Active substance(s): LIDOCAINE HYDROCHLORIDE / ZINC OXIDE / LIDOCAINE HYDROCHLORIDE / ZINC OXIDE / LIDOCAINE HYDROCHLORIDE / ZINC OXIDE
NAME OF THE MEDICINAL PRODUCT
QUALITATIVE AND QUANTITATIVE COMPOSITION
Suppository for rectal administration
The symptomatic relief of pain, swelling, irritation and itching associated with
haemorrhoids, and pruritus ani.
Posology and method of administration
Adults and children 12 years and over:
One suppository to be inserted into the rectum on retiring at night and in the morning,
preferably after bowel movement.
If necessary Germoloids Suppositories may be used at any time during the day with a
minimum 3 - 4 hours between suppositories.
Do not use more than 4 suppositories in any 24-hour period.
Children under 12 years:
Only as directed by a doctor.
The normal adult dose may be used.
Hypersensitivity to any of the constituents
Special warnings and precautions for use
Persons who continually suffer from haemorrhoids or who have severe haemorrhoids
or who experience excessive bleeding, are advised to consult a doctor.
Interaction with other medicinal products and other forms of interaction
None known for suppositories
Pregnancy and lactation
There is a lack of definitive evidence of safety of the product in human pregnancy
and lactation. However, lidocaine hydrochloride and zinc oxide have been in wide
use for many years without apparent ill consequence. It is not necessary to
contraindicate this product in pregnancy and lactation provided caution is exercised
and the directions for use are followed. However, as with all medicines, the advice of
a doctor should be sought.
Effects on ability to drive and use machines
Very rarely increased irritation may occur at the site of application.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal
product is important. It allows continued monitoring of the benefit/risk balance
of the medicinal product. Healthcare professionals are asked to report any
suspected adverse reactions via the Yellow Card Scheme at:
It is very unlikely that overdosage would occur from this pharmaceutical form.
Symptoms of lidocaine overdosage would be unlikely to occur even after rectal
administration of large quantities (up to 30-fold greater doses).
Normally there should be no systemic adverse effects, but at worst CNS and
cardiovascular effects are possible. Treatment would be symptomatic after
withdrawal of the product.
In the case of accidental oral ingestion, the advice of a doctor should be sought.
Zinc oxide has astringent, antiseptic, soothing and protectant properties.
Lidocaine hydrochloride has a local anaesthetic action.
The suppository base has lubricant and emollient properties.
The product has a local action with minimal risk of systemic effects. Lidocaine has a
fast onset and intermediate duration of action. It is partially absorbed but plasma
levels will be low, in view of the concentration of lidocaine in the product. It
undergoes de-ethylation in the liver, where clearance approaches the rate of hepatic
Preclinical safety data
Preclinical safety data on these active ingredients in the literature have not revealed
any pertinent and conclusive findings which are of relevance to the recommended
dosage and use of the product.
List of excipients
Special precautions for storage
Do not store above 25°C.
Nature and contents of container
Germoloids Suppositories come filled in a pre-formed, PVC/polyethylene
laminate mould approximately 3cm in length, in strips of six suppositories.
Strips of suppositories are packed in boxboard cartons. Six suppositories per
strip, two or four strips per carton, to give pack sizes of 12 or 24 suppositories.
Special precautions for disposal
MARKETING AUTHORISATION HOLDER
Trading as: Bayer plc; Consumer Care Division
MARKETING AUTHORISATION NUMBER(S)
DATE OF FIRST AUTHORISATION/RENEWAL OF THE
01/09/1982 / 13/08/2001
DATE OF REVISION OF THE TEXT
Source: Medicines and Healthcare Products Regulatory Agency
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