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Some commonly used brand names are:
In the U.S.—
Other commonly used names are: amethocaine cinchocaine ethyl aminobenzoate pramocaine
† Not commercially available in Canada.
Rectal anesthetics (an-ess-THET-iks) are used to relieve the pain and itching of hemorrhoids (piles) and other problems in the rectal area. However, if you have hemorrhoids that bleed, especially after a bowel movement, check with your doctor before using this medicine. Bleeding may mean that you have a condition that needs other treatment.
These medicines are available without a prescription; however, your doctor may have special instructions on the proper use and dose for your medical problem.
These medicines are available in the following dosage forms:
Before Using This Medicine
If you are using this medicine without a prescription, carefully read and follow any precautions on the label. For rectal anesthetics, the following should be considered:
Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to a local anesthetic, especially one that was applied to any part of the body as a liquid, cream, ointment, or spray. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy—Rectal anesthetics have not been reported to cause birth defects or other problems in humans.
Breast-feeding—Rectal anesthetics have not been reported to cause problems in nursing babies.
Children—Children may be especially sensitive to the effects of local anesthetics. This may increase the chance of side effects during treatment.
Older adults—Elderly people are especially sensitive to the effects of local anesthetics. This may increase the chance of side effects during treatment.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Before you use a rectal anesthetic, check with your health care professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Other medical problems—The presence of other medical problems may affect the use of rectal anesthetics. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
For safe and effective use of this medicine:
This medicine should be used only for conditions being treated by your doctor or for problems listed on the package label. Do not use it for other problems without first checking with your doctor . This medicine should not be used if certain kinds of infections are present.
For applying a rectal anesthetic to the area around the rectum :
For inserting a rectal cream or ointment inside the rectum :
For inserting the rectal aerosol foam (e.g., Proctofoam/nonsteroid) into the rectum :
Dosing—The dose of rectal anesthetics will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.
Missed dose—If your doctor has directed you to use this medicine on a regular schedule and you miss a dose, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Storage—To store this medicine:
Precautions While Using This Medicine
Check with your doctor:
False test results may occur if benzocaine or tetracaine is present in your body when a certain laboratory test is done. This test uses a medicine called bentiromide (e.g., Chymex) to show how well your pancreas is working. You should not use any products containing benzocaine or tetracaine for about 72 hours (3 days) before this test is done.
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Stop using this medicine and check with your doctor immediately if any of the following side effects occur:
Signs and symptoms of too much medicine being absorbed by the body
Blurred or double vision; confusion; convulsions (seizures); dizziness or lightheadedness; drowsiness; feeling hot, cold, or numb; increased sweating; ringing or buzzing in ears; shivering or trembling; slow or irregular heartbeat; unusual anxiety, excitement, nervousness, or restlessness; unusual paleness
Also, check with your doctor as soon as possible if any of the following side effects occur:
Burning, stinging, swelling, or tenderness not present before treatment; skin rash, redness, itching, or hives at or near place of application
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
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