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Smuth Cream is a combination medicine used in the treatment of anal fissures and piles (haemorrhoids). This medicine helps strengthen the walls of tiny blood vessels and prevent leakage and fragility. It also enhances blood flow by decreasing blood viscosity/thickness and reducing inflammation (redness and swelling).

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Written By Veda Maddala , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
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More about the Product

Composition :

CALCIUM DOBESILATE-0.25%W/W+HYDROCORTISONE-0.25%W/W+LIGNOCAINE-3%W/W+ZINC-5%W/W

Manufacturer/Marketer :

Aristo Pharmaceuticals Pvt Ltd

Consume Type :

Rectal

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Smuth Cream

Smuth Cream is a combination medicine used to relieve the pain, swelling, itching, and inflammation associated with haemorrhoids (piles) and other inflammatory conditions affecting the anal or rectal area. It combines ingredients that help improve blood circulation, reduce inflammation, numb pain, and support healing of the affected tissues.

To get the best results, use this medicine regularly at the same times each day as prescribed by your doctor. It is typically applied once or twice daily, after a bowel movement, and its use is not affected by food. Combining this treatment with simple lifestyle choices, such as eating high-fibre foods and drinking plenty of water, helps soften stools and reduces the straining that can worsen rectal conditions.

While using Smuth Cream, you may experience mild local reactions like temporary burning or itching. These symptoms are usually harmless and go away on their own as your body gets used to the medication. However, if you notice severe skin irritation, unusual bleeding, or signs of an allergic reaction, stop using the medicine and consult your doctor immediately.

Do not use this medicine if you have an active bacterial, fungal, or viral infection in the rectal area, as the steroid component could worsen the infection. It is also important to tell your doctor before starting if you have severe heart problems, liver damage, or a history of skin sensitivity to local anaesthetics.

This medicine is applied locally, making interaction risks with food, alcohol, or other oral medications low, but you should still avoid using other rectal products at the same time to prevent severe skin irritation. If you are pregnant, breastfeeding, or elderly, talk to your doctor or pharmacist before using this medicine to ensure it is safe for you.
 

Uses of Smuth Cream

Your doctor may prescribe Smuth Cream to help manage the following conditions:

  • Piles (Haemorrhoids): Smuth Cream helps reduce the painful swelling, inflammation, and stretching of blood vessels in the anal region, providing relief from discomfort during sitting or bowel movements.
  • Anal Fissures: This medicine aids in soothing the painful tears in the lining of the anus by reducing local irritation and helping the tissue heal more comfortably.
  • Proctitis: Smuth Cream helps relieve the inflammation, pain, and itching associated with inflammation of the rectum lining.
     

Key Benefits

Smuth Cream offers targeted, fast-acting relief directly at the site of discomfort, helping you return to your normal daily activities without pain.

  • Rapid Pain Relief: By numbing the local area, it quickly calms the sharp pain and burning associated with piles and fissures.
  • Reduced Swelling and Inflammation: It helps shrink swollen blood vessels and tissues, making bowel movements less painful.
  • Soothed Itching and Irritation: The active ingredients calm persistent itching and protect the delicate rectal skin from further irritation.
  • Supported Tissue Healing: It creates a protective barrier over damaged skin, allowing the body to heal the affected area naturally.
     
Side effects of Smuth Cream 30 gm
  • Cool the burn by using cool (not cold) running water to reduce tissue damage and pain.
  • Slowly remove any tight clothing or jewellery from the burned area.
  • After cooling, apply a topical ointment like aloevera gel or a mild antibiotic cream to help with healing.
  • Use a clean bandage to protect the burn area from further irritation.
  • Take over-the-counter pain medication if needed.
  • Do not apply butter or other greasy substances, as they can trap bacteria and hinder healing.
  • If the burn covers a large area of skin or if the burn appears to be deeper than the top layer of skin, with blisters or significant redness, consult the doctor and get treated.
  • Avoid hot or cold temperatures, and shower with lukewarm water.
  • Apply sunscreen with an SPF of at least 30 every day, even in winter.
  • Limit spicy foods and other foods that can cause redness.
  • Limit alcohol consumption, especially red wine.
  • Avoid clothing made from wool and other irritating fabrics.
  • Don't exfoliate too much, and use gentle scrubs.
  • Avoid products with menthol, camphor, or sodium lauryl sulfate.
  • Identify and avoid allergens that can cause allergic reactions.
  • Use a gentle, non-drying cleanser and moisturizer that are suitable for your skin type.

Directions for Use

  • Adhere to your doctor's guidance regarding the dosage and timing of this medication for optimal effectiveness.
  • Check the label for directions and apply Smuth Cream to the anal region using the applicator.
  • Wash your hands before and after using Smuth Cream.

How Smuth Cream Works

Smuth Cream contains calcium dobesilate, hydrocortisone, lignocaine, and zinc. It combines four active ingredients that work together to address the swelling, pain, and skin damage associated with rectal conditions. The first active component, calcium dobesilate, acts on the small blood vessels to improve blood circulation, reduce capillary leakage, and lower tissue swelling. This helps shrink haemorrhoids and reduces the heavy, uncomfortable feeling in the rectal area. The second active component, hydrocortisone, is a mild corticosteroid that targets inflammation. It reduces the body's release of inflammatory chemicals, which quickly relieves redness, swelling, and intense itching. The third active component, lignocaine, is a local anaesthetic. It temporarily blocks pain signals along the nerves in the rectal area, providing fast, localised numbing and pain relief. The fourth active component, zinc, serves as an astringent and skin protectant. It helps dry out excess moisture, protects the irritated skin from faeces and friction, and supports the healing process of damaged rectal tissues. Together, these four active components help relieve pain, reduce inflammation and swelling, improve circulation, and protect and heal the affected tissues.
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Alcohol

Consult your doctor

The interaction of Smuth Cream with alcohol is unknown. Please consult a doctor before consuming alcohol while using Smuth Cream.

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Pregnancy

Consult your doctor

Please consult a doctor if you are pregnant before using Smuth Cream. Smuth Cream is given to pregnant women if the doctor thinks benefits are greater than risks.

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Breast Feeding

Consult your doctor

Smuth Cream is given to breastfeeding mothers only if the doctor thinks the benefits are greater than the risks. Please consult a doctor if you are breastfeeding before using Smuth Cream.

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Driving

Safe if prescribed

Smuth Cream usually does not affect your ability to drive or operate machinery.

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Liver

Consult your doctor

If you have any concerns regarding the use of Smuth Cream in patients with liver problems, please consult a doctor.

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Kidney

Consult your doctor

If you have any concerns regarding the use of Smuth Cream in patients with kidney problems, please consult a doctor.

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Children

Consult your doctor

Smuth Cream should be used in children only if prescribed by a doctor.

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Heart

Caution

Smuth Cream should be used with caution. Please inform your doctor about any existing heart problems before using Smuth Cream.

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Geriatrics

Caution

Smuth Cream should be used in elderly patients only if prescribed by a doctor. If you have any concerns about using Smuth Cream in older adults, please consult your doctor.

What if I have taken an overdose of Smuth Cream

An overdose of this rectal medicine is unlikely when used as directed. However, if you or someone else accidentally swallows the medicine, or if too much is applied deep inside the rectum, seek immediate medical attention or contact a poison control centre right away.

Diet & Lifestyle Advise

  • Eat a fibre-rich diet: Include plenty of fruits, vegetables, whole grains, and legumes in your meals to soften your stool.
  • Drink plenty of fluids: Aim for 8 to 10 glasses of water daily to prevent constipation and make bowel movements easier.
  • Avoid straining: Do not strain or hold your breath during bowel movements, as this increases pressure on the rectal veins.
  • Avoid long sitting times: Try not to sit on the toilet for extended periods, as this can worsen swelling in the anal area.
  • Maintain gentle hygiene: Avoid using rough toilet paper or scented soaps. Instead, use a moist wipe or wash with plain warm water after bowel movements.
     

Health Queries

I am experiencing pain from my piles problem. What should I do?

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

Use a doctor-prescribed anti-pile cream or suppository, take warm sitz baths, and keep the region clean to relieve pile pain. To prevent constipation and straining, eat foods high in fiber and drink lots of water. If the discomfort is severe, ongoing, or accompanied by blood or swelling, consult a physician.

I have first-grade piles and feel pain when urinating. This is my first experience. What should I do?

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

While pain with urination is unusual and may indicate a urinary infection or local irritation, first-grade piles often generate moderate symptoms. For pile relief, drink lots of water, refrain from straining, eat foods high in fiber, and take warm sitz baths. See a doctor very once to check urine and determine the cause so that appropriate therapy can begin.

I am experiencing pain and bleeding due to piles.

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

Use a doctor-prescribed anti-pile cream or suppository, take warm sitz baths, and keep the region clean to relieve pile pain. To prevent constipation and straining, eat foods high in fiber and drink lots of water. If the discomfort is severe, ongoing, or accompanied by blood or swelling, consult a physician.

I accidentally swallowed Smuth Cream for haemorrhoids. Is it poisonous?

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

Since Smuth Cream is intended for topical application, swallowing a tiny amount of it is typically not harmful. Drink some water, rinse your mouth, and keep an eye out for symptoms like nausea or vomiting. Get in touch with poison control or a doctor right once if you feel ill or have swallowed a significant amount.

I have internal piles. After using Smuth Cream once, I developed butt boils. What should I do?

Y. Lakshmi Thulasi

Y. Lakshmi Thulasi

Pharm-D (Post baccalaureate)

Boils that appear after using Smuth Cream could be a sign of an allergic response or skin illness. To prevent more irritation, stop applying the lotion and keep the area dry and clean. See a physician or dermatologist right away for an assessment and potential therapy, such as antibiotics.
health query

Have a query?

How Soon It Starts Working

  • The time required for Smuth Cream to start to work: The exact onset time of Smuth Cream has not been clinically established.
  • The time for which the effects of Smuth Cream last: The duration of Smuth Cream’s effect is clinically not established.

What if you forget to take Smuth Cream

If you miss an application, apply it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed one and continue with your regular routine. Do not apply a double amount to make up for a missed dose.

Storage

• Store the medicine at room temperature, below 25°C, in a cool, dry place.

Drug Warnings

  • Inspect the Medicine Before Use: Do not use the medicine if the tube seal is broken or if the product appears discoloured, watery, or has an unusual odour.
  • Do Not Share the Applicator: Avoid sharing the tube or applicator with others to reduce the risk of spreading infection.
  • Use Only for the Prescribed Duration: Do not use this medicine for longer than recommended by your doctor, as prolonged use of corticosteroids may cause skin thinning.
  • Avoid Contact with Eyes and Mouth: Prevent the medicine from coming into contact with your eyes, nose, or mouth. If accidental contact occurs, rinse thoroughly with water.
  • Consult Your Doctor if Symptoms Persist: Contact your doctor if your symptoms do not improve within one week or if they worsen during treatment.
     

Drug-Drug Interactions

verifiedApollotooltip

Inform your doctor if you are using any of the following medicines before using Smuth Cream :
Other Topical or Rectal Corticosteroids: Concurrent use may increase the risk of corticosteroid-related side effects, including skin thinning and irritation.
Other Local Anaesthetics: Using other local anaesthetic medicines together with lignocaine may increase the risk of systemic side effects, such as dizziness, drowsiness, or changes in heart rhythm.
 

No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip

No clinically significant food interactions are known with Smuth Cream when used as directed.
 

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANORECTAL PREPARATIONS]

FAQs

Smuth Cream belongs to a class of medications called anorectal preparations primarily used in the treatment of haemorrhoids (piles). It helps in relieving itching, pain, swelling and discomfort caused by piles and other problems in the anal area.
Smuth Cream contains Calcium dobesilate, Hydrocortisone, Lignocaine and Zinc. Calcium dobesilate acts on the walls of small blood vessels and reduces their permeability and leakage. Also, it improves blood flow by reducing the thickness of blood and helps in relieving redness and swelling in the piles. Hydrocortisone inhibits the release of certain chemical messengers in the body that cause redness, itching and swelling. Lignocaine decreases pain sensation by preventing the transmission of pain signals from nerves to the brain. Zinc acts as an astringent (shrink pores and absorb excess oils) and antiseptic.
Smuth Cream may cause a burning sensation of the skin at the site of application as a temporary side effect. However, if the burning sensation persists or worsens, please consult a doctor.
Smuth Cream may provide relief from pain caused by an anal fissure (a small cut or tear in the lining of the anus). Smuth Cream contains Lignocaine, a local anaesthetic that decreases pain sensation.
Please do not stop using Smuth Cream without consulting your doctor, even if you find symptomatic relief, as discontinuing suddenly may worsen the condition. Therefore, complete the full course of Smuth Cream as prescribed by your doctor, and if you experience any difficulty while using Smuth Cream, please consult your doctor.
Piles, also called haemorrhoids, are swollen veins in the lower rectum and anus, similar to varicose veins. They can occur internally (inside the rectum) or externally (under the skin around the anus). It can be developed due to various factors, such as a low-fibre diet, straining during bowel movements, chronic constipation or diarrhoea, obesity, and prolonged sitting.
No, Smuth Cream will not be more effective if used more than the prescribed dose. Instead, it may increase the risk of side effects like burning sensations, skin redness, and rashes. Therefore, use Smuth Cream exactly as prescribed by the doctor.
Smuth Cream should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.
The side effects of Smuth Cream include skin redness, burning sensation and itching. Consult the doctor if any of these side effects persist or worsen.
You should only use Smuth Cream during pregnancy if your doctor determines that the benefits outweigh the risks. Talk to your doctor before using any medication while pregnant.
Smuth Cream can be used for both internal and external piles. If you need to apply it internally, use the applicator provided and follow your doctor's exact instructions. Talk to your doctor or pharmacist if you are unsure how to use the applicator.
Minor bleeding is common with piles, but you should always have any rectal bleeding evaluated by a healthcare provider. Do not apply Smuth Cream to heavily bleeding areas without consulting your doctor first.
A mild, brief burning sensation right after application is a common side effect and usually passes quickly. However, if the burning is severe, worsens, or causes a rash, wash the area gently and contact your doctor.
You should not use Smuth Cream for longer than the prescribed period, typically not exceeding 7 to 14 days, because the steroid component can cause skin thinning with long-term use. Talk to your doctor if your symptoms persist.
While alcohol does not directly interact with this rectal medicine, it can dehydrate your body, leading to harder stools and worsening constipation. Talk to your doctor or pharmacist for advice on managing your diet during treatment.
You should not apply this medicine to deep, open wounds or infected areas unless specifically instructed by your doctor. Talk to your doctor for a proper diagnosis of any unusual skin lesions.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. WebMD Medical Reference Review Board. Details Drug and Treatment Monograph. Atlanta, GA: WebMD; 2026. [Accessed on 02 Jun. 2026]Check here
  2. Bethesda (MD). Calcium Dobesilate. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 29th April 2026]Check here
  3. Bethesda (MD). Hydrocortisone. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 29th April 2026]Check here
  4. Bethesda (MD). Lignocaine. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 29th April 2026]Check here
  5. Bethesda (MD). Zinc Oxide. NIH. National Library of Medicine, National Center for Biotechnology Information. PubChem Compound Summary. 2004. [Accessed on 29th April 2026]Check here
  6. Lidocaine and Hydrocortisone Cream. Daily Med: National Library of Medicine: National Institute of Health. [Revised in February 2022] [Accessed on 29th April 2026]Check here
  7. Hydrocortisone Ointment. Daily Med: National Library of Medicine: National Institute of Health. [Revised in January 2022] [Accessed on 29th April 2026]Check here

Country of origin

India

Manufacturer/Marketer address

Mercantile Chamber, 3rd Floor, 12, J.N. Heredia Marg, Ballard Estate, Mumbai – 400 001, India.
Other Info - SMU0004

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