 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  that reduces redness, itching, and swelling. How to use Hydrocortisone-Pramoxine Foam Read the Patient Information Leaflet if available from your pharmacist before you start using this product and each time you get a refill. If you have any questions, ask your doctor or pharmacist. If possible, clean the affected area with mild soap and water, rinse well, and pat dry. Shake the foam canister well before using. After filling the applicator, hold it by the barrel and gently insert the applicator tip just 1/2 to 1 inch (1.5 to 2.5 centimeters) inside the anus. Push the plunger to release the foam, then gently withdraw the applicator. Take the applicator apart and clean it thoroughly with warm water. Do not insert any part of the foam canister into the anus, and do not insert the applicator more than 1/2 to 1 inch (1.5 to 2.5 centimeters) inside the anus. Do not use your finger or a tissue to apply this product inside the anus. To apply the product to the outside of the anus, spray a small amount of foam onto a tissue and gently pat onto the affected area. Do not cover the area with plastic or </s>