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RUSCUS 100 mg/2 mg /8 Mg/5 Mg/1.5 Mg Rectal Semisolid

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Doctor
5.0(36)

Andrei Popov

General medicineFamily medicinePain medicine7 years of experience

Dr. Andrey Popov is a family doctor with specialized training in chronic pain. He provides video consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different solutions without feeling heard. During the consultation, he creates a supportive, non-judgmental environment where the patient’s history can be reviewed in detail, questions can be discussed, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Andrey Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, he reviews the patient’s medical history, laboratory test results, current medications, and previous treatments.

If a patient would like to learn about medication options or has already started treatment, Dr. Popov can assess the individual case, review the response to and tolerability of treatment, and clearly explain its benefits, risks, and possible alternatives.

Not every patient needs the same treatment. A consultation does not guarantee a prescription — it provides an honest medical assessment and a plan tailored to the patient’s individual situation.

Pain and General Medicine

Dr. Popov can also help with:

Chronic pain, migraines, neuralgia, and fibromyalgia.
Back, neck, lower back, or joint pain.
Hypertension, diabetes, and follow-up of chronic conditions.
Review of laboratory test results, medical reports, and treatments.
Preventive medicine and second opinions.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use RUSCUS LLORENS RECTAL OINTMENT

Contents of the leaflet

  1. Introduction
  2. What Ruscus Llorens is and what it is used for
  3. What you need to know before starting to use Ruscus Llorens
  4. How to use Ruscus Llorens
  5. Possible side effects
  6. Storage of Ruscus Llorens
  7. Package contents and additional information

Introduction

Leaflet: Information for the user

Ruscus Llorens rectal ointment

Read the entire leaflet carefully before starting to use this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as 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 they are side effects not listed in this leaflet. See section 4.
  • You should consult your doctor if your symptoms worsen or do not improve after 7 days.

Contents of the leaflet

  1. What Ruscus Llorens is and what it is used for
  2. What you need to know before starting to use Ruscus Llorens
  3. How to use Ruscus Llorens
  4. Possible side effects
  5. Storage of Ruscus Llorens
  6. Package contents and additional information

1. What Ruscus Llorens is and what it is used for

Ruscus Llorens rectal ointment belongs to the group of topical medications for the treatment of hemorrhoids, which contain corticosteroids. It contains active ingredients that contribute to the relief of hemorrhoid symptoms: prednisolone, a corticosteroid with anti-inflammatory activity; ruscogenin, which tones the blood vessels and prevents clot formation; cinchocaine, a local anesthetic for pain; zinc oxide, a skin protector; and levomenthol, to relieve itching.

Ruscus Llorens is indicated for the local symptomatic treatment of anorectal inflammation and itching (pruritus) associated with hemorrhoids in adults.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before starting to use Ruscus Llorens

Do not use Ruscus Llorens:

  • If you are allergic to prednisolone, ruscogenin, cinchocaine hydrochloride, zinc oxide, or levomenthol, or to any of the other components of this medication (listed in section 6).
  • If you have bleeding hemorrhoids.
  • If you have bacterial (e.g., tuberculosis), viral (e.g., herpes), or fungal infections in the area to be treated.

Warnings and precautions

Consult your doctor or pharmacist before starting to use Ruscus Llorens.

  • In case of irritation in the application area, you should discontinue the use of the ointment and, if necessary, your doctor will prescribe appropriate treatment.
  • Avoid contact with the eyes or around the eyes and with other mucous membranes (e.g., the mouth).
  • The application of corticosteroids to extensive areas, prolonged use, or use with occlusive dressings or diapers, may lead to effects in other parts of the body (such as adrenal gland problems, with symptoms of Cushing's syndrome - characterized by a rounded face, fat accumulation, delayed healing, etc. - high blood pressure, etc.), due to the greater amount absorbed.
  • If you have an infection in the area to be treated, consult your doctor before using the medication, who will indicate a specific treatment. If there is no rapid improvement, you should discontinue treatment until the infection is controlled.
  • Contact your doctor if you experience blurred vision or other visual disturbances.
  • Elderly people and debilitated patients or those with damaged mucous membranes should be cautious, as they may be more sensitive to systemic side effects (due to absorption into the body of the active ingredients).

Use in athletes

This medication contains a component, prednisolone, (glucocorticoid) that may produce a positive result in doping tests.

Children and adolescents

Do not administer to children under 18 years of age.

Other medications and Ruscus Llorens

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

Do not apply other products at the same time as this medication.

Pregnancy, breastfeeding, and fertility

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

The use of Ruscus Llorens ointment during pregnancy should be reserved for cases where the therapeutic benefit outweighs the potential risk.

Your doctor will decide whether it is necessary to interrupt breastfeeding or treatment with Ruscus Llorens after considering the benefit of breastfeeding for the child and the benefit of treatment for the mother.

Driving and using machines

The use of this medication does not affect the ability to drive or operate machines.

Ruscus Llorens contains parahydroxybenzoates and cetyl alcohol

It may produce allergic reactions (possibly delayed) because it contains methyl parahydroxybenzoate (E-218), ethyl parahydroxybenzoate (E-214), and propyl parahydroxybenzoate (E-216).

This medication may produce local skin reactions (such as contact dermatitis) because it contains cetyl alcohol.

3. How to use Ruscus Llorens

Follow the administration instructions for the medication contained in this leaflet or as indicated by your doctor or pharmacist. If in doubt, ask your doctor or pharmacist.

Cutaneous and/or rectal use.

Adults:

Applications are recommended after intestinal evacuation and personal hygiene.

Before application, wash the affected area carefully with warm water and mild soap, and dry it. Then, apply a amount of ointment the size of 1 or 2 peas (equivalent to 0.5 - 1 cm) to the anal and/or rectal area, one or two times a day.

In case of internal hemorrhoids, use the cannula that comes with the package by screwing it onto the tube and inserting the tip into the anus. Then, apply a small amount of ointment (1 - 2 cm) exerting gentle pressure on the tube. The cannula will be slowly removed as its contents are emptied.

Do not use Ruscus Llorens for more than 7 days.

If symptoms worsen or persist after 7 days, consult your doctor or pharmacist.

If you use more Ruscus Llorens than you should

Excessive use of topical corticosteroids (repeated overdoses) may produce side effects (see section 4).

In case of accidental ingestion of the tube contents, symptoms such as vomiting, diarrhea, dizziness, among others, may occur. It is recommended to drink a large amount of water or other aqueous liquid and perform symptomatic treatment.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, or go to a medical center indicating the medication and the amount ingested.

If you forget to use Ruscus Llorens

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

If you forget to use the rectal ointment at the scheduled time, apply it as soon as possible and continue with the usual routine.

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, this medication can produce side effects, although not everyone experiences them.

At the recommended doses, local application as recommended is rarely associated with the appearance of systemic side effects (in areas other than the application area).

In isolated cases, local adverse reactions may occur due to hypersensitivity to the preparation, including sensitivity to sunlight (photosensitivity), especially when used on extensive skin areas or in prolonged treatments.

Burning, itching, irritation, dryness, allergic contact dermatitis, skin maceration (softening), etc. may appear in the area around the anus.

If any of the mentioned adverse reactions occur, discontinue treatment and consult your doctor or pharmacist.

With topical corticosteroids, such as one of the components of this medication, other side effects may also occur:

Uncommonly (may affect up to 1 in 100 people): blurred vision.

With a frequency not exactly known from the available data, especially in treatment of extensive areas or with occlusive dressings: skin infection; skin atrophy, dilation of small blood vessels, stretch marks, acne, redness, tingling in hands, feet, or other areas, inflammation around the mouth (perioral dermatitis), changes in skin color, cataracts, decreased heart rate.

Reporting 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 Pharmacovigilance System for Human Use Medications: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Ruscus Llorens

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

Store in the refrigerator (between 2°C and 8°C).

Keep the container perfectly closed to protect it from light.

Do not use this medication after the expiration date shown on the container after CAD. The expiration date is the last day of the month indicated.

Medications should not be thrown down the drain or into the trash. Deposit the containers and medications you no longer need in the SIGRE point of the pharmacy. If in doubt, ask your pharmacist how to dispose of the containers and medications you no longer need. This way, you will help protect the environment.

6. Package contents and additional information

Ruscus Llorens composition

  • The active ingredients are: zinc oxide, prednisolone, ruscogenin, cinchocaine hydrochloride, and levomenthol. Each gram of ointment contains 100 mg of zinc oxide (10%), 1.5 mg of prednisolone (0.15%), 8 mg of ruscogenin (0.8%), 5 mg of cinchocaine hydrochloride (0.5%), and 2 mg of levomenthol (0.2%).
  • The other components (excipients) are: macrogol 4000, macrogol 400, cetyl alcohol, disodium edetate, mixture of parahydroxybenzoates (methyl parahydroxybenzoate (E218), ethyl parahydroxybenzoate (E214), propyl parahydroxybenzoate (E216)), and purified water.

Product appearance and package contents

Ruscus Llorens is a rectal ointment; white, semi-solid, and homogeneous in appearance.

Each tube contains 30 grams of ointment and includes a cannula for rectal application when necessary.

Marketing authorization holder and manufacturer

Marketing authorization holder

Laboratorios Llorens, S.L.

Ciudad de Balaguer, 7-11

08022 Barcelona

Spain

Manufacturer

Laboratorios Llorens, S.L.

Llacuna, 19-21,

08005 Barcelona

Spain

Date of the last revision of this leaflet:December 2023

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

Online doctors for RUSCUS LLORENS RECTAL OINTMENT

Discuss questions about RUSCUS LLORENS RECTAL OINTMENT, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicineFamily medicinePain medicine7 years of experience

Dr. Andrey Popov is a family doctor with specialized training in chronic pain. He provides video consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different solutions without feeling heard. During the consultation, he creates a supportive, non-judgmental environment where the patient’s history can be reviewed in detail, questions can be discussed, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Andrey Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, he reviews the patient’s medical history, laboratory test results, current medications, and previous treatments.

If a patient would like to learn about medication options or has already started treatment, Dr. Popov can assess the individual case, review the response to and tolerability of treatment, and clearly explain its benefits, risks, and possible alternatives.

Not every patient needs the same treatment. A consultation does not guarantee a prescription — it provides an honest medical assessment and a plan tailored to the patient’s individual situation.

Pain and General Medicine

Dr. Popov can also help with:

Chronic pain, migraines, neuralgia, and fibromyalgia.
Back, neck, lower back, or joint pain.
Hypertension, diabetes, and follow-up of chronic conditions.
Review of laboratory test results, medical reports, and treatments.
Preventive medicine and second opinions.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

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.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

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.

Book a video appointment
€75
Doctor
5.0(20)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get RUSCUS LLORENS RECTAL OINTMENT Prescription Online

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3

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

RUSCUS LLORENS 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.

The active ingredient in RUSCUS LLORENS RECTAL OINTMENT is Corticosteroids. This information helps identify medicines with the same composition but different brand names.

RUSCUS LLORENS RECTAL OINTMENT is manufactured by Laboratorios Llorens S.L.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether RUSCUS LLORENS 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.

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy RUSCUS LLORENS RECTAL OINTMENT in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (Corticosteroids) include ABRASONE RECTAL, RECTAL CREAM, ANTIHEMORROIDAL CINFA RECTAL OINTMENT, COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT. 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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