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Proctofoam (Generic Pramoxine)

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Why is this medication prescribed?

Proctofoam is a medication prescribed for the treatment of certain conditions affecting the rectum and anus. It is commonly used to relieve symptoms associated with hemorrhoids, which are swollen and inflamed blood vessels in the rectum and anus.

Proctofoam contains hydrocortisone, a corticosteroid that helps reduce inflammation and itching in the affected area. It also contains a local anesthetic to provide relief from pain and discomfort.

How should this medicine be used?

Here are general guidelines on how Proctofoam should be used, but it’s crucial to follow your doctor’s specific instructions:

  • Wash Hands: Before applying Proctofoam, it’s important to wash your hands thoroughly.
  • Clean the Affected Area: Gently clean the affected rectal or anal area with mild soap and water. Pat the area dry with a clean, soft cloth.
  • Shake the Canister: Shake the Proctofoam canister well before each use.
  • Insert the Applicator: If provided, attach the applicator tip to the canister. Carefully insert the applicator into the rectum as directed by your healthcare provider.
  • Administer the Foam: Depress the nozzle or actuator to release the foam into the rectum. Follow your doctor’s instructions regarding the amount to use.
  • Dispose of Applicator (if applicable): If you used an applicator, dispose of it properly according to the instructions provided.
  • Wash Hands Again: After application, wash your hands thoroughly.
  • Avoid Contact with Eyes and Face: Avoid getting Proctofoam in your eyes or on your face. If accidental contact occurs, rinse the affected area with water.
  • Use as Directed: Follow the prescribed dosage and frequency as instructed by your healthcare provider. Do not use Proctofoam for longer than recommended unless directed by your doctor.
  • Inform Your Doctor: Report any unusual or severe side effects to your healthcare provider promptly.

It’s important to note that Proctofoam is a prescription medication, and its use should be supervised by a healthcare professional. If you have any questions or concerns about its usage, consult with your doctor or pharmacist for personalized advice based on your medical history and condition.

Other uses for this medicine

Proctofoam is primarily prescribed for the treatment of hemorrhoids due to its anti-inflammatory and anesthetic properties. While it is generally used for this purpose, healthcare providers may occasionally prescribe it for other conditions or symptoms, based on their judgment and evaluation of your specific medical situation. It’s important to follow your doctor’s guidance and use Proctofoam only for the conditions it has been prescribed for.

What special precautions should I follow?

Special precautions should be taken when using Proctofoam. Here are some important considerations:

  • Medical History: Inform your healthcare provider about your complete medical history, including any allergies, especially if you are allergic to corticosteroids or any other ingredients in Proctofoam.
  • Pregnancy and Breastfeeding: If you are pregnant or breastfeeding, discuss the potential risks and benefits of using Proctofoam with your healthcare provider. They will weigh the potential benefits against any potential risks to the fetus or nursing infant.
  • Infections: Proctofoam contains a corticosteroid, and prolonged use may suppress the immune system. Be cautious if you have any existing infections, as corticosteroids can potentially worsen or mask infections.
  • Glaucoma and Cataracts: Long-term use of corticosteroids, including those in Proctofoam, may increase the risk of developing glaucoma or cataracts. Inform your eye doctor if you are using this medication.
  • Diabetes: Corticosteroids can affect blood sugar levels, and individuals with diabetes should monitor their blood sugar levels closely while using Proctofoam.
  • Children: Proctofoam safety and efficacy in children have not been established, and its use in pediatric patients should be under the supervision of a healthcare professional.
  • Other Medications: Inform your healthcare provider about all prescription and over-the-counter medications, vitamins, and supplements you are taking, as certain drugs may interact with Proctofoam.
  • Use as Directed: Follow the prescribed dosage and duration of use as instructed by your healthcare provider. Do not use Proctofoam for a longer period than recommended unless advised by your doctor.
  • Side Effects: Be aware of potential side effects, such as skin thinning, skin discoloration, or other adverse reactions. Report any unusual or severe side effects to your healthcare provider.

Always consult with your healthcare provider if you have questions or concerns about Proctofoam or if you experience any unexpected or bothersome side effects during its use. This information is not a substitute for professional medical advice, diagnosis, or treatment.

What special dietary instructions should I follow?

There are generally no specific dietary instructions associated with the use of Proctofoam. However, it’s essential to maintain a balanced and healthy diet to support overall well-being, especially if you have underlying health conditions.

What should I do if I forget a dose?

If you forget a dose of Proctofoam, apply it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.

What side effects can this medication cause?

Proctofoam, like any medication, may cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects that are not listed. If you are prescribed Proctofoam, your healthcare provider has likely determined that the potential benefits outweigh the risks. Common side effects of Proctofoam may include:

  • Burning or itching: Mild burning or itching at the application site is relatively common.
  • Irritation: Some individuals may experience irritation or redness in the treated area.
  • Dryness: Prolonged use of corticosteroids, like those in Proctofoam, can lead to skin dryness.
  • Skin Thinning: Long-term use of corticosteroids may result in skin thinning, particularly in the treated area.
  • Skin Discoloration: Changes in skin pigmentation may occur with prolonged use.
  • Acne: In some cases, acne-like eruptions may develop.
  • Folliculitis: Inflammation of hair follicles may occur.
  • Perianal Pruritus (itching around the anus): Itching in the perianal region may be a side effect.
  • Allergic Reactions: While rare, allergic reactions to the components of Proctofoam can occur. Seek medical attention if you experience signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing.
  • Infection: Prolonged use of corticosteroids may increase the risk of bacterial or fungal infections in the treated area.

It’s important to use Proctofoam exactly as prescribed by your healthcare provider and to report any persistent or severe side effects. If you notice any signs of infection, such as increased redness, swelling, or discharge, contact your healthcare provider promptly.

Additionally, long-term or excessive use of corticosteroids may lead to systemic effects, especially if the medication is absorbed through the skin. Your healthcare provider will monitor and adjust your treatment plan accordingly to minimize the risk of potential side effects.

If you have concerns about the side effects of Proctofoam or experience any unexpected symptoms, consult with your healthcare provider for personalized advice based on your medical history and current health status.

What should I know about storage and disposal of this medication?

Here are important considerations regarding the storage and disposal information related to Proctofoam:


  • Room Temperature: Proctofoam should be stored at room temperature, away from excessive heat or freezing temperatures.
  • Avoid Direct Sunlight: Keep the medication away from direct sunlight.
  • Secure Lid: Make sure the container is tightly closed when not in use.
  • Keep Out of Reach of Children and Pets: Store Proctofoam in a location where it is inaccessible to children and pets.
  • Do Not Use Expired Medication: Check the expiration date on the packaging, and do not use the medication if it has passed its expiration date.


  • Follow Local Regulations: Dispose of Proctofoam according to local regulations or guidelines. Check with your healthcare provider or pharmacist for specific instructions.
  • Do Not Flush Down the Toilet: Do not dispose of Proctofoam by flushing it down the toilet unless instructed to do so. Medications can potentially contaminate water sources.
  • Community Take-Back Programs: Check if there are any community take-back programs or facilities that accept unused or expired medications.

In case of emergency/overdose

In case of accidental ingestion or overdose, seek emergency medical attention or contact your local poison control center immediately. Overdose symptoms may include excessive or prolonged use of Proctofoam, leading to an increased absorption of the medication, which could result in systemic corticosteroid effects.

What other information should I know?

  • Follow Healthcare Provider’s Instructions: Use Proctofoam exactly as prescribed by your healthcare provider. Do not alter the dosage or duration of use without consulting your doctor.
  • Regular Follow-Up: Attend scheduled follow-up appointments with your healthcare provider to monitor the progress of your condition and adjust the treatment plan as needed.
  • Avoid Contact with Eyes: Be cautious to avoid getting Proctofoam in your eyes. If accidental contact occurs, rinse the eyes with water.
  • Inform Healthcare Provider: Inform your healthcare provider about all other medications, supplements, and over-the-counter drugs you are taking, as there may be potential interactions.
  • Informing Other Healthcare Providers: If you need medical attention for another issue, inform the healthcare provider that you are using Proctofoam, as it may have implications for certain medical procedures or treatments.
  • Regular Skin Checks: If you are using Proctofoam for an extended period, your healthcare provider may recommend regular skin checks to monitor for any potential side effects.

Always follow your healthcare provider’s guidance and ask any specific questions you may have about the storage, disposal, or usage of Proctofoam. If you experience any unusual or severe symptoms, seek medical attention promptly. This information is not a substitute for professional medical advice, diagnosis, or treatment.

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