anozest cream - Lidocaine (1.5% w/w) + Nifedipine (0.3% w/w) medicine

Anobliss Cream: Complete Medicine Guide

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🏭 Quepreon Biologicals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited to moderate for topical use in anal fissures.
Reviewed by
SaathiMed Expert Panel | Sep 21, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Signs of systemic toxicity (dizziness, drowsiness, irregular heartbeat)
  • Bluish discoloration of lips or skin
  • Severe pain or worsening of condition
  • Signs of infection (increased redness, warmth, pus)

If experiencing severe symptoms, call emergency services immediately.

What is anozest cream used for?

This medicine is a topical cream combining lidocaine (a numbing agent) and nifedipine (a muscle relaxant). It is used to relieve pain and promote healing in conditions like anal fissures.

  • Generic Name: Lidocaine + Nifedipine
  • Manufacturer: Quepreon Biologicals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 anozest cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल क्रीम है जिसमें लिडोकेन और निफेडिपिन होते हैं। यह बवासीर और गुदा fissure के दर्द और ऐंठन को कम करने में मदद करती है। यह प्रभावित क्षेत्र को सुन्न करती है और मांसपेशियों को आराम देती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में जलन, खुजली, या लालिमा शामिल हो सकते हैं। गंभीर एलर्जी प्रतिक्रिया दुर्लभ है लेकिन अगर सांस लेने में कठिनाई, चेहरे पर सूजन हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस क्रीम को केवल त्वचा पर लगाएं। आंखों, नाक, मुंह से बचाएं। उपयोग से पहले और बाद में हाथ धोएं। बच्चों की पहुंच से दूर रखें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 anozest cream Uses & Benefits

[{"condition":"Anal fissures","description":"Helps relieve pain and promote healing by numbing the area and relaxing the sphincter muscle.","evidence":"Well-established"},{"condition":"Localized pain and inflammation","description":"May be used for other painful skin conditions as determined by a doctor.","evidence":"Limited"}]

Off-label uses: [{"condition":"Hemorrhoids","description":"Sometimes used to relieve pain and discomfort associated with hemorrhoids.","evidence":"Limited"}]

Primary treatment for: Anal fissures

Also treats: Hemorrhoids, Localized pain

📋 Drug Information

Generic Name(s)Lidocaine + Nifedipine
Brand NameAnobliss Cream
ManufacturerQuepreon Biologicals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassLocal anesthetic + Calcium channel blocker
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Protect from light and moisture. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply the cream gently to the affected area after cleaning and drying.
2
Wash your hands thoroughly before and after application.
3
Do not use more than the prescribed amount or frequency.
4
Avoid contact with eyes and mucous membranes.
5
If symptoms do not improve within a few days, consult your doctor.
6
Report any signs of allergic reaction immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Anal pain
This medicine is commonly prescribed for this.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLidocaine and nifedipine can be absorbed through intact skin, but the extent depends on the application area, duration, and skin condition. Systemic absorption is generally low when used as recommended.
DistributionNot established from the available information.
Protein BindingLidocaine is approximately 65% bound to plasma proteins; nifedipine is about 92-98% bound.
MetabolismLidocaine is metabolized in the liver by cytochrome P450 enzymes, mainly CYP3A4 and CYP1A2. Nifedipine is also metabolized in the liver by CYP3A4.
Half-LifeLidocaine half-life is about 1.5-2 hours; nifedipine half-life is about 2-5 hours.
ExcretionMetabolites are excreted primarily in urine.
BioavailabilityNot established from the available information for topical application.
Onset of ActionLocal anesthesia from lidocaine occurs within minutes; nifedipine's smooth muscle relaxation may take longer, but effects are local.
Peak Plasma TimeNot established from the available information.
Duration of ActionPain relief may last for several hours; the muscle relaxant effect may also persist for a few hours.

How It Works

This medicine works through the combined action of its two ingredients. Lidocaine blocks sodium channels in nerve cells, preventing the transmission of pain signals from the applied area to the brain, thereby producing local numbness. Nifedipine blocks calcium channels in smooth muscle cells, leading to relaxation of the smooth muscle, which helps reduce spasm and improves blood flow in the treated area. Together, they provide pain relief and promote healing in conditions like anal fissures.

Mechanism Steps

1
Sodium channel blockade by lidocaine: Lidocaine reversibly binds to voltage-gated sodium channels on nerve cell membranes, blocking sodium influx and preventing depolarization, which stops pain signal transmission.
2
Calcium channel blockade by nifedipine: Nifedipine inhibits the influx of calcium ions through L-type calcium channels in smooth muscle cells, leading to muscle relaxation and vasodilation.
3
Combined local effect: The combination results in numbing of the area and relaxation of the underlying smooth muscle, which is beneficial for conditions like anal fissures where pain and spasm are prominent.

💡 How to Take anozest cream

Strength: Cream containing lidocaine 1.5% w/w and nifedipine 0.3% w/w.

1Wash your hands before and after application.
2Clean and dry the affected area.
3Apply a thin layer of cream to the affected area.
4Gently rub in unless otherwise directed.
5Do not cover with airtight dressing unless instructed.
6Wash hands immediately after application if not the treated area.

Dosage Information

Adult DosageApply a thin layer to the affected area as directed by your doctor, usually once or twice daily. The exact dose and frequency depend on the condition being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of lidocaine and nifedipine. Use with caution and under medical supervision.
Renal ImpairmentNo specific dose adjustment is established for topical use. Consult your doctor if you have kidney disease.
Hepatic ImpairmentNo specific dose adjustment is established for topical use. Consult your doctor if you have liver disease.
Maximum Daily DoseNot established from the available information. Follow your doctor's prescription.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Grapefruit
Avoid
May increase nifedipine levels.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of anozest cream

✅ Common Side Effects

Application site burning (Common (1-10%))
Usually resolves on its own. If persistent or severe, consult your doctor.
Application site irritation (Common (1-10%))
Discontinue if severe and consult your doctor.
Itching (Common (1-10%))
Avoid scratching; consult doctor if it worsens.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling, or difficulty breathing.
Systemic effects from absorption (Rare (<0.1%))
Contact doctor if you feel dizzy, drowsy, or have irregular heartbeat.

⚠️ Rare Side Effects

Methemoglobinemia
Seek immediate medical attention if you experience bluish lips or skin, shortness of breath, or confusion.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
CYP3A4 inhibitors Major
Beta-blockers Moderate
Grapefruit juice Moderate

🚨 Major Interactions

  • Other local anesthetics
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)

⚡ Moderate Interactions

  • Beta-blockers
  • Grapefruit juice

🍷 Alcohol Interaction

Alcohol may enhance the vasodilatory effects of nifedipine, potentially causing dizziness or low blood pressure. Limit alcohol consumption while using this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to lidocaine, nifedipine, or any component","Use on damaged skin or mucous membranes unless directed","Children without medical advice"]

⚠️ Warnings & Precautions

["For external use only.","Avoid contact with eyes.","Do not apply to large areas or use for prolonged periods without medical advice.","Do not use if you have a history of allergic reactions to local anesthetics.","Consult doctor if symptoms persist or worsen."]

🤱 Lactation Safety

It is not known if lidocaine or nifedipine pass into breast milk in significant amounts after topical application. Consult your doctor before use while breastfeeding.

💊 Overdose Management

Overdose from topical use is unlikely. If excessive amounts are applied or ingested, seek medical attention. Symptoms of overdose may include dizziness, drowsiness, seizures, or irregular heartbeat.

⏰ Missed Dose

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Use this medicine only on the skin and only as prescribed. Avoid contact with eyes, nose, mouth, and other mucous membranes. Wash your hands thoroughly before and after applying the cream, unless your hands are the treated area. Do not apply to broken or infected skin unless directed by your doctor. Do not cover the treated area with airtight dressings unless instructed. Keep out of reach of children. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Inform your doctor about all other medications you are taking, especially other topical products or oral medications for heart conditions or pain.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of lidocaine and nifedipine. Use with caution and monitor for dizziness or low blood pressure.

🤰 Pregnancy Planning (TTC)

Consult your doctor before using this medicine if you are planning to become pregnant. Topical use is generally considered low risk, but medical advice is recommended.

🏥 Post-Surgery Considerations

If you have recently had surgery in the treated area, consult your doctor before using this cream.

🦷 Dental Procedures

This medicine is for topical use on the skin and is not intended for dental procedures. Inform your dentist if you are using it.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hygiene in the affected area.
🥗
Stay hydrated and eat a high-fiber diet to prevent constipation.
😴
Avoid straining during bowel movements.
💧
Take warm sitz baths to relieve discomfort.
🧘
Follow your doctor's advice for follow-up care.

🏋️ Exercise Considerations

Avoid strenuous exercise that may irritate the affected area until healing occurs. Gentle walking is usually fine.

🥗 Diet Recommendations

Increase fiber intake to soften stools.
Drink plenty of water.
Avoid spicy foods that may irritate the digestive tract.

💼 Impact on Daily Work & Life

This medicine is applied topically and is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or drowsiness, avoid these activities until you feel normal.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if your symptoms worsen, if you develop signs of an allergic reaction, or if you do not see improvement after a few days of use. Do not stop prescribed treatment without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use on large areas may increase the risk of systemic side effects. Regular follow-up with your doctor is recommended to assess continued need and safety.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Sitz baths

Warm water baths can help relax the sphincter and relieve pain.

Evidence: Well-established
High-fiber diet

Prevents constipation and reduces strain during bowel movements.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Continue routine vaccinations as scheduled.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, continue your regular application schedule as prescribed. Check customs regulations for topical medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 40-year-old man with painful anal fissure
He was prescribed this cream to apply twice daily. After a week, he noticed significant pain relief and reduced bleeding. He emphasized the importance of applying it gently and keeping the area clean.
💡 Lesson: Consistent use and proper application technique are key to healing.
👤 A 35-year-old woman with postpartum hemorrhoids
She used this cream as directed and found relief from pain and swelling. She was careful to avoid contact with the perineal area during breastfeeding and consulted her doctor regularly.
💡 Lesson: This medicine can be effective for hemorrhoid pain when used under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may feel relief within minutes due to the numbing effect, but full benefits for conditions like anal fissures may take a few days of regular use.

Q: Can I use it on other areas?

A: Only use it on the area prescribed by your doctor. Do not apply to other areas without medical advice.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this cream long-term?
  • Will it affect my heart?
  • Can I drive after applying this cream?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while using this?

🔄 Substitutes for anozest cream

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This cream can be used for any type of pain.
    Fact: It is specifically formulated for certain conditions like anal fissures and should only be used as prescribed.
  • Myth: More cream means faster relief.
    Fact: Using more than prescribed can increase the risk of side effects and does not necessarily improve results.

🔄 Alternative Options

Generic Alternatives

  • Lidocaine 1.5% + Nifedipine 0.3% cream

Brand Alternatives

  • Anobliss cream

📊 Comparison with Similar Medicines

[{"medicine":"Lidocaine alone","difference":"Provides only numbing, no muscle relaxation."},{"medicine":"Nifedipine alone","difference":"Provides muscle relaxation but no numbing."}]

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