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ABRILAR SYRUP

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About the medicine

How to use ABRILAR SYRUP

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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 medicine, as 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, 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 it worsens or does not improve after 7 days.

Contents of the leaflet

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

It belongs to the group of topical medicines 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 in 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 medicine (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.

The prolonged use of corticosteroids on the skin (the group of medicines to which Abrasone Rectal belongs) can produce skin atrophy, mucous membrane atrophy, and subcutaneous tissue atrophy. Similarly, prolonged or excessive use, or use with occlusive dressings or materials, can cause generalized effects on the body due to the passage of the medicine into the bloodstream (such as adrenal gland disorders, 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 the 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 a specific treatment. If there is no rapid improvement, you should discontinue treatment until the infection is controlled.
  • Elderly patients, patients with damaged or weakened mucous membranes, 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 medicine contains a component, fluocinonide, which may cause a positive result in doping tests.

Children and adolescents

This medicine is not indicated in children and adolescents under 18 years of age.

Other medicines and Abrasone Rectal

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

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 medicine.

Pregnancy

Its complete safety 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 medicine pass into breast milk. The risk assessment should be performed by the doctor when considering treatment.

Driving and using machines

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

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

This medicine may cause:

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

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

3. How to use Abrasone Rectal

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

The recommended dose is:

Adults:

Use the product 2 to 3 times a day. It is recommended to apply after bowel movements and personal hygiene.

Do not use this medicine for more than 2 weeks continuously. If symptoms worsen or persist after 7 days, consult your doctor.

Method of administration:

This medicine 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 the cream in a thin layer, equivalent to 0.5-1 cm, with a gentle massage.

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

  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 full.
  2. Before inserting it, 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 medicine, overdose 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 medicine 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 other doubts about the use of this medicine, 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 medicines, this medicine 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 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 Medicines and Healthcare Products Agency (AEMPS) website: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Abrasone Rectal

Keep this medicine out of the sight and reach of children. It does not require special storage conditions, although heat exposure should be avoided.

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

Medicines should not be disposed of through wastewater or household waste. Deposit the packages and medicines you no longer need at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of packages and medicines you no longer need. 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 ingredients are Eumulgin B-1 (polyethylene glycol ether of cetyl alcohol), cetyl alcohol, Cutina MD (glycerol 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 for rectal application is included.

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

Online doctors for ABRILAR SYRUP

Discuss questions about ABRILAR SYRUP, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (69)
Doctor

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.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
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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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.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
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  • 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.

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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.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
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  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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€80

Frequently Asked Questions

Is a prescription required for ABRILAR SYRUP?
ABRILAR SYRUP 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 ABRILAR SYRUP?
The active ingredient in ABRILAR SYRUP is Hederae helicis folium. This information helps identify medicines with the same composition but different brand names.
Who manufactures ABRILAR SYRUP?
ABRILAR SYRUP is manufactured by Engelhard Arzneimittel Gmbh & Co. Kg. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ABRILAR SYRUP 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 ABRILAR SYRUP 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 ABRILAR SYRUP?
Other medicines with the same active substance (Hederae helicis folium) include ACTUATOS 35 mg ORAL SOLUTION IN SACHETS, ACTUATOS 7 mg/ml SYRUP, CINFAHELIX SYRUP. 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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