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Ruticool Cream

Lidocaine (3% w/w)+ Hydrocortisone (0.25% w/w)+ Phenylephrine (0.1% w/w)+ Zinc Oxide (5% w/w)+ Calcium Dobesilate (0.25% w/w)

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Ruticool Cream is a combination medicine used in the treatment of piles. It relieves the pain, swelling, itching and discomfort associated with passing of stools in people who suffer from problems in the anal area.

Written By Dr. Syeda Aafia, MBA, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 08 May 2026 | 05:15 PM (IST)

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30 gm Rectal Cream

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Gurgaon

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Sep, 2026

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General Information

Contains

Lidocaine (3% w/w)+ Hydrocortisone (0.25% w/w)+ Phenylephrine (0.1% w/w)+ Zinc Oxide (5% w/w)+ Calcium Dobesilate (0.25% w/w)

Marketer

Lupin Ltd

Storage

Store below 25°C

The content is shown in English

Product introduction

Ruticool Cream should be used in the dose and duration as directed by your doctor. Clean and dry the affected area before applying this medicine. Make sure to wash your hands thoroughly before and after applying this medicine. Do not use your finger to apply this medicine. Do not stop using it suddenly without talking to your doctor, as it may lead to worsening of your condition.

Using of this medicine may cause application site reactions (burning, irritation, itching, and redness). These are temporary and usually resolves on with time. You should consult your doctor if any of these do not resolve with time and persists for a longer duration.

Avoid getting it into your eyes, nose or mouth. If accidental exposure occurs, wash your eyes with water and seek immediate medical attention. You should stop using it and inform your doctor if you notice worsening of the infection or if you develop increased redness and irritation.

Uses of Ruticool Rectal Cream

Treatment of Piles

Benefits of Ruticool Rectal Cream

Treatment of Piles
Ruticool Cream helps reduce pain associated with piles (hemorrhoids) by producing a feeling of numbness at the site of application. It also gives relief from swelling, itching and irritation caused due to piles. Apply Ruticool Cream 2-3 times a day after cleaning and drying the affected area properly. Consult your doctor if you do not see any improvement even after a week. Make sure to avoid spicy, oil-rich food and drink plenty of water and a fiber rich diet for a speedy recovery as well as to prevent piles in future.

Side effects of Ruticool Rectal Cream

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Ruticool

Application site reactions (burning, irritation, itching and redness)

How to use Ruticool Rectal Cream

This medicine is for external use only. Use it in the dose and duration as advised by your doctor.

How Ruticool Rectal Cream works

Ruticool Cream is a combination of five medicines: Lidocaine, Hydrocortisone, Phenylephrine, Zinc Oxide, and Calcium Dobesilate. Lidocaine is a local anesthetic which works by blocking pain signals from the nerves to brain thereby decreasing the sensation of pain. Hydrocortisone is a steroid which reduces redness, itching, and swelling due to piles/hemorrhoids. Phenylephrine is a decongestant that shrinks the swollen blood vessels to further relieve itching and irritation caused by piles/hemorrhoids. Zinc Oxide has astringent and antiseptic action. Calcium Dobesilate is a vasoprotective medicine which works on the walls of the small blood vessels and reduces their leakage and fragility. It also improves blood flow by decreasing viscosity/thickness of blood, thereby relieving inflammation (redness and swelling) in piles/hemorrhoids and promoting healing.

Quick tips

Ruticool Cream is prescribed for the treatment of piles.
Apart from using Ruticool Cream, you can indulge in warm baths. It may help soothe the area and thus may ease the pain.
Don't ignore the feeling of needing to pass stools. Some people suppress this feeling and put off going to the toilet until later. This may result in bigger and harder stools forming that are more difficult to pass later.
Do not take any oral laxative along with Ruticool Cream without consulting your doctor.
Sometimes certain medicines like iron tablets, antibiotics might cause constipation. Inform your doctor if you are taking any of them.
A fiber-rich diet (wholegrain bread and cereals, fruit and green leafy vegetables) with six to eight full glasses of water each day and daily exercise are important in maintaining healthy bowel function.

Safety advice

Alcohol

No interaction found/established

Pregnancy

CONSULT YOUR DOCTOR

The safety of Ruticool Cream during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding

SAFE IF PRESCRIBED

Ruticool Cream may be safe to use during breastfeeding. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Driving

No interaction found/established

Kidney

SAFE IF PRESCRIBED

Ruticool Cream is probably safe to use in patients with kidney disease. Limited data suggest dose adjustment may not be needed.

Liver

SAFE IF PRESCRIBED

Ruticool Cream is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.

Frequently asked questions

What are piles?

Piles, also known as hemorrhoids, are simply swollen blood vessels in your rectal area or anus. Swollen blood vessels can cause severe pain or an itchy sensation. This sensation can be very stressful and irritating. Ruticool Cream is an effective treatment for piles.

Can I stop taking Ruticool Cream when my pile's symptoms are relieved?

No, do not stop taking Ruticool Cream and complete the full course of treatment. Your symptoms may improve before the piles are completely cured.

Will Ruticool Cream be more effective if taken more than prescribed?

No, Ruticool Cream will not be more effective if taken more than prescribed. Moreover, it can result in too much of medicine being absorbed into the body and cause unwanted side effects. If you are experiencing increased severity of your symptoms, please consult your doctor for re-evaluation.

What are the instructions for the storage and disposal of Ruticool Cream?

Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Fact Box

Habit Forming

Therapeutic Class

CARDIAC

References

Drasner K. Local Anesthetics. In: Katzung BG, Masters SB, Trevor AJ (Editors). Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 439-450.
Catterall WA, Mackie K. Local Anesthetics. In: Brunton LL, Hilal-Dandan R, Knollmann BC (Editors). Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 405-419.
Chrousos GP. Adrenocorticosteroids & Adrenocortical Antagonists. In: Katzung BG, Masters SB, Trevor AJ (Editors). Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 681-697.
Westfall TC, Macarthur H, Westfall DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Hilal-Dandan R, Knollmann BC (Editors). Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 13th ed. New York, NY: McGraw-Hill Education; 2018. pp. 191-223.

User feedback

Patients taking Ruticool Cream

Twice A Day

100%

What are you using Ruticool Rectal Cream for?

Piles

74%

Others

22%

Pupil dilation

Mouth ulcers

Nasal congestion (blocked nose)

How much was the improvement?

Average

53%

Excellent

28%

Poor

20%

What were the side-effects while using Ruticool Cream?

Application site reactions (burning, irritation, itching and redness)

56%

Irritation

11%

No Side Effect

11%

Vomiting

11%

Urinary retention

11%

How do you take Ruticool Rectal Cream?

With or without food

82%

With food

12%

Empty stomach

Please rate Ruticool Cream on price

Average

58%

Not Expensive

31%

Expensive

10%

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Lupin Ltd
Address: 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Ruticool Cream. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

Ruticool Cream

Cash on delivery

Free Return

Expiry after

Save more with additional offers

General Information

Contains

Marketer

Storage

Product introduction

Uses of Ruticool Rectal Cream

Benefits of Ruticool Rectal Cream

Side effects of Ruticool Rectal Cream

How to use Ruticool Rectal Cream

How Ruticool Rectal Cream works

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Frequently asked questions

What are piles?

Can I stop taking Ruticool Cream when my pile's symptoms are relieved?

Will Ruticool Cream be more effective if taken more than prescribed?

What are the instructions for the storage and disposal of Ruticool Cream?

Fact Box

Habit Forming

Therapeutic Class

References

User feedback

Patients taking Ruticool Cream

What are you using Ruticool Rectal Cream for?

How much was the improvement?

What were the side-effects while using Ruticool Cream?

How do you take Ruticool Rectal Cream?

Please rate Ruticool Cream on price

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

In case of any issues, contact us

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