Haemorrhoidal Preparations with Corticosteriod

About haemorrhoidal preparations with corticosteroids

Corticosteroids are similar to certain chemicals which are produced naturally by the body. When applied to the skin they help to reduce inflammation and itching. The corticosteroids that may be used in haemorrhoidal preparations are hydrocortisone, prednisolone or fluocortolone. This type of preparation may also contain a local anaesthetic ingredient and soothing agents.

These preparations are used to provide relief from discomfort, inflammation, itching and pain associated with haemorrhoids (piles) and also for irritation in the anal area (pruritis ani).

This preparation is available as a cream, ointment, spray or suppositories.

Preparations available are: Anugesic HC; Anusol HC; Anusol Plus HC; Germoloids HC; Perinal; Proctofoam; Proctosedyl; Scheriproct; Ultraproct. You may notice the use of any of these names on the packaging of your medicine.

Before using haemorrhoidal preparations with corticosteroids

Before using any of this preparation make sure your doctor or pharmacist knows:

• if you are pregnant, trying for a baby or breast-feeding.
• if you have ever had an allergic reaction to this or any other medicine.
• if you are taking any other medicines, including those available to buy without a prescription, herbal and complementary medicines
• if you have an infection in the affected area
• if you are under 12 years of age.

How to use haemorrhoidal preparations with corticosteroids

• Always read the manufacturer's leaflet, if possible, before using this medicine
• Use the preparation exactly as your doctor or pharmacist has told you.
• This medicine is for you. Do not give it to others even if their condition seems to be the same as yours.
• Do not use more often than recommended. If you think that you have used too much speak to your doctor.

1. Wash and dry the affected area before applying the preparation as directed by your doctor.
2. If the suppository is too soft, it may be chilled in the refrigerator or under cold running water before unwrapping. Remove the wrapping and moisten the suppository with water. Lie on your left side (if you are right handed) and draw your knees up towards your chest, with the right leg drawn up more than the left.
3. Using your forefinger (index finger) or middle finger, whichever you find easier, gently push the suppository into the rectum, pointed end first.
4. The suppository should be inserted as far as possible, pushing the end of the suppository sideways to ensure contact with the wall of the bowel. Lower your legs to a comfortable position to help you to hold the suppository in place.

Getting the most from your treatment

• Before taking or using any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take or use alongside this preparation.
• Keep your regular appointments with your doctor so that your progress can be checked.
• Suppositories are easier to insert if they have been kept in the fridge for at least two hours.
• Do not use this preparation for longer than seven days unless your doctor tells you to.
• If you do stop treatment and your symptoms reappear, then speak to your doctor.
• If you have to go into hospital, tell the doctor that you are using this preparation.

Can haemorrhoidal preparations with corticosteroids cause problems?

As well as their useful effects all medicines can cause unwanted side effects. Speak to your doctor or pharmacist if any of the following side effects continue or become troublesome.

Burning sensation when first applied, rash or swelling around the affected area.

If you experience any other worrying or troublesome symptoms, which you think may be due to this medicine, discuss them with your pharmacist

How to store haemorrhoidal preparations with corticosteroids

• Keep out of the reach of children.
• Store in a cool place, away from direct light and heat.
• Do not keep out of date or unwanted medicines. Discard them safely out of the reach of children or take them to your pharmacist who will dispose of them for you.

© EMIS and Cegedim Pharmacy Services Ltd 2005   Updated: 30/09/2005