ANUSOL ADVANCE OINTMENT
Hydrocortisone acetate, Zinc oxide, Bismuth oxide,
Bismuth subgallate, Balsam Peru, Benzyl benzoate
This medicine is used for the relief of uncomplicated internal
and external piles and anal itching.
■ This medicine is for use in adults over the age of
■ Do not use this medicine:
■ f you have had a bad reaction to Anusol or any of the
ingredients in it. See section 6 c
■ f you have fungal, viral or bacterial skin sores. See
section 2 c
■ Speak to your doctor:
■ f 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.
■ If you are pregnant or breastfeeding.
■ If you are under 18 years of age. 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 Soothing Relief 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 pain, 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.
F310419 - PIL ANUSOL Soothing Relief Ointment 15g UK v2.0.indd 1
3 ow 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 Soothing Relief Ointment is for topical use only, which
means it is applied directly to the affected area.
■ ash the anal area and dry gently with a soft towel before
using the medicine.
■ here is a nozzle supplied with the product which can be
used to apply the ointment into the back passage (anus).
■ or external piles - after washing and drying the affected
area, the ointment should be applied using a gauze ressing.
■ or 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.
■ ash 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.
■ Do not use on broken or infected skin. Common skin
infections include anal warts, genital herpes, thrush
and jock itch.
■ If you are pregnant or breastfeeding.
■ If you are under 18 years of age.
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
■ corticosteroids (a type of anti-inflammatory
medicine), e.g. betamethasone or hydrocortisone
(used in eczema and dermatitis), dexamethasone,
If you are not sure about the medicine you are using then
talk to your pharmacist or doctor for advice.
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 for use in children
under 18 years of age.
If you are pregnant or breast-feeding
f you are pregnant or breastfeeding do not use this
ome of the ingredients can cause problems
■ Castor oil may cause skin reactions.
■ anolin anhydrous may cause local skin
reactions e.g. contact dermatitis which is a
local irritation at the site of use.
Adults and the elderly:
Anusol Soothing Relief
Ointment can be applied
sparingly to the affected
area at night, in the
morning and after each
not use more than 4 times a day.
not use for more than 7 consecutive days.
If anyone has swallowed this product
If anyone accidentally swallows Anusol Soothing Relief
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 Soothing Relief Ointment should be used on an
Ref: F310419 v2
Dimension:148 x 210mm
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.
Other ingredients are: Magnesium stearate, cocoa
butter, lanolin anhydrous, castor oil, kaolin light,
calcium hydrogen phosphate and petroleum jelly white.
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.
4 Possible side-effects
What the medicine looks like
Anusol Soothing Relief Ointment can have side-effects, like
all medicines, although these don't affect everyone and are
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
■ Exercise regularly.
What are piles?
A healthy diet and lifestyle will reduce the likelihood of
constipation and encourage a regular bowel habit. Go to the
Piles (haemorrhoids) are swollen blood vessels which occur
toilet regularly and try to avoid straining. Leaning forward
inside or outside the back passage (anus).
from the hips may help.
For external and internal piles, Ointment can be used. If
Some people have piles without experiencing any
internal haemorrhoids are the problem, Suppositories deliver a
symptoms, but sufferers may notice the following:
measured dose to the affected area.
■ Bleeding: Although streaks of bright red blood on the toilet
For further information, please contact:
paper are not uncommon in people with piles, it may be
McNeil Products Ltd, Maidenhead, Berkshire,
sign of a more serious condition and you should see your
SL6 3UG, UK.
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
Fortunately, there is much you can do to ease the situation
and relieve the symptoms.
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.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist 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.
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.
F310419 - PIL ANUSOL Soothing Relief Ointment 15g UK v2.0.indd 2
Anusol Soothing Relief 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 June 2015.
Anusol is a registered trade mark.
Healthy Tips for Piles Sufferers
7 Healthy Living Plan for
What causes piles?
A number of factors can contribute to the development of
■ The most common cause is straining during bowel
movement, usually as a result of constipation.