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Haemorrhoids & Piles Treatment Creams

Anugesic HC Cream
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  • Wash your hands thoroughly before and after applying this medicine.
  • Anugesic-HC cream and suppositories should be used after the bowels have been emptied. The area around the anus should be thoroughly washed and dried before using this preparation.
  • Anugesic-HC cream can be used internally or externally for the anal area. For application into the back passage, a nozzle provided with the cream should be screwed on to the tube. The nozzle should then be gently inserted into the rectum and a small amount of cream squeezed out. The nozzle should be withdrawn slowly. The nozzle should be thoroughly cleaned after each use.
  • Anugesic-HC suppositories are to beinserted into the rectum only.
  • Anugesic-HC preparations should be used in the morning, at night and after each bowel movement.



Anugesic-HC cream and suppositories contain a number of ingredients which are useful in the relief of symptoms associated with haemorrhoids and other local skin irritations in the anal area.

Pramocaine hydrochloride is a local anaesthetic which blocks pain messages that are sent along nerve endings. It acts on the affected area to relieve the pain and itching associated with these conditions.

Hydrocortisone acetate is used to reduce the inflammation associated with these conditions. Irritation of the skin or membrane causes the release of substances that dilate blood vessels causing the area to become red, swollen and painful. As the medicine is absorbed it inhibits the action of these substances allowing the blood vessels to return to their normal size, hence reducing the discomfort.

Benzyl benzoate, bismuth oxide, balsam peru and zinc oxide have mild antiseptic, protective and astringent properties(ie. constricts blood vessels). Balsam peru is also believed to promote the growth of new skin cells.



Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.

  • Irritation of the back passage.
  • Sensitisation or allergic reactions.

The side effects listed above may not include all of the side effects reported by the medicine's manufacturer.

For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

  • This medicine should not be used for longer than seven days at a time. If symptoms persist after this period consult your doctor.
  • Anugesic-HC preparations are not to be taken by mouth.
  • Anugesic-HC cream contains propylene glycol which may cause skin irritation.
  • Anugesic-HC cream contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216), which may also cause allergic reactions (possibly delayed).

Not to be used in

  • Children.
  • Herpes simplex viral infections.
  • Skin sores caused by tuberculosis.
  • Viral or fungal infection.

This medicine should not be used if you are allergic to any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

,

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Anusol HC Ointment
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  1. Anusol HC Ointment is for topical use only, which means it is applied directly to the affected area.

    ? Wash the anal area and dry gently with a soft

towel before using the medicine.
? There is a nozzle supplied with the product

which can be used to apply the ointment into

the back passage (anus).
? For external piles – after washing and drying

the affected area, the ointment should be

applied using a gauze dressing.
? For internal piles – after washing and drying

the affected area, screw the nozzle provided onto the tube, remove the nozzle cap; insert the nozzle into the back passage and squeeze gently. Clean the nozzle after each use.

? Wash your hands before and after using Anusol. 

Apply sparingly to the affected area. You should use as often as prescribed by your doctor, however Anusol HC Ointment is usually used at night, in the morning and after each bowel movement. 

f anyone accidentally swallows Anusol HC Ointment, contact a doctor or your nearest Accident and Emergency department (Casualty), taking this leaflet and pack with you. 

Anusol HC Ointment should be used on an as

required basis. However, if you were unable to use this product when needed, do not use a double dose. 

Anusol HC Ointment helps to relieve the swelling, itch and irritation of internal and external piles (haemor- rhoids) and anal itching. It contains the following ingredients:

Hydrocortisone acetate is a mild steroid which helps reduce inflammation.
Zinc oxide and Bismuth salts are mildly astringent and antiseptic. They soothe and protect raw areas. Balsam Peru is mildly antiseptic and has a protective action on sore areas and may help healing.

Benzyl benzoate has mild antiseptic properties. 

Anusol HC Ointment can have side-effects, like all

medicines, although these don’t affect everyone and are usually mild.

If you experience the following, stop using

the medicine and tell your doctor:

? Sensitivity reactions (such as a rash) which occur rarely.

Other effects which may occur include

? Mild irritation or burning when applying the ointment. This does not usually last a long time, so if this becomes troublesome or lasts longer than a few days, tell your doctor.

The above are mild side effects, which will usually stop when you stop using the ointment.

If you experience any other unusual symptoms while taking this medicine, talk to your doctor or pharmacist. 

This medicine is suitable for most people but a

few people should not use it. If you are in any doubt, talk to your doctor or pharmacist.

X Do not use this medicine...
? If you have ever had a bad reaction to

Anusol or any of its ingredients.
? If you have fungal, viral or bacterial skin sores.

If the above bullet points apply to you, get advice from a doctor or pharmacist without using Anusol.

! Talk to your doctor or pharmacist...

  • If you have rectal bleeding or if you are

    in doubt whether any bleeding you have

    experienced is caused by piles.

  • If symptoms worsen or do not improve after

    you have used the medicine for 7 days.
    If the above bullet points apply to you, talk to a doctor or pharmacist.

    ! If you are pregnant or breast-feeding
    ? If you are pregnant, only use on the advice

    of your doctor.
    ? If you are breast-feeding you can use this

    medicine.

    ! Some of the ingredients can cause problems

    ? Castor oil may cause skin reactions.
    ? Lanolin anhydrous may cause local skin

    reactions e.g. contact dermatitis which is a local irritation at the site of use. 

Perinal Spray
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The spray should only be used for external haemorrhoids and should therefore not be applied on the inside of the rectum. General application guidelines suggest that the treatment be applied three times a day and that you don't continue using this treatment for longer than seven days without speaking to your doctor.

Perinal 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 a patient's comfort level and aid recovery. Perinal is available in a spray, making it easy to apply to the anus to stop discomfort.

  • Provides relief from pain and itching
  • Helps numb the area of application and reduces swelling
  • Easy to use spray
  • Contains lidocaine and hydrocortisone as active ingredients

It is intended to alleviate the external symptoms of piles and contains hdyrocortisone 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.

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 is safe to use in general, because it's just used topically, but should be avoided if you are allergic to the active ingredient. You should also not use this treatment if you are experiencing severe anal bleeding, you have recently experienced significant weight loss or you have a swollen stomach.

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Proctofoam HC Foam
Pack Size: 21.2g
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Always use Proctofoam exactly as your doctor has told you.

Important:
Your doctor will choose the dose that is right for you. Your dose will be shown clearly on the label that your pharmacist puts on your medicine. If it is not, or you are not sure, ask your doctor or pharmacist.

Remember:

• Do not use Proctofoam for more than 7 days
• Talk to your doctor if symptoms worsen, or do not

improve within 7 days or if bleeding occurs
• You need to use your medicine regularly to get the

maximum benefit.

Adult dose

Proctofoam can be applied in the rectum (internal use) or to the skin around the anus (external use).

• The usual dose into the rectum is one applicator of foam two or three times per day and after each bowel evacuation up to a maximum of 4 times daily

• For the anal area expel a small amount of foam onto two fingers and apply to the affected area.

For rectal use only. Do not swallow

1.Shake the canister vigorously for 30 seconds before each use.

2.Withdraw the plunger until it stops at the catch Iine.

3. Hold the applicater upright and insert the canister top into the opplicater tip. Make sure you hold the plunger and applicater body FIRMLY with your fingers.

4. Press down gently on the canister top with your fingers, so that the foam fills about 1⁄4 of the opplicater body. Only a short press is needed to do this.

5. Wait for a few seeonds until the foam stops expanding.
DO NOT fill the applicator in one go. Always release the canister top efter a short press.

6. Repeat steps 4 & 5 above until the foam expands to just reach the ‘Fill’ Iine. This normally takes 2 to 4 short press/wait.

CANISTER TOP

CATCH LINE

APPLICATOR

1⁄4 FULL

SHORT PRESS

7.

Stand with one leg raised on
a chair, or lie down on your side. Hold the applicater as shown. lnsert gently into the back passage and push the plunger fully into the applicator.

FILL LINE

SHORT PRESS /WAIT

For topical use

Shake the canister vigorously for 30 seconds before each use. Expel a small quantity of foam onto a tissue, pad or two fingers and apply the foam to the affected area.

After using the applicator

  • Always take the applicator apart and wash it thoroughly after use

  • The canister top should also be removed and washed

  • Replace the canister top with care. Make sure it is placed vertically on top of the canister, and not at an angle.

    If you use more Proctofoam than you should

If you use too much go to your doctor as soon as possible.
If you repeatedly use too much Proctofoam you may experience fattening of the face, neck and body, hair growing on your body (women), a dusky complexion with purple patches and skin thinning.

If you forget to use Proctofoam

Do not use double the dose to make up for a missed dose. Simply take your next dose as planned.

If you stop using Proctofoam

Do not stop using Proctofoam without talking to your doctor. Your doctor may reduce your dose gradually.

Mental problems while using Proctofoam

Mental health problems can happen while using steroids like Proctofoam (see also section 4 Possible Side Effects).

  • These illnesses can be serious.

  • Usually they start within a few days or weeks of starting the medicine.

  • They are more likely to happen at high doses.

  • Most of these problems go away if the dose is

    lowered or the medicine is stopped. However, if problems do happen they might need treatment.

    Talk to a doctor if you (or someone using this medi- cine), show any signs of mental problems. This is particularly important if you are depressed, or might be thinking about suicide. In a few cases, mental problems have happened when doses are being lowered or stopped.

    If you have any further questions on the use of this product, ask your doctor or pharmacist. 

  1. Proctofoam belongs to a group of medicines called steroids. Their full name is corticosteroids. These corticosteroids occur naturally in the body, and help to maintain health and well-being. Boosting your body

with extra corticosteroid (such as Proctofoam) is an effective way to treat various illnesses involving inflammation in the body.
Proctofoam reduces this inflammation, which could otherwise go on making your condition worse. You must use this medicine regularly to get maximum benefit from it. Proctofoam is used for the relief of inflammation, itching, pain, swelling and irritation associated with haemorrhoids (piles) and certain other conditions of the anus (bottom) and anal region. 

Proctofoam is a steroid medicine, prescribed

for many different conditions, including serious

illnesses
• You need to use it regularly to get the maximum

benefit

    • Don’t stop using this medicine without talking

      to your doctor - you may need to reduce the dose

      gradually

    • Proctofoam can cause side effects in some people (read section 4 below). Some problems such as mood changes (feeling depressed, or ‘high’), or stomach problems can happen straight away.

      If you feel unwell in any way, keep using your

      medicine, but see your doctor straight away

    • Some side effects only happen after weeks or months. These include weakness of arms and legs, or developing a rounder face (read section 4

      for more information)

    • Keep away from people who have chicken-

      pox or shingles, if you have never had them. They could affect you severely. If you do come into contact with chicken pox or shingles, see your doctor straight away. 

  1. Like all medicines, Proctofoam can cause side effects, although not everybody gets them.

    Serious effects: tell your doctor straight away

    Steroids can cause serious mental health problems. These are common in both adults and children. They can affect about 5 in every 100 people taking medicines that contain steroids.

    • Feeling depressed, including thinking about suicide • Feeling high (mania) or moods that go up and down

• Feeling anxious, having problems sleeping, difficulty in thinking or being confused and losing your memory • Feeling, seeing or hearing things which do not exist.

Having strange and frightening thoughts, changing how you act or having feelings of being alone.

If you notice any of these problems talk to a doctor straight away.

Other side effects

If you get any of the following, keep using the medicine but tell your doctor:
• Unexpected fattening of the face, neck and body • Irregular periods
• Hair starts to grow on your body (women)
• Dusky complexion with purple patches
• Skin thinning
• Allergic skin reaction
• Infection
• Burning sensation
• Itching.

Reporting of side effects

If you get any side effects, talk to your doctor, phar- macist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www. mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine. 

Do not use Proctofoam:

• If you are allergic to pramocaine hydrochloride or to any other ingredient in Proctofoam (see section 6)

• If you are suffering from a bacterial infection, viral infection, or fungal infection

Proctofoam is not for use in children

If any of the above applies to you talk to your doctor or pharmacist.

Check with your doctor first:
• If you have ever had severe depression or

manic-depression (bipolar disorder). This includes having had depression before while using steroid medicines like Proctofoam.

• If any of your close family has had these illnesses

• If you have diseases of the bowel (rectum).

If any of these applies to you, talk to your doctor before using Proctofoam.

Taking other medicines

Tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Pregnancy and breast-feeding

If you are pregnant, trying to become pregnant or breast-feeding ask your doctor or pharmacist for advice before using Proctofoam. 

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Proctosedyl Ointment
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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 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.

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.

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.

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Scheriproct Ointment
Pack Size: 30g
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Always wash your hands before and after applying Scheriproct. Do not use Scheriproct Ointment for more than 7 days.

How to use Scheriproct Ointment:

Scheriproct Ointment should be appiled in the morning, at night, and after each bowel movement for up to 7 days.

  • Before you use Scheriproct, gently but thoroughly wash and dry the anus (back passage) and the skin around it.

  • If the ointment is to be used for the area around the anus:

    Squeeze a small quantity (about the size of a pea) on to the top of your finger.

    Spread it gently over the skin and just inside the anus.

    Do not rub it in.

  • If the ointment is to be used inside the anus:

    Put the separate nozzle (applicator) onto the tube.

    Squeeze the tube until the nozzle is full of ointment. The amount of ointment in the nozzle is one dose.

    Insert the nozzle very carefully into the anus until the whole length of the nozzle is inside. Then, while squeezing the tube gently, withdraw the nozzle.

    Wash the nozzle carefully in hot soapy water and rinse thoroughly.

Scheriproct Ointment contains the active ingredients Cinchocaine Hydrochloride and Prednisolone Hexanoate. It is used to treat haemorrhoids (piles). Scheriproct is classified as a Prescription-only-medicine (POM) and is manufactured by Valeant Pharmaceuticals. Scheriproct Ointment comes in a 30g tube, which includes an attachable plastic applicator and a detailed patient information leaflet (PIL).

Cinchocaine belongs to a group of medicines called local anaesthetics. These medicines work by blocking the pain messages along the nerve fibers. This prevents the pain signals from reaching the brain, creating a numbing sensation in the area where the ointment has been absorbed. When treating piles, using a local anaesthetic such as Cinchocaine will numb the affected area, reducing the pain and itching associated with haemorrhoids.

The other active ingredient, Prednisolone belongs to a category of medicines known as; Corticosteroids. These medicines work to 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. Prednisolone works from within the cell. It actively reduces the substances produced by the body that trigger the inflammation. When Prednisolone is used to treat Haemorrhoids, it will effectively reduce the painful inflammation and swelling caused by this condition.

Scheriproct Ointment is designed for short-term relief from the symptoms of haemorrhoids and anal itching. This is usually between five and seven days. It is not recommended to use Scheriproct for longer than seven days, unless advised to by a doctor or specialist. Scheriproct Ointment is suitable to treat both external and internal haemorrhoids. It can be applied directly to the anal area to relieve external piles. Alternatively, through use of the attachable applicator, it can be gently inserted into the rectum in order to relieve internal piles. If your haemorrhoids are exclusively internal then suppositories, such as Anusol HC, may be more appropriate for treatment.

Like all medicines, Scheriproct can cause side effects, although not everybody gets them.

Some thinning of the skin may occur if too much Scheriproct is applied for long periods of time (much longer than 5 to 7 days).

Allergic skin reactions may occur in rare cases. Castor oil, one of the ingredients of Scheriproct Ointment may cause a skin reaction.

If you experience any of these side effects and this becomes serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. 

Do not use Scheriproct if you:

  • are allergic (hypersensitive) to prednisolone hexanoate, cinchocaine hydrochloride, other local anaesthetics or any of the other ingredients of Scheriproct.

  • have a viral infection (e.g. herpes, shingles, chicken-pox)

  • have any bacterial or fungal infections of the skin or elsewhere for which you are not receiving treatment.

Take special care with Scheriproct

  • Long-term continuous treatment should be avoided because it increases the possibility of side effects. This is particularly important for infants and small children because continuous treatment with Scheriproct for long periods may reduce the activity of the adrenal glands and so lower resistance to disease. Also, long-term treatment can cause the skin to thin and deteriorate in the affected area and some of the medicine may be absorbed into the blood stream.

  • If the area treated with Scheriproct is also infected your doctor should prescribe another medicine, to use with Scheriproct, to treat the infection.

  • Do not use a waterproof dressing to cover areas where you have applied the cream.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Pregnancy and breast-feeding

You should not order Scheriproct online if you are, or may be, pregnant or breastfeeding. You should instead contact your doctor or midwife for advice before using this medicine. There may be a very small risk to the development of a baby in pregnant women treated with Scheriproct. As with most medicines, this risk is likely to be greatest during the first 3 months of pregnancy.

Driving and using machines

Scheriproct has no influence on the ability to drive and use machines. 

Ultraproct Ointment
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The anal region should be cleaned thoroughly before using ULTRAPROCT®, which is best applied after defecation. There is usually a rapid improvement, but this should not mislead one into stopping treatment too soon. To avoid relapses, ULTRAPROCT® should be continued for at least one week, though less frequently (ointment once a day or one suppository every other day), even when the symptoms have completely disappeared. However, duration of treatment should, as far as possible, not exceed 4 weeks.

Ointment

Unless otherwise prescribed by the doctor, generally, apply twice daily, or on the first day for faster symptomatic relief, up to four times.

Smear a little ointment (about the size of a pea) around the anus and in the anal ring with a finger, using the fingertip to overcome the resistance of the sphincter. Before applying within the rectum, the enclosed nozzle should be screwed on to the tube. However, for very inflamed and hence painful lesions, it is advisable initially to apply the ointment internally with the finger.

Protruding lumps should be smeared thickly and pressed carefully back with the finger. 

There has been no report of toxicity even after inadvertent overdose. However if ULTRAPROCT® is swallowed systemic side effects may result and may manifest as severe cardiovascular (ranging from depression to cessation of cardiac function) and CNS symptoms (convulsions; inhibition to arrest of respiratory function), in which case you should seek advice from your doctor or contact the Poisons Information Centre on 0800 764 766). 

Ultraproct contains fluocortolone which belongs to a group of medicines known as the corticosteroids which reduce inflammation and itching. Ultraproct also contains a substance called cinchocaine hydrochloride which is a local anaesthetic to relieve pain 
 

Tell your doctor if you notice any unwanted effect, especially if severe or persistent, or if there is a change in your health that you think might be caused by ULTRAPROCT®.

If ULTRAPROCT® is applied for long periods of time (more than 4 weeks), local concomitant symptoms, such as atrophy of the skin cannot be excluded.

Allergic skin reactions may occur in rare cases. 

Do not use ULTRAPROCT® if you have any of the conditions listed below. If any of these apply to you, tell your doctor before starting to use ULTRAPROCT®.

You must not use ULTRAPROCT® if:

  • you are pregnant or think you might be pregnant. Corticosteroid preparations such as ULTRAPROCT® should not be applied during the first three months of pregnancy. ®

  • you are allergic to any of the ingredients of ULTRAPROCT .

  • you suffer from Tuberculous or syphilitic processes in the area to be

    treated; virus diseases (e.g. vaccinia, chickenpox).
    If any of these conditions appear for the first time while using ULTRAPROCT®, stop taking it at once and consult your doctor.

What else you should know

Prolonged use should be avoided (see the side effects section of this leaflet).

ULTRAPROCT® and breast-feeding

ULTRAPROCT® is generally not recommended for use during breast-feeding. If you wish to use ULTRAPROCT®, please seek the advice of your doctor.

ULTRAPROCT® and pregnancy

ULTRAPROCT® must not be used by women who are pregnant, or who think they may be pregnant.

If you suspect that you are pregnant while you are already using ULTRAPROCT®, you should consult your doctor as soon as possible. 

Uniroid HC Ointment
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Always use Uniroid-HC Ointment exactly as your doctor has told you, and always read the label. Your doctor will decide on the appropriate dose to suit your condition. Ask your doctor or pharmacist if you are not sure.

? To open the tube remove and turn the cap upside down and use it to pierce the seal at the top of the nozzle.

? Gently wash the area around the back passage with water and pat dry with cotton wool. 

Using without the applicator

1. Wash your hands, then squeeze a small quantity of the ointment onto a finger and spread it onto the affected area without rubbing. Do NOT use toilet paper to apply the ointment.

2. Wash your hands thoroughly.

Using with the applicator (inside the back passage)

1.Your ointment contains a plastic nozzle applicator to help you apply the ointment inside the back passage. Clean the nozzle applicator thoroughly in warm, soapy water before and after each use.

2. Screw the nozzle applicator onto the end of the ointment tube and insert the nozzle applicator fully into the back passage.
3. Squeeze the tube gently from the lower end while slowly pulling

it out of the back passage.
4. Unscrew the nozzle applicator and wash both it and your hands.

Do NOT apply a dressing after using this ointment as this can increase the risk of an allergic reaction (see Section 4). Doses

Adults, elderly and children over 12 years: apply the ointment twice a day (morning and evening) and after each time you empty your bowels unless your doctor has told you otherwise.
Do not use the ointment for more than 7 days. If the problem is no better, tell your doctor.

Children under 12 years: this medicine is NOT suitable for

children under 12 years.

If you use more than you should

If you apply too much ointment, wipe off the excess with cotton wool. If you accidentally insert too much ointment or if you or anyone
else swallows any of the ointment:

1. Tell your doctor, pharmacist or nearest hospital casualty department immediately.

2. Take the ointment tube with you so that people can see what you have used or taken.

3. Do this even if you feel well.

If you forget to use

If you forget to use the ointment, use it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue as usual.
Do not use a double dose to make up for a missed dose.

If you have any further questions on the use of this product, ask your doctor or pharmacist. 

Uniroid-HC Ointment contains hydrocortisone and cinchocaine hydrochloride.

? Hydrocortisone soothes and relieves irritations and inflammation of the skin.

? Cinchocaine hydrochloride, a local anaesthetic, provides pain relief.

It is used to treat:
? external haemorrhoids (piles), providing short-term relief of pain,

irritation and associated itching around the back passage (anus) ? internal haemorrhoids using the nozzle applicator provided.


 

Like all medicines, Uniroid-HC Ointment can cause side effects,

although not everybody gets them. Do not be alarmed by this list of possible side effects. You may not experience any of them.
Tell your doctor if you get the following side effect:

? an allergic reaction such as itching, pain or rash around the back passage.

Large doses and regular use may suppress the adrenal glands. This may cause complex changes in your body. If you use Uniroid-HC Ointment regularly, discuss this with your doctor.
If any of the side effects get troublesome, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist. 

Do NOT use Uniroid-HC Ointment if you:

? are allergic to hydrocortisone, or to any other steroids
? are allergic to cinchocaine, or to any other local anaesthetics
? are allergic to any of the other ingredients (see Section 6)
? have tuberculosis
? have any kind of skin infection (e.g. thrush of the back passage,

viruses affecting the skin).
Do not use the ointment in children under 12 years of age
unless directed by the doctor.
If any of the above apply to you, speak to your doctor or pharmacist.

Take special care with Uniroid-HC Ointment

Before using the ointment, tell you doctor if you:
? have had a bad reaction to this or similar products before

? are pregnant or planning a pregnancy

? are breast-feeding.
Do NOT cover the skin with bandages, plasters or any other dressing. However, it is safe to cover the skin with your clothes.

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, and herbal preparations.

Some medicines may be affected by Uniroid-HC or they may affect how well Uniroid-HC will work.

Pregnancy and breast-feeding

Do not use the ointment if pregnant or breast-feeding unless advised by your doctor.
Ask your doctor or pharmacist for advice before taking any medicine if you might be pregnant or breast-feeding.

Driving and using machines

Uniroid-HC is unlikely to affect your ability to operate machinery or to drive.

Important information about some of the ingredients of Uniroid-HC Ointment

? cetostearyl alcohol
This may cause local skin reactions, such as contact dermatitis. 

Xyloproct Ointment
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Always use Xyloproct Ointment exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. Always wash your hands well before and after using this medicine.

How much Xyloproct Ointment to use

  • Your doctor will tell you how much ointment to use and how often to use it.
  • Usually the ointment should be put on the affected area several times a day.
  • Up to 6 g (grams) of ointment can be used each day. This is about a third of a tube.

How long to use Xyloproct Ointment for

  • Xyloproct Ointment should only be used for limited periods of time.
  • With longer periods of treatment (up to 3 weeks) your doctor may suggest that you have a break from treatment, especially if you are getting irritation around or inside where the ointment is applied.
  • If you get irritation, your doctor may do a patch test to see if it is being caused by Xyloproct Ointment.

Using the applicator

  • The ointment comes with an applicator. Your doctor will tell you if you need to use this.
  • If your doctor tells you to use the applicator, be careful not to put too much ointment inside the back passage, especially if it is being given to a child.
  • Clean the applicator very well after each use.

If you use more Xyloproct Ointment than you should

  • If you use too much ointment talk to your doctor as soon as possible.
  • It is particularly important to talk to your doctor as soon as possible if a child has been given too much ointment. This is because fits have sometimes happened in children who have been given too much.

The name of your medicine is ‘Xyloproct 5%/0.275% Ointment’. It is referred to as ‘Xyloproct Ointment’ in the rest of this leaflet.

Xyloproct Ointment contains two medicines: lidocaine and hydrocortisone.

  • Lidocaine (sometimes known as lignocaine) belongs to a group of medicines called local anaesthetics.
  • Hydrocortisone belongs to a group of medicines called corticosteroids.

 

Xyloproct Ointment may be used in adults and children of all ages for the following reasons:

  • to relieve itching around the back passage (anus) or female private parts (genitals).
  • to relieve the symptoms of piles (haemorrhoids) and other problems that affect the back passage. These symptoms include pain and inflammation.

Like all medicines, Xyloproct Ointment can cause side effects, although not everybody gets them.

Stop using Xyloproct Ointment and talk to your doctor straight away if you notice any of the following – you may need urgent medical treatment:

  • Sudden onset of rash, itching or hives on the skin.
  • Swelling of the face, lips, tongue or other parts of the body.
  • Shortness of breath, wheezing or trouble breathing.

This may mean that you are having an allergic reaction.

Stop using Xyloproct Ointment and talk to your doctor if you notice any of the following:

  • Soreness in your back passage.
  • Bleeding from your back passage.

Other possible side effects:

  • Redness, swelling and itching where Xyloproct Ointment has been put on your body.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. By reporting side effects you can help provide more information on the safety of this medicine.

Do not use Xyloproct Ointment if:

  • You are allergic (hypersensitive) to lidocaine or hydrocortisone or any of the other ingredients of Xyloproct Ointment (listed in Section 6: Further information).
  • You have ever had an allergic reaction to other local anaesthetics or to other corticosteroid medicines.
  • You have an infection where the ointment is going to be put and the infection is not being treated.
  • You are not in hospital and you are taking medicines for an uneven heart beat (such as amiodarone or sotalol).

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

Take special care with Xyloproct Ointment

Check with your doctor or pharmacist before using Xyloproct Ointment if:

  • Your skin is very thin or fragile where the ointment is going to be put.
  • You have an infection where the ointment is going to be put. If this applies to you, your doctor may ask you to use another medicine as well as Xyloproct Ointment.
  • You have ever been told that you have a rare disease of the blood pigment called ‘porphyria’ or anyone in your family has it.

Taking other medicines

Please tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Xyloproct Ointment can affect the way some medicines work and some medicines can have an effect on Xyloproct Ointment.

In particular, tell your doctor or pharmacist if you are taking or using any of the following medicines:

  • Medicines for an uneven heart beat (such as amiodarone or sotalol).
  • Other local anaesthetics.

Pregnancy and breast-feeding

Talk to your doctor before using Xyloproct Ointment if you are pregnant, may become pregnant or are breast-feeding. Your doctor will decide if you can use Xyloproct Ointment during this time.

About Haemorrhoids & Piles

Haemorrhoids & Piles Background

Haemorrhoids are also known as piles. They occur when blood vessels around the anus and rectum swell up and enlarge, creating a hanging lump that can protrude from the anus. This lump may need to be pushed back in after going to the toilet. There are several degrees of piles, in most cases the symptoms are mild and relatively painless and often clear up on their own. In cases where piles are causing some discomfort, for example an itch or soreness around the anus, then non-prescription treatments are available to purchase. If these treatments don’t relieve the discomfort, or you experience pain or bleeding after passing a stool then it is recommended you speak to your GP.

What exactly causes piles is still unclear. What we do know is that they are associated with increased pressure in the blood vessels located in and around the anus. The majority of cases are believed to be caused by excessive straining when using the toilet. This is often due to a low fibre dietresulting in constipation. There are other factors that can increase the likelihood of developing haemorrhoids, these include:

  • Pregnancy
  • Having a family history of piles
  • Being overweight
  • Being over 45 years of age
  • Regularly lifting heavy weights
  • Long periods of sitting down
  • Prolonged diarrhoea
  • A persistent cough
  • Repeated vomiting

There are two main types of piles, these are internal piles and external piles. Internal piles occur above the line inside the anus called the dentate line. External piles will occur below this line. The dentate line is a visible line that marks where the nerves inside the anal canal are able to detect pain. Nerves below the dentate line are capable of detecting pain signals whereas the nerves above it are not.

There are varying degrees of piles, which are classified by their size and severity.

  • First degree haemorrhoids cannot be seen outside the anus. They develop on the lining inside of the anus and are small in size.
  • Second degree haemorrhoids are larger in size. These swellings may protrude out from the anus when going to the toilet, before retracting back inside.
  • Third degree haemorrhoids comprise of one or more soft lumps that hang down from the anus. These can be pushed back inside, known as reducible.
  • Forth degree haemorrhoids differ from third degree haemorrhoids by being larger in size. They are also irreducible – they cannot be pushed back inside. 

Haemorrhoids & Piles Symptoms

For a lot of people, piles can come and go without presenting any symptoms and aren’t generally painful. They tend to only cause pain if their blood supply is reduced or interrupted. For those who have a higher degree of haemorrhoids, the following symptoms may present:

  • An itch, soreness or redness around your anus
  • A visible lump that hangs down outside the anus
  • A discharge of mucus or blood after passing a stool

If your symptoms are persistent and don’t respond to over-the-counter treatments then it may be necessary to see your doctor. If in any circumstance you are experiencing rectal bleeding then it’s advised to always seek medical advice. 

Haemorrhoids & Piles Diagnosis

If over-the counter treatment fails, piles is a condition that is normally very easy for your doctor to diagnose. It only involves an examination of the anal area. Sometimes a visual inspection is enough to identify external piles but there may also be the need to perform an internal examination, where a lubricated, gloved finger is inserted into the anus. This means your doctor will be able to feel for any abnormalities. In a small number of cases it may be deemed necessary for further internal examination. This will be done using a proctoscope. A proctoscope is a thin tube that has a light attached to one end. When inserted into a patient’s anus it will allow the doctor to see the entire anal canal and make an accurate diagnosis.

Haemorrhoids & Piles Treatment

Simple lifestyle changes can often be the answer to a mild case of piles, especially if constipation and over-straining were the cause. By introducing more fibre into your diet you can help make your stools softer and easier to pass, which will reduce the amount of straining. Be sure todrink plenty of water too as dehydration can lead to constipation and then to piles. When going to the toilet try substituting dry toilet paper for a moist one, such as Andrex Washlets or Preparation H Soothing Wipes. This will avoid irritating the area around the anus. It is also advised to pat the area around the bottom instead of rubbing it after going to the toilet.

If you require medication, there are many different over-the-counter remedies available. These topical treatments include; ointments, creams, sprays and suppositories. AnusolGermoloidsPreparation H and Anodesyn are all brands of medication that you can buy without a prescription. Most of these treatments are designed to soothe the irritation in and around the anus and are zinc based, which provides a barrier for the sore skin, helping to prevent infection.

If there is severe inflammation around the anus then certain preparations, such as Anusol Plus HC and Germoloids HC, contain hydrocortisone. Hydrocortisone is a steroid, which will help reduce this inflammation. Other preparations contain local anaesthetics, such as lidocaine. Lidocaine will help numb the area, thus providing added pain relief. Germoloids Triple Action cream and ointment are examples of products that contain lidocaine.

If your piles are the result of constipation then a laxative may be necessary. These are medicines designed to empty the bowel and relieve any straining associated with passing stools. See our constipation section for further information on laxatives and treating constipation.

If your haemorrhoids have developed above the dentate line then over-the-counter treatments are not appropriate and your GP may refer you to a specialist. The recommended procedures in these cases are banding and sclerotherapy. Banding is a procedure that involves reducing the haemorrhoid’s blood supply by attaching a very tight elastic around their base. Sclerotherapy is an injection that both numbs pain as well as hardening the tissue of the haemorrhoid, causing it to ultimately reduce and shrivel up.      

Haemorrhoids & Piles Prevention

Preventing piles in most cases is actually quite simple. The key is not burdening your stomach and bowels with any unnecessary pressure. A healthy lifestyle is essential for reducing your risk of developing the condition.

  • Ensure you stay hydrated by drinking plenty of fluids, especially water and fruit juices. Try to avoid alcohol and caffeine as this can dehydrate you and lead to hardened dry stools and then constipation.
  • Make sure your diet is rich in fibre so that things keep on moving. Fibre rich foods include; wholemeal bread, fruit, vegetables, brown rice, nuts and seeds.
  • Take regular light exercise. Simple activities such as walking and swimming are great ways to help prevent piles.
  • When possible never ignore the call of nature. If the urge presents itself then it’s important to answer it. Holding it in repeatedly can result in constipation and piles.
  • Try to avoid sitting on the toilet for too long as this posture has the body’s weight bearing down on the backside, exactly the kind of pressure that it is important to avoid. 

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Haemorrhoids & Piles FAQ's

What causes piles?

What exactly causes piles is still unclear. What we do know is that they are associated with increased pressure in the blood vessels located in and around the anus. The majority of cases are believed to be caused by excessive straining when using the toilet. This is often due to a low fibre diet resulting in constipation. There are other factors that can increase the likelihood of developing haemorrhoids, these include:

  1. Pregnancy
  2. Having a family history of piles
  3. Being overweight
  4. Being over 45 years of age
  5. Regularly lifting heavy weights
  6. Long periods of sitting down
  7. Prolonged diarrhoea
  8. A persistent cough
  9. Repeated vomiting

When to treat piles yourself and when to get medical advice?

There are two main types of piles, these are internal piles and external piles. Internal piles occur above the line inside the anus called the dentate line. External piles will occur below this line. The dentate line is a visible line that marks where the nerves inside the anal canal are able to detect pain. Nerves below the dentate line are capable of detecting pain signals whereas the nerves above it are not.

There are varying degrees of piles, which are classified by their size and severity. Third and forth degree need medical attention and diagnosis.

First degree haemorrhoids cannot be seen outside the anus. They develop on the lining inside of the anus and are small in size.

Second degree haemorrhoids are larger in size. These swellings may protrude out from the anus when going to the toilet, before retracting back inside.

Third degree haemorrhoids comprise of one or more soft lumps that hang down from the anus. These can be pushed back inside, known as reducible.

Forth degree haemorrhoids differ from third degree haemorrhoids by being larger in size. They are also irreducible – they cannot be pushed back inside.

Is there a difference between haemorrhoids and piles?

No, there is no difference between haemorrhoids and piles; they are two terms for the same condition that can be used interchangeably.

Does sitting on cold surfaces cause piles?

No, the temperature of whatever you sit on does not have any affect on you developing piles – it is a complete myth! That means that sitting on hot surfaces such as radiator also has no contribution.

Can I do anything other than use over-the-counter treatment to ease my symptoms?

You can try applying an ice pack for short periods to help reduce inflammation and sitting in a warm bath (do not use any additives like bubble bath or bath bombs) can help to ease symptoms of pain and discomfort.

I sit at a desk all day, does that contribute to my haemorrhoids?

Yes, sitting for prolonged periods can contribute to haemorrhoids and make them worse if you are already suffering with them. You are entitled to breaks to prevent eyestrain from your computer – use these to get up and stretch your legs. Ensure you do light exercise regularly at lunchtimes or in the evenings to help combat the causes of piles.

Am I more likely to get piles if someone else in my family has them?

Although there is no definite link, people seem to be more likely to experience piles more if their parents also suffered with them. This is likely to be due to similar diet, build and exercise levels rather than a genetic link.

Am I more likely to get haemorrhoids if I am overweight?

Being overweight increases the chances of suffering with haemorrhoids due the extra weight on their abdomen causing extra pressure. Losing weight can help to relieve piles. You are also more likely to get piles if you are pregnant or lift heavy weights for the same reason.

Is itching around the anus a sign of piles?

Yes, itching around the anus can be a symptom of piles. To make an accurate diagnosis you need to consider the full range of symptoms, as anal itching alone can be a symptom of a number of conditions such as threadworms.

Are skin tags the same as piles?

No, anal skin tags are from the skin folds of the anus. They can occur if you have piles but can also be a sign of a different underlying condition. If you have an anal skin tag you should have it checked with your doctor.

The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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