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Pileum Cream is used to treat anal fissures and haemorrhoids (piles). It promotes healing, decreases the sensation of pain and lowers inflammation, irritation and discomfort. In some cases, this medicine may cause side effects such as burning sensation, irritation, itching and redness at the site of application. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

About Pileum Cream

Pileum Cream is a multi-action rectal medicine prescribed to relieve the painful symptoms of Haemorrhoids, anal fissures, and rectal inflammation. It combines several therapeutic agents to target pain, swelling, and blood vessel irritation directly at the source. This medicine helps soothe damaged tissues, making bowel movements more comfortable during recovery.

To achieve the best results, you should apply this medicine consistently at the same times each day as directed by your doctor. It is typically applied rectally once or twice daily, preferably after a bowel movement and gentle cleaning of the area. Incorporating lifestyle changes, such as eating high-fibre foods and drinking plenty of water, will significantly support your recovery while using this medicine.

While this medicine is generally well-tolerated, some people may experience mild, temporary local irritation, such as mild burning or itching. If you experience serious side effects like severe allergic reactions, worsening rectal pain, or irregular heartbeats, you should stop using it and consult your doctor immediately.

Talk to your doctor before using this medicine if you have high blood pressure, heart disease, diabetes, or any local rectal infections. Do not use this medicine if you have a known allergy to any of its components or if you have untreated viral, bacterial, or fungal skin infections in the affected area.

Some medicines, such as blood pressure drugs or antidepressants, may interact with this treatment and cause unexpected blood pressure changes. It is important to avoid smoking and excessive alcohol, as they can worsen blood vessel swelling and slow down your body's healing process. If you are pregnant, breastfeeding, or an older adult, you should consult your doctor before starting this treatment.

Uses of Pileum Cream

Your doctor may prescribe Pileum Cream to treat and manage various conditions affecting the rectal and anal area. Key uses include:

  • Haemorrhoids (Piles): It relieves the painful swelling, burning, itching, and pressure associated with both internal and external Haemorrhoids.
  • Anal Fissures: It promotes the healing of small, painful tears in the lining of the anus by reducing local inflammation and easing muscle tension.
  • Proctitis: It calms redness, irritation, and inflammation in the rectal lining, helping to make daily activities more comfortable.
  • Post-Surgical Healing: It helps manage discomfort, reduce swelling, and soothe healing tissues after rectal surgeries.

Key Benefits

This medicine provides targeted, comprehensive relief to help you return to your comfortable, daily routine quickly. This medicine offers several important benefits:

  • Fast-acting pain relief: It numbs the affected area quickly, providing rapid relief from severe pain, sharp burning, and itching.
  • Reduction of swelling: It targets swollen veins and inflamed tissues, shrinking them to reduce the feeling of fullness and pressure in the rectum.
  • Tissue protection: It forms a soothing barrier over sensitive, damaged tissues, protecting them from further irritation caused by friction or bowel movements.
  • Improved healing: By supporting blood vessel health and reducing local irritation, it encourages faster natural healing of the delicate rectal lining.

Directions for Use

  • Follow your doctor’s instructions on the dosage and timing of this medication to ensure safety.
  • Take a pea-sized amount onto the applicator and apply it directly onto the rectal area.
  • Wash your hands before and after applying Pileum Cream.
  • Clean and dry the affected rectal area before applying Pileum Cream.

How Pileum Cream Works

Pileum Cream contains calcium dobesilate, hydrocortisone, lidocaine, troxerutin, zinc oxide, and phenylephrine, which work together to relieve the symptoms of haemorrhoids (piles) and other anorectal conditions. Calcium dobesilate is a vasoprotective medicine that helps strengthen the walls of small blood vessels and improve local blood flow. It reduces fluid leakage from blood vessels, helping relieve swelling and support tissue healing. Hydrocortisone is a corticosteroid that reduces inflammation by calming the body's immune response. This helps relieve redness, swelling, itching, and irritation in the affected area. Lidocaine is a local anaesthetic that temporarily blocks pain signals from the nerves. This helps quickly relieve pain, burning, and itching in the affected area. Troxerutin is a venoactive medicine that helps strengthen the walls of small blood vessels, improve local blood flow, and reduce fluid leakage into the surrounding tissues. This helps reduce swelling and discomfort. Zinc oxide is a skin protectant that forms a protective barrier over the affected area. It helps protect the skin from moisture and irritation while supporting the natural healing process. Phenylephrine is a vasoconstrictor that narrows swollen blood vessels in the affected area. This helps reduce swelling, congestion, and minor bleeding associated with haemorrhoids.
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Alcohol

Caution

It is not known whether Pileum Cream interacts with alcohol. Please consult your doctor.

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Pregnancy

Caution

Please consult a doctor if you are pregnant. Your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Please consult your doctor if you have any concerns regarding this, your doctor will decide whether Pileum Cream can be used by breastfeeding mothers or not.

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Driving

Safe if prescribed

Pileum Cream usually does not affect your ability to drive.

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Liver

Caution

Please consult your doctor if you have any concerns regarding the usage of Pileum Cream in patients with liver impairment.

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Kidney

Caution

Please consult your doctor if you have any concerns regarding the usage of Pileum Cream in patients with kidney impairment.

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Children

Caution

Please consult a doctor regarding the usage of Pileum Cream in children. Pileum Cream should be used in children only if prescribed by a doctor.

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Heart

Consult your doctor

Please inform your doctor if you have a history of heart disease before using Pileum Cream. Your doctor will prescribe it only if the benefits outweigh the risks.

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Geriatrics

Consult your doctor

Limited information available for use of Pileum Cream in elderly patients. Please consult your doctor.

What if I have taken an overdose of Pileum Cream

If you accidentally swallow this medicine or apply a significantly larger amount than directed, call emergency services (112 in India) or go to the nearest emergency room immediately, or contact a poison control centre right away.

Diet & Lifestyle Advise

  • Eat more fibre: Incorporate high-fibre foods like whole grains, beans, fresh fruits, and vegetables into your daily meals to soften your stool.
  • Stay well-hydrated: Drink plenty of water throughout the day to keep your stools soft and easy to pass without straining.
  • Avoid straining: Do not strain or hold your breath during bowel movements, as this increases pressure on rectal blood vessels.
  • Limit toilet time: Avoid sitting on the toilet for prolonged periods, such as while reading or using your phone, to reduce pressure on the anal area.
  • Take warm baths: Soak your rectal area in a warm water bath (sitz bath) for 15 to 20 minutes, two or three times a day to soothe irritation.
  • Avoid harsh cleaning: Gently pat the area clean after bowel movements using unscented, damp wipes or a bidet instead of dry, rough toilet paper.
health query

Have a query?

How Soon It Starts Working

The time required for Pileum Cream to start to work: The time required for Pileum Cream to show its action is unknown. The time for which the effects of Pileum Cream last: The duration of action for Pileum Cream is clinically unknown.

What if you forget to take Pileum Cream

If you miss a dose, apply it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose and resume your regular schedule. Do not apply double the amount to make up for a missed dose.

Storage

• Store Pileum Cream below 25°C (77°F) in a cool, dry place. • Keep this medicine safely out of the sight and reach of children and pets.

Drug Warnings

  • Check the Protective Seal: Always check the protective seal on the tube before your first use; do not use the product if the seal is broken or tampered with.
  • Avoid Prolonged Use: Do not use this medicine for longer than 7 consecutive days unless your doctor specifically instructs you to do so, as prolonged use can cause skin thinning.
  • Clean the Applicator Properly: Thoroughly clean the applicator nozzle with warm, soapy water and dry it completely after each internal use. Never share your applicator with anyone else to avoid spreading infection.
  • Avoid Contact with Eyes, Nose, or Mouth: Avoid getting this medicine in or near your eyes, nose, or mouth. If accidental contact occurs, rinse the area immediately with cold water.
  • Monitor Your Symptoms: Stop using this medicine and talk to your doctor if your symptoms do not improve or if they get worse after one week of continuous use.

verifiedApollotooltip

Before using Pileum Cream, tell your doctor or pharmacist about all other medicines you are currently using, including prescription medicines, over-the-counter products, and herbal supplements.

  • Blood pressure medicines: Some ingredients in this product may slightly reduce the effectiveness of blood pressure-lowering drugs.
  • Other topical steroids: Using other steroid creams or ointments at the same time can increase the risk of skin thinning and other steroid-related side effects.
  • MAO inhibitors: Combining this medicine with certain antidepressants (MAO inhibitors) can cause a sudden, severe rise in blood pressure.

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verifiedApollotooltip
  • No clinically significant food interactions are known with Pileum Cream when used as directed.

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANORECTAL PREPARATIONS]

FAQs

Pileum Cream is used to treat anal fissures and haemorrhoids (piles).
Pileum Cream is a combination of six drugs, namely: Calcium dobesilate, Hydrocortisone, Lidocaine, Troxerutin, Zinc oxide, and Phenylephrine. Calcium dobesilate and Troxerutin promote healing and lower inflammation by decreasing the viscosity of the blood and reducing leakage from the blood vessels. Hydrocortisone helps in reducing itching, redness and swelling due to piles. Lidocaine blocks the pain signals from the nerves to the brain, thereby decreasing the sensation of pain. Phenylephrine decreases irritation and discomfort by shrinking the blood vessels in the affected area. Zinc oxide has an antiseptic and astringent action. Together, Pileum Cream relieves pain and discomfort due to piles and anal fissures.
Pileum Cream contains a steroid; therefore, it should not be used for longer durations unless prescribed by a doctor. If your condition does not improve despite using Pileum Cream for a few weeks, consult your doctor, he/she may prescribe you an alternate medicine.
Continue using Pileum Cream for as long as your doctor has prescribed it. Do not be reluctant to speak with your doctor if you experience any difficulty while using Pileum Cream.
No, Pileum Cream should not be used on the face or any other body parts. It is intended to treat pain and discomfort associated with piles and anal fissures.
The symptoms of anal fissures and piles are similar. However, an anal fissure is a small tear in the mucosa that lines the anus, whereas piles are inflamed and swollen veins in the rectum and anus that cause discomfort, pain and bleeding.
Pileum Cream may cause a burning sensation of the skin at the site of application as a temporary side effect. However, if the burning sensation persists or worsens, please consult a doctor.
Pileum Cream may cause side effects such as irritation, redness, itching or burning sensation at the application site. If any of these side effects persist or worsen, please consult your doctor.
Eat a fibre-rich diet, as it can improve the bowel movement. Consume leafy vegetables, whole grains, lentils and fruits. Avoid excessive alcohol consumption and smoking and drink lots of water. Avoid lifting heavy weights as it can put strain on the anal area.
Your doctor will recommend you to make changes in your diet and lifestyle (like enough sleep and plenty of exercises) and sitz bath. In a sitz bath, fill about half the capacity of the tub with warm water and sit in it bare skin to get relief.
It's completely understandable to have concerns about using any medicine during pregnancy. This medicine contains a mild steroid and a blood vessel shrinker, so as a precaution, it should only be used during pregnancy if your doctor explicitly recommends it. Please talk to your doctor or pharmacist — they can help find the safest option for you and your baby.
The exact frequency depends on your specific condition and your doctor's instructions. It is typically applied once or twice daily, usually in the morning and evening, or after a bowel movement. Do not exceed the frequency prescribed by your healthcare provider.
You should consult your doctor before using this medicine if you have high blood pressure or heart disease. It contains an ingredient that narrows blood vessels, which could potentially affect your blood pressure. Talk to your doctor or pharmacist for guidance.
Yes, it can be used for both internal and external Haemorrhoids. For internal use, always use the applicator nozzle provided with the medicine, following your doctor's exact instructions.
While there is no direct interaction between this rectal medicine and alcohol, alcohol can cause dehydration, which may lead to constipation and worsen Haemorrhoids. Talk to your doctor or pharmacist for personalised lifestyle advice.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

INDIA

Manufacturer/Marketer address

61, Kurinji Street, Fathima Nagar, Valasaravakkam, Chennai - 600087
Other Info - PIL0141
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