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COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT

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About the medicine

How to use COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Cohortan 5 mg/g + 5 mg/g Rectal Ointment

Hydrocortisone, Cincocaine Hydrochloride

Read all of this leaflet carefully before you start using this medicine.It contains important information for you.

  • Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.
  • Keep this leaflet, you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist even if it is a side effect not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days.

Contents of the Package Leaflet:

  1. What is Cohortan and what is it used for
  2. What you need to know before using Cohortan
  3. How to use Cohortan
  4. Possible side effects
  5. Storage of Cohortan
  6. Contents of the pack and further information

1. What is Cohortan and what is it used for

This medicine belongs to the group of medicines called "topical anti-hemorrhoidal preparations containing corticosteroids".

This medicine owes its activity to its two active principles, hydrocortisone (anti-inflammatory) and cincocaine hydrochloride (local anesthetic).

It is indicated for local relief of pain, itching, burning, and inflammation associated with hemorrhoids in adults.

Doctor consultation

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2. What you need to know before using Cohortan

  • Do not usethis medicine if you are allergic to hydrocortisone and/or cincocaine or to any of the other components of this medicine (listed in section 6).
  • If you have hemorrhoidal bleeding. If you have uncontrolled bacterial, viral, or fungal infections.
  • If you have tuberculosis.

Warnings and Precautions

Consult your doctor or pharmacist before starting to use this medicine.

  • Contact your doctor if you experience blurred vision or other visual disturbances.

It should be used with the following precautions:

  • Continuous use of this medicine should not exceed 7 days.
  • Any contact with the eyes, mouth, open wounds, as well as with mucous membranes (e.g., genital area) should be avoided. In case of accidental application to these areas, rinse with plenty of water.
  • In case of irritation in the application area, the use of this medicine should be suspended and, if necessary, appropriate treatment should be initiated.
  • If an associated infection occurs, it is advisable to incorporate specific complementary treatment.
  • Although the medicine is applied locally, absorption of the product may occur, and in the case of prolonged treatments, possible systemic side effects of the active principle should be monitored.
  • Corticosteroids, such as hydrocortisone, have significant effects on the body. To limit the generalized absorption of the medicine into the blood and reduce the risk of side effects, treatment in extensive areas, for long periods, and with occlusive dressings (under materials impermeable to air and water, such as bandages, dressings, or diapers, with little transpiration) should be avoided; otherwise, alterations such as increased blood pressure, diabetes, Cushing's syndrome (disease caused by increased cortisol hormone), as well as stretch marks and skin atrophy may be observed.

Children and Adolescents

This medicine is not indicated in children and adolescents.

Other Medicines and Cohortan

Inform your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

To date, no interactions of this medicine have been described under the approved conditions of use in this leaflet, but it should not be used at the same time with other medicines that must be applied to the same anorectal area, unless indicated by your doctor or pharmacist.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Pregnancy

Its safety for use during pregnancy has not been established; therefore, if your doctor prescribes this medicine during pregnancy, it should not be used on extensive areas of your body, nor for long periods, nor with occlusive dressings, due to the possibility of systemic absorption (generalized absorption of the medicine into the blood).

Breastfeeding

It is unknown whether topical corticosteroids pass into breast milk; therefore, caution is advised if they need to be used during breastfeeding.

Driving and Using Machines

No effects on the ability to drive and use machines have been described.

Cohortan contains Castor Oil

This medicine may cause skin reactions because it contains castor oil.

Use in Athletes

This medicine contains hydrocortisone, which may produce a positive result in doping tests.

3. How to use Cohortan

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

Recommended dose

It is recommended to apply a small amount of ointment equivalent to two centimeters in the anal and/or rectal area two or three times a day.

Method of administration

  • It is advisable to perform the applications in the morning and at night, preferably after intestinal evacuation and personal hygiene.
  • Prior to application, the area should be cleaned with warm water and soap, and the ointment should be applied with a clean gauze or, in the case of internal hemorrhoids, using the attached cannula. Remove the cap and puncture the tube. Screw on the cannula. Insert the cannula into the rectum, pressing on the tube to deposit an amount of ointment equivalent to approximately 1 or 2 centimeters. Slowly remove the cannula as its contents are emptied. It is also advisable to apply a small amount to the outside of the anal orifice and the folds of the anal margins.
  • Wash your hands immediately before and after each application.

You should consult a doctor if it worsens or does not improve after 7 days or if bleeding appears.

If you use more Cohortan than you should:

If you have used more medicine than you should, or in case of accidental ingestion of the product, consult your doctor, pharmacist, or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount used.

If you forget to use Cohortan

Apply this medicine as soon as possible.

Do not use a double dose to make up for forgotten doses.

If you stop treatment with Cohortan

If you have any other doubts about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

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4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Blurred vision may appear with an unknown frequency. In isolated cases, local adverse reactions may occur, mainly due to hypersensitivity to the preparation, and even more so in prolonged treatments. At the recommended doses, systemic side effects (not local) are rarely produced. If sensitivity or irritation occurs in the treated area, treatment should be suspended.

Corticosteroids, if used excessively or for a prolonged period, can cause adverse reactions such as sodium and water retention with edema, mobilization of calcium and phosphates, elevation of blood glucose levels, delayed wound healing, and increased propensity to infections. Adrenal suppression may occur, which can be prolonged over time if treatment has been prolonged. In this case, the interruption of treatment should be gradual.

However, given the recommended duration of treatment with this medicine (7 days), such side effects are not expected.

If you observe any other reaction not described in this leaflet, consult your doctor or pharmacist.

Reporting of side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Cohortan

Keep this medicine out of the sight and reach of children.

Keep the tube perfectly closed. Do not store at a temperature above 30°C.

Do not use this medicine after the expiration date stated on the packaging after CAD. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and medicines you no longer need at the SIGRE point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Contents of the pack and further information

Composition of Cohortan

  • The active principles are hydrocortisone and cincocaine hydrochloride. Each gram of ointment contains 5 mg of hydrocortisone and 5 mg of cincocaine hydrochloride.
    • The other components are: castor oil, α-tocopherol, liquid vaseline, and solid vaseline.

Appearance of the product and contents of the pack

Rectal ointment, white, soft, and homogeneous in appearance, similar to vaseline, and barely perceptible odor.

This medicine is packaged in a 30g aluminum tube, internally coated, closed with a cap, and accompanied by a plastic cannula.

Marketing Authorization Holder

LABORATORIO REIG JOFRE, S.A.

Gran Capitán 10,

08970 Sant Joan Despí

Barcelona, Spain

Manufacturer

Bioglan AB

Box 50310. 202 13 Malmö

Date of the last revision of this leaflet: August 2021

Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT

Discuss questions about COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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5.0 (898)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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€80
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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€50
0.0 (0)
Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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€55

Frequently Asked Questions

Is a prescription required for COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT?
COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT?
The active ingredient in COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT is hydrocortisone. This information helps identify medicines with the same composition but different brand names.
Who manufactures COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT?
COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT is manufactured by Laboratorio Reig Jofre, S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT?
Other medicines with the same active substance (hydrocortisone) include ANTIHEMORROIDAL CINFA RECTAL OINTMENT, HEMORRANE 10 mg/g RECTAL OINTMENT, ABRASONE RECTAL, RECTAL CREAM. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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