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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. Pramoxine hydrochloride 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.
Proctofoam-Hc comes in a single formulation. It is applied 3 to 4 times daily using the supplied 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.
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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.
If you cannot find Proctofoam-Hc in stock or are looking for more affordable options, consider these alternatives:
Talk to your doctor before switching medications to ensure the alternative is appropriate for your condition.
Proctofoam-Hc has minimal drug interactions due to its topical application, but be aware of the following:
There are no known food interactions. Always inform your doctor of all medications you are using, including over-the-counter products.
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.