Spear Ointment belongs to the group of anorectal preparations used to treat anal fissures and haemorrhoids (piles). An anal fissure is a small tear in the mucosa that lines the anus. Haemorrhoids, also known as piles, are the inflamed and swollen veins in the rectum and anus that cause discomfort, pain, and bleeding. 

Spear Ointment contains 'Cinchocaine hydrochloride and Policresulen'. Spear Ointment helps in alleviating pain and itching that occur as a result of inflammation. Spear Ointment works by numbing the area of application and reducing any unpleasant sensations in or around the anal region.

In some cases, Spear Ointment may cause certain very occasional side effects such as temporary stinging, skin rash and skin sagging. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects consistently.

Inform the doctor if you are allergic to any of the components of Spear Ointment. Avoid Spear Ointment in case of any systemic infection. Discuss your entire medical history with the doctor. Inform the doctor of any medications you are currently on. Consult your doctor before using Spear Ointment during pregnancy or if you are breastfeeding.

Spear Ointment is a skin ointment that has anaesthetic and pain-numbing properties. It contains Cinchocaine hydrochloride and policresulen. Spear Ointment is used to relieve the pain, discomfort and itchiness associated with anal fissure and haemorrhoids (piles). Cinchocaine hydrochloride is a local anaesthetic that blocks the transmission of impulses across nerves, thereby easing the sensation of pain. It inactivates the sodium channels in the nerve cell membrane, thereby preventing the sodium-induced activation of the cell and precluding any transmission of nerve impulses that produce the sensation of pain. Policresulen functions as an antiseptic and haemostatic agent by virtue of its bacteria and fungus-killing nature and helps arrest bleeding. Spear Ointment is hence used to treat anal fissures and haemorrhoids.

• Stinging
• Rash
• Skin sagging

Inform the doctor if you are allergic to any of the components of Spear Ointment. Avoid Spear Ointment in case of any systemic infection and/or hypersensitivity. Discuss your entire medical history with the doctor. Inform the doctor of any medications you are currently on. Exercise caution while using Spear Ointment with anti-retrovirals (HIV drugs). Consult your doctor before using Spear Ointment during pregnancy or if you are breastfeeding. Do not use Spear Ointment for more than 7 days unless advised otherwise by the doctor.

Drug-Drug Interactions: Spear Ointment may interact with anti-HIV drugs (ritonavir, cobicistat).

Drug-Food Interactions: No interactions found.

Drug-Disease Interactions: Spear Ointment should be used with caution in patients with a known hypersensitivity disorder, wool allergy, eye problems and any systemic infections.

• RITONAVIR
• COBICISTAT

• Drinking enough water and keeping your skin hydrated can go a long way in preventing piles. While the generally accepted rule is 8-12 glasses of water per day, the trick is to make sure you drink water each time you feel thirsty. 
• Practising personal hygiene is also very effective in preventing anal infections and haemorrhoids.
• Practise safe, vaginal sex.
• A fibre-rich diet is very helpful in ensuring normal bowel movements and preventing haemorrhoids. Whole-grain foods, fruits, vegetables, pulses, whole-wheat bread and pasta are rich in fibre. 
• Limit or avoid your use of alcohol and caffeine as these can dysregulate normal bowel movements.
• Exercising for 30 minutes every day can be very beneficial in staying fit and preventing the occurrence of piles. You may even break down your daily exercise regimen into bit-sized workouts or activities of 10 minutes each. 
• Avoid smoking as this can hamper wound healing.

• In case Spear Ointment gets into your eyes, rinse them out thoroughly, making sure you do not get the product into the other eye. If irritation persists, please consult a physician.
• Do not puncture or break the container of Spear Ointment even when it is empty. 
• Be cautious while using Spear Ointment in case of an allergy to wool as it is made from wool fat.
• In case of an allergic reaction to Spear Ointment (a sudden rash, burning, stinging), inform the doctor immediately.
• Overuse of Spear Ointment may result in adrenal suppression characterised by fatigue, loss of appetite, stomach pain, weight loss, lack of concentration and even fits.

Haemorrhoids: Haemorrhoids are lumps or bumps that form within and around the anus. If symptomatic, they cause difficulty and straining while defecating. In addition, they also produce pain, discomfort, irritation, itchiness and sometimes even bleeding.

Anal fissure: Anal fissure is a small tear in the mucosa that lines the anus that causes pain and bleeding during or after a bowel movement. Anal fissures generally heal independently, and if the condition lasts for more than 8 weeks, it can be considered chronic. Sometimes surgery may also be needed depending upon the condition. Symptoms include tear of skin around the anus region, burning sensation, pain, and blood during a bowel movement.