Active substance(s): BISMUTH OXIDE / PERU BALSAM / ZINC OXIDE / BISMUTH OXIDE / PERU BALSAM / ZINC OXIDE / BISMUTH OXIDE / PERU BALSAM / ZINC OXIDE
This medicine is used for the relief of internal and
external piles and other minor ano-rectal conditions
such as anal itching.
■ This medicine is for use in adults over the age of
■ Do not use this medicine:
■ If you are allergic to Anusol Cream or any of the
other ingredients of this medicine. See section 6 c
■ Speak to your doctor:
■ If you have rectal bleeding which has not been
diagnosed as piles. 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
1 What the medicine is for
Anusol Cream is a medicine which is used to relieve the
swelling, itch and irritation of internal and external
piles (haemorrhoids) and other minor ano-rectal
conditions such as anal itching and fissures. It can be
used post-operatively following ano-rectal surgery.
Anusol Cream has a vanishing base formulation which
means it is rapidly absorbed. The cream can also
provide lubrication when used with suppositories. It
contains the following ingredients:
Zinc oxide which is an astringent which soothes and
protects raw areas and helps reduce swelling. It also
acts as an antiseptic.
Balsam Peru which is mildly antiseptic and has a
protective action on sore areas and may help healing.
F310601_PIL ANUSOL Cream 23-43g UKv10.1.indd 1
Bismuth oxide which is astringent and antiseptic and
also protects raw, irritated areas around the anal area.
This product is for use by adults over the age of
18 years old.
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 are allergic to Anusol Cream or any of
the other ingredients of this medicine (listed in
If the above applies to you, get advice from a doctor or
pharmacist without using Anusol Cream.
Talk to your doctor or pharmacist…
If you have rectal bleeding or blood in the stool
or if you are in doubt whether any bleeding you
have experienced is caused by piles.
If any of these bullet points apply to you, talk to a
doctor or pharmacist.
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 cream into the back passage
■ For external piles – after washing and drying the
affected area, the cream should be gently applied to
the affected area.
■ 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.
Children (under 18 years):
This medicine is not recommended for children
under 18 years old.
Adults and the elderly:
Anusol Cream should be
applied sparingly to the
affected area at night, in
the morning and after each
If you are pregnant or breast-feeding
If you are pregnant or breast-feeding, only use
this medicine on the advice of your doctor.
Some of the ingredients can cause problems
Glycerol monostearate may have a mild laxative
■ Propylene glycol may cause skin irritation.
■ Methyl (E218) and Propyl (E216)
Parahydroxybenzoate may cause an allergic
reaction, which may be delayed.
3 How to use this medicine
Anusol Cream is for topical use only, which means it is
applied directly to the affected area.
Do NOT take orally
If anyone has swallowed this product
If anyone accidentally swallows Anusol Cream,
contact a doctor or your nearest Accident &
Emergency Department (Casualty), taking this
leaflet and pack with you.
If you forget to use this medicine
Anusol Cream 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
next time you use it.
4 Possible side-effects
Like all medicines, this medicine can cause side
effects, although not everybody gets them.
If you experience the following, stop using the
medicine and talk to your doctor:
Rare: may affect up to 1 in 1,000 people
■ Hypersensitivity reactions (such as rash).
Other effects which may occur but it is unknown
urning, redness, irritation, itching, or pain may
occur when applying the cream. This does not usually
last a long time, so if this lasts longer than a few
days, tell your doctor.
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:
By reporting side effects you can help provide more
information on the safety of this medicine.
5 Storing this medicine
Keep out of the sight and reach of children.
Do not store above 25°C. Store in the original packaging.
Do not use your medicine after the date shown as an
expiry date on the packaging.
Do not throw away any medicines via wastewater or
household waste. Ask your pharmacist how to throw
away medicines you no longer use. These measures
will help protect the environment.
6 Further information
What’s in this medicine?
The active substances are per 100 g: Zinc oxide 10.75 g,
Bismuth oxide 2.14 g, Balsam peru 1.8 g.
F310601_PIL ANUSOL Cream 23-43g UKv10.1.indd 2
Other ingredients are: Glycerol monostearate,
liquid paraffin, propylene glycol, polysorbate 60,
sorbitan stearate, titanium dioxide (E171), methyl
hydroxybenzoate (E218), propyl hydroxybenzoate
(E216) and water.
What the medicine looks like
Anusol Cream is a light ‘buff’ coloured cream available
in 23 g and 43 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 January 2016.
Anusol is a registered trade mark.
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).
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.
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.
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.
■ 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
■ 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, Cream 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.
What causes piles?
A number of factors can contribute to the development
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.