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**Tribenoside + lidocaine** is a fixed-dose topical and rectal small-molecule combination marketed as Procto-Glyvenol for symptomatic local treatment of internal and external hemorrhoids. Tribenoside is a vasoprotective agent with anti-inflammatory, anti-edema, antipruritic, and venotonic effects that may reduce capillary permeability and protect vascular endothelium, although its precise molecular target is not established. Lidocaine is an amide local anesthetic that reversibly blocks voltage-gated sodium channels in peripheral nerves, rapidly reducing hemorrhoid-associated pain, burning, and itching. The combination is supplied as rectal cream and suppositories and has been marketed by Novartis and subsequently acquired by Recordati in specified countries.
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