ANUSOL PLUS HC OINTMENT

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
and external 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
Now read this whole leaflet carefully before you
use this medicine. Keep the leaflet: you might
need it again.


1 What the medicine is for
Anusol Plus HC Ointment is a medicine which is used
to reduce the symptoms of internal and external piles
(haemorrhoids). 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 and 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 medicine helps relieve the swelling, itch
and irritation of internal and external piles
(haemorrhoids) and other related conditions, such
as anal itching. This product is for use by adults
over the age of 18 years.

2 Before using this
medicine

3 How to use 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.

Anusol Plus 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.

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 applies, 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 you are taking or using any other medicines
including:
■ corticosteroids (a type of anti-inflammatory
drug e.g. hydrocortisone)
If you are not sure about the medicine you are
taking or using, show the bottle or pack to your
pharmacist.
If any of these bullet points apply to you now or in the
past, talk to a doctor or pharmacist.


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

Adults and the elderly:
Age

Dose

Adults and
the elderly

Anusol Plus HC Ointment
can be applied sparingly
to the affected area at
night, in the morning and
after each bowel
movement

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.





Do not use more than 4 times a day.
Do not use for more than 7 consecutive days.

Some of the ingredients can cause
problems

If anyone has swallowed this product

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.

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



If you forget to use the medicine
Anusol Plus HC Ointment should be used on an
as required basis. However, if you are unable to
use this product when needed, do not take a
double dose next time you use it.

4 Possible side-effects
Anusol Plus 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 side-effects not included in
this leaflet or are not sure of anything, talk to
your doctor or pharmacist.

5 Storing this medicine
Keep out of the reach and sight of children.
Do not store above 25°C.
Do not use your medicine after the date shown as
an expiry date on the packaging.

6 Further information
What's 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, kaolin light,
calcium hydrogen phosphate and petroleum jelly white.

What the medicine looks like
Anusol Plus HC Ointment is a whitish ointment
available in 15 g tubes.
Product Licence holder: McNeil Products Ltd,
Maidenhead, Berkshire, SL6 3UG, UK.
Manufacturer: Famar Orléans, 5 avenue de Concyr,
45071 Orleans, Cedex 2, France.
This leaflet was revised March 2011.
Anusol is a registered trade mark.

7 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 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.

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.
■ 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.

Healthy Tips 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.
■ Don't 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.
F308394-52
10-0622

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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 combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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