Proctosedyl Ointment (30g)

  • Treats Haemorrhoids and Piles
  • Improves symptoms wihtin 7 days
  • Reduces pain and swelling
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What is Proctosedyl Ointment?

Proctosedyl is a prescription-only ointment that contains two different active ingredients: cinchocaine hydrochloride and hydrocortisone.

This ointment works to relieve the pain and discomfort that comes with haemorrhoids, commonly known as “piles”. It is prescribed to be used in the short-term and should not be used for longer than 7 days.

What is Proctosedyl used to treat?

Proctosedyl ointment is mostly used to treat the unpleasant symptoms which are associated with haemorrhoids, such as pain, itching and irritation.

This ointment comes in a tube that has an attachable plastic applicator, which makes it easy and hygienic to apply internally.

Haemorrhoids (piles) occur when the blood vessels in the anus become inflamed. This causes painful lumps in and/or around the anal area. A common problem, piles can occur in people of all ages as a result of a number of factors, such as:

  • Pregnancy
  • Stress
  • Sitting down for too long
  • Straining on the toilet
  • A lack of fibre in your diet

How does Proctosedyl ointment work?

Proctosedyl works to provide full relief from the discomfort caused by haemorrhoids.

This ointment contains two different active ingredients. One active ingredient is cinchocaine hydrochloride, which is a local anaesthetic that blocks the pain messages along the nerve fibres at the area of treatment. Doing this reduces the pain caused by piles.

The second active ingredient is a corticosteroid medicine called hydrocortisone, which reduces the inflammation. Inflammation is the result of an immune response that makes your blood vessels widen; this causes the affected area to become red, painful and swollen. This medicine works within the cells to reduce the substances that cause this inflammation.

How do I use Proctosedyl?

Always use Proctosedyl ointment exactly as your doctor or pharmacist has instructed you. Read the patient information leaflet, which will come with your medicine, and ask your doctor or pharmacist if you are not sure.

Apply Proctosedyl to your anus in the morning, evening and after each bowel movement. Only apply this ointment to your back passage and the surrounding areas. Do not apply it to your face; do not swallow it or get it in your eyes.

Do not use Proctosedyl ointment for longer than 7 days.

If you feel this medicine is too strong or not strong enough, do not alter your dose without speaking to your doctor or pharmacist about it.

Always use this medicine as instructed by your doctor or pharmacist.

To apply the ointment to external haemorrhoids:

  1. Wash your hands thoroughly.
  2. Squeeze a small amount of the ointment onto your fingertip.
  3. Gently rub the ointment over the affected area.
  4. After you have applied the ointment, wash your hands again.

To apply to internal haemorrhoids:

  1. Wash your hands.
  2. Screw the plastic nozzle onto the end of the tube.
  3. Gently insert the nozzle into your anus.
  4. As you pull the nozzle out, squeeze the tube gently.
  5. Do not move for 1 or 2 minutes.
  6. After use, wash your hands and the nozzle.

Who can use Proctosedyl ointment?

Proctosedyl ointment is an effective short-term treatment for the symptoms of haemorrhoids, but it is not suitable for everyone to use.

This medicine should not be used by anyone who has not been prescribed it.

Do not use Proctosedyl ointment if you are allergic to any of the ingredients contained in this medicine (please refer to the Ingredients tab for a full list of substances), or if you have any kind of infection.

Speak to your doctor or pharmacist before using this medicine if:

  • You are currently pregnant or breastfeeding
  • There is a possibility that you are pregnant
  • You are trying to get pregnant

Read the patient information leaflet for full details on who may not be suitable to use Proctosedyl ointment. If you are not sure if this medicine is suitable for you, please speak to your doctor or pharmacist.

Can you buy Proctosedyl over the counter?

No, you cannot buy Proctosedyl over the counter. It is only available on prescription.

Can you buy Proctosedyl online in the UK?

Proctosedyl ointment is only available to buy when you have a prescription. To safely order medicine online, you should only ever order from a UK-registered pharmacy, like Medicine Direct. We are fully regulated by the General Pharmaceutical Council (GPhC).

To buy Proctosedyl ointment from our online pharmacy, you will first need to fill out our online consultation questionnaire. One of our prescribers will review your answers to make sure that it is a suitable treatment for your problem. Next day delivery is available if you order by 2pm.

Proctosedyl alternatives

While haemorrhoids are a painful and uncomfortable condition to suffer from, there are a number of different treatments available to treat them.

Other topical prescription medicines can be ordered from our online pharmacy after you have completed an online consultation form. We stock the likes of Xyloproct and Uniroid, which also contain a corticosteroid and local anaesthetic medicine to relieve pain and inflammation simultaneously.

Additionally, over the counter treatments for haemorrhoids, such as Anusol Plus HC ointment, are available. This product contains several different active ingredients to both reduce the inflammation caused by piles and relieve pain straight away. The same medication is also available from our online pharmacy as a suppository.

The following lifestyle changes can help to alleviate and prevent piles:

  • Eating a high-fibre diet
  • Taking regular exercise
  • Eating plenty of fresh fruit and vegetables
  • Cutting down on high-fat and processed foods
  • Cutting down on caffeinated and alcoholic drinks

How to use Proctosedyl Ointment

Our pharmacists and prescribers follow NICE guidelies when prescribing Proctosedyl Ointment.

Always use Proctosedyl ointment exactly as your doctor or pharmacist has instructed you. Read the patient information leaflet, which will come with your medicine, and ask your doctor or pharmacist if you are not sure.

What if I use too much?

If you use this Proctosedyl for longer than 7 days, speak to your doctor.

What if I forget to use it?

If you forget to apply the ointment, just apply it as soon as you remember. If it is almost time for your next scheduled application, just skip the dose you missed and keep using Proctosedyl ointment as normal.

Never use a double dose to try and make up for missing a previous one.

Does Proctosedyl shrink haemorrhoids?


Proctosedyl works to relieve pain and also helps to reduce inflammation caused by piles, which can help to shrink them.

Is Proctosedyl an antibiotic?


No, this ointment contains a corticosteroid and a local anaesthetic. It is not an antibiotic medicine.

How quickly does Proctosedyl work?


Proctosedyl gets to work quickly and should have alleviated your discomfort within seven days. You should not use this medication for longer than this length of time. If your haemorrhoids are still bothering you after this time, speak to your doctor.

Can haemorrhoids burst?


Haemorrhoids can burst if an excessive amount of blood builds up inside them. Seek medical attention if this happens.

Can I use Proctosedyl again if my piles come back?


u can use Proctosedyl again if your piles return. However, if they reoccur frequently, you should speak to your GP for advice. Proctosedyl must never be used for longer than seven days.

When should you use Proctosedyl ointment?


Proctosedyl should be applied every morning and evening for up to seven days. You should also apply it after each bowel movement during this time.

Is Proctosedyl safe?


When used as instructed by your doctor, Proctosedyl is perfectly safe to treat haemorrhoids. If you experience any side effects, tell your doctor as soon as possible. Do not exceed the prescribed dose or use for longer than seven days. People who have not been prescribed this medicine must not use it.

What should I do if it doesn’t work?


If Proctosedyl is not effective, do not use it for longer than seven days. Speak to your doctor if it has not effectively treated your piles after this length of treatment.

Will my piles come back if I stop using it?


Piles can come back after treatment, but eating a high fibre diet, reducing stress and not straining when on the toilet can help to minimise this risk.

Is Proctosedyl the same as Anusol?


No, Anusol cream works as an antiseptic, astringent and emollient to treat haemorrhoids. It is not the same as Proctosedyl and you do not need a prescription to buy Anusol; it is available from pharmacies and supermarkets.

Proctosedyl Ointment Side Effects

Using this ointment for a long time may cause adrenal suppression.

Symptoms of this include:

  • Loss of appetite
  • Stomach pain
  • Weight loss
  • Nausea
  • Feeling hungry or nervous
  • Fits

Serious allergic reaction

Call 999 or go to A&E immediately if you have any of the following symptoms. You may be having a serious allergic reaction and require treatment in hospital straight away;

  • You are finding it hard to breathe or speak
  • You have a skin rash that may include red, itchy, swollen, blistered or peeling skin
  • You have tightness in your chest or throat
  • You are wheezing
  • Your mouth, face, throat, lips or tongue starts swelling

Always read the patient information leaflet for full details on side effects. Speak to your doctor or pharmacist if you have any questions or concerns.

Proctosedyl Ointment Warnings

Before you start taking a new medicine, inform your doctor or pharmacist of any other medicine you are already taking. This includes prescription and non-prescription medication, herbal remedies, vitamins and supplements.

Certain medicines can increase the effects of Proctosedyl ointment, including some medicines to treat HIV.

If you experience blurred vision while using Proctosedyl ointment, you should not drive, cycle or operate machinery. Seek medical attention straight away if you get blurred vision while using this medication.

This medication contains wool fat (lanolin). This ingredient may cause local skin reactions, such as contact dermatitis.

Always read the patient information for a comprehensive list of warnings and precautions. If you have any questions or concerns, please do not hesitate to talk to your doctor or pharmacist before you start using it.

Proctosedyl Ointment Ingredients

The main active ingredients within this medicine are: Hydrocortisone and Cinchocaine hydrochloride

For a full list of the inactive ingredients, please read the Summary of Product Characteristics

Delivery Company Delivery Service Price Details
Royal Mail UK Delivery Standard UK Tracked £2.99 3 - 4 Working Day Delivery
DPD UK Next Day Delivery Next Day Delivery - Tracked £5.95 Order by 2pm (subject to Dr approval) Next Working Day Delivery
DPD UK Next Day Delivery Next Day Tracked Morning Delivery by 12:00pm £12.95 Next Working Day Morning Delivery by 12:00pm
DPD UK Next Day Delivery Tracked Saturday Delivery £9.95

Delivery specified for Saturday

Order Friday by 2pm (subject to Dr approval)

Please note that next day delivery to Northern Ireland, Scottish Highlands & Islands and British Isles cannot be guaranteed. Please contact our team for more information.

Medically reviewed byHussain Abdeh MPharm: 2211840

Updated on: 02/08/2021

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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