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What happens if I miss a dose (Xyralid RC)?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose (Xyralid RC)?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of hydrocortisone topical applied to the skin is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

Lidocaine topical applied to the skin is not likely to cause an overdose unless you apply more than the recommended dose. Lidocaine overdose symptoms may include drowsiness, confusion, nervousness, ringing in your ears, blurred vision, feeling hot or cold, numbness, muscle twitches, uneven heartbeats, seizure (convulsions), slowed breathing, or respiratory failure (breathing stops).

What should I avoid while using hydrocortisone and lidocaine topical with psyllium (Xyralid RC)?

Avoid getting the rectal cream in your eyes, ears, mouth, and nose, or on your lips. If it does get into any of these areas, rinse well with water or saline solution.

Avoid using other topical medications on the affected area unless your doctor has told you to.

What other drugs will affect hydrocortisone and lidocaine topical with psyllium (Xyralid RC)?

Tell your doctor about all other medications you use, especially a heart rhythm medication such as:

• quinidine (Quinaglute, Quinidex, Quin-Release);
• procainamide (Procan, Procanbid, Pronestyl);
• disopyramide (Norpace);
• flecaininde (Tambocor);
• mexiletine (Mexitil);
• morizicine (Ethmozine); or
• propafenone, (Rythmol).

This list is not complete and there may be other drugs that can interact with hydrocortisone and lidocaine topical with psyllium. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about hydrocortisone and lidocaine topical with psyllium.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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