RecruitingNCT07295886

Topical Nifedipine 0.3% Plus Lidocaine 1.5% for Uncomplicated Hemorrhoidal Disease

Observational Study on the Use of Topical Nifedipine 0.3% and Lidocaine 1.5% in Acute Uncomplicated Hemorrhoidal Disease


Sponsor

Cardarelli Hospital

Enrollment

80 participants

Start Date

Sep 2, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

The goal of this observational study is to evaluate the effectiveness of topical nifedipine 0.3% plus lidocaine 1.5% for uncomplicated hemorrhoidal disease. The main question it aims to answer is: Does topical nifedipine 0.3% plus lidocaine 1.5% lower symptoms in patients with uncomplicated acute hemorrhoidal disease? Participants already taking nifedipine 0.3% plus lidocaine 1.5% as part of their regular medical care for hemorrhoidal disease will undergo four visits over a 30-day period, including two telephone contacts and two in-person visits.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria6

  • Male and female patients aged 18-75 years.
  • Clinical or anoscopic diagnosis of acute hemorrhoidal disease with prolapse severity between Grade II and IV (Goligher), possibly associated with external congestion.
  • Patients who started treatment with nifedipine 0.3% + lidocaine 1.5% within the past 5 days.
  • Availability of clinical evaluations at treatment initiation (proctologic visit and HDSS, SHS-HD, VAS scales).
  • Ability to understand the informed consent.
  • Signed informed consent.

Exclusion Criteria8

  • Acute hemorrhoidal disease complicated by thrombosis or strangulation.
  • Coagulopathies.
  • Active neoplastic disease.
  • Treatment with anticoagulants and/or chemotherapeutic agents.
  • Hypersensitivity to active substances, especially lidocaine (and other amide-type local anesthetics) or excipients.
  • Severe hypotensive states or cardiovascular insufficiency.
  • Pregnancy or breastfeeding.
  • Participation in clinical trials involving investigational drugs.

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Interventions

DRUGtopical nifedipine 0.3% plus lidocaine 1.5%

Transrectal and perianal application of nifedipine 0.3% plus lidocaine 1.5% cream twice daily for at least 21 days in patients with acute, uncomplicated hemorrhoidal disease


Locations(1)

Azienda Ospedaliera "Antonio Cardarelli", Napoli

Naples, Italy

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NCT07295886


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