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Anusol HC Ointment
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Anusol HC Ointment is a targeted anti-inflammatory treatment containing hydrocortisone acetate used to relieve the discomfort of internal and external haemorrhoids and pruritus ani.
- Contains hydrocortisone to reduce swelling and redness
- Dual action formula for internal and external haemorrhoids
- Soothes persistent anal itching and irritation fast
- Forms a protective barrier to support natural healing
More information
"Anusol HC Ointment is a clinically proven medication typically prescribed for the short-term relief of symptoms associated with internal and external haemorrhoids, as well as anal itching and fissures. By combining a mild corticosteroid with astringent antiseptic agents, it effectively addresses the inflammation and swelling that cause significant patient discomfort." - Rachael Clarke MRCPharm MFRPSI FRSPH (GPHC Number: 2061366)
You can buy Anusol HC Ointment through our streamlined online consultation process which involves a clinical assessment by a registered prescriber to ensure the treatment is appropriate for your symptoms. If your consultation is approved, your medication is dispensed and shipped directly from our pharmacy (GPHC Number: 9011560) in discreet packaging to maintain your privacy.
The cost of Anusol HC Ointment reflects the inclusion of a professional clinical review by our healthcare team and the convenience of our prescription fulfillment service. We aim to provide competitive pricing for all patients seeking private or NHS prescription services through our digital platform.
We offer a range of delivery services to suit your schedule, including tracked options that ensure your treatment arrives safely at your doorstep. Once your order is approved by our clinical team, it is dispatched promptly from our UK-based pharmacy to ensure minimal delay in starting your treatment.
Anusol HC Ointment is a multi-action topical medication used to treat the symptoms of haemorrhoids, which are estimated to affect between 13% and 36% of the UK population at some point in their lives. This specific HC version contains a mild steroid to target the underlying inflammation that causes "piles" to become painful, swollen, and itchy.
The effectiveness of this treatment is derived from six active ingredients that provide anti-inflammatory, antiseptic, and protective properties.
| Ingredient | Function |
|---|---|
| Hydrocortisone Acetate | A mild corticosteroid that reduces inflammation and swelling. |
| Zinc Oxide | An astringent that soothes the skin and protects raw areas. |
| Bismuth Salts | Bismuth subgallate and oxide provide antiseptic and protective actions. |
| Balsam Peru | A mild antiseptic that supports the healing of sore tissues. |
| Benzyl Benzoate | Contains mild antiseptic properties to protect the affected area. |
Many users report significant relief from the burning and itching sensations associated with a flare-up of piles within the first 48 hours of use. The ointment is often preferred over creams by those with dry or particularly sore skin, as its thicker consistency provides a longer-lasting protective barrier against friction.
You should always read the Patient Information Leaflet (PIL) provided with your medication for a full list of ingredients and safety data. A digital version is available through the electronic Medicines Compendium (eMC) to help you understand the clinical profile of the ointment before use.
This treatment works through a 4-way action: hydrocortisone shrinks the swollen blood vessels, bismuth and zinc protect the skin, balsam peru encourages healing, and the antiseptic ingredients prevent bacterial growth. Together, these actions reduce the physical size of the haemorrhoids while easing the immediate pain and irritation.
- Gently wash the anal area with mild soap and water, then pat dry with a soft towel.
- For external piles, apply a small amount of ointment to the affected area using a finger or gauze.
- For internal piles, attach the included rectal nozzle to the tube, insert it gently into the anus, and squeeze the tube.
- Thoroughly clean the nozzle after every application and wash your hands before and after use.
The standard dosage for adults is to apply the ointment sparingly in the morning, at night, and after each bowel movement. You should not exceed 4 applications within a 24-hour period, and the treatment should not be used for more than 7 consecutive days unless directed by your doctor.
Most people use this ointment without experiencing significant issues, but local application site reactions can occur. These may include:
- A brief burning or stinging sensation upon application
- Skin irritation or redness
- Rarely, a hypersensitivity rash
- Thinning of the skin if used for longer than the recommended 7 days
You should not use this treatment if you have fungal, viral, or bacterial skin sores, or if you are allergic to any of the listed ingredients. If you experience rectal bleeding that has not been diagnosed as piles by a doctor, or if your symptoms do not improve within one week, you must seek medical advice.
Anusol HC is often considered more potent than standard Anusol because it contains hydrocortisone for anti-inflammatory relief. While creams are lighter and disappear into the skin quickly, the ointment base is more emollient, making it better suited for protecting the skin during bowel movements.
Is Anusol HC Ointment available on the NHS?
Yes, Anusol HC Ointment is available via NHS prescription, but it can also be purchased privately through our online pharmacy following a successful clinical consultation.
Can I use this treatment during pregnancy?
You should consult your doctor or pharmacist before using any product containing hydrocortisone if you are pregnant or breastfeeding, as steroids are generally used only when the benefits outweigh the risks.
What is the difference between the ointment and the cream?
The ointment has a greasier, thicker base that stays on the skin longer to provide a barrier, whereas the cream is water-based and absorbed more quickly, which some users find less messy.
The information provided on this page is for general informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.
Our content is regularly reviewed by our team of medical experts to ensure it remains up to date, accurate, and aligned with current UK clinical guidelines. We prioritise evidence-based information to help you make informed decisions about your healthcare.

