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. Haemorrhoids are also known as piles, a medical condition that occurs when veins present in the anus and rectum area (the last part of the large intestine that ends up in the anus) swell and become painful.

Smuth Cream contains calcium dobesilate (vasoprotective agent), hydrocortisone (steroid), lignocaine (local anaesthetic) and zinc (astringent). Calcium dobesilate acts on the walls of small blood vessels and reduces their delicacy and leakage. Also, it improves blood flow by reducing the thickness of blood and helps in relieving redness and swelling in piles. Hydrocortisone inhibits the release of certain chemical messengers in the body that cause redness, itching and swelling caused due to piles. Lignocaine decreases pain sensation by preventing the transmission of pain signals from nerves to the brain.  Zinc acts as an astringent (shrink pores and absorbs excess oils) and antiseptic.

Smuth Cream is for external use only. Use Smuth Cream as prescribed by your doctor. You are advised to use Smuth Cream for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience itching, redness or burning sensation at the site of application. Most of these side effects of Smuth Cream 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 Smuth Cream or any other medicines, please tell your doctor. If you are pregnant or a nursing mother, please inform your doctor before taking Smuth Cream. Please do not cover the treated area with any bandages unless advised by your doctor, as it may increase the risk of adverse effects. Avoid using Smuth Cream in large amounts or for a longer time than prescribed as it does not give quick or better results but increases the risk of side effects. Do not swallow Smuth Cream. In case of accidental swallowing, please consult a doctor immediately. 

Smuth Cream contains Calcium dobesilate, Hydrocortisone, Lignocaine, and Zinc. It is used to treat piles. Calcium dobesilate is a vasoprotective (prevent diseases that affect blood vessels) agent that acts on the walls of small blood vessels and reduces their delicacy and leakage. Also, it improves blood flow by reducing the thickness of blood and helps in relieving redness and swelling in piles. Hydrocortisone is a steroid that inhibits the release of certain chemical messengers in the body that cause redness, itching, and swelling caused due to piles. Lignocaine is a local anesthetic that decreases pain sensation by preventing the transmission of pain signals from nerves to the brain.  Zinc acts as an astringent (shrink pores and absorbs excess oils) and antiseptic.

If you are allergic to Smuth Cream or any other medicines, please tell your doctor. Smuth Cream is for external use only. Avoid contact of Smuth Cream with nose, ears, mouth or eyes. In case Smuth Cream 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 Smuth Cream. Do not cover the treated area with any bandages unless advised by your doctor as it may increase the risk of adverse effects. Avoid using Smuth Cream in large amounts or for a longer time than prescribed as it does not give quick or better results but increases the risk of side effects. Do not swallow Smuth Cream. In case of accidental swallowing, please consult a doctor immediately. If you have kidney or liver disease, eye problems, chickenpox, tuberculosis, fungal infection, herpes, rectal sores, stomach/intestinal problems, diabetes or blood disorders, inform your doctor before using Smuth Cream.

• 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. 

• Itching
• Skin redness 
• Burning sensation

If the symptoms persist or worsen after 2 weeks of using Smuth Cream, please consult a doctor.

Haemorrhoids: They are also known as piles, a medical condition that occurs when veins present in the anus and rectum area (the last part of the large intestine that ends up in the anus) swell and become painful. Piles can be either internal or external. Internal haemorrhoids occur within the rectum, as the rectum area has fewer pain receptors, it is less troublesome, and painful. External haemorrhoids occur at the outside of the anus and are most painful. Some of the common symptoms of haemorrhoids are itching, pain, swelling, and trouble sitting. If proper treatment is not provided at the right time, haemorrhoids become irritated and cause bleeding.