Phenylephrine + Pramoxine + Glycerin + Petrolatum (rectal prep)
Indications
Phenylephrine + Pramoxine + Glycerin + Petrolatum (rectal prep) is used for: 
 Hemorrhoids
                                              
                        Adult Dose
Hemorrhoids
Apply to cleansed area externally or in the lower portion of the anal canal
May apply up to 4 times/day, especially at night, in the morning, or after bowel movement that may exacerbate hemorrhoid(s)
                                              
                        Child Dose
Hemorrhoids
<12 years: Use is dependent on patient and if benefit outweighs risk
12 years or older: Apply to cleansed area externally or in the lower portion of the anal canal
May apply up to 4 times/day, especially at night, in the morning, or after bowel movement that may exacerbate hemorrhoid(s)
                                              
                        Renal Dose
Administration
For application in the lower anal canal, remove cover from dispensing cap and attach dispensing cap to tube
Intrarectal use: Remove cover from applicator and attach applicator to ointment tube, lubricate applicator well and gently insert applicator into rectum; clean applicator after each use and replace cover
                                              
                        Contra Indications
Hypersensitivity
                                              
                        Precautions
For external use only
Contains phenylephrine, caution with heart disease, hypertension, hyperthyroidism, diabetes, or prostatic hypertrophy
Discontinue and contact physician if hemorrhoids worsen or do not improved within 7 days
Discontinue if bleeding, allergic reaction, redness, irritation, swelling, pain, or other symptoms develop or increase
                                              
                        Pregnancy-Lactation
Pregnancy Category: C
Lactation: Unknown whether distributed in breast milk
                                              
                        Interactions
Adverse Effects
Side effects of Phenylephrine + Pramoxine + Glycerin + Petrolatum (rectal prep) : 
 Frequency Not Defined
Allergic reaction
                                              
                        Mechanism of Action
Phenylephrine: Alpha adrenergic agonist; elicits localized vasoconstriction and decreases inflammation
Pramoxine: Local anesthetic for temporary pain relief
Glycerin: Hyperosmotic laxative; attracts water into stool and elicits bowel movement
Petrolatum: Provides moisturizing and lubricating effects