Free delivery on all NHS prescriptions — order now
- Home
- General Health
- Haemorrhoids/Piles
- Xyloproct Ointment
Xyloproct Ointment
Images for illustrative purposes only
Xyloproct Ointment is a prescription-strength topical treatment used to alleviate the painful symptoms of haemorrhoids (piles) and anal itching by combining the active ingredients lidocaine and hydrocortisone acetate.
- Dual-action formula with a local anaesthetic and a corticosteroid
- Provides rapid numbing and reduces swelling or inflammation
- Suitable for treating both internal and external haemorrhoids
- Simple application process with an included hygienic applicator
More information
"Xyloproct Ointment is typically prescribed for the short-term relief of pain, inflammation, and itching associated with haemorrhoids (piles) or anal pruritus. This medication combines a local anaesthetic to numb discomfort quickly with a mild steroid to reduce swelling, helping patients manage acute flare-ups effectively."
- Rachael Clarke MRCPharm MFRPSI FRSPH (GPHC Number: 2061366)
You can buy Xyloproct Ointment through our streamlined online consultation process which ensures your suitability for the medication is assessed by a registered prescriber. Once your consultation is approved, your treatment is dispensed and shipped from our pharmacy (GPHC Number: 9011560) via a discreet home delivery service. This service is designed for your convenience, allowing you to manage your health from the privacy of your home while ensuring you receive genuine UK-licensed medication.
The cost of your treatment is inclusive of the online consultation and the private prescription fee. We aim to provide a competitive price for all our patients, ensuring that access to prescription-strength haemorrhoid relief remains affordable and transparent without hidden charges.
We provide a range of delivery options to suit your needs, including tracked services to ensure your package arrives safely and promptly. All orders are sent in plain, unbranded packaging to maintain your privacy throughout the shipping process.
Xyloproct Ointment is a medicated topical treatment specifically formulated to address the symptoms of haemorrhoids and other inflammatory conditions of the back passage. Haemorrhoids are swollen veins in the rectum or anus that can cause significant discomfort, bleeding, and itching. This ointment is used to provide symptomatic relief during acute episodes, helping to soothe the area and promote a more comfortable recovery period.
The efficacy of Xyloproct is derived from its two primary active substances which work in tandem to tackle different aspects of haemorrhoid discomfort. Each gram of the ointment contains:
- Lidocaine (50 mg): A local anaesthetic that numbs the nerves in the affected area to stop pain signals reaching the brain.
- Hydrocortisone Acetate (2.75 mg): A mild corticosteroid that reduces the redness, swelling, and inflammation caused by the body's immune response.
Other excipients include zinc oxide, which acts as a protective barrier for the skin, and aluminium acetate.
Many patients report that Xyloproct provides a fast-acting numbing effect that is particularly helpful after bowel movements or when itching becomes intense. Because it targets both pain and swelling, users often find it more effective than standard over-the-counter creams for moderate flare-ups. Most individuals notice a significant improvement in their comfort levels within the first 48 hours of starting the treatment.
It is essential to read the Patient Information Leaflet (PIL) included with your medication before you begin treatment. The leaflet contains detailed technical data regarding the formulation, storage instructions, and a full list of excipients. You should keep this document for the duration of your treatment course for easy reference.
The treatment works by combining a fast-acting anaesthetic with a slower-acting anti-inflammatory to provide comprehensive symptom management. Lidocaine stabilises the neuronal membrane, which prevents the initiation and conduction of nerve impulses, resulting in a numbing sensation. Meanwhile, hydrocortisone enters the skin cells to inhibit the release of chemicals that cause blood vessels to widen and the area to become inflamed and itchy.
You should use Xyloproct exactly as directed by your prescriber to ensure the best results and minimise the risk of skin thinning. The general steps for application are:
- Wash your hands thoroughly and clean the affected area with mild soap and water.
- Gently pat the area dry with a soft towel.
- Apply a small amount of ointment to the external area with your finger.
- If internal application is required, use the provided applicator nozzle as instructed.
- Wash your hands and clean the applicator thoroughly after every use.
The standard dosage involves applying the ointment several times a day, typically in the morning, at night, and after each bowel movement. You should not use more than 6g of ointment (roughly one-third of a 20g tube) in any 24-hour period. Treatment is usually recommended for a maximum of 7 days to prevent potential side effects associated with steroid use.
While most people tolerate the medication well, some may experience localised side effects at the site of application. If you experience a severe allergic reaction, such as swelling of the face or difficulty breathing, seek emergency medical help immediately.
| Frequency | Potential Side Effects |
|---|---|
| Common | Mild burning or stinging upon application, temporary skin irritation. |
| Rare | Skin thinning (atrophy) with prolonged use, allergic dermatitis, or hives. |
| Very Rare | Anaphylaxis, blurred vision, or systemic steroid effects. |
Xyloproct Ointment is not suitable for everyone and should be used with caution in certain circumstances. You should not use this treatment if you have an untreated viral, fungal, or bacterial infection in the area. It is also contraindicated for those with a known allergy to lidocaine or other amide-type local anaesthetics. Always inform your prescriber if you are pregnant, breastfeeding, or taking medication for an irregular heartbeat, such as amiodarone.
When choosing a haemorrhoid treatment, the main difference lies in the strength and combination of active ingredients. While over-the-counter options like standard Anusol focus on soothing and protecting the skin, Xyloproct is a prescription-only medicine (POM) that provides more intensive relief.
| Treatment | Key Ingredients | Best For |
|---|---|---|
| Xyloproct | Lidocaine & Hydrocortisone | Significant pain, itching, and inflammation. |
| Anusol HC | Hydrocortisone & Zinc Oxide | General inflammation and skin protection. |
| Proctosedyl | Cinchocaine & Hydrocortisone | Severe pain and reducing anal sphincter spasms. |
Can I use Xyloproct for more than a week?
No, you should generally not use this ointment for longer than 7 consecutive days unless specifically told to do so by a doctor. Prolonged use of topical steroids can lead to thinning of the delicate skin in the anal area.
Does Xyloproct need to be kept in the fridge?
Unopened tubes of Xyloproct should be stored in a refrigerator between 2°C and 8°C. However, once you have started using the tube, it can typically be kept at room temperature for up to 2 months.
Is Xyloproct available on the NHS?
Yes, Xyloproct is available on the NHS via a prescription from your GP. Mail My Meds can fulfil your NHS repeat prescriptions and deliver them directly to your door.
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 and registered pharmacists to ensure that all information provided is accurate, up to date, and follows the latest UK clinical guidelines. We are committed to providing reliable health resources to help you make informed decisions about your care.

