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Perinal Spray

Perinal Spray (30g )

Order before 3pm for delivery from Wed. 20 Jan and Thu. 21 Jan.

Perinal Spray Information

  • Age: 18 years +

    Maximum per order: 2

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

What is Perinal Spray & how does it treat piles?

Perinal cutaneous spray is a comprehensive haemorrhoid treatment that deals with the actual swelling while providing relief from pain and itching by numbing the area. These two actions therefore improve your comfort level and aid recovery. Perinal is specifically formulated in a spray, making it easy to apply to the anus to stop discomfort.

Perinal Cutaneous Spray is a treatment to spray on and around your bottom (anus) to relieve painful and itchy symptoms caused, for example, by haemorrhoids (piles).

It is intended to alleviate the external symptoms of piles and contains hydrocortisone and lidocaine hydropchloride. Hydrocortisone is a natural type of cortisone, known as a corticosteroid, which stops the swelling of blood vessels in the back passage. Swelling of the blood vessels occur because of irritation as a result of pressure. Using a corticosteroid prevents this irritation from causing inflammation, but it can take time to work, which is why the addition of lidocaine in this formula is so beneficial.

Lidocaine hydrochloride is a local anaesthetic, so when applied to a particular area, it temporarily affects the nerves, inhibiting them from relaying impulses to the brain that tell it that the area is experiencing pain and discomfort.

The spray operates when held in any direction. The container is ozone-friendly. It is not an aerosol and does not contain any potentially irritant propellants.

 

Perinal alternatives

Perinal spray 

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

 

Sources

Perinal Spray Patient Information Leaflet: https://www.medicines.org.uk/emc/product/3762/pil

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Perinal Spray directions

Perinal spray should only be used for external haemorrhoids and should therefore not be applied on the inside of the rectum.

You should use one spray up to three times a day, depending on the severity of your piles. If you need to use this treatment for longer than seven days, you should speak to your doctor.

Perinal spray is not normally recommended for children under 14 years unless on medical advice.

 

How to use Perinal Spray

  • Prime the pump before use by pressing down on the top of the pump once or twice.
  • Parting your buttocks, if necessary, spray once over the affected area (the spray will operate in any orientation, even upside down).
  • Repeat up to three times a day if you need to.
  • Replace the cap after use.
  • Always wash your hands after use.

Perinal side effects

Side effects experienced with this treatment are usually very mild because it's only administered topically.

The most common effects are:

  • a temporary tingling or irritation of the area where it has been applied.

These side effects shouldn't be a cause for concern, but if any of them persist or you experience anything severe, you should seek immediate medical help.

Perinal Spray ingredients

The active ingredients contained in Perinal Spray are:

  • Hydrocortisone 0.2% w/w
  • Lidocaine hydrochloride monohydrate 1.0% w/w

The inactive ingredients are:

  • Macrogol cetostearyl ether (cetomacrogol)
  • Citric acid monohydrate
  • Sodium citrate
  • Propyl gallate
  • Phenoxyethanol
  • Purified water

Perinal Spray warnings

Always ensure that you read the Patient Information Leaflet in full before starting treatment with Perinal Spray.

Perinal Spray should not be used:

  • If you are sensitive to lidocaine or any of the other ingredients.
  • On broken skin owing to the possibly increased risk of systemic side effects.
  • On infected skin including bacterial, viral, tuberculous or fungal lesions of the skin.
  • Internally (inside the anus), or anywhere other than the anal area.

Perinal Spray is intended for use for limited periods and so should not be used continuously for longer than 7 days without medical advice.

Seek medical advice if you experience persistent pain or bleeding from the anus, especially where associated with a change in bowel habit, if the stomach is distended or if you are losing weight.

Speak to you doctor if your vision becomes blurred or you have any other visual disturbances whilst using Perinal.

Perinal Spray should not be ingested or applied into the mouth, inside the nose or in the eyes.

Perinal cutaneous Spray should be used with caution in patients taking Class III antiarrhythmic drugs (such as amiodarone), or other local anaesthetics at the same time.

Medicines that reduce the clearance of lidocaine (eg cimetidine or beta-blockers) may increase the risk of overdose, although the risk is considered very low for Perinal Cutaneous Spray owing to the low doses applied.

Medical supervision is required if Perinal used in conjunction with other medicines containing steroids, owing to possible additive effects.

 

Perinal spray in pregnancy

There is not enough data on the use of Perinal spray in pregnancy, therefore it should not be used unless under the direct medical supervision of your doctor.

Delivery & Shipping Information

Please note that due to the current situation with COVID-19, Royal Mail are experiencing some delays. This may mean that your order takes longer to arrive than you would normally expect. We are working hard to ensure that, where possible, all orders placed before 15:00 are still dispatched the same working day.

 

UK Orders

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
  • DPD Next Day - 1 - 2 working days - £6.95
  • Special Delivery (Guaranteed before 21:00) - £8.95
  • Saturday Guaranteed before 21:00 - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail & DPD orders received before 15:00 the same working day. Any orders received after 15:00 or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email, in your online account and from any notifications from your courier.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods. Where possible, we will attempt to size all parcels to fit through your letterbox in tamper-proof packaging. By placing an order on our website, you confirm that it is safe and appropriate for a package containing medicines to be posted through your letterbox, if the carrier is able to do so. You should notify our customer support team if it is not safe for the package to be posted through the letterbox, for example due to animals or small children.

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

Delivery is free for all NHS prescriptions.

 

Royal Mail

Features:

  • Fully tracked delivery
  • SMS & email notifications
  • Four-hour delivery window
  • Change delivery date directly with Royal Mail
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local Post Office or Royal Mail Customer Service Point.

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

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.

 

DPD

Features:

  • Fully tracked delivery
  • SMS & email notifications
  • One-hour delivery window
  • Change delivery date directly with DPD
  • Update delivery location - add a Safeplace, preferred neighbour, or update your delivery location to a local collection point.

DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot. 

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

  • Select an alternative delivery date
  • Opt for delivery to a nominated neighbour
  • Have the parcel left in a specified safe place
  • Collect the parcel from your local DPD Pickup Shop
  • Upgrade delivery to By 12

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

Once a package has been shipped with DPD 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.

 

Forwarding houses

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

 

BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.

 

Remote Areas

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 17:30 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
ZE1

 

We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
GY10
HS2
PA60 - 75, 78
ZE2, 3

 

We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
KW17
PH30, 41 - 44

 

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

 

International Orders

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 contact our support team

Perinal Spray Reviews

Unsure about a treatment?
Ask our medical team for impartial information and advice about any treatment we provide or medical condition that we treat before you buy.

Authored By:

A photo of  Scott McDougall

Scott McDougall

MPharm

Published on: 02-02-2017

Last modified on: 11-12-2020


Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC.

Reviewed By:

A photo of  Andy Boysan

Andy Boysan

BPharm

Reviewed on: 11-12-2020

Next review date: 11-12-2022


Andy is a co-founder, the superintendent pharmacist and director at The Independent Pharmacy.


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