Smuth Cream

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.

Treatment of Piles

This medicine is for external use only. Use it in the dose and duration as advised by your doctor.

Smuth Cream is a combination of four medicines: Lidocaine / Lignocaine, Calcium Dobesilate, Hydrocortisone and Zinc. 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.

If you miss a dose of Smuth Cream, skip it and continue with your normal schedule. Do not double the dose.

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.

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.

In Treatment of Piles

Smuth Cream reduces discomfort, improves blood flow, decreases leakage as well as rupture of veins and prevents clotting of blood. This effectively relieves pain, swelling, irritation or itching caused due to piles. It also has antioxidant properties that promote healing in plies (hemorrhoids). Always use Smuth Cream as prescribed to get maximum benefit. Make sure to avoid spicy, oil-rich food and take plenty of fibers to aid in digestion and ensure speedy recovery.

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

Application site reactions (burning, irritation, itching and redness)

Alcohol:

No interaction found/established

Pregnancy:CONSULT YOUR DOCTOR

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.

Breast feeding:SAFE IF PRESCRIBED

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.

Driving:

No interaction found/established

Kidney:SAFE IF PRESCRIBED

Smuth Cream is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Smuth Cream may not be needed in these patients. Please consult your doctor.

Liver:CAUTION

Smuth Cream should be used with caution in patients with severe liver disease. Dose adjustment of Smuth Cream may be needed. Please consult your doctor.

Drasner K. Local Anesthetics. In: Katzung BG, Masters SB, Trevor AJ . Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 439-450.

Catterall WA, Mackie K. Local Anesthetics. In: Brunton LL, Hilal-Dandan R, Knollmann BC . Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 405-419.

Chrousos GP. Adrenocorticosteroids & Adrenocortical Antagonists. In: Katzung BG, Masters SB, Trevor AJ . Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 681-697.

Westfall TC, Macarthur H, Westfall DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Hilal-Dandan R, Knollmann BC . Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 191-223.