Active substance(s): BISMUTH OXIDE / BISMUTH SUBGALLATE / PERU BALSAM / ZINC OXIDE
Date: 10 Mar 2016
2 Before using this medicine
zinc oxide, bismuth oxide, bismuth subgallate,
This medicine is used for the relief of internal piles
and other related conditions.
■ 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 c
■ Speak to your doctor:
■ If you have rectal bleeding or blood in the stool
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 again.
1 What the medicine is for
Anusol Suppositories help to relieve the swelling,
itch and irritation of internal piles (haemorrhoids)
and other related conditions, such as anal itching.
It contains the following ingredients:
Zinc oxide and Bismuth salts are mildly astringent
and antiseptic. They soothe and protect raw areas.
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.
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
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 this applies to you, get advice from a doctor or
pharmacist without using Anusol.
If anyone has used too much or has
accidentally swallowed Anusol
Suppositories, contact a doctor or
your nearest Accident and Emergency
department (Casualty), taking this leaflet
and pack with you.
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.
If you are pregnant or breast-feeding
If you forget to use this medicine
If you are pregnant or breast-feeding, only use
this medicine on the advice of your doctor.
3 How to use this medicine
Anusol Suppositories should be inserted into
■ Wash anal area and dry gently with a soft
towel before using this medicine.
■ Remove plastic cover from the suppository
■ Wash your hands before and after using Anusol.
■ The suppository will melt after insertion.
Children (under 18 years):
This product is for use by adults over the age of
This medicine is not recommended for children
under 18 years old.
Do NOT take orally
If anyone has used too much or
swallowed this product.
Talk to your doctor or pharmacist…
Balsam Peru is mildly antiseptic and has a protective
action on sore areas and may help healing.
22089-PIL ANUSOL Suppos x 12_24 UKv6.0.indd 1
Adults and the elderly:
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.
Reporting of side effects
What the medicine looks like
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:
The following details are applicable for Malta:
The Medicines Authority
203 Level 3, rue D'Argens
By reporting side effects you can help provide more
information on the safety of this medicine.
Anusol Suppositories are white suppositories
available in plastic strips with either two strips
(12 suppositories) or four strips (24 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 November 2015.
Anusol is a registered trade mark.
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 are per 100 g: Zinc oxide
296 mg, Bismuth subgallate 59 mg, Balsam Peru
49 mg, Bismuth oxide 24 mg.
Other ingredients are: Kaolin light, suppocire BS2
pastilles (hard fat), titanium dioxide (E171), miglyol 812.
22089-PIL ANUSOL Suppos x 12_24 UKv6.0.indd 2
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
■ 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
■ 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
development of piles:
22089/01 - 03/16
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.