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ABRASONE RECTAL, RECTAL CREAM

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About the medicine

How to use ABRASONE RECTAL, RECTAL CREAM

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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

Leaflet: information for the user

Abrasone Rectal, Rectal Cream

Fluocinonide/Ruscogenine/Hexetidine

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 not listed in this leaflet. See section 4.
  • You should consult your doctor if your condition worsens or does not improve after 7 days.

Contents of the leaflet

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

1. What Abrasone Rectal is and what it is used for

It belongs to the group of topical medications for the treatment of hemorrhoids, which contain corticosteroids. The active ingredients contribute to the relief of hemorrhoid symptoms: fluocinonide, a corticosteroid with anti-inflammatory activity; ruscogenine, which tones the blood vessels and prevents clot formation, and hexetidine, an antiseptic.

Abrasone Rectal is indicated for the local symptomatic treatment of anorectal inflammation and anal pruritus (itching) associated with hemorrhoids.

Abrasone Rectal is indicated for adults over 18 years of age.

Doctor consultation

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2. What you need to know before starting to use Abrasone Rectal

  • If you are allergic to fluocinonide, ruscogenine, hexetidine, or any of the other components of this medication (listed in section 6).
  • If you currently have a bacterial (e.g., tuberculosis), viral (e.g., herpes), or fungal infection in the area to be treated.
  • If you have bleeding hemorrhoids.

Warnings and precautions

Consult your doctor or pharmacist before starting to use Abrasone Rectal.

Prolonged use of corticosteroids on the skin (the group of medications to which Abrasone Rectal belongs) can cause skin atrophy, mucous membrane atrophy, and subcutaneous tissue atrophy. Similarly, prolonged or excessive use, or use with occlusive dressings or materials, can lead to systemic effects (such as adrenal gland problems, with symptoms of Cushing's syndrome - characterized by a rounded face, fat accumulation, delayed wound healing, etc. - high blood pressure, etc.).

  • Avoid contact with the eyes or surrounding areas and with other mucous membranes (e.g., the mouth).
  • In case of irritation in the application area, you should discontinue use of the cream and, if necessary, your doctor will prescribe appropriate treatment.
  • If you have an infection in the area to be treated, consult your doctor before use, who will indicate specific treatment. If there is no rapid improvement, you should discontinue treatment until the infection is controlled.
  • Elderly patients, patients with damaged mucous membranes, or weakened patients should be cautious, as they may be more sensitive to systemic side effects (due to absorption of the active ingredients into the body).
  • Contact your doctor if you experience blurred vision or other visual disturbances.
  • In case of bleeding, consult your doctor and/or pharmacist as soon as possible. Use in athletes

This medication contains a component, fluocinonide, which may result in a positive doping test result.

Children and adolescents

This medication is not indicated for children and adolescents under 18 years of age.

Other medications and Abrasone Rectal

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 to the same area at the same time.

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.

Pregnancy

The complete safety of this medication in pregnant women has not been established. Prolonged use or use on large areas in pregnant women or women who may become pregnant is not recommended.

The use of Abrasone Rectal during pregnancy should be reserved for cases where the therapeutic benefit outweighs the potential risk.

Breastfeeding

It is unknown whether the active ingredients of this medication pass into breast milk. The risk assessment should be performed by the doctor when considering treatment.

Driving and using machines

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

Abrasone Rectal contains cetyl alcohol, methylparaben (E-218), and propylene glycol

This medication may cause:

  • Local skin reactions (such as contact dermatitis) due to cetyl alcohol.
  • Allergic reactions (possibly delayed) due to methylparaben (E-218).

This medication contains 10 mg of propylene glycol per gram of cream.

3. How to use Abrasone Rectal

Follow the administration instructions for this medication as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

The recommended dose is:

Adults:

Use the product 2 to 3 times a day. Applications should be made after bowel movements and personal hygiene.

Do not use this medication for more than 2 weeks continuously. If your condition worsens or does not improve within 7 days, consult your doctor.

Method of administration:

This medication is for cutaneous use in the anal area and/or rectal use.

Clean the affected area carefully with warm water and mild soap, and apply a thin layer of cream, equivalent to 0.5-1 cm, with gentle massage.

For intrarectal applications (inside the rectum), use the cannula provided with the packaging:

  1. Screw the cannula onto the tube after removing the cap and piercing the tube (if using for the first time), and press the tube until the cannula is filled.
  2. Before insertion, lubricate the anal sphincter with the same cream to facilitate penetration.
  3. Apply the cream with the cannula, approximately 1-2 cm. The cannula should be slowly withdrawn as it empties.
  4. Then, wash the cannula carefully before storing it.

If you use more Abrasone Rectal than you should

Given the route of administration of this medication, intoxication is unlikely.

In case of accidental ingestion, symptoms such as palpitations and occasionally high blood pressure may occur. It is recommended to drink plenty 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 used/taken.

If you forget to use Abrasone Rectal

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

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

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

In case of repeated administration of corticosteroids on the skin or with occlusive dressings or materials, the following local effects have been described: burning, itching, irritation, dryness, allergic or contact dermatitis, secondary infection, skin atrophy, stretch marks, redness at the application site, dilation of small blood vessels, changes in skin color.

At the recommended doses, local application is rarely associated with the appearance of generalized side effects that can affect other areas of the body (see also the Warnings and precautions section).

The following may occur: Bacterial and fungal secondary infections; suppression of the hypothalamic-pituitary-adrenal axis, Cushing's syndrome; Blurred vision, cataracts; Contact dermatitis, allergic dermatitis; Hypopigmentation, pruritus, and erythema at the application site, telangiectasia, stretch marks, dryness, burning sensation, and skin atrophy. (Frequency not known: cannot be estimated from available data).

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

5. Storage of Abrasone Rectal

Keep this medication out of the sight and reach of children. It does not require special storage conditions, although it should be protected from heat.

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

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and any unused medication in the SIGRE collection point at your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Package contents and additional information

  • The active ingredients are fluocinonide, ruscogenine, and hexetidine. Each gram of cream contains 0.25 mg of fluocinonide (0.025%), 8 mg of ruscogenine (0.8%), and 1 mg of hexetidine (0.1%).

  • The other components are Eumulgin B-1 (polyethylene glycol ether of cetyl alcohol), cetyl alcohol, Cutina MD (glyceryl stearate), isopropyl myristate, menthol, propylene glycol (E-1520), liquid paraffin, methylparaben (E-218), and purified water.

Appearance of the product and package contents

Abrasone Rectal is a rectal cream, white in color, with a menthol odor.

Each tube contains 30 g of cream. A cannula is included for rectal application when necessary.

Marketing authorization holder and manufacturer

Marketing authorization holder: Anotaciones Farmacéuticas S.L.

Ctra. de Rubí a Sant Cugat, Km 1, nº 40-50. 08174 - Sant Cugat del Vallés. Barcelona (Spain)

Manufacturer: LABORATORIOS BOHM, C./ Molinaseca 23, polígono industrial Cobo Calleja. 28947 Fuenlabrada (Madrid)

Date of the last revision of this leaflet:November 2019.

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

Online doctors for ABRASONE RECTAL, RECTAL CREAM

Discuss questions about ABRASONE RECTAL, RECTAL CREAM, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Nuno Tavares Lopes

Family medicine 18 years exp.

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.

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Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

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Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Doctor

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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.

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Frequently Asked Questions

Is a prescription required for ABRASONE RECTAL, RECTAL CREAM?
ABRASONE RECTAL, RECTAL CREAM 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 ABRASONE RECTAL, RECTAL CREAM?
The active ingredient in ABRASONE RECTAL, RECTAL CREAM is fluocinonide. This information helps identify medicines with the same composition but different brand names.
Who manufactures ABRASONE RECTAL, RECTAL CREAM?
ABRASONE RECTAL, RECTAL CREAM is manufactured by Anotaciones Farmaceuticas, S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ABRASONE RECTAL, RECTAL CREAM 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 ABRASONE RECTAL, RECTAL CREAM 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 ABRASONE RECTAL, RECTAL CREAM?
Other medicines with the same active substance (fluocinonide) include ANTIHEMORROIDAL CINFA RECTAL OINTMENT, COHORTAN 5 mg/g + 5 mg/g RECTAL OINTMENT, HEMORRANE 10 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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