Patient leaflet - PERINAL CUTANEOUS SPRAY
1. WHAT PERINAL CUTANEOUS SPRAY
IS AND WHAT IT IS USED FOR
Perinal Cutaneous Spray is a treatment to
spray on and around your bottom (anus) to
relieve painful and itchy symptoms caused,
for example, by haemorrhoids (piles).
Haemorrhoids are swollen or enlarged blood
vessels that can be either internal (inside the
anus) or external (outside the anus). They
can cause varying degrees of pain, itch and
irritation, particularly after going to the toilet.
Perinal Cutaneous Spray is suitable for
use by adults, the elderly and children
over the age of 14. Children under the age
of 14 may also use it if recommended by
their doctor.
The active ingredients are hydrocortisone
and lidocaine hydrochloride. These work by:
reducing itching and inflammation
(hydrocortisone), and;
relieving pain and discomfort (lidocaine
hydrochloride).
2. BEFORE YOU USE PERINAL CUTANEOUS SPRAY
It is very important that you tell your doctor if:
you have bleeding or persistent pain from
your bottom (anus), especially if associated
with having to go to the toilet more or less
often than you have done in the past;
if your stomach is unusually swollen
or bloated, or;
- if you are losing weight.
Do not delay telling your doctor if you have any of the symptoms above, because you may need urgent treatment.
Do not use Perinal Cutaneous Spray:
if you are allergic (hypersensitive) to
hydrocortisone, lidocaine hydrochloride
or any of the other ingredients of Perinal
Cutaneous Spray listed in Section 6;
- internally (inside the anus);
- anywhere other than over and around the anal area;
- on broken or infected skin.
Take special care when using this product:
Avoid using it continuously for more than
7 days, unless advised by your doctor.
- Keep the spray away from your eyes, nose and mouth.
For children under the age of 14, only use Perinal Cutaneous Spray if recommended by a doctor.
- Contact your doctor if you experience blurred vision or other visual disturbances.
Using other medicines
Tell your doctor or pharmacist if you are using other medicines containing corticosteroids (hydrocortisone is one of a group of medicines called corticosteroids) because the risk of side effects (see Section 4) may be additive. Tell your doctor or pharmacist if you have recently used or been given the following medicines:
- other local anaesthetics.
- medicines to treat an uneven heartbeat, such as amiodarone.
- cimetidine or beta-blockers, which may cause an increase in the blood levels of lidocaine. However this is very unlikely when Perinal Cutaneous Spray used as recommended.
Pregnancy and breast-feeding
Animal birth defects have occurred with similar products containing corticosteroids, so there may be a very small risk of these problems in humans.
You should not use this product if you are pregnant or breast-feeding unless your doctor has recommended you to do so.
Driving and using machinery
Using this product is not known to affect your ability to drive or use machinery.
3. HOW TO USE PERINAL CUTANEOUS SPRAY
Use Perinal Cutaneous Spray only on and around your bottom (anus).
PERINALTM CUTANEOUS SPRAY
hydrocortisone 0.2% w/w / lidocaine hydrochloride monohydrate 1.0% w/w
Read all of this leaflet carefully before using this product.
Keep this leaflet. You may need to read it again. Ask your doctor or pharmacist if you need more information or advice. You must contact a doctor if your symptoms worsen or do not improve. If any of the side effects gets serious, or if you notice any side effect not listed in this leaflet, please tell your doctor or pharmacist.
Prime the pump before use by pressing down on the top of the pump once or twice.
For adults, the elderly and children over 14 years of age:
Parting your buttocks, if necessary, spray
once over the affected area (the spray will operate in any orientation, even upside down).
Repeat up to three times a day if you
need to.
- Replace the cap after use.
- Always wash your hands after use. Stop using the spray after 7 days unless your doctor advises you to carry on with it.
If the spray gets into the eyes it may cause irritation. If it gets into the eyes, rinse the eyes with plenty of water. If rinsing one eye, take care to avoid washing product into the other eye. If irritation persists seek medical attention.
If you occasionally forget to use Perinal Cutaneous Spray, do not worry, just carry on using it when you remember.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Perinal Cutaneous Spray can cause side effects, although not everybody gets them.
You may feel a local tingling sensation
after initial application. This is normal and only temporary.
Rarely, individuals may experience more
persistent discomfort and irritation, in which case they may be allergic to the spray’s ingredients and should stop using it.
Topical corticosteroids are usually well
tolerated when used in the right amount and for the correct length of time. However, prolonged, excessive use, particularly in children, can cause local skin thinning (making the skin damage easily) and adrenal suppression (a type of hormone imbalance that causes generalised effects on the body). Stopping treatment normally corrects these side effects.
Hydrocortisone can cause blurred vision.
The frequency of this is not known. If this happens, stop using this product and tell your doctor.
Topical lidocaine is normally well tolerated
and the amount in Perinal Cutaneous Spray is very small. However, if you feel dizzy, drowsy or experience difficulty breathing, you should stop using this product and seek medical attention.
If any of the side effects get serious, or you notice any other side effects not mentioned in this leaflet, stop using this product and tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also
report side effects directly (see details below). By reporting side effects you can help provide more information on the safety of this medicine.
United Kingdom
Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard
or search for MHRA Yellow Card in the Google Play or Apple App Store.
Ireland
HPRA Pharmacovigilance, Earlsfort Terrace, IRL - Dublin 2; Tel: +353 1 6764971; Fax: +353 1 6762517. Website: www.hpra.ie; E-mail: medsafety@hpra.ie.
5. HOW TO STORE PERINAL CUTANEOUS SPRAY
- Keep this medicine out of the sight and reach of children.
- Always replace the cap tightly after use.
- Do not store the product above 25°C.
- Do not use this medicine after the expiry date which is stated on the tube and carton after EXP. The expiry date refers to the last day of that month.
- Do not throw away any medicine via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Perinal Cutaneous Spray contains:
The active ingredients are hydrocortisone (0.2% w/w) and lidocaine hydrochloride monohydrate (1.0% w/w).The other ingredients are macrogol cetostearyl ether (cetomacrogol 1000), citric acid monohydrate, sodium citrate, propyl gallate, phenoxyethanol and purified water.
What Perinal Cutaneous Spray looks like and contents of the pack
- The spray is a colourless to pale yellow solution.
- It is available in 30 ml collapsible tubes fitted with spray pumps and caps. The Marketing Authorisation holder is Dermal Laboratories, Hitchin, Herts, SG4 7QR, UK.
The Manufacturer is Fleet Laboratories Ltd, 94 Rickmansworth Road, Watford, Herts, WD18 7JJ, UK.
This leaflet was last revised in
October 2019.
To listen to or request a copy of this leaflet in Braille, large print or audio, please call free of charge: 0800 198 5000 (UK only)
Please be ready to give the following information: Perinal Cutaneous Spray, PL 00173/0049.
This is a service provided by the Royal National Institute of Blind People.