Introduction About SURECT CREAM

SURECT CREAM is a combination of Lignocaine, Metronidazole and Sucralfate which belongs to the group of medicines called Local anaesthetics, Nitroimidazoles amd Cytoprotective agents. It is used in the management of bedsores (injuries that happen on areas of the skin under pressure for a prolonged time), haemorrhoids (swollen and inflamed veins in the anus that cause discomfort, bleeding and itching) and fistulae (infected tunnel between the skin and the anus).

It also helps to manage pain, swelling and discharge of blood or pus from the anus, known as anal fissures (a small cut or tear in the delicate lining of the anus that occurs when passing hard or large stools, causing pain and bleeding during bowel movements along with increased frequency).

While using SURECT CREAM, avoid contact with the eyes. If contact occurs, immediately wash it out with water or saline. Before using SURECT CREAM, inform your doctor if you have irritated skin. SURECT CREAM should be used with caution in pregnant women, breastfeeding women, children, adolescents (below 18 years of age) and elderly patients.

The common side effects of SURECT CREAM are dry skin, redness, itching, skin rash, pain, a burning sensation and the appearance of red, itchy welts on the skin surface. If any of these symptoms become worse, contact your doctor for advice.

Uses Of SURECT CREAM

• Manage bedsores, haemorrhoids, fistulae and anal fissures

How SURECT CREAM Works

SURECT CREAM is combination of Lignocaine that causes temporary loss of sensation in the applied area, Metronidazole that exhibits its anti-inflammatory properties to promote wound healing and Sucralfate that protects eroded areas by inducing prostaglandin production and growth factor bioavailability, leading to improved blood flow. All these together help in relieving the pain and discomfort caused by bedsores, haemorrhoids, fistulae and anal fissures.

How to use SURECT CREAM

Apply SURECT CREAM as advised by your physician. It is for external use only. Wash your hands before use and if possible, use a finger covering, such as plastic wrap, cling film, a finger cot or a disposable glove, to apply for the medicine. Apply the medicine to the skin around the anus and if possible, a little inside. The correct dose and duration for you will be decided by your doctor depending on your age, body weight and disease condition.

Side Effects Of SURECT CREAM

How To Manage Side Effects

Itching:

Wash the area around the anus carefully daily with plain water or mild soap to keep it clean and dry. Avoid irritants and do not wear tight underwear. If there is no improvement, please consult your doctor for advice.

Warning & Precautions

Pregnancy

Contraindicated

SURECT CREAM is not recommended for use in pregnant women, unless considered necessary. Consult your doctor for advice.

Breastfeeding

Use with Caution

SURECT CREAM should be used with caution in breastfeeding women. Consult your doctor for advice.

Allergy

Contraindicated

Do not use SURECT CREAM if you are allergic to metronidazole, amide-type local anaesthetics and sucralfate.

Use In Pediatrics

Use with Caution

SURECT CREAM should be used with caution in children and adolescents (below 18 years of age). Consult your doctor for advice.

 

Use In Geriatrics

Use with Caution

SURECT CREAM should be used with caution in elderly patients. Consult your doctor for advice.

Interactions

0A. Drug-Drug interactions:

Before using SURECT CREAM, inform your doctor if you are taking any of the following medicine:

• medicines used to manage cardiac arrhythmias [Ex. tocainide and mexiletine]
• medicines that manage blood clotting [Ex. warfarin]

Overdosage:

There are no reported human experiences with overdosage of SURECT CREAM.

Synopsis

More Information

• Keep SURECT CREAM out of reach from children
• Store at room temperature

FAQs About SURECT CREAM

Q: What is the use of SURECT CREAM?

A: SURECT CREAM is used to get relief from pain, itching and another discomfort in the rectal area due to haemorrhoids, fistulae and anal fissures. It is also used to manage bedsores. It provides faster relief by promoting healing.

Q: How do you use SURECT CREAM?

A: Wash your hands and wear gloves while using SURECT CREAM. Lie down on your left side in a comfortable position with your left leg flat and your right leg bent with your knee in the air. Place a small quantity on your finger and then spread it around the anus and just inside the rectum. Remove gloves and wash your hands. Follow your doctor's advice.

Q: Can SURECT CREAM manage piles?

A: Yes, SURECT CREAM belongs to a class of medications called anorectal preparations that are mainly used in the management of anal fissures (a small tear in the anus lining), fistulas (an abnormal skin opening near the anus) and piles (inflamed and swollen veins in the rectum).

Q: How do you know if SURECT CREAM is working?

A: You will notice that your symptoms will improve as your fissure heals while using SURECT CREAM. Your pain should lessen and if you had any bleeding, this should stop too. You should have a follow-up appointment with your doctor after six to eight weeks to check whether the fissure has healed.

Q: What are the side effects of SURECT CREAM?

A: SURECT CREAM commonly causes dry skin, redness, itching, skin rash, pain, burning sensations and discomfort while using it. If any of these symptoms bother you, consult your doctor immediately.

References

1. KD Tripathi. Local anaesthetics, Gastrointestinal drugs and Antimicrobial drugs. Essentials of medical pharmacology. Eighth edition. 2019. Page – 392,894,704.

2. Williams, LaVonn A. Compounding with sucralfate for the treatment of external wounds. International Journal of Pharmaceutical Compounding. February 2009. [Accessed on 21st June 2022] https://www.proquest.com/openview/199398d3e414ffe9f704f8b8adae1a39/1?pq-origsite=gscholar&cbl=32986

3. Lohsiriwat, Varut and Romyen Jitmungngan. Strategies to Reduce Post-Hemorrhoidectomy Pain: A Systematic Review. Medicina. March 2022. [Accessed on 21st June 2022] https://doi.org/10.3390/medicina58030418

4. Ocean Pharmaceutical. Anosum cream. https://m.oceanpharmaproducts.com/anosum-sucralfate-metronidazole-lignocaine-cream-6376047.html