H+CARE HAEMORRHOID RELIEF CREAM
Active substance(s): CALENDULA FLOWER TINCTURE 1/10 / HAMAMELIS VIRGINIANA BARK TINCTURE 1/10 / HORSE-CHESTNUT SEED TINCTURE 1:10 / PAEONIA OFFICINALIS TINCTURE 1/10 / CALENDULA FLOWER TINCTURE 1/10 / HAMAMELIS VIRGINIANA BARK TINCTURE 1/10 / HORSE-CHESTNUT SEED TINCTURE 1:10 / PAEO
4611 0632 v10
• 2.4 mg tincture of Calendula flowers (Calendula
officinalis L.) (1:10), equivalent to 0.24 mg
Calendula flowers. Extraction solvent:
Ethanol 33% v/v.
• 2.4 mg tincture of Witch hazel bark (Hamamelis
virginiana L.) (1:10), equivalent to 0.24 mg Witch
hazel bark. Extraction solvent: Ethanol 55% v/v.
• 1.8 mg tincture of Peony root (Paeonia
officinalis L.) (1:10), equivalent to 0.18 mg Peony
root. Extraction solvent: Ethanol 84% v/v.
Also contains: Purified water, White soft
paraffin, Cetostearyl alcohol & PEG-20 stearate,
Methyl parahydroxybenzoate E218, Honey, Propyl
Please read all of this leaflet carefully
before using this medicine, it contains
important information. Please keep this
leaflet; you might need to read it again.
1. What is this medicine used for
A traditional herbal medicinal product used to
relieve the itching and burning associated with
haemorrhoids, based on traditional use only.
2. Before using this medicine
Do not use this medicine if:
• you are allergic to any of the ingredients or to
plants of the Asteraceae (Compositae) family
Nelsons® H+care® haemorrhoid relief cream is a smooth
such as daisies, marigolds or artichokes
white to off-white cream available in a 30g tube.
(see section 6).
Traditional Herbal Registration
• you are pregnant or breastfeeding.
holder and manufacturer:
• you are under 18 years of age.
A Nelson & Co Limited, 5-9 Endeavour Way,
Important information about some of
Wimbledon, London, SW19 8UH, UK
• contains cetostearyl alcohol which may cause
This leaflet is available on request in formats skin reactions (e.g. contact dermatitis), Methyl
suitable for the blind & partially sighted,
parahydroxybenzoate (E218) and propyl
please telephone +44 (0)20 8780 4200.
parahydroxybenzoate (E216) in this medicine which
This leaflet was last revised: April 2016
may cause allergic reactions (possibly delayed).
What does this medicine look like
Special warnings and precautions for use
• Apply only to the anal area. Keep away from
eyes and mucous membrane, such as the mouth
and nose. Do not swallow. If accidentally
swallowed, consult your doctor.
• If rectal bleeding occurs, consult your doctor.
• If your symptoms worsen or if you do not feel
any benefit from this medicine after two week
consult your doctor, pharmacist or qualified
3. How to use this medicine
Apply only to the anal area
Before first use check tube seal is not broken.
Pierce tube seal with point in top of cap before use.
Adults and the elderly: Wash hands before
and after use. Clean affected area with a hygienic
wipe or warm water. Dry the area gently and then
apply cream up to 3 times a day, as required.
A nozzle is included in this pack and when
attached to the tube will aid rectal application.
Wash the nozzle before and after each use.
Application is particularly recommended after a
bowel movement. Do not use this cream for more
than 2 weeks. Not for use in children under 18
years of age. Do not use more cream than the
label / leaflet tells you to.
4. Possible side effects
Like all medicines, this medicine can cause side
effects, although not everyone gets them.
Some people experience itching, burning, redness,
dryness or other skin reaction (e.g. allergic contact
dermatitis), if you experience any of these,
discontinue use and consult your doctor,
pharmacist or qualified healthcare practitioner.
Reporting of side effects
If you get any side effects including those not
listed in this leaflet, consult your doctor or
pharmacist. 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. How to store this medicine
• Keep this medicine out of reach and sight of
• Do not use after expiry date on carton & tube.
• Do not store above 25ºC. Store in original
6. Further information
What is in this medicine
This product contains 4 active ingredients
1 g cream contains:
• 2.4 mg tincture of Horse-chestnut seed (Aesculus
hippocastanum L.) (1:10), equivalent to 0.24 mg
Horse-chestnut seed. Extraction solvent:
Ethanol 85% v/v.
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.