GENERIC NAME: HYDROCORTISONE/LIDOCAINE - TOPICAL (HYE-droe-KOR-ti-sone/LIE-doh-cane)
BRAND NAME(S): Lida Mantle HC
USES: This combination medication is used to treat irritation, soreness, and itchiness from certain skin conditions (e.g., scrapes, minor burns, eczema, insect bites). It can also be used to treat minor discomfort and itching caused by hemorrhoids and other problems of the anal area (e.g., anal fissures). This medication contains lidocaine, an anesthetic that works to decrease pain by temporarily numbing the area. This product also contains hydrocortisone, a corticosteroid that reduces redness, itching, and swelling.
HOW TO USE: Wash your hands before applying the medication. Clean and dry the area to be treated.Apply a thin layer of medication to the affected area of skin 2 or 3 times daily or as directed by your doctor. If you are using the medicated pads, use each pad only once and discard the pad after one use. Do not save used pads for later.To apply this medication to the outside of the anus, apply a small amount to the affected area and rub in gently. Do not apply this medication inside the anus.Dosage is based on your medical condition and response to therapy. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day.Do not use on large areas of the body, apply heat or cover the area with waterproof bandages or plastic unless directed to do so by your doctor. If used in the diaper area on an infant, do not use tight-fitting diapers or plastic pants. These may increase the risk of serious side effects.Wash hands immediately after use unless you are treating an area on the hands. Avoid getting the product in your eyes, nose, ears, or mouth. If the medication gets in these areas, rinse the area immediately with clean water.Do not use more of this product, use it more often, or keep using it longer than prescribed by your doctor. If you have been using this medication for a long time or in high doses, do not suddenly stop using it without your doctor's approval. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased.Inform your doctor if your condition does not improve or if it worsens after 1 to 2 weeks.
SIDE EFFECTS: Redness, swelling, or temporary numbness at the treated area may occur. If any of these effects persist or worsen, notify your doctor.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: change in skin appearance (e.g., color, stretch marks, thinning skin), skin redness/tenderness/pus or other signs of infection.Tell your doctor immediately if any of these rare but very serious side effects occur: slow/shallow breathing, slow/irregular heartbeat, signs of serious infection (e.g., fever, persistent sore throat), seizures.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice any other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: Before using this product, tell your doctor or pharmacist if you are allergic to lidocaine; or to other amide anesthetics (e.g., bupivacaine, prilocaine); or to hydrocortisone; or if you have any other allergies.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: fungal infection (e.g., "athlete's foot"), tuberculosis (current or inactive), certain kind of virus infection (e.g., chickenpox, herpes).Before using this medication, tell your doctor or pharmacist your medical history, especially of: diabetes, eye problems, infections (especially skin sores/infections), liver disease, stomach/intestinal problems.If there is an infection or sore in the area to be treated, do not use this medication without consulting your doctor first.Children may be more sensitive to the effects of too much corticosteroid medication. Consult your doctor for more details.During pregnancy, this medication should be used only when clearly needed. It should not be used for long periods of time or in large amounts. Discuss the risks and benefits with your doctor.It is not known if this medication passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: class I antiarrhythmic drugs (e.g., disopyramide, procainamide, quinidine), other corticosteroids/immunosuppressant drugs (e.g., cyclosporine, prednisone).This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
OVERDOSE: This medicine may be harmful if swallowed. If overdose or swallowing is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center.
NOTES: This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case.
MISSED DOSE: If you miss a dose, use it as soon as you remember unless it is almost time for the next dose. In that case, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C). Do not refrigerate. Keep all medicines away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.MEDICAL ALERT: Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-800-854-1166 (USA) or 1-800-668-1507 (Canada).
Related Disease Conditions
Hemorrhoids (piles) are swollen veins in the rectum and anus. Causes include pregnancy, obesity, diarrhea, low-fiber diet, and prolonged sitting on the toilet. Treatment varies depending upon the severity of the hemorrhoids. Some treatment options include over-the-counter creams and suppositories, stool softeners, warm sitz baths, and hemorrhoidectomies.
Cuts, Scrapes, and Puncture Wounds
Cuts, scrapes, and puncture wounds are common, and most people will experience one of these in their lifetime. Evaluating the injury, and thoroughly cleaning the injury is important. Some injuries should be evaluated by a doctor, and a tetanus shot may be necessary. Treatment will depend upon the severity of the injury.
Burns (First Aid)
Burn types are based on their severity: first-degree burns, second-degree burns, and third-degree burns. First-degree burns are similar to a painful sunburn. The damage is more severe with second-degree burns, leading to blistering and more intense pain. The skin turns white and loses sensation with third-degree burns. Burn treatment depends upon the burn location, total burn area, and intensity of the burn.
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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.