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2 Before using this medicine 3 How to use this medicine
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 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 has 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
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 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 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.
This product is for use by adults over the age of 18 years.

xxxxx_PIL ANUSOL PLUS HC 12 suppos UKv7.0.indd 1

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.

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 any of these apply to you, get advice from a
doctor or pharmacist without using Anusol.

Anusol Plus 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.

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

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. 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.
Some medicines may increase the effects of
Anusol HC Suppositories 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 any of these bullet points apply to you, talk to
a doctor or pharmacist.

Adults and the elderly:

If you are pregnant or breast-feeding

If you are pregnant or breast-feeding do
not use this medicine.



Adults and
the elderly

Insert one suppository into
the back passage (anus) far
enough so that it doesn't
slip out, at night, in the
morning and after each
bowel movement.

Do NOT take orally
Do not use more than 3 suppositories a day
■ Do not use for more than 7 consecutive days

If anyone has used too much or
swallowed this product.
If anyone has used too much or has
accidentally swallowed Anusol Plus
HC Suppositories, 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
If you forget a dose, use the next dose when
needed. Do not use a double dose.

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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:
 urning, redness, irritation, itching, or pain may
occur on application. 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:
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.

6 Further information
What’s in this medicine?

The active substances per suppositories are:
Hydrocortisone acetate 10 mg, Zinc oxide 296 mg,

xxxxx_PIL ANUSOL PLUS HC 12 suppos UKv7.0.indd 2

Bismuth subgallate 59mg, Balsam Peru 49 mg,
Bismuth oxide 24 mg and Benzyl benzoate 33 mg.
Other ingredients are: Kaolin light, suppocire
BS2 pastilles (hard fat).

What the medicine looks like
Anusol Plus 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 Bouché Thomas, ZAC
Sud d’Orgemont, 49000 ANGERS Cedex, 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.

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
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

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.