Usual Adult Dose for Pruritus
Topical cream or topical lotion: Apply a thin film to affected area 2 to 3 times daily depending on the severity of the condition.
Rectal cream: Twice daily, fill applicator and insert gently into anal area. Gently squeeze applicator until cream has covered all areas of discomfort.
Usual Adult Dose for Hemorrhoids
Topical cream or topical lotion: Apply a thin film to affected area 2 to 3 times daily depending on the severity of the condition.
Rectal cream: Twice daily, fill applicator and insert gently into anal area. Gently squeeze applicator until cream has covered all areas of discomfort.
Usual Pediatric Dose for Pruritus
Apply (topical cream or topical lotion) amount commensurate with age, body weight and physical condition to affected area as directed by physician.
Usual Pediatric Dose for Hemorrhoids
Apply (topical cream or topical lotion) amount commensurate with age, body weight and physical condition to affected area as directed by physician.
Renal Dose Adjustments
Data not available
Liver Dose Adjustments
Data not available
Precautions
Systemic absorption of topical corticosteroids has produced reversible hypothalamic-pituitary-adrenal (HPA) axis suppression, manifestations of Cushings's syndrome, hyperglycemia, and glycosuria in some patients.
Pediatric patients may demonstrate greater susceptibility to topical corticosteroid induced HPA axis suppression and Cushing's syndrome due to the larger skin surface area to body weight ratio.
Safety and effectiveness of the rectal cream have not been established in pediatric patients (less than 18 years of age).
Dialysis
Data not available
Other Comments
Some rectal cream products provide single-use cleansing wipes to be used to clean the affected area prior to application of the cream.
Rectal cream tubes and applicators should not be completely inserted into the anus or deep into the rectum.
