Manufacturer: Aristo Pharmaceuticals Pvt Ltd
Salt Composition : Lidocaine(3% w/w), Calcium Dobesilate(0.25% w/w), Hydrocortisone(0.25% w/w), Zinc(5% w/w)
Tube of 30gm Rectal Cream
(Inclusive of all taxes)
Smuth Cream should be used in the dose and duration as directed by your doctor. Clean and dry the affected area before applying this medicine. Make sure to wash your hands thoroughly before and after applying this medicine. Do not use your finger to apply this medicine. Do not stop using it suddenly without talking to your doctor, as it may lead to worsening of your condition.
Using of this medicine may cause application site reactions (burning, irritation, itching, and redness). These are temporary and usually resolves on with time. You should consult your doctor if any of these do not resolve with time and persists for a longer duration.
Avoid getting it into your eyes, nose or mouth. If accidental exposure occurs, wash your eyes with water and seek immediate medical attention. You should stop using it and inform your doctor if you notice worsening of the infection or if you develop increased redness and irritation.
Smuth cream works by the combined action of all its components.
Calcium dobesilate acts by protecting the blood vessels of the anal and lowest part of the rectum area. It promotes normal blood flow by reducing the blood viscosity and improves blood supply through the blood vessels of the anal area. It also helps in reducing swelling.
Hydrocortisone works by blocking or reducing the action of some natural substances in the skin that cause swelling, redness and allergies.
Zinc has astringent and antiseptic properties.
Lidocaine (also called Lignocaine) is a local anaesthetic and works by blocking pain.
Lidocaine is absorbed extensively following mucosal, intramuscular, rectal, transdermal, and inhalation pathways. 1 Lidocaine is metabolized efficiently, whether by presystemic hepatic elimination or normal clearance due to systemic hepatic blood flow.The main action of the drug is related to a reduction of microvascular permeability as measured by different parameters and methods (vitreous fluorophotometry, retinal haemorrhages, skin capillary resistance, blood albumin leakage, blood viscosity) leading to improved visual acuity.Oral hydrocortisone at a dose of 0.2-0.3mg/kg/day reached a mean Cmax of 32.69nmol/L with a mean AUC of 90.63h*nmol/L 1 A 0.4-0.6mg/kg/day dose reached a mean Cmax of 70.81nmol/L with a mean AUC of 199.11h*nmol/L. However, the pharmacokinetics of hydrocortisone can vary by 10 times from patient to patient.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Smuth
Application site reactions (burning, irritation, itching and redness)
If you are allergic to Hydrocortisone, Calcium Dobesilate, Zinc, Lidocaine or any of the ingredients of Smuth cream.
Smuth Cream may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
No interaction found/established
Smuth Cream is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Use with caution
Below 9years: Contraindicated
Lidocaine+Calcium Dobesilate+Hydrocortisone+Zinc is used in the treatment of piles.Lidocaine / Lignocaine is a local anesthetic which works by blocking pain signals from the nerves to brain, thereby decreasing the sensation of pain. Calcium Dobesilate is a vasoprotective medicine which works on the walls of the small blood vessels and reduces their leakage and fragility. It also improves blood flow by decreasing viscosity/thickness of blood, thereby relieving inflammation (redness and swelling) in piles/haemorrhoids and promoting healing. Hydrocortisone is a steroid which reduces redness, itching, and swelling due to piles/haemorrhoids. Zinc has astringent and antiseptic action.
Some medicines can affect the way Smuth cream works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.
Use it in the dose and duration as advised by your doctor.
Store below 30°C
If you miss a dose of Smuth Cream, skip it and continue with your normal schedule. Do not double the dose.
Consult a doctor before taking any medicines.
Smuth Cream is prescribed for the treatment of piles.
Apart from using Smuth Cream, you can indulge in warm baths. It may help soothe the area and thus may ease the pain.
Don't ignore the feeling of needing to pass stools. Some people suppress this feeling and put off going to the toilet until later. This may result in bigger and harder stools forming that are more difficult to pass later.
Do not take any oral laxative along with Smuth Cream without consulting your doctor.
Sometimes certain medicines like iron tablets, antibiotics might cause constipation. Inform your doctor if you are taking any of them.
A fiber-rich diet (wholegrain bread and cereals, fruit and green leafy vegetables) with six to eight full glasses of water each day and daily exercise are important in maintaining healthy bowel function.
Smuth Cream is prescribed for the treatment of piles.
Apart from using Smuth Cream, you can indulge in warm baths. It may help soothe the area and thus may ease the pain.
Don't ignore the feeling of needing to pass stools. Some people suppress this feeling and put off going to the toilet until later. This may result in bigger and harder stools forming that are more difficult to pass later.
Do not take any oral laxative along with Smuth Cream without consulting your doctor.
Sometimes certain medicines like iron tablets, antibiotics might cause constipation. Inform your doctor if you are taking any of them.
A fiber-rich diet (wholegrain bread and cereals, fruit and green leafy vegetables) with six to eight full glasses of water each day and daily exercise are important in maintaining healthy bowel function.
This medicine is for external use only. Use it in the dose and duration as advised by your doctor.
Q. What are piles?
Piles, also known as haemorrhoids, are simply swollen blood vessels in your rectal area or anus. These swollen blood vessels can cause severe pain or an itchy sensation. This sensation can be very stressful and irritating. Smuth Cream is an effective treatment for piles.
Q. Can I stop taking Smuth Cream when my piles symptoms are relieved?
No, do not stop taking Smuth Cream and complete the full course of treatment. Your symptoms may improve before the piles are completely cured.
Q. Will Smuth Cream be more effective if taken more than prescribed?
No, a higher than the recommended dosage of Smuth Cream will not be more effective. Moreover, it can result in too much of medicine being absorbed into the body and cause unwanted side effects. If you are experiencing increased severity of your symptoms, please consult your doctor for re-evaluation.
Q. Are there any special instructions regarding the storage and disposal of this medicine?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
