PILO SMOOTH Cream 30gm

Introduction About PILO SMOOTH CREAM

PILO SMOOTH CREAM is a combination of Calcium Dobesilate, Hydrocortisone
Acetate, Lignocaine and Zinc Oxide which belong to the group of medicines called
Anti-haemorrhoids. It is used to manage haemorrhoids or piles (lumps inside or
around your anus) and anal fissures (a small tear in the lining of anus) and
constipation.

PILO SMOOTH CREAM is not recommended for use if you have tuberculous or fungal
lesions or skin vaccinia (viral infection), varicella (chicken pox) and acute
herpes simplex infection. Consult with your doctor before using it. PILO SMOOTH
CREAM should be used with caution in patients with lung, liver and heart
problems. PILO SMOOTH CREAM can be used during pregnancy only if clearly
necessary. It should be used with caution in breastfeeding women. Consult your
doctor before using the medicine.

PILO SMOOTH CREAM is not recommended for use in children and adolescents under
12 years of age. It should be used with caution in elderly patients. The most
common side effects of using PILO SMOOTH CREAM are burning, irritation, redness,
itchiness at the application site. Consult your doctor if any of the side
effects worsen.

Uses Of PILO SMOOTH CREAM

It is used to manage:

• haemorrhoids
• anal fissures
• constipation

How PILO SMOOTH CREAM Works

Calcium Dobesilate is a vasoprotective medicine that works by strengthening the
blood vessels at the affected site and also promote fast healing. Lignocaine is
a local anaesthetic which blocks the transmission of pain signals from nerves to
brain and Hydrocortisone belongs to the class of steroids works by decreasing
itching, inflammation, redness and swelling. Zinc oxide is an astringent, which
helps to reduce painful swelling and shrink the haemorrhoids. It also protects
the skin on the anus from infections. Thus PILO SMOOTH CREAM helps to shrink
pile mass and heals anal fissure effectively.

How to use PILO SMOOTH CREAM

Apply PILO SMOOTH CREAM as advised by your physician. It is for external use
only. Wash your hands before and after use. Apply a thin layer of this medicine
over the affected area with the help of an applicator or as directed by
physician. Avoid the medicine in contact with your eyes, ears, nose or mouth. If
accidental exposure occurs, wash your eyes with water and seek immediate medical
attention.

Side Effects Of PILO SMOOTH CREAM

Common

• burning, irritation, itching and redness at the site of application

Stop using PILO SMOOTH CREAM and contact your doctor immediately if you
experience any of the following side effects:

• increased redness and irritation
• signs and symptoms of methemoglobinemia characterized by pale, grey or blue coloured skin (cyanosis), headache, fits, rapid heart rate, shortness of breath, light-headedness or fatigue

Warning & Precautions

!### Pregnancy

Monitoring requiredPILO SMOOTH CREAM should be used during pregnancy only if clearly necessary.
Consult your doctor before using it.

!### Breastfeeding

Use with CautionPILO SMOOTH CREAM should be used with caution in breastfeeding women. Consult
your doctor before using it.

!### Liver

Use with CautionPILO SMOOTH CREAM should be used with caution in patients with liver problems.
Consult with your doctor before using it.

!### Allergy

ContraindicatedDo not use PILO SMOOTH CREAM if you are allergic to Calcium Dobesilate,
Hydrocortisone Acetate, Lignocaine, Zinc Oxide or any other ingredient of this
medicine.

!### Lungs

Use with CautionPILO SMOOTH CREAM should be used with caution in patients with lung problems.
Consult with your doctor before using it.

!### Heart Disease

Use with CautionPILO SMOOTH CREAM should be used with caution in patients with severe shock and
heart block. Consult with your doctor before using it.

!### Use In Pediatrics

ContraindicatedPILO SMOOTH CREAM is not recommended for use in children and adolescents under
12 years of age. Consult your doctor before using it.

!### Use In Geriatrics

Use with CautionPILO SMOOTH CREAM should be used with caution in elderly patients. Consult your
doctor before using it.

Others

PILO SMOOTH CREAM is not recommended for use if you have:

• tuberculous or fungal lesions or skin vaccinia (viral infection)
• varicella (chicken pox)
• acute herpes simplex infection

Before using PILO SMOOTH CREAM inform your doctor if you have:

• glucose-6- phosphate dehydrogenase deficiency (a genetic disorder that affects red blood cells)
• methemoglobinemia (blood disorder)

Interactions

A. Drug-Drug Interactions:

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

• medicine used to manage chest pain, high blood pressure (ex. nitroglycerin, nitroprusside, nitric oxide, nitrous oxide)
• anaesthetics (medicines used to produce temporary loss of consciousness (ex. benzocaine, lidocaine, bupivacaine, mepivacaine)
• medicine used for cancer (ex. cyclophosphamide, flutamide, rasburicase, ifosfamide, hydroxyurea)
• antibiotics (medicine used to manage infections) (ex. dapsone, sulfonamides, nitrofurantoin, para-aminosalicylic acid)
• medicine used for malaria (ex. quinine, chloroquine, primaquine)
• medicine used to manage fits (ex. phenytoin, sodium valproate, phenobarbital)
• acetaminophen (used to relieve pain and fever)
• metoclopramide (used for nausea and vomiting)
• sulfasalazine (used for ulcerative colitis and Crohn’s disease)
• oral laxatives (used to manage constipation) (ex. lactulose)
• antiarrhythmics (used to manage irregular heartbeats) (ex. quinidine)

Overdosage:

If you or anyone else accidentally ingested or used too much of PILO SMOOTH
CREAM, consult your doctor immediately or visit the nearby hospital.

Synopsis

Drug	:	Calcium Dobesilate, Hydrocortisone, Lignocaine, Zinc Oxide
Pharmacological Category	:	Vaso protectives, Corticosteroids, Local Anaesthetics, Astringent
Therapeutic Indication	:	Haemorrhoids, Anal fissures, Constipation
Dosage Forms	:	Cream

More Information

• Keep PILO SMOOTH CREAM out of reach of children
• Store PILO SMOOTH CREAM at room temperature

FAQs About PILO SMOOTH CREAM

Q: Is PILO SMOOTH CREAM safe to use?

A: Yes. PILO SMOOTH CREAM is well-tolerated, with a consistent safety profile
and provides an efficient fast and safe symptomatic relief from haemorrhoids or
piles, anal fissures, bleeding with pain and itching. It also helps to promote
easy evacuation of stools. Consult your doctor before using it.

Q: What lifestyle modifications have to be taken while using PILO SMOOTH CREAM?

A: Take bath with warm water while using this medicine. This will soothe the
area and will also aid in pain. Take fiber rich foods in your diet such as fresh
fruits, vegetables and whole grain bread and cereals to help in digestion and
ensure speedy recovery. Make sure to avoid spicy, oil-rich food and drink at
least 6-8 glasses of water daily and exercise regularly to maintain healthy
bowel movement.

Q: How to use PILO SMOOTH CREAM?

A: Apply PILO SMOOTH CREAM as advised by your physician. It is for topical use
only. Wash your hands before and after use. Apply a thin layer of this medicine
over the affected area with the help of an applicator or as directed by
physician. Avoid the medicine in contact with your eyes, ears, nose or mouth. If
accidental exposure occurs, wash your eyes with water and seek immediate medical
attention.

Q: Can I stop using PILO SMOOTH CREAM when my symptoms are relieved?

A: No, do not stop using PILO SMOOTH CREAM and complete the full course of
management. Your symptoms may improve before the condition is completely
managed. Consult your doctor before discontinue the medicine Otherwise it may
lead to worsening of your condition.

Q: Is PILO SMOOTH CREAM safe to use in pregnant women?

A: PILO SMOOTH CREAM should be used during pregnancy only if clearly necessary.
Inform your doctor if you are pregnant or planning for pregnancy before using
this medicine.