If your prescribed cream is unavailable, there is no need to worry as several highly effective generic alternatives exist. You can ask your pharmacist for a cream/ointment containing a combination of lidocaine (a local anesthetic to relieve pain and itching) and hydrocortisone (a mild steroid to reduce swelling and inflammation). Other suitable substitutes may contain zinc oxide to protect the skin or phenylephrine to shrink swollen blood vessels. Please consult with your pharmacist or healthcare provider to select the most appropriate generic formulation available at your local pharmacy to ensure it safely meets your needs.