Topical steroid + local anaesthetic
Hydrocortisone with lidocaine
Brand names: Xyloproct
Adult dose
Dose: Apply/insert ointment or suppository BD or after each bowel motion (max 7 days)
Route: Topical (anorectal)
Frequency: BD
Clinical pearls
- Symptomatic haemorrhoids and anal fissure; short courses only
Contraindications
- Untreated anorectal infection
- Hypersensitivity
Side effects
- Local irritation
- Hypersensitivity
- Methaemoglobinaemia (rare)
Reference: BNF; https://bnf.nice.org.uk/drugs/hydrocortisone-with-lidocaine/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- ASA Physical Status Classification · Pre-operative Risk
- Local Anaesthetic Maximum Dose Calculator · Drug Dosing
- Steroid Dose Equivalence · Medications
- Adrenal Insufficiency Assessment · Adrenal
- Adrenal Crisis Risk Score · Adrenal Disorders
- Lille Model (Steroid Response in Alcoholic Hepatitis) · Alcoholic Liver Disease
Pathways
- Major Trauma — Primary Survey (ATLS) · ATLS 10th Edition; JRCALC; NICE NG39
- Major Haemorrhage / Massive Transfusion · BCSH; RCOA; RCEM; RCS — BCSH Guidelines
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- Faecal Peritonitis · ASGBI; RCS — Best Practice
- Acute Compartment Syndrome · BAPRAS; BOA; RCS — Best Practice