Hirudal Cream is used to provide relief and promote healing of inflammation of the veins. It has anti-inflammatory and antithrombotic properties which is used to treat pain and inflammation. Hirudal Cream is for external use only. You should always use it exactly as your doctor has told you. The affected area should be clean and dry before application. You must wash your hands thoroughly before and after applying this medicine. This medicine should be used regularly to get the most benefit from it. Do not use more than you need as it will not clear your condition faster and some side effects may be increased. If your condition goes on for longer than four weeks or gets worse at any time, let your doctor know. You can help this medicine work better by keeping the affected areas clean.Common side effects include itching and skin rash at the site of application. This is temporary and usually resolve with time. Please consult your doctor if these side effects persist for a longer duration. Avoid direct contact of the cream or ointment with your eyes. In case of accidental contact, wash your eyes with plenty of water and seek immediate medical attention.Before taking this medicine, you should tell your doctor if you are pregnant, planning a pregnancy, or breastfeeding. You should tell your doctor if you have any kidney or liver diseases so that your doctor can prescribe a suitable dose for you.