Ruticool Cream
Written By Dr. Anuj Saini, MMST, MBBS
Reviewed By Dr. Varun Gupta, MD Pharmacology, MBBS
Last updated on 12 Nov 2024 | 01:11 AM (IST)
Ruticool Cream is a combination medicine used in the treatment of piles. It relieves the pain, swelling, itching and discomfort associated with passing of stools in people who suffer from problems in the anal area.
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General Information
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Product introduction
Ruticool Cream should be used in the dose and duration as directed by your doctor. Clean and dry the affected area before applying this medicine. Make sure to wash your hands thoroughly before and after applying this medicine. Do not use your finger to apply this medicine. Do not stop using it suddenly without talking to your doctor, as it may lead to worsening of your condition.
Using of this medicine may cause application site reactions (burning, irritation, itching, and redness). These are temporary and usually resolves on with time. You should consult your doctor if any of these do not resolve with time and persists for a longer duration.
Avoid getting it into your eyes, nose or mouth. If accidental exposure occurs, wash your eyes with water and seek immediate medical attention. You should stop using it and inform your doctor if you notice worsening of the infection or if you develop increased redness and irritation.
Using of this medicine may cause application site reactions (burning, irritation, itching, and redness). These are temporary and usually resolves on with time. You should consult your doctor if any of these do not resolve with time and persists for a longer duration.
Avoid getting it into your eyes, nose or mouth. If accidental exposure occurs, wash your eyes with water and seek immediate medical attention. You should stop using it and inform your doctor if you notice worsening of the infection or if you develop increased redness and irritation.
Uses of Ruticool Rectal Cream
Benefits of Ruticool Rectal Cream
Piles
Ruticool Cream helps reduce pain associated with piles (hemorrhoids) by producing a feeling of numbness at the site of application. It also gives relief from swelling, itching and irritation caused due to piles. Apply Ruticool Cream 2-3 times a day after cleaning and drying the affected area properly. Consult your doctor if you do not see any improvement even after a week. Make sure to avoid spicy, oil-rich food and drink plenty of water and a fiber rich diet for a speedy recovery as well as to prevent piles in future.
Ruticool Cream helps reduce pain associated with piles (hemorrhoids) by producing a feeling of numbness at the site of application. It also gives relief from swelling, itching and irritation caused due to piles. Apply Ruticool Cream 2-3 times a day after cleaning and drying the affected area properly. Consult your doctor if you do not see any improvement even after a week. Make sure to avoid spicy, oil-rich food and drink plenty of water and a fiber rich diet for a speedy recovery as well as to prevent piles in future.
Side effects of Ruticool Rectal Cream
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Ruticool
- Application site reactions (burning, irritation, itching and redness)
How to use Ruticool Rectal Cream
This medicine is for external use only. Use it in the dose and duration as advised by your doctor.
How Ruticool Rectal Cream works
Ruticool Cream is a combination of five medicines: Lidocaine, Hydrocortisone, Phenylephrine, Zinc Oxide, and Calcium Dobesilate. Lidocaine is a local anesthetic which works by blocking pain signals from the nerves to brain thereby decreasing the sensation of pain. Hydrocortisone is a steroid which reduces redness, itching, and swelling due to piles/hemorrhoids. Phenylephrine is a decongestant that shrinks the swollen blood vessels to further relieve itching and irritation caused by piles/hemorrhoids. Zinc Oxide has astringent and antiseptic action. Calcium Dobesilate is a vasoprotective medicine which works on the walls of the small blood vessels and reduces their leakage and fragility. It also improves blood flow by decreasing viscosity/thickness of blood, thereby relieving inflammation (redness and swelling) in piles/hemorrhoids and promoting healing.
Quick tips
- Ruticool Cream is prescribed for the treatment of piles.
- Apart from using Ruticool Cream, you can indulge in warm baths. It may help soothe the area and thus may ease the pain.
- Don't ignore the feeling of needing to pass stools. Some people suppress this feeling and put off going to the toilet until later. This may result in bigger and harder stools forming that are more difficult to pass later.
- Do not take any oral laxative along with Ruticool Cream without consulting your doctor.
- Sometimes certain medicines like iron tablets, antibiotics might cause constipation. Inform your doctor if you are taking any of them.
- A fiber-rich diet (wholegrain bread and cereals, fruit and green leafy vegetables) with six to eight full glasses of water each day and daily exercise are important in maintaining healthy bowel function.
Safety advice

Alcohol
No interaction found/established

Pregnancy
CONSULT YOUR DOCTOR
Ruticool Cream may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding
SAFE IF PRESCRIBED
Ruticool Cream is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Driving
No interaction found/established

Kidney
SAFE IF PRESCRIBED
Ruticool Cream is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Ruticool Cream may not be needed in these patients. Please consult your doctor.

Liver
SAFE IF PRESCRIBED
Ruticool Cream is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Ruticool Cream may not be needed in these patients. Please consult your doctor.

Frequently asked questions
Piles, also known as hemorrhoids, are simply swollen blood vessels in your rectal area or anus. Swollen blood vessels can cause severe pain or an itchy sensation. This sensation can be very stressful and irritating. Ruticool Cream is an effective treatment for piles.
No, do not stop taking Ruticool Cream and complete the full course of treatment. Your symptoms may improve before the piles are completely cured.
No, Ruticool Cream will not be more effective if taken more than prescribed. Moreover, it can result in too much of medicine being absorbed into the body and cause unwanted side effects. If you are experiencing increased severity of your symptoms, please consult your doctor for re-evaluation.
Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Fact Box
Habit Forming
No
Therapeutic Class
CARDIAC
References
- Drasner K. Local Anesthetics. In: Katzung BG, Masters SB, Trevor AJ (Editors). Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 439-450.
- Catterall WA, Mackie K. Local Anesthetics. In: Brunton LL, Hilal-Dandan R, Knollmann BC (Editors). Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 405-419.
- Chrousos GP. Adrenocorticosteroids & Adrenocortical Antagonists. In: Katzung BG, Masters SB, Trevor AJ (Editors). Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 681-697.
- Westfall TC, Macarthur H, Westfall DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Hilal-Dandan R, Knollmann BC (Editors). Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 191-223.

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User feedback
Twice A Day
74%
Once A Day
23%
Thrice A Day
2%
Four Times A Day
1%
Piles
67%
Others
14%
Nasal congestion (blocked nose)
5%
Pupil dilation
5%
Mouth sores
5%
Average
87%
Poor
13%
Irritation
50%
No Side Effect
50%
Patient concerns
For past three days I have burning sensation in my ass what should I do
Dr. Rajesh Garg
Internal Medicine
Apply ruticool point after and before potty at anus
I have problem in my stool place where i have pain
Dr. Kamal Rijhwani
Physician
Do u have piles
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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
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Name: Lupin Ltd
Address: 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
Address: 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
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Country of origin: India
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