ANUSOL HC OINTMENT
Active substance: ZINC OXIDE
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2 Before using this medicine
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.
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.
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Children (under 18 years):
This medicine is not recommended for children under 18 years old.
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.
Adults and the elderly:
Dose
Age Adults and the elderly
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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.
1 What the medicine is for
Anusol HC Ointment helps to relieve the swelling, itch and irritation of internal and external piles (haemorrhoids) and anal itching. It contains the following ingredients: Hydrocortisone acetate is a mild steroid which helps reduce inammation. 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.
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Some of the ingredients can cause problems
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. Do NOT take orally Do not use more than 4 times a day unless prescribed otherwise by your doctor Do not use for more than 7 consecutive days
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.
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If anyone has swallowed this product
If anyone accidentally swallows Anusol HC Ointment, contact a doctor or your nearest Accident and Emergency department (Casualty), taking this leaflet and pack with you.
3 How to use this medicine
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
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If you forget to use this medicine
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.
kaolin light, calcium hydrogen phosphate and petroleum jelly white.
What the medicine looks like
Anusol HC Ointment is a buff coloured ointment available in 30 g tubes. Product Licence holder: McNeil Products Ltd Maidenhead, Berkshire, SL6 3UG, UK. Manufacturer: Famar Orlans, 5 avenue de Concyr, 45071 Orleans, Cedex 2, France. This leaflet was revised March 2011. Anusol is a registered trade mark.
4 Possible side-effects
Anusol HC Ointment can have side-effects, like all medicines, although these dont affect everyone and are usually mild.
During pregnancy, the growing baby exerts increased pressure on the anal vessels, which can lead to piles. Heredity: you may be more likely to develop piles if your family has a history of suffering.
A Healthy Living Plan for Piles Sufferers
You can reduce the risk of piles by following a healthy diet and lifestyle that helps to keep your bowels working regularly and prevents constipation. This can also help to speed recovery from piles. Eat a high fibre diet including foods like brown rice, wholemeal bread, wholewheat pasta etc. Eat plenty of fresh fruit, vegetables and salads. Drink plenty of water. Dont eat too much salty, fatty or sugary foods such as crisps, burgers and cakes. Cut back on the amount of alcohol, tea and coffee you drink. Exercise regularly. A healthy diet and lifestyle will reduce the likelihood of constipation and encourage a regular bowel habit. Go to the toilet regularly and try to avoid straining. Leaning forward from the hips may help. For external and internal piles, Ointment can be used. If internal haemorrhoids are the problem, Suppositories deliver a measured dose to the affected area. For further information, please contact: McNeil Products Ltd Maidenhead, Berkshire, SL6 3UG, UK.
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.
A Healthy Living Plan for Piles Sufferers What are piles?
Piles (haemorrhoids) are swollen blood vessels which occur inside or outside the back passage (anus).
Symptoms
Some people have piles without experiencing any symptoms, but sufferers may notice the following: Bleeding: Although streaks of bright red blood on the toilet paper are not uncommon in people with piles, it may be a sign of a more serious condition and you should see your doctor to check this. Swelling: The swollen blood vessels may be felt as a lump or blockage in the anus. Pain, itching and irritation in the anal region. At least 40% of people suffer from piles at some time in their lives. However, many people are too embarrassed to seek advice or treatment and, as a result, suffer unnecessary discomfort. Fortunately, there is much you can do to ease the situation and relieve the symptoms.
5 Storing this medicine
Keep out of the reach and sight of children. Do not store above 25C. Do not use your medicine after the date shown as an expiry date on the packaging.
6 Further information
Whats in this medicine?
The active substances are per 100 g: Hydrocortisone acetate 0.25 g, Zinc oxide 10.75 g, Bismuth subgallate 2.25 g, Balsam Peru 1.875 g, Bismuth oxide 0.875 g and Benzyl benzoate 1.25 g. Other ingredients are: Magnesium stearate, cocoa butter, lanolin anhydrous, castor oil,
What causes piles?
A number of factors can contribute to the development of piles: The most common cause is straining during bowel movement, usually as a result of constipation.
F308393-135 10-0616
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

