Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Zinc (Elemental Zinc) is a prescription topical cream used to relieve symptoms of hemorrhoids (piles), anal fissures, and anorectal irritation. It helps reduce pain, burning, itching, swelling, and discomfort through a combination of active ingredients that provide anti-inflammatory, local anesthetic, vascular protective, and skin-protective effects. The cream should be used externally as directed by a doctor.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Zinc (Elemental Zinc) is a prescription cream used for the symptomatic relief of hemorrhoids (piles), anal fissures, and inflammation or irritation around the anal area. It helps reduce common symptoms such as pain, burning, itching, swelling, and discomfort that may occur during bowel movements or while sitting.

It contains a combination of active ingredients that work together to provide local relief. Calcium Dobesilate helps reduce swelling by improving microcirculation and decreasing capillary leakage. Hydrocortisone is a corticosteroid that helps reduce inflammation, redness, and itching. Lidocaine (Lignocaine) acts as a local anesthetic to temporarily numb the affected area and relieve pain and burning sensations. Zinc Oxide forms a protective barrier over irritated skin and helps protect the area from further irritation.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Zinc (Elemental Zinc) should be applied externally to the affected area as directed by a doctor. The area should be cleaned and dried gently before application. Mild irritation, stinging, or burning may occur in some individuals after use. Prolonged or excessive use should be avoided unless advised by a doctor, as long-term use of topical corticosteroids may lead to skin thinning or delayed healing.

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

Hemorrhoids (Piles)

Symptomatic relief of internal or external piles associated with swelling, pain, anal bleeding, and enlarged veins in the anal area.

Anal Fissures

Management of painful tears or cracks in the lining of the anal canal to alleviate sharp pain during and after bowel movements.

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

• Fast relief from pain and burning: The cream helps quickly numb pain, burning, and discomfort around the anal area, making it easier to sit and move comfortably.

• Helps reduce swelling: Its active ingredients work together to ease inflammation and shrink swollen hemorrhoidal tissues and blood vessels.

• Protects sensitive skin: Zinc creates a soothing protective layer over irritated, cracked, or bleeding skin, helping prevent further irritation during bowel movements.

• Relieves itching and irritation: The cream helps calm persistent itching and breaks the itch-scratch cycle, allowing the skin to heal more effectively.

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

• Application Site Sensation: A brief, mild stinging, burning, or warm feeling immediately after applying the cream.

• Localized Dryness: Mild flaking or dry skin around the perianal region.

• Skin Softening (Maceration): Softening or whitening of the skin if the cream is applied too heavily in moist skin folds.

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

• Skin Thinning (Atrophy): Weakening or thinning of the delicate perianal skin, typically only observed with prolonged or excessive use.

• Contact Dermatitis: Localized skin irritation, redness, or increased itching caused by sensitivity to any component of the cream.

Serious side effects that require medical attention may include

• Severe Local Infection: Spreading redness, warmth, pus formation, or worsening pain that may indicate a secondary bacterial or fungal infection.

• Severe Skin Allergic Reaction: Sudden development of widespread hives, severe blistering, or intense swelling of the treated tissues.

• Wash your hands thoroughly and gently clean the perianal area with mild soap and warm water. Pat the area dry with a soft towel before application.

• Apply a small, thin film of the cream to the affected skin outside the anus and rub it in gently as directed by your doctor.

• If your doctor has instructed you to apply the cream inside the lower rectum, use the clean applicator nozzle provided with the tube. Attach the applicator to the tube, insert it gently into the anus, and squeeze the tube lightly to deliver the medication.

• Clean the applicator nozzle thoroughly with warm water and soap after every use, and replace the protective cap.

• Wash your hands immediately after use to prevent spreading the medicine to your eyes or mouth.

• Use this medication for the exact duration prescribed by your healthcare provider. Avoid prolonged use beyond the recommended timeframe unless specifically advised.

Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Zinc (Elemental Zinc) helps relieve symptoms associated with hemorrhoids and anorectal irritation through the combined action of four active ingredients:

Calcium dobesilate acts on small blood vessels and helps reduce capillary permeability and tissue swelling. It may also help improve microcirculation and reduce fluid leakage from inflamed tissues. Hydrocortisone is a corticosteroid that reduces inflammation by decreasing the release of inflammatory mediators such as prostaglandins and cytokines. This helps relieve redness, swelling, itching, and irritation. Lidocaine (lignocaine) is a local anesthetic that blocks sodium channels in sensory nerves, temporarily reducing the transmission of pain and discomfort signals from the affected area. Elemental zinc supports tissue repair and skin integrity and plays a role in normal wound-healing processes.

Together, these ingredients help reduce inflammation, ease pain and irritation, and support recovery of the affected tissue.

• Apply only a thin layer of the cream. Using excessive amounts will not relieve your symptoms faster and may increase the risk of localized skin irritation.

• To help the cream work effectively and support your tissues' healing, maintain a high-fiber diet, drink plenty of water, and avoid straining during bowel movements.

• Avoid using tight-fitting, synthetic underwear. Loose-fitting cotton underwear helps reduce moisture buildup and friction in the inflamed area.

• Do not apply this cream to open wounds, deep ulcers, or skin areas showing signs of viral or fungal infections (such as shingles or thrush) unless specifically directed by your doctor.

• If your symptoms do not improve, or if anal bleeding worsens after 1 to 2 weeks of consistent use, consult your doctor for a follow-up assessment.

• Store Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Zinc (Elemental Zinc) at room temperature, protected from excessive heat, moisture, and direct sunlight.

• Keep the tube tightly closed after each use to prevent contamination.

• Do not freeze the medication.

• Keep out of the reach of children and pets.

• Do not use the cream after the expiry date mentioned on the packaging.

• Food (Safe): There are no known interactions between this topical perianal cream and any specific foods, fiber supplements, or drinks.

• Other Topical Steroid Creams (Caution): Avoid using other hydrocortisone or corticosteroid creams in the perianal area at the same time, as this increases the risk of local skin thinning.

• Class I Antiarrhythmic Drugs (e.g., Tocainide, Mexiletine) (Caution): If large amounts of lidocaine are absorbed through broken skin, it may interact with heart medications. Inform your doctor of all systemic medicines you take.

• Untreated Skin Infections (Unsafe): Do not apply this cream to areas affected by active viral infections (like herpes simplex), fungal infections, or untreated bacterial skin infections, as the hydrocortisone component can suppress local immunity and worsen the infection.

• Severe Rectal Bleeding (Caution): If you are experiencing heavy or continuous rectal bleeding, consult your doctor immediately before applying any topical treatments.

If you forget an application of Calcium Dobesilate + Hydrocortisone + Lidocaine (Lignocaine) + Zinc (Elemental Zinc), apply it as soon as you remember. If it is nearly time for your next scheduled application, skip the missed one and continue with your regular morning or evening routine. Do not apply a double amount of cream to compensate for a forgotten application.