Anusol Plus HC Ointment (15g)

  • Treats both internal and external Haemorrhoids
  • Relieves symptoms of piles within 7 days
  • Also available as suppositories
From As low as £5.99
All-inclusive service

prescription included

Fast next day delivery

order before 2pm

UK registered pharmacy

and team of dispensers

TrustScore 4.8

347 customer reviews

What is Anusol Plus HC ointment?

Anusol Plus HC ointment is a medicine to relieve internal and external piles and anal itching. It is safe for most adults over the age of 18 years old to use.

It contains four active ingredients, which work to lessen your problem and encourage new skin cells to grow.

It is also available as a suppository.

You can buy Anusol Plus HC from Medicine Direct following an online consultation with one of our registered doctors, who will review your symptoms and prescribe this treatment if they deem it the most suitable. You can then order it from our online pharmacy; order by 2pm and we can offer you next day delivery.

What is Anusol Plus HC ointment used to treat?

This ointment can treat both internal and external haemorrhoids (piles), as well as anal itching.

Anusol Plus HC ointment contains the following active ingredients: hydrocortisone acetate, benzyl benzoate, bismuth subgallate, bismuth oxide, zinc oxide and balsam peru.

Bismuth oxide, balsam peru, bismuth subgallate and zinc oxide each possess mild antiseptic, protective and astringent properties. Additionally, it is believed that balsam peru is able to encourage new skin cells to grow.

Hydrocortisone acetate is a corticosteroid which reduces inflammation, helping to relieve swelling and itching.

The symptoms of piles may include rectal bleeding, swelling (which may be felt as a lump or blockage in the anus), anal itching, pain or irritation.

At least 40% of people will suffer from piles at some point in their lives, but many people suffer for unnecessarily long periods of time with the condition because they are too embarrassed to seek medical attention. This condition can normally be treated quite easily and there are a wide variety of treatment options available to ease your symptoms.

Who can use Anusol Plus HC ointment?

Anusol is an effective relief treatment for anal itching and piles, but it is not suitable for everyone.

Do not use this product if:

  • You are allergic to Anusol or any of the ingredients contained in this product (please see the Ingredients tab for full details)
  • You have viral, fungal or bacterial skin sores

Speak to your doctor or pharmacist before using Anusol Plus HC ointment if:

  • Your symptoms do not improve or get worse after you have used this medicine for 7 days
  • You have blood in your stools, rectal bleeding or any doubt that the bleeding you have is a result of piles

This medicine is not suitable for children under 18 years old.

Order online safely

Never order any medicine online unless it is from a pharmacy that is registered with the General Pharmaceutical Council (GPhC), like Medicine Direct.

We are able to guarantee all of our customers genuine versions of the medication they require. All of our doctors are also registered with the General Medical Council (GMC), which means they are legally able to prescribe medicine just like your local GP.

We offer free UK delivery on all orders you place, and if you order by 2pm we can also offer you free next day delivery.

Dosage and Instructions

Always use Anusol Plus HC ointment as instructed by your doctor or pharmacist. Read the patient information leaflet, which will come with the product, before using it. Ask your doctor or pharmacist for further guidance if you are unsure of how to use it.

Anusol Plus HC ointment is for topical use only; apply it directly to the affected area.

This medicine can be applied sparingly in the morning, at night and after a bowel movement. Do not use this product more than four times a day.

Do not use it for more than 7 days, consecutively.


Wash your anal area and dry gently with a soft towel before you use the ointment.

Use the nozzle supplied with the product to apply the ointment into your anus.

For external piles: Apply the ointment using a gauze dressing after washing and drying the anus.

For internal piles: After washing and drying the anus, screw the nozzle onto the tube and remove the nozzle cap. Insert the nozzle into the anus and squeeze gently. Clean the nozzle after each time you use it.

Always wash your hands before and after you have used this product.


Keep this medicine out of sight and reach of children.

Do not store above 25C and do not use this product after the expiry date, which can be found on the packet

Can you get Anusol HC over the counter?

Yes, Anusol Plus HC ointment 15g is available over the counter from your local pharmacy. You can also purchase it online from Medicine Direct following a short online consultation with one of our registered doctors.

Do you need a prescription for Anusol?

No, you do not need a prescription for Anusol Plus HC ointment 15g, but you will need to complete a short online consultation on our website. Your answers will be reviewed by one of our doctors, who will prescribe you this medicine. You can then order it from our UK-based pharmacy. We offer free delivery on all UK orders, and if you order by 2pm we can also provide free next day delivery.

What is Anusol Plus HC ointment used for?

This product is used to relieve anal itching and both internal and external haemorrhoids (piles).

How long does Anusol Plus HC ointment take to work?

Your problem should have cleared up within a week of using this product. If you have been using Anusol Plus HC ointment 15g for 7 days and you still have not noticed an improvement, you should stop using the medicine and speak to your doctor.

What can I do to prevent piles?

You can reduce your risk of piles by: Taking plenty of exercise, Eating a high-fibre diet that includes food like wholemeal brown bread, brown rice and wholewheat pasta, Eat plenty of fresh fruit, vegetables and fish, Avoid too much sugary, fatty and saturated foods, such as cakes, burgers or crisps, Cut down how much alcohol, tea and coffee you consume, Drink plenty of water.

Side effects

Like all medicines, Anusol Plus HC ointment comes with the risk of side effects, although not everyone will experience them.

You may suffer burning, itching, redness, irritation or pain while applying the ointment, but this does not usually last for long. If any of these feelings last for longer than a few days, speak to your doctor.

Some people may also experience blurred vision. Speak to your doctor if this problem bothers you or does not go away.

Please note, this list is not exhaustive. Please refer to the Side Effects tab for rarer, more serious reactions you may suffer. Always read the patient information leaflet for a comprehensive list of side effects.

Serious Side Effects

In very rare cases, you may experience a severe allergic reaction to this medicine.

You should either go to A&E or dial 999 straight away if you experience any of the following reactions:

  • You are wheezing
  • You get a skin rash that is red, itchy, swollen, blistered or peeling skin
  • You have swelling around the affected area or anywhere on your body
  • You are finding it difficult to breathe or speak
  • You have tightness in your chest or throat

You may require immediate treatment in hospital. Be sure to take the medicine and its packaging with you if you are required to go to hospital.

Always refer to the patient information leaflet for full details on all side effects and how to cope with them. If you are worried about side effects or have any questions, we strongly advise you to speak to your doctor before you start using Anusol.

Warnings and drug interactions

Before starting a new form of medicine, it is very important that you inform your doctor or pharmacist if you are currently taking, or have recently taken, any other form of medicine. This includes both prescription and non-prescription medication, herbal remedies, vitamins and supplements.

In particular, make sure your doctor or pharmacist is aware if you are currently using or have recently used any corticosteroids.

Some medicines can increase the effects of Anusol Plus HC ointment, including certain medicines to treat the HIV infection.

This medicine contains castor oil, which can cause skin reactions in some people.

Lanolin anhydrous can also cause local skin reactions, such as contact dermatitis.

This medicine should not be used by children under 18 years old, pregnant women or women who are breastfeeding. If you are trying to get pregnant or think you might be pregnant, make sure your pharmacist is aware.

If you have any questions or concerns at all, we strongly advise you to speak to your doctor or pharmacist before using this medicine.

Pregnancy and breastfeeding

This medicine is not suitable for women who are pregnant or breastfeeding.

Make sure you tell your pharmacist or doctor if you are currently pregnant, think you might be pregnant or are currently trying to get pregnant.

If anyone swallows this medicine

Go to A&E or call 111 straight away if you or anyone else accidentally swallows some of this medicine. Be sure to take the patient information leaflet, medicine packaging and the medicine itself with you if you need to go to A&E.


Anusol Plus HC ointment 15g contains the following active ingredients: Hydrocortisone acetate 0.25g, zinc oxide 10.75g, bismuth subgallate 2.25g, balsam peru 1.875g, bismuth oxide, 0.875g and benzyl benzoate 1.25g. 

It also contains the following inactive ingredients to complete the product: Magnesium stearate, cocoa butter, lanolin anhydrous, castor oil, kaolin light, calcium hydrogen phosphate and petroleum jelly white.

Write Your Own Review
You're reviewing:Anusol Plus HC Ointment (15g)

This content has been written by our Superintendent Pharmacist Hussain Abdeh and has been medically reviewed by our Pharmacist Sonia Khan

Hussain Abdeh Superintendent Pharmacist at Medicine Direct

Hussain Abdeh
MPharm: 2211840

Pharmacist Independent Prescriber

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