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How to apply fidonal cream? A guide to proper use

3 min read

Fidonal cream, a combination of lidocaine and nifedipine, is commonly used to treat anal fissures, painful tears in the lining of the anus. Proper application is crucial for the medication to be effective, providing both pain relief and promoting healing.

Quick Summary

Guide for safely and effectively applying Fidonal cream. Details necessary preparation, correct application technique for internal and external use, and important hygiene practices for optimal results.

Key Points

  • Cleanliness is paramount: Always wash your hands and the affected area before applying Fidonal cream to prevent infection.

  • Use a barrier: Wear disposable gloves or a finger cot to ensure hygienic application and avoid direct contact with the medication.

  • Position for comfort: Lie on your left side with your right leg bent to make the application process easier and more comfortable.

  • Use the applicator for internal fissures: If instructed, use the provided rectal applicator for deep, targeted application inside the rectum.

  • Apply the prescribed amount: Do not over-apply the cream. Use the amount directed by your healthcare provider.

  • Be consistent with application: Apply the cream regularly and as directed by your doctor for optimal results.

  • Manage potential side effects: Monitor for irritation or allergic reactions. Contact a doctor if side effects worsen or persist.

In This Article

What is Fidonal Cream and How Does It Work?

Fidonal cream is a topical medication prescribed for the treatment of anal fissures. It contains lidocaine, a local anesthetic for pain relief, and nifedipine, which relaxes muscles and improves blood flow to aid healing.

Why is Correct Application Important?

Accurate and hygienic application of Fidonal cream is essential for effectiveness and to avoid complications in the sensitive anal region. Following instructions ensures the medication targets the affected area for relief and healing.

Step-by-Step Instructions on How to Apply Fidonal Cream

Applying Fidonal cream correctly involves preparation and proper technique. Always adhere to your doctor's specific guidance.

Step 1: Gather Your Supplies

  • Fidonal cream tube
  • Rectal applicator (if needed)
  • Clean, disposable gloves or finger cot
  • Mild soap and warm water
  • Soft, clean towel

Step 2: Prepare the Area

  1. Wash hands thoroughly with soap and warm water.
  2. Gently cleanse the anal area with mild soap and warm water, then pat dry with a soft towel.
  3. Position yourself comfortably, often lying on your left side with your right leg bent.

Step 3: Apply the Cream

For external application:

  • Wear a disposable glove or finger cot.
  • Apply the prescribed amount to your gloved finger.
  • Gently spread the cream around the anal opening and surrounding skin.

For internal application (using the applicator):

  • Attach the rectal applicator to the tube.
  • Lubricate the applicator tip with cream.
  • Gently insert the applicator tip as directed by your healthcare provider.
  • Squeeze the tube while withdrawing the applicator to deliver the dose.

Step 4: Conclude the Process

  1. Remove and discard gloves or finger cot.
  2. Clean reusable applicators with soap and water or discard single-use ones.
  3. Wash your hands again thoroughly.

Key Considerations and Lifestyle Support

Using Fidonal cream alongside supportive measures enhances healing. These include:

  • Diet: High-fiber foods, fruits, vegetables, and whole grains help prevent constipation.
  • Hydration: Drink plenty of water to soften stools.
  • Exercise: Regular physical activity can improve bowel function.
  • Sitz baths: Warm water soaks can relieve pain and relax the sphincter, ideally after bowel movements.

Internal vs. External Application of Fidonal Cream

The method of application varies based on the fissure's location.

Feature External Application Internal Application (with applicator)
Purpose Treat external tears, itching, swelling. Treat internal fissures, spasms, pain.
Method Cream applied around anal opening with a clean finger. Prescribed amount inserted into rectum with an applicator.
Equipment Disposable gloves or finger cot. Rectal applicator.
Technique Gentle spreading on affected external area. Slow, gentle applicator insertion and withdrawal.
Cleaning Wash hands after application. Clean or discard applicator; wash hands.

Potential Side Effects and When to Seek Medical Help

Common side effects include mild burning or itching at the application site, which are usually temporary. Rare but serious side effects can occur.

When to contact your doctor or seek immediate medical attention:

  • Persistent or severe burning, itching, or swelling.
  • Allergic reactions like hives or breathing difficulties.
  • Increased rectal bleeding or worsening symptoms.
  • Systemic effects such as dizziness or fast heartbeat.

Conclusion: Prioritize Safety and Consistency

Learning how to apply fidonal cream correctly is key for relief from anal fissures. Cleanliness, careful technique, and consistent use as prescribed are crucial. Addressing factors like constipation is also important for long-term healing. Consult your doctor with questions or if symptoms worsen. For more health information, visit the MedlinePlus website.

Frequently Asked Questions

Yes, if the medication is for internal use, Fidonal cream is often supplied with a specific rectal applicator. It is important to use this device to correctly insert a measured dose into the rectum as instructed by your doctor.

If you miss a dose, apply it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and continue with your regular schedule. Do not apply extra cream to make up for a missed application.

Fidonal cream is primarily used for anal fissures, but its lidocaine component can also help with the pain and itching associated with hemorrhoids. Always follow your doctor’s advice for treating hemorrhoids.

Healing time varies, but fissures often heal within a few weeks. If your condition is chronic or does not improve after several weeks, consult your doctor for a follow-up.

Yes, it is recommended to maintain a high-fiber diet and stay well-hydrated. This helps soften stools and prevents straining during bowel movements, which can worsen anal fissures.

No, it is not recommended for use during pregnancy, especially the first trimester, or while breastfeeding, unless specifically advised by a doctor. Always consult your healthcare provider first.

If you notice significant swelling, increased redness, irritation, or bleeding, you should stop using the cream and seek immediate medical help.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.