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Proctofoam HC is a topical medication consisting of two drugs; pramoxine, an anesthetic; and hydrocortisone, a corticosteroid.

Proctofoam HC is used in the rectal area for treatment of itching, swelling, and discomfort caused by hemorrhoids or other problems associated in the rectal area, such as anal fissures. Hemorrhoids are swollen anal veins usually caused by straining too hard when using the bathroom and often times are painful. An anal fissure is a small tear in the thin moist tissue that lines the anus and are usually caused by passing hard or large stools, causing pain and bleeding.

Proctofoam HC (pramoxine/hydrocortisone) is effective at treating itching and other symptoms of rectal conditions because the anesthetic temporarily numbs the area while the corticosteroid reduces redness, itching, and swelling.

Follow all directions given to you by your doctor, which can be found on the prescription label for Proctofoam HC. If you do not have access to directions and you cannot remember how to properly use this medication, contact your doctor. Only use this medication for the condition it was prescribed for. Avoid using more or less of the product than prescribed.

Before applying this foam, wash your hands thoroughly. Spray a small amount of the product onto a tissue and gently pat onto the affected area. Wash your hands immediately after and avoid getting the foam in your eyes, mouth, nose, or ears.

Use this foam up to 3 -4 times per day, or after each bowel movement. Dosage will be based on your medical condition and response to therapy.


Do not use Proctofoam HC (pramoxine/hydrocortisone)

Do not use this product if you are allergic to hydrocortisone or pramoxine, or to any other anesthetics or "numbing medicines".

Dose adjustment or special precautions may be required

To ensure this medication is safe for you, tell your doctor if you have liver disease, diabetes, problems with your eyes, a stomach or intestinal disorder, a rectal sore or infection, or if you use any drugs that weaken the immune system, including steroids.


This medication should not be used to try and treat a bacterial, viral, or fungal skin infection. Any infections should be treated and completely healed before using Proctofoam HC.

It is not known if this medication will harm an unborn baby. Do not use this medication if you are pregnant before consulting your doctor about the risks and benefits.

It is not known if this medication will pass into breast milk or harm a nursing infant. Do not use this medication if you are breast feeding before consulting your doctor about the risks and benefits.

Children are more sensitive to this medication and should only be given Proctofoam HC if a doctor advises so.

Side Effects

Common side effects of Proctofoam HC (pramoxine/hydrocortisone) may include:

mild redness or swelling of treated skin; thinning of treated skin; or numbness on areas where the medicine is accidentally applied.

The above side effects should not alarm you.

Serious side effects of Proctofoam HC (pramoxine/hydrocortisone) may include:

rectal bleeding or severe irritation in any treated skin.

If you have any of the above side effects, contact your doctor right away.

Contact your doctor if you notice signs of…

absorbing too much medicine through your skin: blurred vision, eye pain, or seeing halos around lights, mood change, sleep problems (insomnia), high blood sugar (increased thirst or urination, hunger, dry mouth, fruity breath odor, weight loss), weight gain, puffiness in your face, muscle weakness, or feeling tired.


Are there other medications I should avoid using during the time of treatment with Proctofoam HC?

It is unlikely other medications will interact with this one. For safety measures, it is best to tell your doctor about all medications you are currently taking just in case.

Can children use this medication?

Yes. Children may use this product but prolonged or excessive use may lead to growth problems. Only use this medication on a child if a doctor recommends it.

What should I avoid while using this medication?

Avoid getting this product in sensitive areas of the face, such as the eyes, nose, ears, and mouth. Rinse with water if medication contacts any of these areas.

What if I miss a dose?

This medication is usually used as needed; therefore, you will not miss a dose. If you aren’t able to apply a dose when you need it, do not use extra medication during the next dose to make up for the missed dose.

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