Trianal 20 zalf Expand

Trianal 20 zalf




Therapeutic Indications:

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Trianal 20 zalf




Therapeutic Indications:

Symptomatic treatment of hemorrhoids. Moreover, the ointment can be used in the treatment of anal eczema and anal itching. Measures to prevent constipation, hemorrhoids ring of sclerosis, and even a surgical procedure should not be overlooked.

Qualitative and quantitative composition:

TriAnal ointment for rectal use:
1 g ointment contains: 0.25 mg triamcinolone - Lidocaine hydrochloride 50 mg.
TriAnal suppositories:
1 suppository contains: 0.50 mg triamcinolone - Lidocaine hydrochloride 50 mg.
For excipients, see List of excipients.

Pharmaceutical form:

ointment and suppositories for rectal use.

Posology and method of administration:

Adults and children over 12 years.
Ointment for rectal use:
One to three applications per day on the irritated areas and external hemorrhoids.
A suppositorium or twice a day, in case of internal hemorrhoids.
Finger stalls to be the suppositoria supplied for hygienic use.
It is recommended hands before and after each application carefully wash with soap. Treatment will generally be short term and should last no longer than four weeks. Do not use in children younger than 12 years.

This is a medicine, no prolonged use without medical advice, keep away from children, read the leaflet carefully. Ask your doctor or pharmacist. In case of side effects, contact your doctor.


Hypersensitivity to active substances or to any of the other ingredients. - Tuberculosis. - Bacterial or fungal infections. - Herpes genitalis. - Hypersensitivity to any component. - Pregnancy. - Children younger than 12 years.

Special warnings and precautions for use:

Patients corticoïdtherapie follow any other, should be closely monitored in order that the possible occurrence of adverse reactions to detect. Caution is necessary in cases of anal fissures as a healing treatment with corticosteroids can decrease.
It is recommended a strict hygiene of the treated area to observe. In case of infection of the anal area should first be brought to a specific treatment. Prolonged use, the symptoms of a serious illness can mask.

Pregnancy and lactation:

: We suspect that the administration of corticosteroids in early pregnancy malformations of the palate, particularly at high doses, can cause. The systemic absorption of lidocaine in the mother gives rise to fetal plasma concentrations of 55% compared with the measured concentrations in the mother. It is not recommended during pregnancy TriAnal to serve. Although concentrations are low, side effects could occur through a possible systemic absorption of active ingredients.
: use during lactation should be avoided.

Side effects:

Rare hypersensitivity reactions.
Skin: -
At the start of treatment patients perceive a mild burning sensation. Sometimes itching, tenesmus and an increase in the secretions down. - There is a risk of skin atrophy with the use of associations based on corticosteroids. - Delay of cicatrisatie by corticoids.
Gastro-intestinal disorders:
There is a cathartic effect, but sometimes constipation occur.
Systemic disorders:
case of prolonged treatment, or in very large skin surfaces, systemic effects: suppression of the hypothalamic-pituitary-adrenal (triamcinolone), excitation of the central nervous system, bradycardia and hypotension, arytmieën (lidocaine).

Effects on ability to drive and use machines:

High doses of corticosteroids can lead to mental confusion. Such doses are avoided by the dose and duration of treatment to reduce.


Overdoseringis unlikely given the low concentrations of active ingredients. A prolonged treatment with high doses or the application of the ointment on large areas would be likely to cause symptoms of overdose of triamcinolone and / or lidocaine.
Symptoms: -
Suppression of the hypothalamic-pituitary -adrenal axis, Cushing syndrome (triamcinolone). - Nervousness, tremor, nausea, vomiting, convulsions, bradycardia and hypotension, even arrhythmias (lidocaine).
Treatment in case of overdose: -
The treated areas with soap. - In case of systemic effects caused by lidocaine may be made to the administration of oxygen and artificial respiration. The decrease hypovolemia. A vasoconstrictor may be helpful. The seizures can be brought under control by intravenous administration of diazepam or Sodium thiopental.

List of excipients:

TriAnal ointment for rectal use:
Polyethylene - Liquid paraffin.
TriAnal suppositories:
Middelketenige triglycerides - Fixed fat.

Interaction with other medicinal products and other forms of interaction:

Glucocorticoids reduce plasma levels of salicylates. They can also exert a synergistic effect on the degradation of the stomach, where it simultaneously with non-steroidal anti-inflammatory drugs are administered.


the absence of incompatibility studies, it is recommended that this medicine with other medicines.


Delivery form Ointment
Type of product Medicine
Brands Trianal

This is a medecine

This is a medecine available without a prescription.. Do not use long without medical advice. Read the instructions carefully. Keep this medicine out of the reach of children. Keep the manual as it contains important information. Ask for advice from your doctor or pharmacist. Consult your doctor if adverse reactions.


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