Do I need a prescription to buy Rowatanal Rectal Cream?

No. Rowatanal Rectal Cream is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.

What does Rowatanal Rectal Cream contain?

Rowatanal Rectal Cream is a cream containing Menthol – provides a cooling, soothing effect. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.

What pack sizes does Rowatanal Rectal Cream come in?

It is supplied in a pack size of 26g. Choose the pack size you need from the options shown on this page before adding the item to your cart.

Why is there no information here about what Rowatanal Rectal Cream is for?

This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.

How should I use Rowatanal Rectal Cream?

Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.

Can I speak to a doctor or pharmacist about Rowatanal Rectal Cream before I buy it?

Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.

What should I do if I notice side effects after using Rowatanal Rectal Cream?

Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.

How long will delivery take?

Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day. Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.

What payment methods can I use?

Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay. FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.

Can Rowatanal Rectal Cream be delivered to Singapore?

Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee. Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.

Is Rowatanal Rectal Cream registered with the authorities?

Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number. An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.

Who do I contact if there is a problem with my order?

DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre. For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.

Rowatanal Rectal Cream | fluocinolone neomycin lidocaine | haemorrhoid anal itch rectal cream | DoctorOnCall Malaysia

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Rowatanal Rectal Cream

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Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester

Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated: October 27, 2026

Overview

Rowatanal Rectal Cream is supplied as a cream, with Menthol – provides a cooling, soothing effect. It is supplied in a pack size of 26g.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

Gently clean and dry the affected area before use. Apply a thin layer of cream externally to the affected area, or use the applicator provided for internal application, typically after each bowel movement and at bedtime, or as directed on the packaging, washing your hands before and after use.

Dosage

Apply 2 to 3 times daily, or after each bowel movement and at bedtime, unless otherwise directed on the packaging or by a pharmacist. If symptoms have not improved after about 7 days of consistent use, stop using the cream and consult a doctor rather than continuing self-treatment.

Storage Instructions

Store below 25°C in a cool, dry place away from direct sunlight, and keep the tube tightly closed between uses. Keep out of the sight and reach of children.

Side Effects

Menthol

Mild skin irritation or redness
Temporary burning or tingling sensation
Watery eyes when used near the face
Rare allergic reactions (rash, swelling, or difficulty breathing)

Bismuth Subgallate

Temporary darkening of the tongue or stool
Mild constipation
Nausea or upset stomach
Headache
Discoloration of urine (in some cases)

Calcium Carbonate

Constipation
Bloating or gas
Nausea
Dry mouth
Increased thirst
Mild headache

Contraindications

Known hypersensitivity to menthol, bismuth subgallate, calcium carbonate, or any other ingredient in the cream
Use on broken skin, open wounds, or actively bleeding areas beyond the product’s intended purpose, without medical advice
Avoid contact with the eyes; rinse thoroughly with water if accidental contact occurs
Heavy, persistent, or unexplained rectal bleeding, which needs medical assessment rather than self-treatment with this cream alone

Drug / Food Interactions

This cream acts locally with minimal systemic absorption, so significant drug interactions are not expected
Inform your pharmacist if you are using other rectal or topical products at the same time so timing can be advised
No specific food interactions are expected with this topical rectal cream

Quick Tips

See a doctor if symptoms do not improve within about 7 days, or if rectal bleeding continues or worsens
Maintain a high-fibre diet and adequate fluid intake to help ease bowel movements and reduce straining
Avoid prolonged sitting or straining on the toilet, which can worsen hemorrhoid symptoms
Practise gentle hygiene, patting the area dry rather than rubbing after cleaning
Wash your hands thoroughly before and after applying the cream

Ingredients / Active Ingredients

Menthol Bismuth Subgallate Calcium Carbonate

Menthol – provides a cooling, soothing effect
Bismuth Subgallate – mild astringent and protective agent
Calcium Carbonate – mild astringent and protective agent
Cream base excipients as formulated by the manufacturer

Safety Advice

Menthol

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Generally Safe

Generally safe, but caution may be required in some patients.

Alcohol

Generally Safe

Consuming alcohol with this medicine is generally safe, but moderate intake is advised.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Bismuth Subgallate

Pregnancy

Limited Data

Limited information is available regarding use during pregnancy. Use only if clearly needed.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Not Advisable

Not generally recommended in patients with kidney disease.

Liver

Not Advisable

Not recommended in patients with liver disease.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Calcium Carbonate

Pregnancy

Generally Safe

This medicine is generally safe during pregnancy, though minor risks may exist in rare cases.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Not Safe

This medicine is not safe for patients with kidney problems.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

No Data

No data is available regarding the interaction of alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Hemorrhoids are a common condition that often improve with simple conservative measures such as a high-fibre diet, adequate hydration, and good toilet habits, used alongside symptomatic treatments like this cream. Medical review should be sought if there is significant or persistent rectal bleeding, a hemorrhoid that has prolapsed and will not go back in, or severe pain, as these may require further examination or treatment beyond a topical cream.

Frequently Asked Questions

Product Specifications

Brand	Rowa
Classification	Non-prescription
Ingredients / Active Ingredients	Menthol, Bismuth Subgallate, Calcium Carbonate
Weight	26g
Shelf Life	Unopened and stored correctly, Rowatanal Rectal Cream is generally stable until the expiry date printed on the tube and carton. Do not use the cream after this date or if it has changed in colour, texture, or smell.