Phenol oily injection 5%
- Drugs List
- Therapeutic Indications
- Precautions and Warnings
- Pregnancy and Lactation
- Side Effects
Sterile solution for injection containing 5% w/v phenol
Scleropathy of haemorrhoidal veins
Analgesic sclerosing agent in the treatment of internal haemorrhoids.
2 to 3 ml injected at the base of the haemorrhoid.
Several sites may be injected but the maximum total at any one time is 10 ml.
(See Dosage; Adult).
For injection into the submucosal layer at the base of the haemorrhoid only.
Children under 18 years
Precautions and Warnings
Contains almond oil
Only for haemorrhoid submucosal injection
Protect surrounding skin
To avoid side effects care should be taken when choosing the injection site
Avoid deep or misplaced injections
Avoid application to surrounding skin, since serious complications can arise from misplaced injections. Extreme care should be taken when choosing the injection site.
Phenol is available in different formulations. Healthcare professionals should take extra care to ensure that the correct formulation is being used. Confusion between different strength and preparations has resulted in patient harm.
Complications during therapy include local ulceration and sterile abscess formation. These can be serious following a misplaced injection (e.g. prostatic abscess).
Pregnancy and Lactation
Manufacturers advise that Phenol oily injection 5% is not recommended in pregnancy.
Safety in pregnancy has not been established and the effects on the foetus are unknown.
The use of all medication in pregnancy should be avoided whenever possible; particularly in the first trimester. Non-drug treatments should also be considered. When essential, a medication with the best safety record over time should be chosen, employing the lowest effective dose for the shortest possible time. Polypharmacy should be avoided. Teratogens taken in the pre-embryonic period, often quoted as lasting until 14 to 17 days post-conception, are believed to have an all-or-nothing effect. Where drugs have a short half-life, and when the date of conception is certain, this may allow women to be reassured where drug exposure has occurred within this time frame. Further advice may be available from the UK National Teratology Information Service (NTIS) and through ToxBase, available via password on the internet ( www.toxbase.org ) or if this is unavailable at the backup site ( www.toxbasebackup.org ).
Manufacturers advise that phenol oily injection 5% is not recommended in breastfeeding.
There are no adequate and well-controlled studies or case reports on its use topically or in breastfeeding women (Hale 2014).
It is not known whether or not phenol is excreted in human milk. The safety of this drug regarding breastfeeding has not been established yet.
Neonates, infants born prematurely, those with low birth weight, those with an unstable gastrointestinal function or who have serious illnesses may require special consideration. For any infant, if a drug is prescribed to the nursing mother, it should be at the lowest practical dose and for the shortest time. When drug administration is unavoidable and breastfeeding is to continue, minimisation of exposure of the infant to the drug may sometimes be achieved by timing the maternal doses to just after a feeding episode. Infants exposed to drugs via breast milk should be monitored for unusual signs or symptoms. Interactions between the drug received by the infant from the mother's milk and medication prescribed for the infant should also be considered, for example, when the drug given to the infant may prevent metabolism of the drug received via breast milk.
Specialist advice is available from the UK Drugs in Lactation Advisory Service at https://www.midlandsmedicines.nhs.uk/content.asp?section=6&subsection=17&pageIdx=1
Necrosis (injection site)
It is strongly recommended that the UK National Poisons Information Service be consulted on cases of suspected or actual overdose where there is doubt over the degree of risk or about appropriate management.
The following number will direct the caller to the relevant local centre (0844) 892 0111
Information may be obtained if you have access to ToxBase the primary clinical toxicology database of the National Poisons Information Service. This is available via password on the internet ( www.toxbase.org ) or if this is unavailable at the backup site ( www.toxbasebackup.org ).
Last Full Review Date: February 2017
Joint Formulary Committee. British National Formulary. 72nd ed. London: BMJ Group and Pharmaceutical Press; 2016.
Martindale: The Complete Drug Reference. 38th Edition. London: Brayfield A (ed). Pharmaceutical Press; 2014.
Medications and Mothers' Milk, Sixteenth Edition (2014) Hale, T and Rowe, H, Hale Publishing, Plano, Texas.
Summary of Product Characteristics: Oily Phenol Injection 5% BP. Martindale Pharma Ltd. Revised June 2010.
National Patient Safety Agency - National Reporting and Learning Service: Wrong strength phenol: signal. Ref number: 1162D. 26th Feb 2010.
Last accessed: 16th February 2017.
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