ANUSOL HC SUPPOSITORIES

Active substance: ZINC OXIDE

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hydrocortisone acetate, zinc oxide, bismuth oxide, bismuth subgallate, balsam peru, benzyl benzoate This medicine is used for the relief of internal piles and anal itching. This medicine is for use in adults over the age of 18 years. Do not use this medicine: If you have had a bad reaction to Anusol or any of the ingredients in it. See section 6 c If you have fungal, viral or bacterial skin sores. See section 2 c Speak to your doctor: If you have rectal bleeding which has not been diagnosed as piles. See section 2 c If your symptoms have worsened or not improved within 7 days of using this product. See section 2 c Follow the instructions on how to use this product carefully. See section 3 c This medicine has been prescribed for you by your doctor. Do not pass it onto others. It may harm them even if their symptoms are the same as yours. Now read this whole leaflet carefully before you use this medicine. Keep the leaflet: you might need it again.


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. This product is for use by adults over the age of 18 years.

3 How to use this medicine
Anusol HC Suppositories should be inserted into the anus Wash anal area and dry gently with a soft towel before using this medicine. Remove plastic cover from the suppository before use. Wash your hands before and after using Anusol. The suppository will melt after insertion.

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.

Children (under 18 years):
This medicine is not recommended for children under 18 years old.

Adults and the elderly:
Age Adults and the elderly Dose Insert one suppository into the back passage (anus) far enough so that it doesn't slip out. You should use as often as prescribed by your doctor, however Anusol HC Suppositories are usually used at night, in the morning and after each bowel movement.

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 any of these 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 any of these bullet points apply to you, talk to a doctor or pharmacist.


Do NOT take orally Do not use more than 3 suppositories a day unless prescribed otherwise by your doctor Do not use for more than 7 consecutive days

1 What the medicine is for
Anusol HC Suppositories help to relieve the swelling, itch and irritation of internal piles (haemorrhoids) and anal itching. It contains the following ingredients: Hydrocortisone acetate is a mild steroid which helps reduce inammation.

If anyone has used too much or swallowed this product.
If anyone has used too much or has accidentally swallowed Anusol HC Suppositories, contact a doctor or your nearest Accident and Emergency department (Casualty), taking this leaflet and pack with you.

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.


If you forget to use this medicine
If you forget a dose, use the next dose when needed. Do not use a double dose.

4 Possible side-effects
Anusol HC Suppositories can have side-effects, like all medicines, although these dont affect everyone and are usually mild.

What the medicine looks like
Anusol HC Suppositories are white suppositories available in plastic strips with two strips (12 suppositories) in a box. Product Licence holder: McNeil Products Ltd Maidenhead, Berkshire, SL6 3UG, UK. Manufacturer: Farmea, 10, rue Bouch Thomas, ZAC Sud dOrgemont, 49000 ANGERS Cedex, France. This leaflet was revised March 2011. Anusol is a registered trade mark.

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.


If you experience the following, stop using the medicine and tell your doctor:


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.

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

Other effects which may occur include:
Mild irritation or burning on application. 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 suppositories. If you experience any side-effects not included in this leaflet or are not sure of anything, 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 per suppositories are: Hydrocortisone acetate 10 mg, Zinc oxide 296 mg, Bismuth subgallate 59 mg, Balsam Peru 49 mg, Bismuth oxide 24 mg and Benzyl benzoate 33 mg. Other ingredients are: Kaolin light, suppocire BS2 pastilles (hard fat).

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.

18689/01 - 01/11 10-0619

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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.

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