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What should I discuss with my healthcare provider before using hydrocortisone and lidocaine topical with psyllium (Xyralid RC)?

You should not use this medication if you are allergic to hydrocortisone, lidocaine, or psyllium, or if you have:

• severe liver disease;
• a fungal infection;
• herpes;
• smallpox or chickenpox; or
• tuberculosis.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before using hydrocortisone and lidocaine topical with psyllium, tell your doctor if you have liver disease or a heart rhythm problem.

• liver disease;
• kidney disease;
• a heart rhythm problem;
• congestive heart failure;
• a stomach or intestinal disorder; or
• any type of infection.

Also tell your doctor if you have diabetes. Steroid medicines may increase the glucose (sugar) levels in your blood or urine. You may also need to adjust the dose of your diabetes medications.

FDA pregnancy category C. It is not known whether hydrocortisone and lidocaine topical with psyllium is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether hydrocortisone and lidocaine topical with psyllium passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not use this medication in a child without a doctor's advice. Children are more sensitive to the effects of hydrocortisone and lidocaine topical.

How should I use hydrocortisone and lidocaine topical with psyllium (Xyralid RC)?

Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger or smaller amounts, or use it for longer than recommended.

Do not take hydrocortisone rectal by mouth. It is for use only in your rectum.

Hydrocortisone and lidocaine topical rectal cream is supplied in 14 medicine tubes with 14 disposable applicators. Each tube and applicator one is for a single use only. This medication is usually applied 2 times daily.

Peel off the seal under the tube cap and screw the applicator tip firmly onto the tube. Squeeze the tube to push the medication into the applicator. With the tube still attached to the applicator, insert only the tip of the applicator into the rectum. Continue squeezing the tube to apply the medicine. Also apply to the outer areas of the anus.

Do not insert the applicator deep into the rectum. Use only applicators that come with this medication, and throw each one away after one use.

Wash your hands before and after using the hydrocortisone and lidocaine rectal cream. Follow the application instructions provided with the medication.

Use the moist towelettes supplied with the medication to gently clean the rectal area before each time you apply the rectal cream. Each towelette is for one use only.

The hydrocortisone and lidocaine topical kit comes with 7 packets of psyllium labeled as Konsyl. A reusable shaker cup is also provided. Empty the contents of a psyllium packet into the shaker cup and fill the cup about half way with fruit juice or other desired liquid.

Place the cap tightly onto the shaker cup and shake vigorously for 3 to 5 seconds or until the psyllium granules are mixed well with the liquid. Drink all of this mixture right away. To make sure you get the entire dose, add a little more liquid to the shaker cup, swirl gently and drink right away.

Wash the shaker cup with soap and water between uses.

Do not cover the treated rectal areas with a bandage, plastic pants or other covering unless your doctor has told you to. Covering the skin that is treated with hydrocortisone and lidocaine topical can increase the amount of the drug your skin absorbs, which may lead to unwanted side effects. Your body may also absorb more of this medication if you use too much.

Your body may also absorb more of this medication if you use too much.

Contact your doctor if your condition does not improve or if it gets worse after using this medication.

Hydrocortisone and lidocaine topical will not treat a bacterial, fungal, or viral infection.

Store the rectal cream and psyllium packets at room temperature away from moisture and heat.

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