Elfate-LM Rectal Cream: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction (rash, swelling, difficulty breathing)
- Seizures
- Numbness or tingling in hands or feet
- Severe rectal bleeding
- Signs of liver problems (yellowing of skin or eyes, dark urine)
- Persistent vomiting or severe headache
If experiencing severe symptoms, call emergency services immediately.
What is surect cream used for?
This medicine is a rectal cream containing lidocaine (a numbing agent) and metronidazole (an antibiotic). It is used to treat painful and infected conditions of the rectum and anus, such as hemorrhoids and anal fissures. Apply as directed by your doctor, usually 1-2 times daily.
- Generic Name: Lidocaine (4% w/w) + Metronidazole (1% w/w)
- Manufacturer: Nemus Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 surect cream के बारे में (Hindi Summary)
उपयोग: यह दवा मलाशय और गुदा के दर्द, खुजली और संक्रमण के इलाज के लिए उपयोग की जाती है। इसमें लिडोकेन और मेट्रोनिडाजोल होते हैं। लिडोकेन दर्द को सुन्न करता है और मेट्रोनिडाजोल संक्रमण को रोकता है। इसका उपयोग बवासीर, गुदा में दरार और प्रोक्टाइटिस जैसी समस्याओं में किया जाता है।
साइड इफेक्ट्स: आम दुष्प्रभावों में लगाने की जगह पर हल्की जलन, खुजली या लालिमा शामिल है। कभी-कभी मुँह में धातु जैसा स्वाद आ सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, दौरे या हाथ-पैर में झुनझुनी हो सकती है। कोई भी असामान्य लक्षण दिखने पर डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के निर्देशानुसार ही करें। लगाने से पहले और बाद में हाथ धोएँ। आँखों, मुँह या नाक के संपर्क में न आने दें। उपचार के दौरान शराब न पिएँ। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। बच्चों की पहुँच से दूर रखें।
💊 surect cream Uses & Benefits
[{"condition":"Hemorrhoids","description":"Provides relief from pain, itching, and inflammation associated with hemorrhoids.","evidence":"Well-established"},{"condition":"Anal fissures","description":"Helps reduce pain and promotes healing by preventing infection.","evidence":"Well-established"},{"condition":"Proctitis","description":"Treats inflammation and infection of the rectal lining.","evidence":"Moderate"},{"condition":"Pruritus ani","description":"Relieves itching around the anus, often due to infection or irritation.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Perianal abscess after drainage","description":"Sometimes used to prevent infection and relieve pain after surgical drainage.","evidence":"Limited"}]
Primary treatment for: Hemorrhoids
Also treats: Anal fissures, Proctitis, Pruritus ani
📋 Drug Information
| Generic Name(s) | Lidocaine (4% w/w) + Metronidazole (1% w/w) |
| Brand Name | surect cream |
| Manufacturer | Nemus Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Topical (rectal) |
| Storage | Store at room temperature (15-30°C). Protect from light and moisture. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines a local anesthetic and an antimicrobial. Lidocaine blocks sodium channels in nerve cell membranes, preventing the generation and conduction of pain signals. Metronidazole enters susceptible microorganisms and disrupts DNA structure, leading to cell death. Together, they provide symptomatic relief and treat underlying infection.
Mechanism Steps
💡 How to Take surect cream
Strength: Rectal cream containing lidocaine 4% w/w and metronidazole 1% w/w.
Dosage Information
| Adult Dosage | Apply a thin layer to the affected area 1-2 times daily, or as directed by your doctor. The dose and duration depend on the condition being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients, but use with caution due to potential for increased sensitivity. |
| Renal Impairment | No dose adjustment is typically needed for topical use, but consult your doctor if you have severe kidney disease. |
| Hepatic Impairment | Use with caution in patients with severe liver disease. Consult your doctor for dose adjustment. |
| Maximum Daily Dose | Not established from the available information. Follow your doctor's prescription. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of surect cream
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Alcohol | Major | |
| Cimetidine | Moderate | |
| Lithium | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Alcohol
- Warfarin
⚡ Moderate Interactions
- Cimetidine
- Lithium
🍷 Alcohol Interaction
Avoid alcohol completely while using this medicine and for at least 48 hours after stopping, as metronidazole can cause a disulfiram-like reaction with symptoms like severe nausea, vomiting, flushing, and rapid heartbeat.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Allergy to lidocaine or metronidazole","Use in the eye","Severe liver disease"]
⚠️ Warnings & Precautions
["For rectal use only.","Avoid contact with eyes and mucous membranes.","Do not use on large areas of broken skin.","Avoid alcohol during treatment.","Consult doctor if symptoms persist beyond 7 days."]
🤱 Lactation Safety
Lidocaine and metronidazole may pass into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose is unlikely with topical use. If accidental ingestion occurs, seek emergency medical attention. Symptoms of lidocaine overdose include dizziness, seizures, and irregular heartbeat. Metronidazole overdose may cause nausea, vomiting, and neurological symptoms.
⏰ 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
Use this medicine only as prescribed by your doctor. Wash your hands before and after application. Apply a thin layer to the affected area and avoid contact with the eyes, mouth, or nose. Do not use it for longer than recommended. Avoid alcohol while using this medicine because metronidazole can cause a disulfiram-like reaction (severe nausea, vomiting, flushing). Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine if you have a history of allergy to lidocaine or metronidazole. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of lidocaine. Use with caution and monitor for side effects.
🤰 Pregnancy Planning (TTC)
Consult your doctor before using this medicine if you are planning pregnancy. It is generally considered safe for topical use but use only if clearly needed.
🏥 Post-Surgery Considerations
This medicine may be used after rectal surgery to relieve pain and prevent infection. Follow your surgeon's instructions.
🦷 Dental Procedures
No specific considerations for dental procedures, as this medicine is for rectal use.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise that increases pressure on the rectal area until symptoms improve.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause mild dizziness or numbness; avoid driving or operating machinery if affected. It should not interfere with most work activities.
🛑 When to Stop This Medicine
Stop using this medicine if you experience severe side effects or if your symptoms do not improve within 7 days. Consult your doctor before stopping if you are unsure.
📅 Long-Term Use Effects
Prolonged use may increase the risk of systemic absorption and side effects such as peripheral neuropathy. Use only for the prescribed duration and consult your doctor if symptoms persist.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Warm water baths can help relieve pain and itching.
Evidence: Well-establishedHelp prevent straining during bowel movements.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. 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 dosing schedule. Declare it at customs if required.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Lidocaine provides numbness within minutes, while metronidazole starts working against infection over a few days.
A: No, it is specifically for rectal use. Consult your doctor for other conditions.
🤔 Common Patient Concerns
🔄 Substitutes for surect cream
View AllAlternative brands with exact same active ingredient:
-
sucross ano creamGreen Cross Remedies ₹54.09 51.1% CHEAPER
-
elfate-lm rectal creamEstrellas Life Sciences Pvt. Ltd. ₹89.06 19.5% CHEAPER
-
anosum creamSamarth Life Sciences Pvt Ltd ₹91.88 16.9% CHEAPER
-
pileclear s creamIkon Remedies Pvt Ltd ₹98.44 11% CHEAPER
-
meetgyl-ano creamMac-Ris Pharma ₹111.09 0.4% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This cream can cure hemorrhoids permanently.
Fact: It provides symptomatic relief and treats infection but does not cure the underlying condition. Lifestyle changes and medical procedures may be needed. - Myth: You can use it for any skin problem.
Fact: It is specifically for rectal use and should not be applied to other areas unless directed by a doctor.
🔄 Alternative Options
Generic Alternatives
- Lidocaine 4% + Metronidazole 1% rectal cream