Betamethasone + Phenylephrine + Lignocaine

Betamethasone + Phenylephrine + Lignocaine belongs to the 4-quinolone preparations, phlebotonic & vascular protecting preparation group. Doctors prescribe it mainly for Itching, Irritation and Discomfort or pain associated with local non-infective anal or peri-anal conditions such as external hemorrhoids. Dose, duration and suitability differ from patient to patient, so it should be taken only under a registered physician's advice.

Betamethasone + Phenylephrine + Lignocaine is used in the conditions listed below: • Itching, • Irritation, • Discomfort or pain associated with local non-infective anal or peri-anal conditions such as external hemorrhoids

4-Quinolone preparations, Phlebotonic & Vascular protecting preparation

Active ingredients per unit dose: • The composition of this rectal ointment is given below: • Betamethasone (as 17 valerate) 0.05% • Phenylephrine hydrochloride 0.1% • Lignocaine hydrochloride 2.5%

How Betamethasone + Phenylephrine + Lignocaine works — key points: • Betamethasone is a corticosteroid with mainly glucocorticoid activity. • It induces phospholipase A2 inhibitory lipase (lipocortins) and sequentially inhibits the release of arachidonic acid, thereby depressing the formation, release, and activity of prostaglandins, leukotrienes, and other inflammatory mediators. • Phenylephrine is a sympathomimetic with mainly direct effects on alpha-adrenergic receptors and weak beta-adrenergic activity. • It causes vasoconstriction of the arterioles of the nasal mucosa and conjunctiva; activates the dilator muscle of the pupil to cause contraction; produces vasoconstriction of arterioles in the body and produces systemic arterial vasoconstriction. • Lidocaine alters signal conduction in neurons by blocking the fast voltage-gated Na+ channels in the neuronal cell membrane responsible for signal propagation. • With sufficient blockage, the membrane of the postsynaptic neuron will not depolarize and will thus fail to transmit an action potential..

Recommended schedule as per the manufacturer's literature: • A course of treatment should be limited to 7 days. Apply a small amount of ointment two or three times a day initially, using the applicator if internal administration is required. When inflammation is subsiding, once-daily application is sufficient in most cases. Or as directed by the physician.

Reactions reported with Betamethasone + Phenylephrine + Lignocaine: • Signs of hypersensitivity may appear. Prolonged and intensive treatment with highly active corticosteroid preparations may cause local atrophic changes in the skin

Points to keep in mind while on Betamethasone + Phenylephrine + Lignocaine: • Long-term continuous therapy should be avoided where possible, particularly in infants and children, as adrenal suppression can occur..

Avoid Betamethasone + Phenylephrine + Lignocaine in the following situations: • Primary cutaneous viral infections (e. g. herpes simplex, chickenpox). Hypersensitivity to any components of the drug. The use of this ointment is not indicated in the treatment of primarily infected skin lesions caused by infection with fungi (e. g. candidiasis, tinea); or bacteria (e. g. impetigo)

Use during pregnancy: There is inadequate evidence of safety in human pregnancy..

Kidney and liver considerations: Long-term continuous therapy should be avoided where possible, particularly in infants and children, as adrenal suppression can occur..

Storage: • Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.