Pramoxine/ zinc oxide cream

Generic Name: pramoxine/zinc oxide (pra-MOX-een/zink OX-ide)
Brand Name: Tronolane

Pramoxine/ zinc oxide cream is used for:

Treating pain, soreness, burning, and itching of the anal area due to hemorrhoids. It may also be used for other conditions as determined by your doctor.

Pramoxine/zinc oxide cream is a topical anesthetic. It works by blocking pain signals from the nerve endings in the skin. This helps relieve discomfort.

Do NOT use pramoxine/ zinc oxide cream if:

  • you are allergic to any ingredient in pramoxine/zinc oxide cream

Contact your doctor or health care provider right away if this applies to you.

Before using pramoxine/ zinc oxide cream:

Some medical conditions may interact with pramoxine/zinc oxide cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with pramoxine/zinc oxide cream. Because little, if any, of pramoxine/zinc oxide cream is absorbed into your body, the risk of it interacting with another medicine is low.

Ask your health care provider if pramoxine/zinc oxide cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use pramoxine/ zinc oxide cream:

Use pramoxine/zinc oxide cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Pramoxine/zinc oxide cream is for external use around the rectal area only.
  • Wash your hands before and after using pramoxine/zinc oxide cream.
  • Wash the affected area with mild soap and warm water, and rinse before you apply pramoxine/zinc oxide cream. Gently pat dry with toilet paper.
  • Remove the cap from the tube. Use the pointed end of the cap to break the seal on the tube. Attach the applicator to the tube. Gently squeeze the tube to apply the cream to the rectal area.
  • Do NOT insert the applicator or the tube into the rectum. Do not put pramoxine/zinc oxide cream into the rectum using your fingers or any other device or applicator.
  • Clean the applicator after each use.
  • Do not apply pramoxine/zinc oxide cream to large areas of the body.
  • If you miss a dose of pramoxine/zinc oxide cream, use it as soon as you remember. Continue to use it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use pramoxine/zinc oxide cream.

Important safety information:

  • Pramoxine/zinc oxide cream is for use around the rectal area only. Do not get it in your eyes, nose, or mouth. If you get it in any of these areas, rinse right away with cool tap water.
  • If your symptoms do not get better within 7 days, or if they get worse, check with your doctor.
  • Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Talk with your doctor before you use any other medicines on your anal area.
  • Pramoxine/zinc oxide cream may cause harm if swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.
  • Do not use pramoxine/zinc oxide cream in CHILDREN younger than 12 years old without first checking with the child's doctor; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using pramoxine/zinc oxide cream while you are pregnant. It is not known if pramoxine/zinc oxide cream is found in breast milk after topical use. If you are or will be breast-feeding while you are using pramoxine/zinc oxide cream, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of pramoxine/ zinc oxide cream:

All medicines may cause side effects, but many people have no, or minor, side effects. No COMMON side effects have been reported with pramoxine/zinc oxide cream. Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bleeding from the rectum; new or worsening irritation, pain, redness, swelling, or other symptoms.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Pramoxine/zinc oxide cream may be harmful if swallowed.

Proper storage of pramoxine/zinc oxide cream:

Store at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Do not refrigerate. Store away from heat and light. Keep pramoxine/zinc oxide cream out of the reach of children and away from pets.

General information:

  • If you have any questions about pramoxine/zinc oxide cream, please talk with your doctor, pharmacist, or other health care provider.
  • Pramoxine/zinc oxide cream is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take pramoxine/zinc oxide cream or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about pramoxine/zinc oxide cream. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to pramoxine/zinc oxide cream. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using pramoxine/zinc oxide cream.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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