Proctofoam HC, illustration of tablet bottle form (not a photo of the actual pack)

Illustrative image.

Proctofoam HC

Pramocaine

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$94.00

1% · 1 bottle

BrandBranded medicine

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FDA boxed warning

Keep this insert. It contains important information about the use of procotofoam® HC.

1. Place cap on top of container. Shake foam container vigorously for 5-10 seconds before each use. Do not remove container cap during use of the product.

2. Hold container upright on a level surface and gently place the tip of the applicator onto the nose of the container cap. CONTAINER MUST BE HELD UPRIGHT TO OBTAIN PROPER FLOW OF MEDICATION.

3. Pull plunger past the fill line on the applicator barrel.

Steps 4-7 are continued on the other side.

4. Hold the container and applicator at eye level. Place the index and middle fingers on the container cap flanges and the thumb beneath the container. Support the applicator with your other hand. Prime the container by pressing down firmly on flanges and then release. With initial priming, a burst of air may come out of the container. It usually requires 1-2 pumps for foam to appear.

5. To fill applicator barrel, press down firmly on cap flanges, hold for 1-2 seconds, and release. Wait 5-10 seconds to allow foam to expand in applicator barrel. Repeat until foam reaches fill line. It usually requires 3-4 pumps for foam to reach fill line. Remove applicator from container cap. Note: if foam goes beyond fill line, it will continue to expand and flow backwards resulting in foam build-up under cap.

6. Hold applicator firmly by barrel, making sure thumb and middle finger are positioned securely underneath and resting against barrel wings. Place index finger over the plunger. Gently insert tip into anus. Once in place, push plunger to expel foam, then withdraw applicator. CAUTION: Do not insert any part of the aerosol container directly into the anus. Apply to anus only with enclosed applicator. Do not insert any part of applicator past the anus into rectum.

7. After each use, applicator parts should be pulled apart for thorough cleaning with warm water. Since some foam will appear under the cap, the cap and underlying tip should be pulled apart and rinsed to help prevent build-up of foam and possible blockage.

Read this with the rest of the clinical information

About Proctofoam HC

Overview

Proctofoam HC is a topical foam for anal use containing hydrocortisone acetate and pramoxine hydrochloride. It is used to relieve inflammation and itching from skin conditions in the anal region that respond to corticosteroids. Hydrocortisone reduces inflammation and itching, while pramoxine acts as a local anesthetic to numb the area.

What it treats

Inflammation and itching caused by skin conditions in the anal region that respond to corticosteroids.

Safety information

Side effects

Burning, itching, irritation and dryness are the most frequently listed local side effects, although the label describes these reactions as infrequent with topical corticosteroids. Other reported effects include inflamed hair follicles, increased hair growth, acne-like breakouts, lighter skin colour, a rash around the mouth, allergic contact dermatitis, softened or soggy skin, secondary skin infection, thinning skin, stretch marks and heat rash. These reactions may occur more often when the treated area is covered with an airtight dressing. The label extract does not classify these effects by seriousness or specify when to contact a doctor.

FDA boxed warning

Keep this insert. It contains important information about the use of procotofoam® HC.

1. Place cap on top of container. Shake foam container vigorously for 5-10 seconds before each use. Do not remove container cap during use of the product.

2. Hold container upright on a level surface and gently place the tip of the applicator onto the nose of the container cap. CONTAINER MUST BE HELD UPRIGHT TO OBTAIN PROPER FLOW OF MEDICATION.

3. Pull plunger past the fill line on the applicator barrel.

Steps 4-7 are continued on the other side.

4. Hold the container and applicator at eye level. Place the index and middle fingers on the container cap flanges and the thumb beneath the container. Support the applicator with your other hand. Prime the container by pressing down firmly on flanges and then release. With initial priming, a burst of air may come out of the container. It usually requires 1-2 pumps for foam to appear.

5. To fill applicator barrel, press down firmly on cap flanges, hold for 1-2 seconds, and release. Wait 5-10 seconds to allow foam to expand in applicator barrel. Repeat until foam reaches fill line. It usually requires 3-4 pumps for foam to reach fill line. Remove applicator from container cap. Note: if foam goes beyond fill line, it will continue to expand and flow backwards resulting in foam build-up under cap.

6. Hold applicator firmly by barrel, making sure thumb and middle finger are positioned securely underneath and resting against barrel wings. Place index finger over the plunger. Gently insert tip into anus. Once in place, push plunger to expel foam, then withdraw applicator. CAUTION: Do not insert any part of the aerosol container directly into the anus. Apply to anus only with enclosed applicator. Do not insert any part of applicator past the anus into rectum.

7. After each use, applicator parts should be pulled apart for thorough cleaning with warm water. Since some foam will appear under the cap, the cap and underlying tip should be pulled apart and rinsed to help prevent build-up of foam and possible blockage.

A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.

Before taking this medicine

Do not use Proctofoam HC if you have a history of an allergic reaction to any of its ingredients.

Using Proctofoam HC

Dosing

Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.

Storage

Store below 25°C in a dry place with the bottle tightly closed, away from direct light and moisture. Keep all medicines out of the sight and reach of children.

Clinical information on this page is summarised from the US FDA label PROCTOFOAM HC (HYDROCORTISONE ACETATE AND PRAMOXINE HYDROCHLORIDE) AEROSOL, FOAM [SCHWARZ PHARMA] (DailyMed, retrieved 19 September 2026).

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