ANUSOL HC OINTMENT
Active substance(s): BENZYL BENZOATE / BISMUTH OXIDE / BISMUTH SUBGALLATE / HYDROCORTISONE ACETATE / PERU BALSAM / ZINC OXIDE
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 are allergic to Anusol or any of the other
ingredients of this medicine. See section 6
■ If you have fungal, viral or bacterial skin
sores. See section 2
■ Speak to your doctor:
■ If you have rectal bleeding or blood in the
stool which as not been diagnosed as piles.
See section 2.
■ If your symptoms have worsened or not improved
within 7 days of using this product. See section 2
■ Follow the instructions on how to use this
product carefully. See section 3
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.
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
Hydrocortisone acetate is a mild steroid which
helps reduce inflammation.
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.
LNxxxxxx_PIL ANUSOL HC Ointment 30g UKv10.1.indd 1
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 or any of the other
ingredients of this medicine (listed in section 6).
■ 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.
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 symptoms worsen or do not improve after
you have used the medicine for 7 days.
■ If you are taking or have recently taken
any other medicines, including medicines
obtained without a prescription.
■ Some medicines may increase the effects
of Anusol HC Ointment and your doctor
may wish to monitor you carefully if you
are taking these medicines (including some
medicines for HIV: ritonavir, cobicistat).
Contact your doctor if you experience blurred
vision or other visual disturbances.
If the above bullet points apply to you, talk to a
doctor or pharmacist.
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
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.
Castor oil may cause skin reactions.
Lanolin anhydrous may cause local skin
reactions e.g. contact dermatitis which is
This medicine is not recommended for
children under 18 years old.
Adults and the elderly:
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
If you are pregnant or breast-feeding do
not use this medicine.
Some of the ingredients can cause
Children (under 18 years):
If you are pregnant or breast-feeding
a local irritation at the site of use.
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.
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.
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 how often:
Burning, redness, irritation, itching, or pain
may occur when applying the ointment. This
does not usually last a long time, so if this lasts
longer than a few days, tell your doctor.
■ Blurred vision.
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 sight and reach of children.
Do not store above 25°C.
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.
LNxxxxxx_PIL ANUSOL HC Ointment 30g UKv10.1.indd 2
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 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 Orléans,
5 avenue de Concyr, 45071 Orleans, Cedex 2, France.
This leaflet was revised May 2017.
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.
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.
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 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
For further information, please contact:
McNeil Products Ltd
Maidenhead, Berkshire, SL6 3UG, UK.
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.