Ano Metrogyl Cream 20 gm belongs to a class of medications called 'anorectal preparations' primarily used in the treatment of anal fissure (small tear in the anus lining), fistula (abnormal skin opening near the anus) and piles (inflamed and swollen veins in rectum). Anorectal disorders occur at the junction of the anal canal and the rectum, including haemorrhoids, abscesses, fistula, fissures, anal itching and warts. It is characterized by the accumulation of veins at the anus with frequent mucus and bleeding while straining for stool passage. 

Ano Metrogyl Cream 20 gm is a combination of three drugs, namely: Lignocaine (local anaesthetic), Metronidazole (antibiotic) and Sucralfate (protectant). Lignocaine is a local anaesthetic that decreases pain sensation by preventing pain signals transmission from nerves to the brain. Metronidazole belongs to the class of antibiotics that prevents bacterial infection caused due to exposed skin surface of the anus. Sucralfate belongs to the class of protectants that form a protective layer over the affected area of skin, thereby preventing pain, burning sensation and inflammation in the anus. Thus together Ano Metrogyl Cream 20 gm promotes healing of fissures, helps in forming new healthy skin and minimizing infection and pain around the anal canal. 

Ano Metrogyl Cream 20 gm is for external use only. Avoid contact of Ano Metrogyl Cream 20 gm with nose, ears, mouth or eyes. In case Ano Metrogyl Cream 20 gm comes in contact with these areas accidentally, rinse with water thoroughly. Your doctor will advise you how often you need to use Ano Metrogyl Cream 20 gm based on your medical condition. In some cases, you may experience a skin rash, mild irritation, tingling or burning sensation. Most of these side effects of Ano Metrogyl Cream 20 gm do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Ano Metrogyl Cream 20 gm or any other medicines, please tell your doctor. If you are pregnant or a nursing mother, please inform your doctor before taking Ano Metrogyl Cream 20 gm. Do not apply Ano Metrogyl Cream 20 gm in large amounts or use for a long time than prescribed as it does not give quick or better results but increases the risk of side effects. Do not swallow Ano Metrogyl Cream 20 gm. In case of accidental swallowing, please consult a doctor immediately. If you have kidney or liver disease, diabetes or blood disorders, inform your doctor before taking Ano Metrogyl Cream 20 gm.

Ano Metrogyl Cream 20 gm contains Lignocaine, Metronidazole and Sucralfate. Lignocaine is a local anaesthetic that decreases pain sensation by preventing the transmission of pain signals from nerves to the brain. Metronidazole is an antibiotic that works by damaging the DNA (genetic material) of bacteria and protozoa, thus kills them. Thereby preventing infection in the anal region. Sucralfate belongs to the class of protectants that works by forming a protective layer over the affected area of skin and prevents pain, irritation or burning sensation in the anus. Thereby promoting the healing of fissures and the formation of new healthy skin.

• Skin rash
• Mild irritation
• Tingling
• Burning sensation

If you are allergic to Ano Metrogyl Cream 20 gm or any other medicines, please tell your doctor. Ano Metrogyl Cream 20 gm is for external use only. Avoid contact of Ano Metrogyl Cream 20 gm with nose, ears, mouth or eyes. In case Ano Metrogyl Cream 20 gm comes in contact with these areas accidentally, rinse with water thoroughly. If you are pregnant or a nursing mother, please inform your doctor before taking Ano Metrogyl Cream 20 gm. Do not apply Ano Metrogyl Cream 20 gm on cuts, wounds, grazes, raw or blistered skin. You are recommended to avoid rubbing, scratching, or exposure to extreme cold and heat until the anaesthetic effect has worn off. Avoid using Ano Metrogyl Cream 20 gm in large amounts or use for a long time than prescribed as it does not give quick or better results but increases the risk of side effects. Do not swallow Ano Metrogyl Cream 20 gm. In case of accidental swallowing, please consult a doctor immediately. If you have kidney or liver disease, diabetes or blood disorders, inform your doctor before taking Ano Metrogyl Cream 20 gm.

Drug-Drug Interaction: Ano Metrogyl Cream 20 gm may have interaction with medicines to treat irregular heartbeat (amiodarone, tocainide, mexiletine), high blood pressure-lowering medicines (propranolol, metoprolol), medicines to treat stomach ulcers or heartburn (cimetidine), tuberculosis vaccine, blood thinners (warfarin, dicoumarol).

Drug- Food Interaction: No interactions found.

Drug-Disease Interaction: If you have kidney or liver disease, diabetes or blood disorders, inform your doctor before taking Ano Metrogyl Cream 20 gm.

• AMIODARONE
• MEXILETINE
• PROPRANOLOL
• METOPROLOL
• CIMETIDINE
• WARFARIN
• TOCAINIDE
• TUBERCULOSIS VACCINE
• DICOUMAROL

• Drink plenty of fluids to prevent constipation.
• Take fibre supplements and fibre-rich foods such as raw fruits and vegetables.
• Take a sitz bath (a warm water bath covering hips and buttocks) to relax anal muscles. It helps increase blood flow to the anorectal area and relieves irritation.
• Avoid straining during bowel movements as it may create pressure and lead to the opening of healing tears or cause a new tear.

Follow WASH regimen for anorectal diseases like piles:

• W stands for a warm sitz bath for 10 minutes.
• A stands for analgesic and painkiller.
• S stands for stool softener.
• H stands for hemorrhoidal cream. 

Anal Fissure: It is a small cut or tears in the lining of the anus. Sometimes, the crack may be so deep that it exposes the muscle tissue underneath. It occurs mostly when passing hard or large stools, diarrhoea or chronic constipation. The crack in the skin leads to severe pain and bleeding during and after bowel movements. Anal fissure symptoms include sharp pain in the anal region during bowel movements, itching or burning sensation in the anal region, a visible tear in the skin around the anus, streaks of blood on stools, a skin tag or small lumps or skin next to the tear.

Piles: It occurs when anus tissue and vein becomes inflamed and swollen. The size of piles can vary from small to large, either found inside or outside the anus. Piles can occur due to many reasons like chronic constipation, chronic diarrhoea, pregnancy, lifting heavy weights or straining when passing a stool.

Anal Fistula: It is an abnormal connection between the inside of the anal canal and the skin around the anus resulting from an injury or surgery. Infection or inflammation can also cause a fistula to form.