Do not use more or less of it or use it more often or for a longer time than described on the package or prescribed by your doctor. Follow the directions on the package or on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Pramoxine hemorrhoidal cream, lotion, and foam may be applied after bowel movements as needed or directed. Pramoxine cream or pledgets may be used up to five times a day the spray or gel may be used 3 or 4 times daily. Pramoxine is usually applied to the affected area several times a day. The solution comes as individual pledgets (medicated wipes for one time use). Pramoxine also comes as a cream, foam, lotion, or solution (liquid) to apply to the rectal area. Pramoxine comes as a gel or spray to apply to the skin.
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