Slideshows Images Quizzes

Anusol Rectal

Last reviewed on RxList: 7/29/2016
Drug Description

Anusol-HC®,
(hydrocortisone acetate) Rectal Suppositories, 25 mg

DESCRIPTION

Each Anusol-HC® 25-mg Suppository contains 25 mg hydrocortisone acetate in a hydrogenated vegetable oil base. Hydrocortisone acetate is a corticosteroid. Chemically, hydrocortisone acetate is pregn-4-ene-3, 20-dione, 21-(acetyloxy)-11, 17-dihydroxy (11)- with the following structural formula:

Anusol-HC® (hydrocortisone acetate) Structural Formula Illustration

Indications & Dosage

INDICATIONS

For use in inflamed hemorrhoids, post-irradiation (factitial) proctitis, as an adjunct in the treatment of chronic ulcerative colitis, cryptitis, other inflammatory conditions of the anorectum, and pruritis ani.

DOSAGE AND ADMINISTRATION

Usual Dosage

One suppository in the rectum morning and night for two weeks, in nonspecific proctitis. In more severe cases, one suppository three times daily; or two suppositories twice daily. In factitial proctitis, recommended therapy is six to eight weeks or less, according to response.

HOW SUPPLIED

Anusol-HC® 25-mg Suppositories are white, cylinder shaped, with one end tapered. Package of 12 suppositories (NDC 65649-411-12) and package of 24 suppositories (NDC 65649-411-24).

Store at 20°–25°C (68°–77°F). See USP controlled room temperature. Store away from heat. Protect from freezing.

Opening Instructions

Opening Instructions - Illustration

Avoid excessive handling of the suppository. It is designed to melt at body temperature.

  1. Separate plastic film at top opening and pull downward.
  2. Continue pulling downward to almost the full length of the suppository.
  3. Gently remove the suppository from the film pocket.

Manufactured for: Salix Pharmaceuticals, Inc., Raleigh, NC 27615. October 2011

Side Effects & Drug Interactions

SIDE EFFECTS

The following local adverse reactions have been reported with corticosteroid suppositories.

  1. Burning
  2. Itching
  3. Irritation
  4. Dryness
  5. Folliculitis
  6. Hypopigmentation
  7. Allergic contact dermatitis
  8. Secondary infection

Drug Abuse And Dependence

Drug abuse and dependence has not been reported in patients treated with Anusol-HC® suppositories.

DRUG INTERACTIONS

No information provided.

FDA Logo

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

Warnings & Precautions

WARNINGS

No information provided.

PRECAUTIONS

Do not use unless adequate proctologic examination is made.

If irritation develops, the product should be discontinued and appropriate therapy instituted.

In the presence of an infection, the use of an appropriate antifungal or antibacterial agent should be instituted. If a favorable response does not occur promptly, the corticosteroid should be discontinued until the infection has been adequately controlled.

No long-term studies in animals have been performed to evaluate the carcinogenic potential of corticosteroid suppositories.

Pregnancy Category C

In laboratory animals, topical steroids have been associated with an increase in the incidence of fetal abnormalities when gestating females have been exposed to rather low dosage levels. There are no adequate and well-controlled studies in pregnant women. Anusol-HC® suppositories should only be used during pregnancy if the potential benefit justifies the risk to the fetus. Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.

It is not known whether this drug is excreted in human milk, and because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from Anusol-HC® suppositories, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Overdosage & Contraindications

OVERDOSE

If signs and symptoms of systemic overdosage occur, discontinue use.

CONTRAINDICATIONS

Anusol-HC® suppositories are contraindicated in those patients with a history of hypersensitivity to any of the components.

Clinical Pharmacology

CLINICAL PHARMACOLOGY

In normal subjects, about 26 percent of hydrocortisone acetate is absorbed when the hydrocortisone acetate suppository is applied to the rectum. Absorption of hydrocortisone acetate may vary across abraded or inflamed surfaces.

Topical steroids are primarily effective because of their antiinflammatory, anti-pruritic and vasoconstrictive action.

Medication Guide

PATIENT INFORMATION

Staining of fabric may occur with use of the suppository.

Precautionary measures are recommended.

Health Solutions From Our Sponsors