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This document outlines crucial safety information and warnings associated with the use of Proctofoam HC (hydrocortisone / pramoxine). It is essential to understand these risks and precautions to ensure safe usage. Please review these points carefully and seek advice from your healthcare provider if any concerns arise.

• Fire Hazard: Proctofoam HC contains a flammable propellant. Handle with care to prevent fire risks:

  • Avoid storing the can in high temperatures or above 120°F.
  • Do not puncture or damage the can.
  • Steer clear of open flames and avoid smoking during and after application.

• Hormone-related Side Effects: Prolonged use of topical steroids like Proctofoam HC can lead to adrenal suppression, where your body reduces its own steroid hormone production. Sudden discontinuation might cause withdrawal symptoms such as skin swelling, rash, and burning.

  • Risks increase with long-term use, excessive application, or if the affected area is covered with a bandage.
  • Young children are particularly susceptible.

• Skin Problems: Extended use beyond medical advice can lead to skin thinning or bruising. Your healthcare provider will aim to prescribe the minimal effective dose for the shortest duration.

  • Report any new or worsening skin issues immediately.

• Infections: Long-term use heightens the risk of fungal or bacterial skin infections. Avoid using Proctofoam HC on infected skin as it may exacerbate the condition.

  • Notify your healthcare team if you experience redness, swelling, pain, or pus, or if symptoms do not improve within 2 to 3 weeks. These could indicate a new infection.

This medication has no listed contraindications. Always follow your healthcare provider's instructions for safe use of Proctofoam HC.

When using this medication, some common side effects might occur, such as redness, burning, itching, or dry skin at the application site. These effects are usually mild and temporary, but if they persist or become bothersome, consulting your healthcare provider is advisable.

Other side effects that can occur include acne-like bumps, changes in skin color, rash or heat rash, thinning of the skin, or stretch marks. Occasionally, you might notice pruning or wrinkling of the skin and unexpected hair growth. While these effects might be concerning, they are generally manageable with proper care.

It’s important to be aware of more serious side effects, though they are rare. These include symptoms of a serious infection like persistent sore throat or fever, signs of skin infection such as redness, tenderness, or pus, and severe allergic reactions characterized by rash, swelling, or trouble breathing. Seek immediate medical attention if these occur.

Additionally, the medication can rarely be absorbed into the bloodstream, potentially causing effects associated with excessive corticosteroid use. These include unusual tiredness, weight loss, headache, swelling of ankles/feet, increased thirst or urination, vision problems, and symptoms indicative of Cushing syndrome or adrenal gland issues. These severe reactions require urgent medical evaluation.

If you experience any side effects not mentioned here, or if you have concerns about the medication, it's crucial to discuss them with your healthcare provider for appropriate guidance.