Escot Cream

Escot Cream is a combination medicine used in the treatment of anal fissure, anal sphincter spasm, painful haemorrhoids. It contains two active ingredients lidocaine and nifedipine that helps in better healing of the anal fissure. Do not take this medicine if you have a history of allergy or any heart problems.

this medicine is to be applied to the anal region according to the doctor's advice. It takes time for an anal fissure to heal so do not stop using this medicine by yourself. Inform your doctor if you develop any abnormal symptoms during the treatment.

Dosage

Overdose

As this medicine is meant for external application cases of overdose are unlikely. However, upon accidental ingestion contact your doctor immediately or visit the nearest hospital. If you have applied extra quantities of it wipe out the excess of the medicine with tissue or cotton.

Missed a Dose

If you have missed applying this medicine, apply it as soon as possible. Do not over apply this medicine just to compensate for the missed dose.

Mode of Action

How Does It Work?

• Contraction of the anal sphincter and muscle spasm around the fissure prevents the healing process of anal fissure. This muscle contraction is dependent on calcium. Nifedipine is a calcium channel blocker that works by blocking this calcium from entering the blood vessels, thus relaxing blood vessels so that blood can flow more easily and relaxes the muscles around the anal canal.
• Lidocaine is a local anaesthetic. It acts on nerves and blocks the conduction of pain sensations for a short duration of time. Thereby helps in reducing pain sensation.
• A combination of this medicine helps in better healing of the anal fissure.

Directions for Use

• Wash your hands thoroughly. Wear gloves while using Escot Cream to reduce the possibility of side effects.
• Lie down on your left side in a comfortable position with your left leg flat and your right leg bent with your knee in the air.
• Put a required quantity on your finger and spread the ointment around the anus and just inside the rectum.
• Remove gloves and wash hands.
• Follow the doctor's advice.
• Use this medicine for the duration your doctor has advised.
• It may take several weeks to heal the fissure, so your doctor may advise frequent follow-ups to check the clinical condition.
• Your doctor may advise adding fibre to your diet and may ask you to increases water intake, take relaxing baths or sitz baths.

Precautions and Warnings

Pregnancy

Can I use Escot Cream during pregnancy?

It is advised to consult your doctor before using Escot Cream, especially during the first trimester.

Breast Feeding

Can I use Escot Cream while breastfeeding?

It is advised to consult your doctor before applying Escot Cream while breastfeeding. In case you have been prescribed this medicine, avoid using large quantity for the long term.

Driving

Can I drive if I have applied Escot Cream?

Escot Cream does not influence your driving ability. However, it is advised to avoid activities requiring long sitting as it may increase the pain due to rectal fissure.

Alcohol

Can I consume alcohol during the treatment with Escot Cream?

There is no known interaction with alcohol along with this medicine. Consult your doctor if you drink too often.

Other General Warnings

Talk to your doctor if

• You feel that symptoms are getting worse instead of getting better.
• You do not feel any improvement within a week.
• You feel any adverse effects like rectal bleeding, pain, burning sensation, blistering etc. report to your doctor immediately.
• You should discuss your complete medical history and ongoing medications with your doctor before using this medicine.
• You are pregnant or breastfeeding.
• You should try to avoid having constipation, as it may exaggerate the symptoms.

Contraindications

• If you have a history of allergy to Escot Cream or any of the content of the medicine.
• If you have certain medical conditions like anaemia, low blood pressure, dehydration, heart-related disorders etc.
• If you feel an increased pressure in the brain.
• If you are pregnant or breastfeeding.

Side effects

• Allergy at the application site
• Irritation on the rectal area

Interactions

Interactions with other medicines

• Since this medicine is to be used externally on the skin it is less likely to interact with other medicines. However, you should always consult your doctor if you are taking other medicines for treating other health conditions.
• Avoid simultaneous application of any other medicine on the affected area after applying Escot Cream.

Storage and disposal

• The cream should be stored below 25°C.
• Keep it out of the sight and reach of children.
• Do not use it after the expiry date.
• Do not throw away any medicines via wastewater or household waste.

Frequently Asked Questions (FAQs)

What is the use of Escot Cream?

This medicine is used in the treatment of anal fissure, anal sphincter spasm, painful haemorrhoids and pelvic floor spasm.

How does Escot Cream work?

• Escot Cream contains medicines known as Lidocaine and Nifedipine. Nifedipine is a calcium channel blocker and thus it relaxes the muscles around the anal canal and helps in the healing of the anal fissure. Lidocaine is an anaesthetic medicine, it works by blocking the pain signals reaching higher centres in the body. Thus, helps in relieving the pain associated with the spasm of the anal sphincter. A combination of this medicine helps in better healing of the anal fissure.

Can I take other medicines with Escot Cream?

Since this medicine is to be used externally on the skin it is less likely to interact with other medicines. However, you should always consult your doctor if you are taking other medicines for treating other health conditions like cough cold medicines, medicines for migraine, medicine for high blood pressure and medicine to dissolve a blood clot.

How to use Escot Cream?

Wash your hands. Wear gloves while using Escot Cream. Lie down on your left side in a comfortable position with your left leg flat and your right leg bent with your knee in the air. Place a pinhead-sized quantity on your finger. Spread the ointment around the anus and just inside the rectum. Remove gloves and wash hands. Follow the doctor's advice.