary pain relief. Phenylephrine narrows blood vessels, which may lessen bleeding and congestion. Zinc protects the skin and supports healing. Calcium Dobesilate and Troxerutin strengthen blood vessels and improve circulation. This medicine is available in topical creams, ointments, rectal gels, and suppositories. It is applied locally to ease discomfort such as pain, itching, swelling, and bleeding.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) is a combination medicine used for the local treatment management of haemorrhoids, anal fissures, and other inflammatory anorectal conditions. It is available in topical creams, ointments, rectal gels, and suppositories, all designed to act directly at the site of discomfort. The formulation brings together anti‑inflammatory, anaesthetic, vasoprotective, and protective agents to relieve pain, itching, swelling, and bleeding.

Hydrocortisone is a corticosteroid that helps reduce inflammation and irritation. Lidocaine provides temporary pain relief by numbing the affected area. Phenylephrine acts as a decongestant by constricting blood vessels, which may lessen swelling and bleeding. Zinc serves as a skin protectant, supporting healing and reducing local irritation. Calcium Dobesilate and Troxerutin are vasoprotective agents that help strengthen blood vessels and improve circulation, which may reduce vascular fragility and leakage.

This medicine is usually prescribed for short courses under medical supervision. It may help ease discomfort and improve the quality of life in patients with haemorrhoids or related conditions. However, prolonged or inappropriate use, especially of corticosteroids and local anaesthetics, can increase the risk of side effects such as local irritation, allergic reactions, or worsening of symptoms.

Overall, Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) is intended to provide symptomatic relief and support recovery in anorectal conditions. Safe and effective use depends on following medical advice, applying the medicine as directed, and limiting treatment to the recommended duration.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) may be indicated by your doctor for:

Internal and External Haemorrhoids

Relief of pain, swelling, and bleeding associated with piles.

Anal Fissures

To soothe pain and promote the healing of small tears in the lining of the anus.

Proctitis

Management of inflammation of the rectal lining.

Anal Pruritus

Relief of intense itching in the perianal area.

Post-Hemorrhoidectomy

To assist in recovery and pain management after haemorrhoid surgery.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) may provide benefits such as:

• Rapid pain relief through the numbing action of Lidocaine.

• Reduction in swelling and size of hemorrhoidal tissue due to Phenylephrine.

• Calming of intense itching and irritation provided by Hydrocortisone.

• Protection of delicate tissue with Zinc, allowing the body to heal more effectively.

• Long-term vascular support by strengthening rectal veins with Troxerutin and Calcium Dobesilate.

• Multiple delivery methods (creams for external use, suppositories/gels for internal use).

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) is generally safe for short-term localised use, but some side effects may occur.

Common side effects of Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) may include

• Mild burning or stinging at the application site

• Temporary skin dryness or thinning (with prolonged use)

• Mild redness or irritation

Uncommon side effects of Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) may include

• Secondary fungal or bacterial skin infections

• Localised rash or contact dermatitis

Serious side effects that may require immediate medical attention include

• Signs of a severe allergic reaction (hives, swelling of the face, or difficulty breathing)

• Rectal bleeding that is new, heavy, or persistent

• Severe skin blistering or sloughing

• Signs of systemic steroid absorption (extreme tiredness, weight gain, or mood changes, though it’s rare with topical use)

• Always consult your doctor if you notice any unusual or persistent symptoms while using Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc).

Follow medical advice: Use Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) exactly as prescribed. Do not continue treatment for longer than 7 days unless advised by a doctor.

Preparation: Gently clean the affected area with mild soap and warm water, then pat dry before application.

Topical cream/ointment: Apply a small amount to the external area 2–4 times daily, especially after bowel movements.

Internal use (rectal applicator): Attach the applicator to the tube, insert it gently into the rectum, and squeeze out the medicine. Clean the applicator thoroughly after each use.

Suppositories: Remove the foil wrapper, lie on your side, and insert the suppository pointed‑end first into the rectum. Remain lying down for a few minutes to allow it to melt and begin working.

Hygiene: Wash your hands before and after each application to prevent infection and ensure proper use.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) acts locally in the anorectal area to ease discomfort from haemorrhoids, fissures, and related conditions. It combines several agents that work in different ways to reduce inflammation, relieve pain, control bleeding, and support healing.

• Hydrocortisone helps calm inflammation and irritation, reducing redness and swelling.

• Lidocaine numbs the area by blocking pain signals, giving temporary relief from discomfort.

• Phenylephrine narrows blood vessels, which may lessen congestion, swelling, and bleeding.

• Zinc protects the skin and mucosa, forming a barrier that reduces irritation and supports healing.

• Calcium Dobesilate improves circulation and reduces leakage from fragile blood vessels, which may help limit bleeding.

• Troxerutin strengthens veins and reduces vascular fragility, helping to control swelling and improve local blood flow.

• The Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) works at the site of application, with minimal absorption into the rest of the body. Relief is supportive and symptomatic, meaning it helps patients feel more comfortable while the underlying condition improves.

• To get the best results, try to maintain a high-fibre diet and drink plenty of water to keep stools soft.

• Avoid straining during bowel movements, as this puts more pressure on the rectal veins.

• If you do not see improvement within 7 days, stop using the medicine and consult your doctor.

• Do not cover the treated area with airtight bandages unless told to do so by a professional.

• Use the medicine after a bowel movement for maximum contact time with the affected tissue.

Store Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Phenylephrine + Troxerutin + Zinc (Elemental Zinc) at room temperature (20°C–25°C / 68°F–77°F) in a dry place.

• Keep the tube or container tightly closed.

• Suppositories may need to be kept in a cool place or refrigerator to prevent melting (check the label).

• Store safely out of the reach of children and pets.

• Do not use the medicine after the expiry date.

• Other Steroids (MODERATE): Avoid using other hydrocortisone-containing products at the same time.

• Blood Pressure Meds (MILD): Phenylephrine may interfere with some blood pressure medications if absorbed in large amounts.

• Antidiabetics (MILD): Calcium Dobesilate may slightly interfere with certain lab tests for blood sugar.

• Skin Infections (SEVERE): Do not use if the area is infected with fungi, viruses (like herpes), or tuberculosis of the skin, as steroids can worsen infections.

• Heart Disease/Hypertension (CAUTION): Phenylephrine is a stimulant; while absorption is low, use with care if you have severe heart issues or very high blood pressure.

• Diabetes (MILD): Steroids can theoretically affect blood sugar, though this is rare with topical rectal use.

Overdose is unlikely with topical use. However, if the medicine is swallowed or applied excessively over long periods, it can lead to lidocaine or steroid toxicity. If swallowed, seek emergency medical care immediately.

Apply the dose as soon as you remember. If it is almost time for your next dose, skip the missed one. Do not apply a double dose.