At a glance

QUICK SUMMARY

01 Type of medicine

Rectal suppository

02 Generic

No

03 Active ingredient

Zinc oxide, bismuth oxide, bismuth subgallate and balsam Peru

04 Effective within

Varies; soothing relief is usually felt soon after insertion

05 Works by

Acts locally on the lining of the back passage to soothe itching, protect sore skin and reduce the discomfort of internal piles

06 Side effects

Uncommon; occasionally localised irritation or skin sensitisation

Medication details

Description

Anusol Suppositories

Anusol Suppositories are used for the symptomatic relief of internal piles, also called haemorrhoids, and itching around the back passage. The pack contains 12 suppositories, which are inserted into the back passage so the ingredients act directly where the discomfort is.

How it works

The suppository melts at body temperature and releases ingredients that form a soothing, protective layer over irritated tissue. That layer calms itching and discomfort and shields the area from further irritation when you pass a stool, which is usually when symptoms are at their worst. Because treatment is placed internally, it reaches internal piles that a cream applied outside cannot cover as well.

How to use it

Use after a bowel movement and at bedtime, or as directed on the pack. Wash and dry the area, remove the wrapping, and insert one suppository gently into the back passage. Wash your hands afterwards. Alongside treatment, aim for a higher fibre diet, plenty of fluid and avoiding straining, since constipation is the usual driver of piles.

Who it is for

It is for adults and adolescents with symptoms of internal piles or itching around the back passage. It is not suitable for anyone sensitive to the ingredients, and it is not a treatment for unexplained rectal bleeding.

Safety and when to get advice

See a doctor rather than treating yourself if you notice bleeding you cannot account for, blood mixed through the stool, a change in bowel habit lasting more than a few weeks, unexplained weight loss, or symptoms that are not improving after seven days of treatment. Piles are common but these symptoms need checking. Our UK pharmacy team can answer questions about this product before you buy.

Common questions

How long can I use them for?
Short term use is intended. If symptoms persist beyond about a week, get advice.

Cream or suppositories?
Suppositories suit internal piles, while cream or ointment is generally used for external symptoms. A pharmacist can help you choose.

Can I use them in pregnancy?
Piles are common in pregnancy, but check with a pharmacist, midwife or doctor before using any treatment.

Always read the patient information leaflet supplied with the pack before use.

Directions

Wash and dry the anal area before use. Remove the wrapper and insert one suppository into the back passage. Use one at night, one in the morning, and one after each bowel movement, up to a maximum of three suppositories in any 24 hours. Do not use for more than seven days at a time. Wash your hands before and after use. Not to be taken by mouth.

Ingredients

Each suppository contains the active ingredients Zinc Oxide 296 mg, Bismuth Oxide 24 mg, Bismuth Subgallate 59 mg and Balsam Peru 49 mg, in a suppository base. These work locally on the lining of the back passage and are not absorbed into the bloodstream.

Side Effects

Side effects are uncommon. Some people may experience skin sensitisation or a localised reaction, which has been associated with Balsam Peru. Stop use and seek advice if you notice a rash, itching, swelling or other signs of an allergic reaction. If symptoms do not improve within seven days, or if you notice bleeding from the back passage, speak to a clinician.

Warnings

For rectal use only. Do not take by mouth. Do not use for longer than seven days without advice. Not recommended for children under 12 years of age. If you are pregnant or breastfeeding, seek advice before use. Do not use if you are allergic to any of the ingredients. If you have bleeding from the back passage or are unsure whether your symptoms are due to haemorrhoids, speak to a clinician before use.

Medically reviewed and published

  • This page was medically reviewed by Dr Sohaib Imtiaz, Clinical Lead on Oct 5, 2023, 2:30 pm

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FAQs

Please read our FAQs page to find out more.

How are the suppositories different from Anusol cream or ointment?

The suppositories are inserted into the back passage to treat internal piles, whereas the cream and ointment are applied to the external area. If you have both internal and external symptoms, the suppositories can be used alongside the cream or ointment, and the cream can also help lubricate insertion.

Are the active ingredients absorbed into the body?

No. The active ingredients work locally on the lining of the back passage and are not absorbed into the bloodstream, which is part of why the product is suitable for short-term self-care of piles.

Can children use Anusol Suppositories?

They are intended for adults and children aged 12 and over, and are not recommended for children under 12. If a younger child needs treatment, contact our pharmacy team at info@rightangled.com.

When should I stop and seek advice?

If your symptoms have not improved after seven days, or if you notice bleeding from the back passage, stop and speak to a clinician. Our pharmacy team is available at info@rightangled.com.

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