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Witch hazel: Drug information

Witch hazel: Drug information
For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • A.E.R. Traveler [OTC];
  • A.E.R. Witch Hazel [OTC];
  • B-Sure Witch Hazel [OTC];
  • GoodSense Medicated Wipes [OTC];
  • GoodSense Medicated [OTC];
  • Hemorrhoidal Hygiene [OTC];
  • Medi Pads [OTC] [DSC];
  • Medi-Pads [OTC];
  • Pre-Moistened Witch Hazel [OTC];
  • Preparation H for Women [OTC];
  • Preparation H Soothing Relief [OTC];
  • Preparation H Totables Wipes [OTC];
  • Preparation H [OTC]
Pharmacologic Category
  • Antihemorrhoidal Agent;
  • Astringent
Dosing: Adult
Hemorrhoids, anorectal pain/itch and anorectal cleansing

Hemorrhoids, anorectal pain/itch and anorectal cleansing:

Note: General dosing guidelines provided; refer to specific product labeling for dosing instructions.

Topical (external) (OTC labeling): Apply to anal area, as needed, up to 6 times daily or after each bowel movement.

Skin irritation

Skin irritation: Topical: Apply to affected area, as needed.

Vaginal irritation

Vaginal irritation: Topical: Cleanse the area by gently wiping, patting, or blotting; may repeat, as needed. May be used as a moist compress by placing wipe in contact with tissue and leave in place for up to 15 minutes; repeat, as needed.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling.

Dosing: Pediatric

Children ≥12 years: Refer to adult dosing.

Dosing: Older Adult

Refer to adult dosing.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Liquid, External:

Generic: (500 mL, 4000 mL, 20000 mL)

Pad, External:

A.E.R. Traveler: 50% (50 ea) [contains benzalkonium chloride, methylparaben]

A.E.R. Witch Hazel: 50% (40 ea) [contains benzalkonium chloride, methylparaben]

B-Sure Witch Hazel: 50% (40 ea) [contains benzalkonium chloride, methylparaben]

GoodSense Medicated: 50% (100 ea) [contains alcohol, usp, propylene glycol, sodium benzoate]

GoodSense Medicated Wipes: 50% (48 ea) [contains alcohol, usp, propylene glycol, sodium benzoate]

Hemorrhoidal Hygiene: 50% (100 ea [DSC]) [contains alcohol, usp, methylparaben, propylparaben]

Hemorrhoidal Hygiene: 50% (100 ea) [contains glycerin, methylparaben, propylparaben]

Hemorrhoidal Hygiene: 50% (100 ea [DSC]) [latex free; contains alcohol, usp]

Medi Pads: 50% (100 ea [DSC])

Medi-Pads: 50% (100 ea) [contains alcohol, usp, propylene glycol, sodium benzoate]

Pre-Moistened Witch Hazel: 50% (40 ea) [contains benzalkonium chloride, methylparaben]

Preparation H: 50% (10 ea, 48 ea) [contains glycerin, methylparaben, propylparaben]

Preparation H for Women: 20% (10 ea, 48 ea) [contains edetate (edta) disodium, methylparaben, propylene glycol, propylparaben]

Preparation H Soothing Relief: 20% (60 ea) [contains aloe barbadensis miller, benzyl alcohol, edetate (edta) disodium, propylene glycol, sodium benzoate]

Preparation H Totables Wipes: 50% (10 ea) [contains methylparaben, propylene glycol, propylparaben]

Solution, External:

Generic: 86% (473 mL)

Generic Equivalent Available: US

Yes

Administration: Adult

Topical: For external use only; do not use in or around eyes. When practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.

Rectal products: Apply rectal wipes by gently wiping, patting, and blotting affected area. Do not put product into the rectum using fingers or any mechanical device or applicator.

Administration: Pediatric

Topical: For external use only; avoid contact with eyes.

Use: Labeled Indications

Hemorrhoids, anorectal pain/itch and anorectal cleansing: Relief from local itching and discomfort associated with hemorrhoids; relief of anorectal irritation and burning; protection of anorectal areas.

Skin irritation: Relief from minor skin irritations, including insect bites, minor cuts, and minor scrapes.

Vaginal irritation: Relief from vaginal irritation.

Adverse Reactions

There are no adverse reactions listed in the manufacturer’s labeling.

Warnings/Precautions

Other warnings/precautions:

• Self-medication (OTC use): For external use only. When used for self-medication, notify health care provider and discontinue use if condition worsens, does not improve within 7 days, or if bleeding occurs. Do not put rectal products into the rectum using fingers or any mechanical device or applicator; do not exceed recommended dose unless directed by a health care provider.

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Pricing: US

Pads (B-Sure Witch Hazel External)

50% (per each): $0.08

Pads (Preparation H External)

50% (per each): $0.10

Pads (Preparation H for Women External)

20% (per each): $0.33

Pads (Preparation H Soothing Relief External)

20% (per each): $0.09

Pads (Preparation H Totables Wipes External)

50% (per each): $0.33

Solution (Witch Hazel External)

86% (per mL): $0.00

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Brand Names: International
  • Preparation H Cleansing Pads (CA)


For country code abbreviations (show table)
  1. Preparation H Medical Wipes (witch hazel) [prescribing information]. Madison, NJ: Wyeth Consumer Healthcare; February 2010.
  2. Witch hazel [prescribing information]. San Francisco, CA: McKesson; January 2015.
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