In addition to these medications you can try follow medications-
sulfate 0.1% to 1.25%), when applied to the anus, make the blood vessels become smaller, which may reduce swelling.
Protectants (Aluminum hydroxide gel, Glycerin)prevent irritation of the perianal area by forming a physical barrier on the skin that prevents contact of the irritated skin with aggravating liquid or stool from the rectum.
Astringents (calamine) cause coagulation (clumping) of proteins in the cells of the perianal skin or the lining of the anal canal
. This action promotes dryness of the skin, which in turn helps relieve burning, itching, and pain.
products relieve pain, itching, and burning by depressing receptors on pain nerves. (Menthol 0.1% to 1.0% )
reduce inflammation and can relieve itching, but their chronic use can cause permanent damage to the skin. They should not be used for more than short periods
of a few days to two weeks.
This should take care in most cases.If still symptoms persist then it may be time for considering non-surgical procedures or surgical treatments.