Anosum 20gm cream contains an active component called Sucralfate,  Metronidazole and Lidocaine. This medication treats anal fissures, which are tears in the anal canal (the opening through which stool leaves the body). Anal fissures can cause pain and bleed with bowel movements. It prevents infections by reducing the growth of harmful bacteria in the anal region. You should not use this medication if allergic to any of the ingredients in anosum 20gm cream. It contains metronidazole, which can interact with blood thinners and other medications that affect blood clotting. If you have a blood disorder, talk to your doctor before using this medication. Anosum 20gm cream contains lignocaine, which can cause side effects such as dizziness and drowsiness. If you have a neurological disorder, such as epilepsy or Parkinson's disease, talk to your doctor before using this medication. It  is generally safe for use in the elderly. However, talking to your doctor before using the cream is important, as you may be at an increased risk of side effects, such as liver damage and seizures. It is not recommended for use in children under the age of 18.