Understanding RectiCare and its active ingredient
RectiCare anorectal cream is an over-the-counter medication used to manage the pain, itching, and burning caused by hemorrhoids and other anorectal conditions. Its primary active ingredient is lidocaine, a local anesthetic that works by temporarily numbing the nerve endings in the skin to provide fast, targeted relief. While highly effective for symptomatic relief, it is essential for users to be aware of the potential side effects, from minor application-site reactions to more serious issues that can arise from improper use.
Common local side effects
For most users, especially when used correctly and in moderation, side effects are minimal and localized to the area of application. These common reactions are generally mild and temporary.
- Mild irritation: A slight burning or stinging sensation can occur when the cream is first applied, especially if the skin is already inflamed or broken.
- Redness (Erythema): The treated skin may appear red, which typically subsides shortly after application.
- Swelling or puffiness: Mild swelling (edema) can occur at the application site.
- Numbness beyond the affected area: If the cream is accidentally spread to unintended areas, a localized numbness may be felt.
- Rash or itching: A mild rash or continued itching, rather than relief, may be a sign of skin sensitivity to the ingredients.
Systemic side effects from excessive absorption
More serious side effects are rare and primarily associated with using too much cream, applying it to large or broken areas of skin, or improper use like inserting it internally. Excessive absorption of lidocaine into the bloodstream can lead to systemic reactions affecting the nervous and cardiovascular systems. These symptoms signal that the medication is entering the body in unsafe amounts and require immediate medical attention.
- Central Nervous System (CNS) effects: Signs of CNS toxicity can include dizziness, drowsiness, confusion, nervousness, or ringing in the ears (tinnitus). In severe cases, this can progress to tremors, twitching, and even seizures.
- Cardiovascular effects: The absorption of high levels of lidocaine can impact heart function, potentially leading to an irregular, fast, or slow heartbeat. In extreme cases, a life-threatening change in heart rate, including cardiac arrest, is possible.
- Unusual sensations: Some individuals may report sensations of heat, cold, or numbness throughout the body, or blurred or double vision.
- Breathing difficulties: Trouble breathing or shallow breathing can be a sign of a serious systemic reaction.
Allergic reactions
Like any medication, RectiCare can cause an allergic reaction in some individuals. An allergic reaction is not a normal side effect and is an immune response to one or more of the ingredients. Symptoms can be mild to severe and may include:
- Hives or welts on the skin
- Widespread skin rash
- Significant swelling of the face, tongue, lips, or throat (angioedema)
- Tightness in the chest or throat
- Difficulty breathing or wheezing
If you experience any signs of a severe allergic reaction, stop using the product immediately and seek emergency medical help.
RectiCare vs. RectiCare Advanced: a comparison
It is important to recognize that different RectiCare formulations exist, which may have different side effect profiles. The primary over-the-counter version is RectiCare 5% Lidocaine Cream. RectiCare Advanced Hemorrhoidal Cream is a different product that contains additional active ingredients.
| Feature | RectiCare 5% Lidocaine Cream | RectiCare Advanced Hemorrhoidal Cream |
|---|---|---|
| Active Ingredient(s) | Lidocaine (5%) | Lidocaine (5%), Phenylephrine (0.25%), Mineral Oil, White Petrolatum |
| Primary Function | Provides fast, powerful numbing relief for pain, itching, and burning. | Provides numbing relief and also shrinks swollen tissue due to phenylephrine. |
| Common Side Effects | Mild irritation, redness, stinging, swelling at application site. | Mild irritation, redness, stinging. Potential for worsening pre-existing conditions due to phenylephrine. |
| Potential Systemic Effects | Dizziness, confusion, tinnitus, etc., with overuse. | Same systemic risks from lidocaine. Additional risk: Phenylephrine can raise blood pressure, posing a risk for individuals with heart disease, high blood pressure, or thyroid conditions. |
| Application | For external application only. | For external application only. |
Precautions and risk mitigation
To minimize the risk of side effects, it is crucial to follow the instructions for use carefully.
- Use externally only: Never insert RectiCare anorectal cream into the rectum using fingers or an applicator, as this increases the risk of systemic absorption.
- Do not exceed dosage: Only apply the recommended amount and frequency, which for the 5% lidocaine cream is up to 6 times daily for adults and children over 12.
- Avoid covering the area: Do not cover the treated skin with bandages, plastic wrap, or a heating pad unless a doctor has advised it. This can increase the amount of medication absorbed through the skin.
- Do not apply to large, broken, or blistered areas: Applying the cream to extensive or raw skin surfaces increases the risk of excessive absorption and systemic side effects.
- Consider underlying health conditions: Individuals with heart problems, high blood pressure, or liver disease should consult a doctor before use, as they may be more susceptible to systemic side effects.
- Consult a doctor for persistent symptoms: If rectal bleeding occurs, or if your condition worsens or does not improve within 7 days, stop use and see a doctor.
Conclusion
RectiCare anorectal cream is a potent and effective treatment for temporary relief of anorectal pain and itching. While most people only experience mild, local side effects, the risk of more serious systemic issues, allergic reactions, and overdose is real, particularly with overuse or improper application. By following the instructions for external use only, not exceeding the recommended dosage, and being aware of the symptoms of more serious reactions, users can minimize risk and safely manage their symptoms. If any severe or unusual side effects occur, or if symptoms persist, it is imperative to seek medical guidance immediately.
Disclaimer: This information is for informational purposes only and is not medical advice. Consult a healthcare professional before using RectiCare or any new medication.
Optional outbound link
For more detailed medication information, including specific product labeling and contraindications, you can visit the official product page on the RectiCare website.
