Indications 

Preparation H Cooling Gel is a topical gel used for the relief of symptoms associated with hemorrhoids, such as burning, itching, and discomfort. It is designed to provide cooling relief and reduce swelling in the affected area. 

It is a vasoconstrictor that works by constricting the blood vessels in the affected area, reducing swelling and inflammation. This is an astringent that helps to relieve itching and discomfort by soothing the irritated skin. 

Use and Dosage 

Use Preparation H Cool Gel up to 4 times daily, usually in the morning and bedtime, or after each bowel movement or as directed by your doctor 

The gel is applied topically to the affected area. Here are the general directions for use: 

1. Cleanse the affected area with mild soap and warm water. Rinse well and gently dry the area.  
2. Apply the gel to the affected area using clean hands or the provided applicator.  
3. The gel can be applied in the morning and at night, as well as after each bowel movement, up to four times daily. Lubricate the applicator before each use and thoroughly cleanse it after use.  
4. The gel should only be used topically or rectally. 

Use only the recommended amount and frequency of the gel as directed by the product label or as instructed by a healthcare professional. If symptoms persist or worsen, or if you have bleeding, unusual discharge, or severe pain, seek medical advice. 

Side Effects 

Common Side Effects 

• Anxiety 
• Blurred vision 
• Increased blood pressure 
• Nosebleed 
• Pounding in your neck or ears 
• Rectal bleeding 
• Severe headache 
• Severe irritation inside or around your rectum 

Serious Side Effects 

• Signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. 

Cautions 

• For external use only: Preparation H Cool Gel is meant to be used topically or rectally. It should not be ingested or applied to other areas of the body. 
• Allergic reactions: Some individuals may be allergic to the ingredients in Preparation H Cool Gel. If you experience any signs of an allergic reaction, such as rash, itching, swelling, dizziness, or difficulty breathing, discontinue use and seek medical attention immediately. 
• Avoid contact with the eyes: Take care to avoid getting the gel in your eyes. If accidental contact occurs, rinse thoroughly with water. 
• Do not use for extended periods without medical advice: If symptoms persist or worsen after using Preparation H Cool Gel, it is recommended to consult a healthcare professional for further evaluation and guidance. 
• Keep out of reach of children: Store the gel in a safe place where children cannot access it. Accidental ingestion by children may lead to serious complications. 
• Proper storage: Follow the instructions on the product package for storage guidelines. Different brands may have specific storage requirements. 
• Avoid prolonged use: Prolonged or excessive use of Preparation H Cool Gel may lead to skin thinning or other adverse effects. Follow the recommended usage instructions and speak to a healthcare professional if you have concerns about long-term use. 
• Discontinue use if no improvement: If you do not experience any relief or improvement in symptoms after using Preparation H Cool Gel for a reasonable duration, discontinue use and consult with a healthcare professional for further evaluation.