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Formulas

Lidocaine 2.34%/Phenol 1.79%/Tannic Acid 6.25% Rectal Ointment

The Lidocaine 2.34%/Phenol 1.79%/Tannic Acid 6.25% Rectal Ointment is a specialized semi-solid formulation designed for rectal application. This ointment is dispensed in a tube and possesses a greasy or oily base, which facilitates the localized delivery of its active ingredients directly to the affected area. The ointment's composition includes Lidocaine, a local anesthetic that provides temporary relief from pain and discomfort; Phenol, which has antiseptic properties and helps in reducing the risk of infection; and Tannic Acid, known for its astringent qualities that promote the healing of skin tissues.

This formulation is specifically indicated for the treatment of anal fissures, hemorrhoids, and other related rectal conditions. The combination of Lidocaine, Phenol, and Tannic Acid works synergistically to alleviate pain, prevent infection, and aid in the healing process of rectal tissue. The ointment should be applied as directed by a healthcare professional to ensure safety and efficacy in the management of these disease states.

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Phenol
Tannic Acid
Lidocaine Hydrochloride
Topical Ointment
65aff3af62949f176806d5c6
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Formula Information

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This Lidocaine 2.34%/Phenol 1.79%/Tannic Acid 6.25% Rectal Ointment is a specialized compound designed to provide symptomatic relief and treatment for various anorectal conditions. The ointment is a semi-solid formulation that is applied externally to the affected area. The base of the ointment is greasy or oily, which not only facilitates the delivery of the active ingredients to the site of action but also provides a protective barrier that can aid in the healing process.

Lidocaine, a local anesthetic, is included at a concentration of 2.34% to provide immediate relief from pain and discomfort by numbing the affected area. This can be particularly beneficial for patients experiencing painful hemorrhoids, anal fissures, or pruritus ani. Phenol, present at 1.79%, has antiseptic properties that help reduce the risk of infection by eliminating harmful microorganisms. It also has a mild anesthetic effect, contributing to the overall analgesic properties of the ointment.

Tannic Acid, at a concentration of 6.25%, is a key component with astringent properties. It helps to reduce swelling and inflammation, promoting the healing of skin and mucous membranes. Tannic Acid can also precipitate proteins, which helps to form a protective layer over wounds, aiding in the reduction of irritation and providing a conducive environment for tissue regeneration.

This compound is specifically tailored for patients suffering from anorectal disorders, where inflammation, pain, and risk of infection are common issues. By addressing these symptoms, the ointment facilitates a more comfortable recovery process. It is important for patients to follow the application instructions provided by their healthcare provider to ensure optimal results. Prescribers should consider the individual needs of their patients, including any potential allergies or contraindications, when recommending this formulation.

For any questions or additional information regarding this compounded formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest quality of care and is available to support both patients and healthcare providers with their medication needs.

Drug Interactions

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The Lidocaine 2.34%/Phenol 1.79%/Tannic Acid 6.25% Rectal Ointment is a specialized compound designed for rectal application. Lidocaine is a local anesthetic that provides temporary relief from pain by blocking nerve signals in the body. Phenol has antiseptic properties and also acts as a mild anesthetic, while tannic acid has astringent properties that can help reduce inflammation and promote healing. This combination of ingredients is often used to manage symptoms associated with hemorrhoids, anal fissures, and other rectal or anal conditions.

When considering drug interactions, it is important to note that while the systemic absorption of these agents is generally low when applied topically, there is still potential for interaction with other medications. Lidocaine, in particular, should be used with caution in patients taking class I antiarrhythmic drugs (such as tocainide and mexiletine) as the combination may increase the risk of systemic lidocaine toxicity. Additionally, lidocaine may interact with beta-blockers, cimetidine, and other local anesthetics, potentially leading to increased plasma concentrations and enhanced effects or toxicity.

Phenol, although used in low concentrations, can interact with other substances that affect liver enzymes, particularly those that are metabolized by the cytochrome P450 system. Caution is advised when using this medication in conjunction with other drugs that can affect liver metabolism. Tannic acid, being an astringent, may interact with other topical medications by altering their absorption or binding to their active ingredients, potentially reducing their effectiveness.

Patients should be advised to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential interactions. It is also important to avoid the use of other topical products on the treated area unless directed by a healthcare professional, as this may alter the effects of the ointment or lead to unexpected interactions.

As with any medication, the use of this compound should be monitored by a healthcare provider, especially in patients with a history of cardiac disease, liver disease, or those who are pregnant or breastfeeding. If you have any questions or require further information regarding this formulation and its potential interactions, please reach out to us at Bayview Pharmacy for professional advice and guidance.

How Does it Work

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The Lidocaine 2.34%/Phenol 1.79%/Tannic Acid 6.25% Rectal Ointment is a specially compounded formulation designed to provide symptomatic relief and treatment for various anorectal conditions. This ointment is a semi-solid preparation that is applied externally to the affected area around the rectum. The base of the ointment is greasy or oily, which not only facilitates the application but also ensures that the active ingredients are delivered effectively to the site of action.

Lidocaine, the first active ingredient, is a local anesthetic that works by blocking the nerve signals in the body. When applied to the skin, it causes a temporary loss of sensation in the treated area, providing relief from pain and discomfort. This is particularly beneficial in conditions where pain is a significant symptom, such as hemorrhoids, anal fissures, or after surgical procedures.

Phenol, the second active ingredient, has both antiseptic and anesthetic properties. As an antiseptic, it helps to reduce the risk of infection in the affected area by killing or inhibiting the growth of bacteria. Its anesthetic effect complements that of lidocaine, enhancing the overall numbing effect and providing additional pain relief.

Tannic Acid, the third active component, has astringent properties. It works by precipitating proteins and contracting tissues, which can help reduce swelling and create a barrier against infection. This action is particularly useful in treating weeping or bleeding skin conditions, as it can help to dry out the area and promote the healing process.

This combination of Lidocaine, Phenol, and Tannic Acid in an ointment form is particularly effective for treating anorectal conditions because it addresses multiple symptoms simultaneously. The anesthetic properties help manage pain, the antiseptic action reduces the risk of infection, and the astringent effect helps to control swelling and bleeding. By compounding these ingredients together, patients receive a multi-faceted approach to treatment that can lead to more rapid and effective relief.

Patients and prescribers should note that this formulation is for external use only and should be applied as directed by a healthcare professional. It is important to follow the prescribed dosage and not to exceed the recommended amount. Before using this ointment, the area should be cleaned gently to avoid further irritation. If you have any questions or require additional information about this formulation, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with your healthcare needs.

Other Uses

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Lidocaine/Phenol/Tannic Acid Rectal Ointment is primarily indicated for relief of symptoms associated with hemorrhoidal conditions, such as pain, itching, and discomfort. However, the individual components of this ointment have properties that allow for a range of other potential uses. Lidocaine is a local anesthetic that can numb the skin and surrounding tissues, making this ointment potentially useful for providing relief from other types of pain and discomfort, such as anal fissures, minor burns, insect bites, or even localized pain following certain dermatological procedures. Phenol has antiseptic properties and can assist in reducing the risk of infection in minor cuts, scrapes, or burns. Tannic Acid, known for its astringent qualities, may help to reduce swelling and create a barrier against moisture, which can aid in the management of wet or oozing dermatitis, poison ivy rash, or diaper rash.

It is possible that healthcare providers might consider the use of this rectal ointment for off-label indications where the pharmacological actions of Lidocaine, Phenol, and Tannic Acid might be beneficial. As compounding pharmacists, we can advise that while there is potential for broader applications, such uses should be exercised under the guidance and prescription of a healthcare professional. It's important to note that this ointment formulation has specific intended use, and any alternative applications should be carefully considered against possible side effects and the overall condition of the patient. Patients and prescribers are encouraged to discuss the appropriateness of this compound for conditions other than those for which it is primarily indicated.

Additionally, considering the ointment's components, patients with known allergies to local anesthetics, phenol, or tannins should avoid its use or consult a healthcare provider for a thorough risk evaluation. As with all medications and compounds, if any adverse reactions occur or in cases where symptom relief is not evident, contact with a healthcare provider is recommended. For further inquiries or personalized advice tailored to specific patient needs, reach out to us at Bayview Pharmacy – where our team of knowledgeable compounding pharmacists is dedicated to supporting both patients and prescribers with information and guidance regarding our compounded formulations.

Frequently Asked Questions

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What is Lidocaine/Phenol/Tannic Acid Rectal Ointment used for?

This compounded rectal ointment is designed for localized treatment of various anorectal conditions. It may be used for the relief of pain, itching, and discomfort from hemorrhoids, anal fissures, or other anorectal disorders. The combination of active ingredients provides analgesic, antiseptic, and astringent properties.

How should I apply Lidocaine/Phenol/Tannic Acid Rectal Ointment?

The rectal ointment should be applied topically to the affected area. Clean the rectal area with mild soap and water before application and gently dry by patting or blotting with toilet tissue or a soft cloth. Apply a small amount of the ointment to the external area around the anus up to three times daily, or as directed by a healthcare provider.

Are there any side effects associated with this compounded ointment?

As with all medications, this compounded formulation may cause side effects in some individuals. Possible side effects include local irritation, burning sensations, or allergic reactions. If you notice any severe or persistent side effects, contact your healthcare provider immediately.

Can I use this ointment if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, you should consult with your healthcare provider before using this compounded rectal ointment, as certain ingredients may not be recommended during pregnancy or while nursing.

Is this medication suitable for children?

This ointment should be used with caution in children, as they may be more sensitive to the effects of the active ingredients. Consult a pediatrician or healthcare provider before using this medication on a child.

Can the ointment be used for internal hemorrhoids?

This ointment is intended for external use around the anal area. It should not be used internally unless specifically directed by a healthcare provider. If you have internal hemorrhoids, discuss appropriate treatments with your provider.

How long can I use the Lidocaine/Phenol/Tannic Acid Rectal Ointment?

The duration of treatment with this compounded rectal ointment should be as recommended by your healthcare provider. Do not use it for an extended period without medical supervision, as prolonged use may increase the risk of side effects or alter normal bowel function.

Will the ointment stain my clothing?

Due to the nature of the ingredients, there is a possibility that the ointment may stain clothing or other fabrics. To minimize the risk of staining, cover the treated area with a small gauze pad or similar dressing after ointment application.

Can I use this ointment with other topical products?

It is not recommended to use this compounded ointment concurrently with other topical products on the affected area without consulting a healthcare provider, as there may be interactions or increased skin irritation.

How should I store this compounded rectal ointment?

Store the ointment at room temperature away from light and moisture. Keep the tube tightly closed when not in use. Keep out of reach of children and pets, and do not use beyond the expiration date indicated on the packaging.

What should I do in case of an overdose?

If you suspect an overdose or experience severe reactions after applying the ointment, such as difficulty breathing or swallowing, seek immediate medical help or contact a poison control center right away. Even though the medication is for topical use, it is still possible to use too much, leading to systemic effects.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.