Ruticool Cream is a combination medicine used in the treatment of piles. It relieves the pain, swelling, itching and discomfort associated with passing of stools in people who suffer from problems in the anal area. Ruticool Cream should be used in the dose and duration as directed by your doctor. Clean and dry the affected area before applying this medicine. Make sure to wash your hands thoroughly before and after applying this medicine. Do not use your finger to apply this medicine. Do not stop using it suddenly without talking to your doctor, as it may lead to worsening of your condition. Using of this medicine may cause application site reactions (burning, irritation, itching, and redness). These are temporary and usually resolves on with time. You should consult your doctor if any of these do not resolve with time and persists for a longer duration. Avoid getting it into your eyes, nose or mouth. If accidental exposure occurs, wash your eyes with water and seek immediate medical attention. You should stop using it and inform your doctor if you notice worsening of the infection or if you develop increased redness and irritation.