Proctosan® Neo (Heparin, Polidocanol, Prednisolone) Ointment and Suppository

What is Proctosan® Neo Ointment and Suppository?

Proctosan® Neo is a medication designed to provide relief for hemorrhoids and other related anorectal conditions.

Available as an ointment and suppository, this product combines heparin, prednisolone, and polidocanol to offer anti-inflammatory, anti-itching, and wound-healing properties.

It is primarily used to alleviate symptoms such as pain, swelling, and discomfort associated with both internal and external hemorrhoids.

The ointment is for external use, while the suppositories are administered rectally for internal relief.

Composition of Proctosan® Neo Ointment (per 1 g):

• Heparin sodium: 65 IU
• Prednisolone acetate: 2.233 mg
• Polidocanol (macrogol lauryl ether): 30 mg

Excipients:

• Hard paraffin
• Liquid paraffin
• Lanolin
• Colloidal anhydrous silica

Composition of Proctosan® Neo Suppositories (per 1 suppository):

• Heparin sodium: 120 IU
• Prednisolone acetate: 1.675 mg
• Polidocanol (macrogol lauryl ether): 30 mg

Excipients:

• Medium-chain triglycerides (Mygliol 812)
• Colloidal anhydrous silica
• Glycerol tristearate
• Hard fat (Novata B)

How does Proctosan® Neo work?

The active ingredients in Proctosan® Neo each have a specific function that helps treat anorectal conditions:

• Heparin works as an anticoagulant, reducing blood clot formation in hemorrhoidal veins.
• Prednisolone is a corticosteroid that reduces inflammation and itching.
• Polidocanol helps alleviate pain and itching by providing a local anesthetic effect.

These components work together to provide effective relief from hemorrhoid symptoms, promote healing, and prevent complications such as thrombosis.

What are the indications for using Proctosan® Neo?

Proctosan® Neo is recommended for various anorectal conditions, including:

• Internal and external hemorrhoids
• Thrombophlebitis of hemorrhoidal veins
• Anal fissures
• Anal fistulas, eczema, and itching in the anal area
• Preparation for anorectal surgery
• Post-operative care in cases of hemorrhoid surgery or thrombosis

How should Proctosan® Neo be applied?

For the ointment:
Apply a thin layer to the affected area 2-4 times a day. Once symptoms improve, reduce the application to once daily for up to 7 days. For internal use, the ointment can be inserted rectally using the applicator provided.

For the suppositories:
Insert one suppository into the rectum 1-2 times a day after a bowel movement. The typical treatment duration is 7 days, but always follow your doctor's advice for specific dosing.

What precautions should be taken before using Proctosan® Neo?

Before using this product, ensure you are not allergic to any of its ingredients. It should be avoided if you have certain conditions, such as:

• Bacterial, viral, or fungal skin infections
• Tuberculosis or syphilis affecting the skin
• Skin tumors
• A predisposition to bleeding
• First trimester of pregnancy
• Children under 12 years of age

Pregnant women in their second or third trimester, as well as nursing mothers, should consult a doctor before using Proctosan® Neo to assess potential risks.

What are the potential side effects of Proctosan® Neo?

While Proctosan® Neo is generally well-tolerated, some individuals may experience side effects. These are classified as:

• Rare: Allergic reactions, skin redness
• Very rare: Skin atrophy, delayed healing of fissures, or swelling, especially with prolonged use or application to large areas of the skin.

If you notice any severe or unexpected side effects, contact your healthcare provider immediately.

How should Proctosan® Neo be stored?

Store Proctosan® Neo at a temperature not exceeding 25°C (77°F).

Keep it out of reach of children and do not use it past the expiration date.

After opening the tube of ointment, it should be used within 28 days.

Can Proctosan® Neo affect my ability to drive or operate machinery?

Proctosan® Neo does not impair your ability to drive or operate machinery, making it a safe option for individuals needing to maintain daily activities while undergoing treatment.