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Proctosedyl Ointment

Proctosedyl Ointment (30g )

Order before 3pm for delivery from Tue. 22 Jun and Wed. 23 Jun.

Description for Proctosedyl Ointment

Proctosedyl Ointment is available to buy from The Independent Pharmacy for the fast, effective treatment of internal and external piles and haemorrhoids. All you need to do is fill in a simple medical questionnaire to be reviewed by a UK-based prescriber and your treatment can can be quickly and discreetly delivered to your door.

Proctosedyl Information

  • Age: 18 Years +

    Maximum per order: 2

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

What is Proctosedyl?

Proctosedyl Ointment contains two active ingredients; Cinchocaine Hydrochloride and Hydrocortisone. It is mainly used to treat Haemorrhoids (piles). Proctosedyl Ointment is manufactured in The UK by Sanofi-Aventis and is classified as a prescription-only-medicine (POM). Proctosedyl Ointment is available in a 30g tube, which comes with an attachable plastic applicator and a comprehensive patient information leaflet (PIL).

The active ingredient, Cinchocaine belongs to a group of medicines called local anaesthetics. These medicines work by blocking the pain messages along the nerve fibres at the point of application. This prevents the pain signals from reaching the brain. This will cause a numbing sensation in the area where the ointment has been applied. When treating Haemorrhoids, using a local anaesthetic such as Cinchocaine will numb the pain and itching associated with piles.

The other active ingredient, Hydrocortisone belongs to a category of medicines known as Corticosteroids. These medicines work to reduce and relieve pain and inflammation. Inflammation is caused by an immune response that causes blood vessels to dilate (widen), resulting in the affected area becoming red, painful, itchy and swollen. Hydrocortisone works from within the cell. It actively reduces the substances produced that trigger the inflammation. When Hydrocortisone is used topically to treat Haemorrhoids, it will effectively reduce the painful inflammation and swelling caused by this condition.

When combined in Proctosedyl Ointment, these two active ingredients provide effective short-term relief for the treatment and management of piles and anal itching. Proctosedyl Ointment is suitable for treating external haemorrhoids around the anal area through direct application. If the Haemorrhoids are internal, the ointment can still be applied by using the plastic applicator included with every tube. This applicator or nozzle screws onto the top of the tube, allowing for comfortable insertion into the rectum. If your haemorrhoids are solely internal then suppositories such as Anusol HC Suppositories, may be a more suitable choice.

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

Proctosedyl directions

Always use Proctosedyl ointment exactly as prescribed. If you are unsure, check your patient information leaflet for further instructions or contact us for further advise from one of our healthcare professionals.

  • Only apply Proctosedyl to your back passage and the surrounding areas. Do not apply to the face or other parts of the body.
  • Apply this medicine in the morning, evening and after each bowel movement.
  • If you feel the effect of your medicine is too weak or too strong, do not change the dose yourself, seek further advise from a healthcare professional.

How to apply Proctosedyl ointment

  • Wash your hands
  • Squeeze a small amount of the ointment onto your fingertip
  • Gently rub a small layer of ointment over the sore, painful or itching area
  • Wash your hands

If you need to to apply some ointment deeper into your back passage for internal haemorrhoids/piles:

  • Wash your hands
  • Screw the plastic nozzle provided onto the tube
  • Insert the nozzle into the back passage
  • Squeeze the tube gently as you slowly pull it out
  • Stay still for 1 or 2 minutes
  • Wash your hands and the nozzle

Proctosedyl side effects

Like all medicines, Proctosedyl ointment can cause side effects, although not everybody gets them. If you do suffer with side effects they are normally mild and last a few days. They can include:

  • Skin rash
  • Thinning of the skin

If you have used this ointment for a long time, it is possible that you could get something called ‘adrenal suppression’. Signs include lack of appetite, pain in the stomach, weight loss, feeling sick or being sick, lack of concentration, a feeling of hunger, nervousness and fits.

If you get any side effects, talk to your doctor or pharmacist or nurse. This includes any possible side effects not listed.

Proctosedyl ingredients

Each gram of Proctosedyl ointment contains 5 milligrams of the active substance, cinchocaine hydrochloride and 5 milligrams of the active substance hydrocortisone.

The other ingredients are wool fat (lanolin), liquid paraffin and white soft paraffin.

Proctosedyl warnings

You should not order this medicine online and see your doctor if:

  • You are allergic (hypersensitive) to cinchocaine hydrochloride, hydrocortisone or any of the other ingredients of Proctosedyl ointment. Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.
  • You have any kind of infection.

Do not use this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before using Proctosedyl.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines you buy without a prescription, including herbal medicines. This is because Proctosedyl can affect the way some other medicines work. Also some medicines can affect the way Proctosedyl works.

Pregnancy and breast-feeding

This medicine is unsuitable to order online if:

  • You are pregnant, might become pregnant or think you may be pregnant
  • You are breast-feeding or planning to breast-feed

Ask your doctor or midwife for advice before taking any medicine if you are pregnant or breast-feeding.

Important information about some of the ingredients of Proctosedyl ointment

This medicine contains wool fat (lanolin) which may cause local skin reactions such as contact dermatitis. Contact dermatitis causes redness, itching or irritation of the skin.

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


  • 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.




  • 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


We deliver within two working days by 17:30 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 17:30 to the following postcode areas:
KW16 - non-Town
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

Proctosedyl Ointment 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.

Frequently Asked Questions

  • What does Proctosedyl Ointment contain?

    Proctosedyl contains Cinchocaine Hydrochloride (a local anaesthetic) and Hydrocortisone (a topical steroid). Proctosedyl is a topical cream that helps to numb the pain associated with piles and treat the inflammation present.

    For a full list of ingredients see the 'Ingredients' tab.


  • How do I use Proctosedyl?

    In adults 18 years and over, Proctosedyl should be applied twice daily, usually in the morning and evening, and after each bowel movement.

    To apply Proctosedyl Ointment externally:

    • Wash your hands
    • Squeeze a small amount of the ointment onto your fingertip
    • Gently rub a small layer of the ointment over the sore, painful or itching area
    • Wash your hands

    If you need to apply Proctosedyl Ointment inside your back passage:

    • Wash your hands
    • Screw thre plastic nozzle provided onto the tube
    • Gently insert the nozzle into the back passage
    • Squeeze the tube gently as you pull it out
    • Stay still for 1 or 2 minutes
    • Wash your hands and the nozzle

    You should not use Proctosedyl ointment for more than 7 days. If there has been no improvement in your symptoms after 7 days treatment, you should see your GP.

  • Why can I only buy one tube of Proctosedyl online at one time?

    Proctosedyl is an prescription-only treatment for haemorrhoids and piles. For that reason, to ensure the safety of our patients and the legal operating of our pharmacy, we only supply a maximum of one tube of treatment at one time. Proctosedyl treatment is normally effective for mild to moderate cases of haemorrhoids after 7 days of treatment. If after 7 days of treatment you are still suffering, you should see your GP to receive further treatment that may be more appropriate for the severity of your case.

  • Is it safe to buy Proctosedyl online?

    Yes, as long as you are buying from a website that is a legally operating and regulated pharmacy it is perfectly safe to buy Proctosedyl online. The Independent Pharmacy is an NHS Online Pharmacy based in Bristol and has all the necessary regulation to be able to safely provide convenient access to genuine prescription treatments through our Online Pharmacy & Online Doctor. We only provide genuine branded Proctosedyl Ointment sourced from reputable UK wholesalers. All of our registrations and credentials are available to check in the footer on every page of the website so you can be sure that you are buying from a reputable, trusted supplier.

  • Is Proctosedyl available for next day delivery?

    Yes, we understand that sometimes you want to get your treatment as soon as possible, especially if you are in pain or discomfort. If ordered before 4pm Monday to Friday, Proctosedyl Ointment is available for next day delivery.

  • How do I buy Proctosedyl online?

    It simple! Just select 'Start Consultation' above, you will need to fill in a simple health questionnaire so our GPs & Pharmacists can ensure it is safe for us to supply Proctosedyl to you. It all takes around 3 minutes and your treatment can be quickly and discreetly delivered to your door.

  • What are the advantages of buying Proctosedyl online?

    There are many advantages to buying Proctosedyl Ointment online, some include:

    • It's quick & easy - there is no need to spend time at the doctor or pharmacy.
    • Fast delivery - We offer same day dispatch before 4pm and fast delivery to your address of choice with Royal Mail.
    • Great prices - we are able to offer very competitive prices and we guarantee to beat any other Online Pharmacy service.
    • Tons of information - we provide all the information you could need on Proctosedyl and other piles treatments, in easy to digest formats, at a time to suit you.
  • How long does it take for Proctosedyl to work?

    Proctosedyl is normally used in a seven day course to treat piles & haemorrhoids, you should normally see an improvement in your symptoms within two to three days. After seven days you should be able to tell if it has improved your condition and if not you should see our GP. Using Proctosedyl on and off or for a couple of days usually means it is less effective, making it unlikely that it will be an effective treatment to clear up your piles. It is therefore important that you use Proctosedyl for at least two days after symptoms have cleared (up to seven days total treatment) to ensure that they do not return.

  • How does Proctosedyl work?

    Proctosedyl contains two active ingredients, a local anaesthetic and a topical steroid. Haemorrhoids/piles are caused by the inflammation of blood vessels around and inside the rectum. These inflamed blood vessels can cause itching, stinging and general discomfort. Cinchocaine Hydrochloride (a topical anaesthetic) helps to numb the pain and stinging of piles and reduce discomfort. Hydrocortisone (a topical steroid) helps to reduce inflammation of the haemorrhoids causing them to shrink and eventually disappear.

  • Can I use other piles treatments with Proctosedyl?

    Generally Proctosedyl is not used with any other piles treatment (such as Scheriproct or Anusol HC) as they have a similar method of action and usually do not provide any additional benefit. Simultaneous use of multiple piles treatments may also increase the risk of experiencing side effects. If you find that you experience significant pain or discomfort from your piles, you can take painkillers such as paracetamol or ibuprofen with Proctosedyl.

  • How severe should my haemorrhoids be to use Proctosedyl Ointment?

    Proctosedyl should be used to treat mild to moderate piles and haemorrhoids (first to second degree). First and second degree piles are defined by NHS Choices as small or large swellings inside the anus that may come out of your anus when you go to the toilet before disappearing inside again. If you suffer with prolapsed haemorrhoids that hang out of the anus all of the time, or your symptoms are worse, you should have these diagnosed and treated by your GP.

  • What if Proctosedyl doesn't work?

    If treatment with Proctosedyl Ointment is ineffective on your piles after seven days of treatment, you should see your GP for an examination and further treatment options. If you find Proctosedyl Ointment does not clear your haemorrhoids, you should not use other similar piles treatments like Scheriproct or Anusol HC as these are unlikely to be effective if Proctosedyl hasn't worked and may increase the chance of side effects.

  • Should I stop using Proctosedyl as soon as my piles clear up?

    If you find treatment with Proctosedyl successful and your piles improve, you should continue using Proctosedyl for around two days (up to a total maximum of seven days) before stopping your treatment. This will ensure that any remaining haemorrhoids are treated and give you the best chance to keep you clear of recurring symptoms.

  • If I stop using Proctosedyl, will my piles return?

    It is possible for Proctosedyl to clear your piles to levels where they can be kept at bay by lifestyle changes and over-the-counter treatments, such as Anusol and Germoloids cream.  However, some people may find that their piles return periodically after a period of time and may be associated with certain triggers such as constipation. It is not advised to use Proctosedyl for long periods (more than seven days) or to prevent haemorrhoids from re-occurring.

  • I'm under 18, can I use Proctosedyl?

    The Independent Pharmacy is able to provide Proctosedyl to people aged 18 years and over for the treatment of first and second degree piles and haemorrhoids. If you are aged under 18 and suffering with piles, you will need to see your GP to get treatment that is appropriate for you and your condition.

  • It cleared up my piles but they have come back, can I use Proctosedyl again?

    If you stop using Proctosedyl and your haemorrhoids come back, you may restart treatment at any point. If your condition improves then you should continue with  treatment for up to seven days however, if it is less effective during subsequent rounds of treatment you should see your GP for further examination and treatment. If your piles or haemorrhoids are re-occuring more frequently you should see your GP to establish the cause and get treatment.

  • Is there anything else I can do whilst I am using Proctosedyl to help my haemorrhoids?

    As well as using a dual action piles treatment such as Proctosedyl, you should also get in to the habit of cleansing the affected areas regularly to prevent infection and worsening of symptoms. You should wash twice daily with warm, not hot, water using a mild cleansing agent. When washing, ensure you do not scrub the area too hard so as to irritate the skin as this can make symptoms worse. 

    Constipation can have a role in causing and worsening piles. You should ensure you are drinking plenty of water, eating lots of foods high in fibre and cutting down on junk food. Try to avoid straining when going to the toilet and ensure you go to the toilet when the need hits you, ignoring the call can lead to constipation or straining later.

  • Where can I find out more information about Piles and Haemorrhoids?

    NHS Choices provide some great information for beginners on piles and their treatment. You can also view our Haemorrhoids & Piles page for tons of great information.

Authored By:

A photo of  Chris Newbury

Chris Newbury

BPharm IP

Published on: 02-02-2017

Last modified on: 02-02-2021

Chris is a vastly experienced clinical pharmacist and has been registered as an Independent Prescriber since 2014.

Reviewed By:

A photo of  Scott McDougall

Scott McDougall


Reviewed on: 02-02-2021

Next review date: 02-02-2023

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.

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It's easy! Follow our simple process to get the treatment or advice you need in no time.

  • 1 Complete a simple health questionnaire
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  • 3 You receive the right treatment or advice
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