Anugesic HC Cream

Anugesic HC Cream (30g )

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Product Information

  • Age: 18

    Maximum per order: 2

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

Anugesic-HC is an effective relief treatment for symptoms related to haemorrhoids, also known as piles. Anugesic-HC can be used by both adult men and women who are suffering from the symptoms associated with haemorrhoids, as well as any other anal irritation.

Both Anugesic-HC cream and suppositories make use of multiple ingredients that are beneficial for relieving symptoms related to haemorrhoids, as well as any other irritations that may occur around the anal area.

The main ingredient in Anugesic-Hc, pramocaine hydrochloride, works as a local anaesthetic and prevents pain signals from being sent along nerve endings to the brain. This works on the afflicted area to decrease pain and itching.

Hydrocortisone acetate works to decrease any inflammation associated with such conditions. When the skin or outer membranes are irritated they begin to release substances which dilate your blood vessels, creating a red, swollen, and oftentimes painful area. As your body absorbs Anugesic-HC, these substances will be inhibited, meaning that your blood vessels will become normal again, increasing your comfort.

Ingredients such as benzyl benzoate, bismuth oxide, balsam peru and zinc oxide all contain mild antiseptic properties which help to constrict your bodies blood vessels. Balsam peru specifically is thought to increase the proliferation of new skin cells.

Anugesic-HC will benefit you by providing quick relief from the symptoms associated with haemorrhoids. Not only will it reduce the pain associated with bowel movements, it will also work to decrease the likelihood of infections. Anugesic-HC will also reduce the swelling of blood vessels around the rectal area.

Do not use this medicine for more than seven days at a time. If your symptoms continue after this time then you should consult your doctor.

Do not take Anugesic-HC products orally.

Propylene glycol is present in Anugesic-HC cream and this may cause skin irritation. It also contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216), which are known to cause allergic reactions.

 Anugesic-HC cream can be bought in tube form in dosages of 30g. Using Anugesic-HC cream is very easy, and extensive instructions will be provided with the product.

Haemorrhoids, more colloquially known piles, are a form of varicose veins that occur in the anal region. The blood vessels around the anus will swell and can appear outside of the rectum. This will lead to discomfort and irritation throughout the day. Some sufferers will even find blood present after their bowel movements.

Haemorrhoids are probably more common than you think, and most people will experience this condition, even if only to a minor extent, at least once during their lifetime. Haemorrhoids alone are not a serious issue and can be managed quite easily. However if severe bleeding occurs you should seek medical advice immediately.

Haemorrhoids are usually caused by a high pressure within the blood vessels around the rectum. This can be an even greater risk for those who are overweight or have trouble releasing their bowels. Another potential indicator is sitting down for long periods of time, as well as prolonged bouts of diarrhoea.

The best way to prevent haemorrhoids in the first place is changing your diet. Eating more fibre and reducing your caffeine intake will help by reducing your likelihood of constipation.

Many cases will go away on their own, without any need for medical treatment. That being said, Anugesic-HC cream is an effective treatment for prolonged pain and discomfort.

Alternate OTC (over the counter) Medication 

There are many OTC medicines available from ourselves and your local pharmacy to buy, these may be all you need, so you should try these first before moving onto a prescription only medications, here is a list of a couple that are commonly stocked. 

  • Ansusol Cream
  • Anusol HC Ointment & Suppositories
  • Germoloids Cream & Ointment
  • Preparation H 

Before applying Anugesic-HC cream you should wash after emptying your bowels. Make sure that the area around the anus has been thoroughly washed and then dried before any applications.

Anugesic-HC cream can be applied to the anal area both internally and externally. A nozzle will be provided with the cream and can be screwed into the tube. Gently insert the nozzle into the rectum and squeeze out a small amount of cream. Withdraw the nozzle slowly and then clean thoroughly.

Anugesic-HC suppositories should only be used inside the rectum first thing in the morning, and at night, after regular bowel movements.

Side effects of using Anugesic HC Cream can include:

• Burning or stinging around the anus.
• Broken skin around the anus.
• Rashes around the anal area.

Using Anugesic HC Cream for more than seven days can be potentially harmful to the skin.

There are several active ingredients present in Anugesic HC cream, including:
Pramocaine hydrochloride
Hydrocortisone acetate
Zinc oxide
Balsam peru
Benzyl benzoate
Bismuth oxide

Pramocaine hydrochloride acts as a mild anesthetic, reducing pain signals to the brain.

Hydrocortisone acetate reduces inflammation by attacking the chemical responsible for the irritation.

Zinc oxide, balsam peru, benzyl benzoate and bismuth oxide are all antiseptics which work together to reduce inflammation.

There are also several inactive ingredients contained in Anugesic HC Cream, including:

Liquid paraffin
Titanium dioxide (E171)
Polysorbate 60
Glyceryl monostearate
The preservatives methyl parahydroxybenzoate (E218)
Sorbitan stearate
Propylene glycol,(E1520)
Propyl parahydroxybenzoate (E216)
Purified water.

Anugesic HC Cream should not be used if you have:

• Fungal or viral lesions, such as genital warts.
• Ever been allergic to any of the ingredients listed above.

You should speak to your doctor if:

• You currently suffer from rectal bleeding.
• There are any cuts or infections present around the anus.
• You are currently pregnant or trying to become pregnant.
• You currently suffer from chickenpox or shingles.
• You recently received the smallpox vaccine.


We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 2/3 day delivery - £2.95
  • Express Tracked Delivery - 1/2 day delivery - £4.45
  • Special Delivery (Guaranteed before 1pm) - £8.95
  • Saturday Guaranteed before 1pm - £10.45

All our orders are sent out using Royal Mail. We always aim to dispatch all orders received before 4pm the same working day. Any orders received after 4pm or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders can be fully tracked in your account.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.



Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 5.30pm the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50


We deliver within two working days by 5.30pm to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
ZE2, 3


We deliver within three working days by 5.30pm to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44


Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.



We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Haemorrhoids & Piles?

Visit our advice area or chat online to our support team

Frequently Asked Questions

  • What is Anugesic HC?

    Anugesic HC is a cream used to ease the symptoms of haemorrhoids (piles) and other irritations of the skin around the anus.

  • How does Anugesic HC work?

    Anugesic HC works in multiple ways to relieve haemorrhoid symptoms. The anaesthetic used in Anugesic HC is called Pramocaine hydrochloride. It reduces the feeling of pain by blocking nerve endings from sending pain messages to the brain. In addition, several of the ingredients of Anugesic HC Cream have antiseptic properties.

    The ingredient hydrocortisone acetate reduces skin inflammation. It does this by blocking the action of chemicals which cause swelling, redness and pain in the affected area. When used in and around the rectum, hydrocortisone reduces any swelling or itching caused by haemorrhoids.

  • How do I use this medicine?

    Anugesic HC Cream should be applied twice each day, and after each bowel movement.

    Before use, wash your hands and the affected area thoroughly with water. Gently dry the skin around the anus to prevent further irritation.

    For internal use, a nozzle is provided, which screws on to the top of the tube. Gently insert the tip of the nozzle into the anus, and squeeze the tube such that a small amount of cream is released. Withdraw the nozzle carefully, then use warm water to thoroughly wash both the nozzle and your hands.

    Anugesic HC suppositories should be inserted into the rectum.

  • What does this medicine look like?

    Anugesic HC is available as a cream or as a suppository. These each contain the same proportion of active ingredients (pramoxine HCl, hydrocortisone acetate, zinc sulfate monohydrate).

    The two different forms will have different inactive ingredients to form the product.

  • Is Anugesic HC suitable for me?

    Anugesic HC is unsuitable for you if you are allergic to any of the ingredients of this medicine, or if you have a skin infection (fungal or viral), or you have tuberculosis.

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