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The Fetal Safety of Hydrocortisone-Pramoxine (Proctofoam-HC) for the Treatment of Hemorrhoids in Late Pregnancy

  • Neda Ebrahimi
  • , Sabina Vohra
  • , Christelle Gedeon
  • , Hani Akoury
  • , Paul Bernstein
  • , Nicholas Pairaudeau
  • , Johanne Cormier
  • , Lorraine Dontigny
  • , Marc Yvon Arsenault
  • , Claude Fortin
  • , Martine Goyet
  • , Chantal Lafortune
  • , Johanne Lalande
  • , Coralie Beauchamp
  • , Francis Engel
  • , Anne Fortin
  • , Anna Taddio
  • , Tom Einarson
  • , Gideon Koren

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Objective: Fetal safety has never been studied for any drug used in the treatment of hemorrhoids. Proctofoam-HC is a combination of a corticosteroid and a local anaesthetic that is proven effective for the treatment of hemorrhoids. The objective of this study was to assess prospectively the fetal safety of third trimester exposure to Proctofoam-HC. Methods: In a multicentre study, 240 women exposed to Proctofoam-HC in the third trimester and a similar number of control pregnant women were followed up postnatally. Results: When compared to controls exposure to Proctofoam-HC was not associated with any adverse fetal effects on birth weight, gestational age, rates of prematurity, or pre- or postnatal complications. Conclusion: Proctofoam-HC is safe to use in the treatment of hemorrhoids in late pregnancy.

Original languageEnglish
Pages (from-to)153-158
Number of pages6
JournalJournal of Obstetrics and Gynaecology Canada
Volume33
Issue number2
DOIs
StatePublished - 2011
Externally publishedYes

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