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This product is for use by adults over the age of 18 years.

2 Before using this medicine

hydrocortisone acetate, zinc oxide, bismuth oxide,
bismuth subgallate,balsam peru, benzyl benzoate
■ This medicine is used for the relief of uncomplicated
internal piles and anal itching.
■ This medicine is for use in adults over the age of 18
■ 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.
■ If you are pregnant or breastfeeding.
■ If you are under 18 years of age. 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 Soothing Relief 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.

xxxxx-PIL ANUSOL Soothing Relief Suppos x 12 UKv4.0.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).
■ 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 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. Including:
■ corticosteroids (a type of anti-inflammatory
medicine), e.g. betamethasone or
hydrocortisone (used in eczema and
dermatitis), dexamethasone, prednisolone.
Some medicines may increase the effects of
Anusol Soothing Relief 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.

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

3 How to use this medicine

Anusol Soothing Relief 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 for use in children under 18
years old.

Adults and the elderly:


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

I f anyone has used too much or swallowed
this product.
If anyone has used too much or has accidentally
swallowed Anusol Soothing Relief Suppositories,
contact a doctor or your nearest Accident and
Emergency department (Casualty), taking this
leaflet and pack with you.

10/05/2017 17:51

If you forget to use this medicine
If you forget a dose, use the next dose 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:
 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.

xxxxx-PIL ANUSOL Soothing Relief Suppos x 12 UKv4.0.indd 2

6 Further information
What’s in this medicine?

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

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 affected area.
For further information, please contact:
McNeil Products Ltd
Maidenhead, Berkshire, SL6 3UG, UK.
xxxxx - 17-0081

10/05/2017 17:51

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Further information

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