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Overview

Sucral Ano Cream

Manufacturer: Strassenburg Pharmaceuticals.Ltd
Medicine composition: Lidocaine, Metronidazole
Prescription vs.OTC: Prescription by Doctor not required

Sucral Ano Cream is a local anesthetic. It is used topically on the skin to reduce itchiness and skin conditions such as insect bites, eczema and burns. It is also used to cure hemorrhoids and problems of the genital/anal regions. This medication functions by reducing pain, redness and swelling. The viscous variant is used for dental treatment.

On using Sucral Ano Cream you may experience certain side effects such as a burning or stinging sensation, dizziness, drowsiness, changing body temperatures, blurred vision or a pounding/ringing in your ears. Severe reactions include depression, numbness and vomiting. Should your reactions continue and become worse over time contact your doctor right away.

Before using Sucral Ano Cream inform your doctor if: you are allergic to any medicine, food, substances or ingredients contained within Sucral Ano Cream, you have diabetes, liver/ stomach problems and infections.

Take the dosage recommended by your doctor for your condition. This topical medication comes as a gel, spray, cream, lotion and skin patch. Apply on the affected area of the skin after cleaning and drying it well. It is usually recommended to use about 2-3 times a day.

piles
, local anaesthesia and
In addition to its intended effect, Sucral Ano Cream may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Abnormal sensation
Application site swelling
Skin redness.
Is It safe with alcohol?
No interaction found
Are there any pregnancy warnings?
Xynova endo 200mg lozenges is probably safe to use during pregnancy.
Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.
Are there any breast-feeding warnings?
Xynova endo 200mg lozenges is probably safe to use during breastfeeding. Please consult your doctor.
Is it safe to drive while on this medicine?
There is no interaction between driving and consuming this drug. So dose alteration is not needed.
Does this affect kidney function?
There is no data available. Please consult doctor before consuming the drug.
Does this affect liver function?
There is no data available. Please consult doctor before consuming the drug.
Below is the list of medicines, which have the same composition, strength and form as Sucral Ano Cream, and hence can be used as its substitute.
Leo Pharmaceuticals
Nemus Pharmaceuticals Pvt Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
What are you using Sucral Ano Cream for?
piles
Other
local anaesthesia and
Mouth Sores
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
More than 2 days
Within a day
Within 2 hours
Within 2 days
Within 6 hours
How frequently did you take this medicine?
Twice a day
Once a day
Thrice a day
Not taking on daily level
Four times A Day
How did you take this medicine?
With or without food
With Food
Empty stomach
What were the side effects of this medicine?
Other
Abnormal sensation
Application site swelling
Skin redness
No Side Effects
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I have rectal pain from the past 10 days and it was severe pain while passing stool and bleeding. I have consulted a doctor and he prescribed some Amoxicillin antibiotic and zerodol tablet along with one stool softener syrup freelex. After 3 days also it wasn't reduced and he gave me another antibiotic with more power along with zerodol. Now it is a bit okay. He says it's fissure and needs surgery. Does it really required? Around 3 years back the same situation has come and I have used drotin tablet along with flagyl 400 based on the prescription by another doctor n it got cured in 4-5 days. Can you please suggest the permanent solution for this problem?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Currently there is no need of surgery.* First of all, primary care has to be done with conservative management, when there is no recovery from that (which is very rare) then and then only surgery is mandatory.* Primary guidelines for better recovery. Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400 mg) after meals morning and evening after meals for control of pain, burning if no history of drug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming.* And for your knowledge, fissure can again and again return after full recovery with surgery or without surgery, there is no permanent solution of that anywhere in any pathy of the universe. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
2 people found this helpful

I am 20 year old male studying. I have piles problem for past one year. At first it was painful and slightly bleeds then I didn't care for it because it didn't gave any problem during stools. So what should I do now? Leave it untreated or have to visit doctor?

MBBS, MS - General Surgery, FIAGES
General Surgeon, Gurgaon
I am 20 year old male studying. I have piles problem for past one year. At first it was painful and slightly bleeds t...
Hi piles can be painful and it an cause bleeding. Conservative measures like sitting in warm water that's is sitz bath ,taking laxatives like isabghol ,eating high fibre diet will solve your problem immediately ,but giving only temporary relief .definitive treatment for piles is surgical management .laser treatment for piles is definitive management .it is painless ,10 min procedure which solves your problem permanently .post surgery you will be on proper diet chart and certain pelvic floor exercises will be taught to you ,to avoid constipation in long run.

I am suffering from piles hence blood is not coming now but I am suffering from sever pain even can't sit also please suggest me.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
I am suffering from piles hence blood is not coming now but I am suffering from sever pain even can't sit also please...
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* This seems to be fissure condition rather than piles.* Needs confirmation with consultant surgeon, till you do the same, here are some very useful tips which will give you better ease: Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400) mg after meals for control of pain, burning if no history ofdrug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.

Sir, since last 04 to 05 days there is a problem in my anus while passing stool in morning, there is looking like irritation and wart kind of in rectum also looks little blood there. Please suggest me some lotion and medicine.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Most probable diagnosis is fissure condition, needs confirmation with consultant surgeon.* Can provide primary guidelines for better outcome till you meet your doctor: Drink plenty of liquids. Prefer soft, light diet with more of green leafy veg, whole grains, cereals,pulses, legumes,organic fresh fruits. Avoid all types of oily, spicy,non veg, hot beverages, junk foods, dairy fat. Manage to have smooth bowel passage with the help of bulk forming laxativesas Ispaghula husk with lukewarm drinking water. Tab. Ibuprofen (400) mg after meals for control of pain, burning if no history ofdrug sensitivity. Xylocaine (5 %)jelly application over the anal part gives soothing action. Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) helps.Avoid long drives, sitting prolong on hard surfaces. Control of blood sugar, cholesterol,body weight. Avoid smoking, alcohol if consuming. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.

Sir I have pain in my anus when I go to toilet and also my stomach is not clear. I think it is piles. Please suggestion me.

MBBS, MS - General Surgery, Post Doctoral Fellowship
General Surgeon, Lucknow
This problem can occur due to fissure-in-ano which is a tear in the anal mucosa and can be aggravated by chronic constipation. Kindly consult a general surgeon for proper evaluation and management.
1 person found this helpful

Popular Health Tips

Homeopathy Treatment for Piles

BHMS, MD - Homeopathy
Homeopath, Bhubaneswar
Homeopathy Treatment for Piles

Piles or Hemorrhoids is a sort of disease related to ano-rectal veins, in which there is varicosity of veins and if pressure increases on these veins due to any cause (such as constipation), the walls of veins become weakened, which affects the process of dilatation and contraction in the veins and veins remain dilated at last. Blood doesn’t flow further from these dilated veins and remains accumulated, so veins become swelled up. Further it, if walls of veins become much weakened and pressure is more, the veins may rupture and blood oozes out. This whole process is just like the appearance of varicose veins in legs of those persons, who stand for a long time, but in these cases blood doesn’t come out as the veins of legs have more strength.

Causes of piles

The bulging or prolapsed of hemorrhoidal venous plexus occurs when there is rise of pressure around the plexus areas.  The pressure build up around the plexus area occur if the intra abdominal pressure rises. The intra abdominal pressure rises if somebody putted more strain while passing stool like in constipation, in hyperacidity and flatulency condition; in enlarged abdomen like in pregnancy

Scope of homeopathy treatment

  • Homeopathy treatment reduces the intra abdominal pressure. There are good medicines that relieve constipation which plays major role in developing piles. The common homeopathy medicines are bryonia, alumina, nux vom, anacardium, lycopodium, platina,
  • Homeopathy treatment relieves the pain effectively within a short period of time. The common medicines for piles pain are collinsonia, aesculus, muriatic acid, ratanhia, aconite, capsicum, lachesis etc.
  • The bleeding of piles can be stopped in few hours by proper homeopathic medicines. The common medicines are china, carboveg, acid nitric, millefolium, hamammalis, etc .
  • The itching condition in piles can be controlled by sulphur, aesculus, aloes, etc
  • The large size of the piles which feels by hand can be reduced by suitable homeopathic medicines like sulphur, thuja, calcarea flour, calcarea phos, hamammalis, etc
  • Besides the homeopathic treatment it is very important to maintain a healthy life style and healthy food habits.
  • The fibers rich diets should be consumed daily. Avoid all sorts of junk foods and fast foods
  • Drink plenty of water like 2 to 3 liters daily
  • Avoid prolonged sitting posture.
  • Avoid late night sleep or night shift job
  • Try to keep a balance of your mental stress level.
  • Daily physical activities like morning walk, jogging, yoga are must to practice
10 people found this helpful

Fistula - Ways It Can Be Treated!

N.D.D.Y, Bachelor of Ayurveda Medicine & Surgery (BAMS), Specialist In Ayurvedic Ksharsutra Therapy
Ayurveda, Delhi
Fistula - Ways It Can Be Treated!

The anal area is a highly vascular area, and if not maintained hygienically, it can lead to health issues including infection. The anal canal can get infected quite easily and if these infected parts begin to discharge pus, it could leak through the anal canal. This is known as anal fistula, and can be caused due to:

  1. Unhygienic toilet habits leading to infected anal region, which can pass up the anal canal
  2. Can be caused due to excessive straining, which can be due to constipation
  3. Post-surgical effect, where an existing anal abscess was drained

Symptoms:

  1. The fistula could be constantly draining pus or blood, producing a constant moist feeling in the anal region
  2. In some, it could be intermittent draining with full dry spells in between
  3. There could also be pain, which is constant and throbbing and worse with sitting
  4. Pus discharge can produce a foul smell
  5. The skin around the anus can be itchy and irritated
  6. Tenderness and swelling of the area
  7. Constipation and painful bowel movements
  8. Fever and chills, due to generic infection

Management: Prevention and treatment are both essential in managing anal fistula.

  1. Prevention is mainly achieved through healthy toilet hygiene habits, as this is the main cause for filstula formation
  2. Treatment would include para-surgical therapy ( non-invasive ), which should be followed by healthy toilet habits and good diet habits including fibrous meals to avoid constipation. 

The following are two well-established surgical corrective measures.

Khsarsutra:

  1. Ayurveda has a well-established technique known as ksharsutra wherein a medicated thread is used to drain the fistula and to prevent further fistula formation.
  2. A linen thread is smeared with latex, curcuma longa, and Apamarg Kshar which are known for their multiple healthy benefits – anti-hermorrhoidal, anti-inflammatory, and coagulatory properties.
  3. The linen thread is smeared with these herbs in layers and takes a few days to prepare.
  4. This thread is then allowed to stay in the fistula tract, which allows for healing and prevents pus accumulation and/or closure
  5. This is followed by a complete liquid diet, which is gradually moved to a semi-solid diet and if required sitz baths

Ayurvedic gugglu ksharsutra therapy:

Ayurveda is a thousands of years old system of holistic healing through herbs. It is not only based on drugs but a healthy diet, good lifestyle, staying happy and different Ayurvedic treatments which have no side effects and are absolutely safe to use. According to Ayurveda a body suffers from a disorder because of disparity in the 3 Doshas. Ayurveda deals with balancing the Doshas and healing the body. Synchronizing the body, lifestyle with nature and its paradigm.

The Doshas have to be balanced, one dominant or other ignored causes disorders, as a result the person falls sick. Here, we will talk about fistula in Ano and Ayurvedic treatments for fistula in Ano.

Anal Fistula is a two-sided canal. One end of tube opens up inside the anal canal and the other opening is near the anus on the skin. This leads to leakage of stool from the other opening, oozing of pus leading to discomfort, pain, and sometimes fever as well.

Ayurvedic herbs are especially known for keeping the digestive system in good shape by maintaining the right balance of the Pitta element that maintains the right balance of the digestive fire. According to Ayurvedic principles, any disorder in the body is a result of a faulty digestive fire that manages its functions. It is very important to restore the imbalance of digestive physiology to heal the anal fistulas. In case you have a concern or query you can always consult an expert & get answers to your questions!

4339 people found this helpful

Fistula-In-Ano (Say No to Surgery) - 7 Important Things You Must Know!

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Fistula-In-Ano (Say No to Surgery) - 7 Important Things You Must Know!

Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition. Here are ten things you should know about these anal fistulas:

  1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula. 
  2. There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
  3. Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening. 
  4. Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. . 
  5. Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period. 
  6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection
  7. Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Comparative Study: 

Ksharsutra vs Surgery in Anal Fistula Patients- 

  1. Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia. 
  2. Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding. 
  3. No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must. 
  4. In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest. 
  5. Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
  6. Ksharsutra is a safe procedure and these complications are not seen. 
  7. Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5420 people found this helpful

Fistula-in-Ano - Understanding The Ayurvedic Perspective On It!

Bachelor of Ayurveda Medicine & Surgery (BAMS), Certificate In Ksharsutra Therapy
Ayurveda, Himatnagar
Fistula-in-Ano - Understanding The Ayurvedic Perspective On It!

Ayurveda takes a holistic approach to treat any disease. It aims to treat fistula-in-ano with a combination of herbs, good lifestyle, healthy diet etc. Ayurveda suggests that fistula occurs due to the disparity of the 3 doshas. The treatment aims at balancing the doshas and healing the condition from within without any side effects.

What is anal fistula?
Anal fistula is an opening other than the normal opening of the anus. Most people face oozing of stool and pus from the other opening. The surrounding area of the anus becomes painful and tender. If the opening closes for a few days, the pus gets trapped leading to fever and abscess. It is, therefore, important to get rid of the mucus and the pus completely and heal the fistula. In case of multiple openings, modern medicine suggests surgery to get rid of the situation. Ayurveda on the other hand, uses oils, herbs, and other such non-inflammatory means to cure the condition.

Digestive fire from the Ayurvedic viewpoint:
Digestion only happens smoothly when the Jatharagni/Agni is strong. With natural food and supplements and herbs it is entirely possible to balance the digestive fire. Raw fruits, vegetables, and nuts are the ideal diet to heal this condition. Some foods to avoid to ensure that the aggravation of fistula doesn’t take place include aerated drinks, processed foods, milk and milk related products. The herbs that are prescribed by the Ayurvedic practitioner should be continued for at least 3-6 months.

Ayurvedic treatment for fistula-inano:

Ayurveda has a very precise dosage of herbs mentioned in the ancient books. It is suggested that two tablespoons of Triphala Guggul and 1 tablespoon of Vara Churna should be consumed daily, twice a day, Nirgundi oil should be applied locally every day and 2 tablespoons of curcumin should be consumed daily.

  1. Triphala Guggul: This formulation consists of two very important herbs- Guggul and Triphala. Both these herbs helps the body’s defence mechanism. This formulation is anti-inflammatory and anti-bacterial in nature. Both the herbs help in toning the gastrointestinal tract, streamline the flow of bile and aids the intestine to effectively eradicate bodily waste.
  2. Vara Churna: Vara Churna is a formulation that contains several herbs such as amalaki, bibhitaka, haritaki etc. This formulation helps clean the colon and strengthen the GIT. This formulation is effective for vata, kapha, and pitta. Vara Churna is extremely effective for rectifying constipation, aiding blood circulation improving liver function and balancing the blood pressure.
  3. Nirgundi Oil: This oil is made up from the herb Nigundo. This herb is pungent, bitter and astringent in flavour. It is a natural antibiotic and is an anti-inflammatory. This oil can relax the muscles, reduce congestion and pain.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2944 people found this helpful

भगन्दर का ईलाज

BAMS, CERTIFICATE COURSE IN KSHAR-SUTRA SURGERY , National Academy of Ayurveda, New Delhi
Ayurveda, Jodhpur
भगन्दर का ईलाज

भगन्दर(fistula in ano.)-
परिचय,कारण,लक्षण,चिकित्सा-

1.भगन्दर परिचय (introduction)-
 -सामान्यतया: रोगी के द्वारा गुदा या मल द्वार से संबधित सभी रोगों को बवासीर या पाइल्स ही समझ लिया जाता है, लेकिन ये जरूरी नहीं है कि मल द्वार से संबंधित रोग पाइल्स ही हो इसमें कई और रोग भी हो सकते हैं। जिन्हें हम पाइल्स समझते हैं।
 भगन्दर में रोगी के मल द्वार के चारो ओर लगभग 4 cm दूरी पर या तो एक फोडा बनता हैं या एक फुडिया बन जाती हैं जिसमें से पानी या मवाद लगातार आता रहता हैं 
 Fistula means reep or pipe like. It may be defined as a chronic granulating tubular tract consisting of fibrous tissues with two openings communicating between two cavities or cavity to cutaneous surface of body. Thus anal fistula has two openings, one on perianal or perineal skin surface and other in anal canal.

 भगन्दर कारण (causes)-
 1. Anal infection
 2. अत्यधिक समय तक बैठना 
 3. इसके अलावा विभिन्न रोगियो पर किये गये अनुसंधान से ये पता चला हैं कि भगन्दर होने का एक प्रमुख कारण अत्यधिक समय तक दुपहिया वाहन या गाडी चलाना या उसकी सवारी करना भी होता हैं 

 भगन्दर के लक्षण -
 1. गुदा या मल द्वार के चारो और किसी फोडे या फुडिया का बनना और उसमें से पानी या पस आना एक या अनेक छिद्र बनना 
 2. कभी कभी बैठने में दर्द होना 
 3. मल त्याग में परेशानी होना 

 चिकित्सा -
 अब तक के क्लीनिक अनुसंधान से ये पता चला हैं कि किसी भी पैथी के मेडिसिनल चिकित्सा से इसको ठीक करना असंभव हैं आयुर्वेदिय क्षार सूत्र चिकित्सा ही इसकी विश्वसनीय चिकित्सा हैं ! आइये चुने.स्वस्थ एवं आनन्दमय जीवन. एल.एन.आयुर्वेद के संग!

 

1 person found this helpful

Table of Content

About Sucral Ano Cream
When is Sucral Ano Cream prescribed?
What are the side effects of Sucral Ano Cream?
Key highlights of Sucral Ano Cream
What are the substitutes for Sucral Ano Cream?
What are the interactions for Sucral Ano Cream?