Comprehensive medication guide to Proctofoam-Hc including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.
Estimated Insurance Pricing
Insurance copays vary widely; many plans place Proctofoam-Hc on higher tiers or require prior authorization, with copays typically ranging from $30 to $75.
Estimated Cash Pricing
Proctofoam-Hc costs approximately $190 to $235 per 10g canister without insurance.
Medfinder Findability Score
55/100
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Proctofoam-Hc is a prescription aerosol foam used to treat pain, itching, swelling, and inflammation in the anal and perianal area. It contains two active ingredients: hydrocortisone acetate 1% (a corticosteroid) and pramoxine hydrochloride 1% (a local anesthetic). It is commonly prescribed for hemorrhoids, anal fissures, proctitis, and other anorectal conditions. Proctofoam-Hc is manufactured by Mylan Specialty L.P., a Viatris company.
Proctofoam-Hc combines two mechanisms of action. Hydrocortisone acetate is a corticosteroid that reduces inflammation, redness, itching, and swelling by suppressing the local immune response in the affected tissue. is a local anesthetic that temporarily numbs the area by blocking nerve signal transmission, providing rapid relief from pain and itching. Together, they offer both anti-inflammatory and pain-relieving benefits in a foam formulation that is easy to apply to sensitive anorectal tissue.
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Aerosol foam (rectal)
Hydrocortisone Acetate 1% / Pramoxine Hydrochloride 1% — 10g canister with applicator
Proctofoam-Hc has a findability score of 55 out of 100, meaning it can be intermittently difficult to locate. While it is not currently on the FDA drug shortage list, its specialized aerosol foam formulation and limited manufacturer distribution mean many pharmacies do not routinely stock it. A 2022 recall of multiple batches further disrupted supply. Patients may need to call several pharmacies or use tools like Medfinder to locate it in stock nearby.
Proctofoam-Hc can be prescribed by several types of healthcare providers, including:
Telehealth consultations are also available for this medication, making it possible to get a prescription without an in-person visit.
No, Proctofoam-Hc is not a controlled substance. It does not have a DEA schedule and does not carry the same restrictions as medications like opioids or benzodiazepines. However, it does require a prescription from a licensed healthcare provider.
Serious side effects are rare but can include allergic reactions, blurred vision, stretch marks, and systemic corticosteroid effects with prolonged or excessive use. Contact your doctor immediately if you experience difficulty breathing, facial swelling, or worsening symptoms.
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Analpram HC (Hydrocortisone/Pramoxine cream):
Same active ingredients in cream form; generic available from approximately $41 with a coupon
Preparation H Hydrocortisone (OTC):
Over-the-counter hydrocortisone cream for hemorrhoid relief at a lower potency
Rectiv (Nitroglycerin 0.4% ointment):
Prescription ointment for anal fissures that works by promoting blood flow
Hydrocortisone rectal suppositories:
Generic suppositories for internal hemorrhoid inflammation; widely available and affordable
Prefer Proctofoam-Hc? We can find it.
Other topical corticosteroids
moderateused in the same area may increase the risk of systemic absorption and side effects
Immunosuppressant medications
moderatemay have additive immunosuppressive effects when combined with prolonged topical steroid use
Proctofoam-Hc is an effective prescription treatment for hemorrhoid pain, itching, and anorectal inflammation. While it is not currently in a formal FDA shortage, its niche aerosol foam formulation and history of recalls can make it challenging to find at your local pharmacy. Cash prices typically run $190 to $235 per canister. If you're struggling to locate Proctofoam-Hc, try using Medfinder to check real-time availability at pharmacies near you, or ask your doctor about alternative formulations like generic hydrocortisone/pramoxine cream.
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Our medication guides are researched and written to help patients make informed decisions. All content is reviewed for accuracy and updated regularly. Learn more about our standards
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