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pramoxine/mineral oil/zinc oxide rectal (Tucks Hemorrhoidal Ointment)

 

Classes: Anesthetics, Topical

Dosing and uses of Tucks Hemorrhoidal Ointment (pramoxine/mineral oil/zinc oxide rectal)

 

Adult dosage forms and strengths

pramoxine/mineral oil/zinc oxide rectaL

topical ointment

  • 1%/46.6%/12.5%

 

Topical Pain

For symptomatic relief of the discomfort associated with hemorrhoids, perianal itchin, or irritation

Apply externally to affected area up to 5 times daily PRn

 

Administration

When practical, cleanse the affected area with mild soap and warm water and rinse thoroughly and gently dry by patting or blotting with toilet tissue or a soft cloth before application

Clean dispensing cap after every use

 

Pediatric dosage forms and strengths

pramoxine/mineral oil/zinc oxide rectaL

topical ointment

  • 1%/46.6%/12.5%

 

Topical Pain

For symptomatic relief of the discomfort associated with hemorrhoids, perianal itching or irritation

<12 years: Safety and efficacy not established

≥12 years: Apply externally to affected area up to 5 times daily PRn

 

Administration

When practical, cleanse the affected area with mild soap and warm water and rinse thoroughly and gently dry by patting or blotting with toilet tissue or a soft cloth before application

Clean dispensing cap after every use

 

Tucks Hemorrhoidal Ointment (pramoxine/mineral oil/zinc oxide rectal) adverse (side) effects

Frequency not defined

Irritation

Pruritus

 

Warnings

Contraindications

Hypersensitivity

 

Cautions

For external use only

Do not use in the eyes

Do not use on blistered or broken skin

If condition worsens, or if symptoms persist for >7 days or clear up and occur again within a few days, discontinue and reassess therapy

 

Pregnancy and lactation

Pregnancy category: Undetermined, caution advised

Lactation: Unknown if excreted in breast milk, caution advised

Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Tucks Hemorrhoidal Ointment (pramoxine/mineral oil/zinc oxide rectal)

Mechanism of action

Pramoxine: local anesthetic due to inhibition of conduction of nerve impulses from sensory nerves, resulting from an alteration of the cell membrane permeability to ions

Zinc oxide: antiseptic and protectant properties

 

Absorption

MinimaL

Onset: 3-5 min