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Hydrocort-Pramoxine (Perianal) Tube — prescription drug image

Hydrocort-Pramoxine (Perianal)

Hydrocort-Pramoxine (Perianal) 30GM of 2.5-1%

What is Hydrocort-Pramoxine (Perianal)?

Analpram HC is a topical treatment used to treat skin irritation in the anal area caused by certain conditions. The generic version of this drug is hydrocortisone/pramoxine topical. The average Analpram HC cash price can be high at about $274 for a 30-gram tube of 2.5-1% rectal cream. You can lower your Analpram HC price by up to 80% by using our free Analpram HC discount card when you fill your prescription at a participating pharmacy near you.

Prescription savings · · · ·

What is Hydrocort-Pramoxine (Perianal) ?

Analpram HC is a topical treatment used to treat skin irritation in the anal area caused by certain conditions. The generic version of this drug is hydrocortisone/pramoxine topical. The average Analpram HC cash price can be high at about $274 for a 30-gram tube of 2.5-1% rectal cream. You can lower your Analpram HC price by up to 80% by using our free Analpram HC discount card when you fill your prescription at a participating pharmacy near you.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Weight gain around your neck, upper back, face, or waist
  • Dark freckles, skin color changes, coldness, weakness, tiredness, nausea, vomiting, weight loss
  • Tell your doctor if you are pregnant or breastfeeding.
  • This medicine may cause adrenal gland problems. It may also cause you to get infections more easily, so tell your doctor if you have any type of infection.
  • This medicine may delay growth in children. If you think your child is not growing properly while using this medicine, talk with your doctor.
  • Call your doctor if your symptoms do not improve or if they get worse.
  • Topical application routeDo not use this medicine to treat a skin problem your doctor has not examined.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
What is hydrocortisone-pramoxine cream used for?
It's used to relieve inflammation and itching associated with corticosteroid-responsive conditions of the anal region.
How do you apply hydrocortisone-pramoxine cream for hemorrhoids?
It's generally applied as a thin film to the affected area three to four times a day. For perianal application, a small amount is usually placed on tissue or a pad and applied externally to the area rather than inserted. Follow your provider's or the product label's specific instructions, since exact directions can vary.
Is hydrocortisone-pramoxine cream safe to use long-term?
It's intended for short-term use. Using a topical corticosteroid for a prolonged period, over large areas, or on broken skin can cause skin thinning or, in rare cases, effects on the body's own corticosteroid production. If your symptoms persist or you feel you need it beyond a short course, check in with your doctor rather than continuing to use it indefinitely.
What is the difference between hydrocortisone-pramoxine cream and foam (Proctofoam HC)?
Both contain the same two active ingredients, hydrocortisone and pramoxine, but in different strengths and forms: this product is a 2.5%/1% cream, while Proctofoam HC is a 1%/1% foam. The two dosage forms may feel and apply differently, so ask your pharmacist or provider which form fits your situation.
Can hydrocortisone-pramoxine cream be used for anal fissures?
Talk to your doctor before using this product for a fissure. Fissures are often managed with a different treatment approach, and a provider can confirm whether this product is an appropriate fit for your specific symptoms.
How much does Hydrocort-Pramoxine (Perianal) cost without insurance?
The price of Hydrocort-Pramoxine (Perianal) without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Hydrocort-Pramoxine (Perianal)?
Common side effects of Hydrocort-Pramoxine (Perianal) may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Weight gain around your neck, upper back, face, or waist, Dark freckles, skin color changes, coldness, weakness, tiredness, nausea, vomiting, weight loss. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Hydrocort-Pramoxine (Perianal)?
Generic versions may be available for Hydrocort-Pramoxine (Perianal). Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Hydrocort-Pramoxine (Perianal) on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Hydrocort-Pramoxine (Perianal)?
The cheapest pharmacy for Hydrocort-Pramoxine (Perianal) depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Hydrocort-Pramoxine (Perianal) near you.

Hydrocort-Pramoxine (Perianal) Coupons & Prices

Hydrocort-Pramoxine (Perianal) 30GM of 2.5-1%

Hydrocort-Pramoxine (Perianal) Tube — prescription drug image
Prescription
Hydrocort-Pramoxine (Perianal) 30gm of 2.5-1% (1)
your area ·

Hydrocort-Pramoxine (Perianal) prices by dosage

Lowest cash price with a free Rx.com coupon vs. the average retail price.

Dosage Quantity Retail price Rx.com price
4gm of 2.5-1% · Tube 30 $102.77 $60.23
30gm of 2.5-1% · Tube 30 $157.99 $133.13

Cash prices near ZIP 77433; updated regularly. Actual pharmacy price may vary.

Looking for a hydrocort-pramoxine cream coupon before you check out at the pharmacy counter? This combination of hydrocortisone (an anti-inflammatory corticosteroid) and pramoxine (a local anesthetic) is sold as an affordable generic, but the price for the same tube can still swing noticeably from one pharmacy to the next — so it's worth comparing before you fill. Rx.com checks pricing across 60,000+ U.S. pharmacies so you can see today's price at nearby locations and enter your ZIP above to compare.

What Is Hydrocortisone-Pramoxine Cream and How Does It Work?

Hydrocortisone acetate 2.5% / pramoxine hydrochloride 1% cream is a topical combination used for the relief of inflammation and itching associated with corticosteroid-responsive conditions of the anal region. Hydrocortisone is a corticosteroid that reduces inflammation and itching, while pramoxine is a local anesthetic that provides temporary numbing relief from pain and itch. It's typically applied as a thin film to the affected area three to four times a day; for perianal use, a small amount is usually placed on tissue or a pad and applied externally rather than inserted into the rectum.

Comparing Prices: Why the Pharmacy You Choose Still Matters

A generic-available combination like this one is usually a lower-cost option compared to brand-name anorectal products, but "generic" does not mean the price is the same everywhere — cash prices for identical generic tubes can vary widely between pharmacies in the same city. Because this is an external topical product typically used short-term, it's worth checking a few pharmacies rather than assuming your regular pharmacy has the best price. Enter your ZIP above to compare prices across pharmacies near you and see what a coupon could bring your price down to at checkout.

Brand Names and Related Alternatives

This cream is the generic form of combination products marketed under brand names including Analpram HC and Pramosone. A related product, Proctofoam HC, delivers the same two active ingredients (hydrocortisone and pramoxine) but as a 1%/1% foam rather than a 2.5%/1% cream — ask your pharmacist or provider whether a cream or foam form fits your situation better, since the strengths and vehicle differ. The two active ingredients are also available on their own: hydrocortisone alone, and pramoxine alone, which some patients use in combination or as alternatives depending on what a provider recommends. You can also compare against other hemorrhoidal cream options if you're specifically treating hemorrhoid symptoms.

Safety Information

This product is for external and perianal use only — avoid getting it in your eyes, and it is not an ophthalmic product. Stop using it and contact your doctor if you notice irritation, burning, or symptoms that get worse instead of better. It's meant for short-term use; using topical corticosteroids for a prolonged period, over large areas, on broken skin, or under an occlusive dressing can lead to skin thinning or, rarely, absorption into the body that affects the adrenal glands. Some formulations contain sulfites, which can rarely cause allergic reactions in sensitive individuals. This information is educational and not a substitute for medical advice — talk to your doctor or pharmacist about whether this product is right for you and how long to use it.

Sources & accuracy

This Hydrocort-Pramoxine (Perianal) information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Hydrocort-Pramoxine (Perianal) on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.