Compound haemorrhoidal preparations

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Local anaesthetics are used to relieve pain associated with haemorrhoids and pruritus ani, however good evidence is lacking.  Xyloproct® contains lidocaine (in addition to hydrocortisone); of the available topical anaesthetics it is least likely to cause irritation. Prolonged use of corticosteroids can cause atrophy of anal skin. Use Anusol-HC®, Xyloproct® and Scheriproct® for a maximum of 7 days.

Suppositories are suitable for internal haemorrhoids and proctitis whereas creams and ointments are suitable for external haemorrhoids.

Note Colorectal symptoms guidance.

HYDROCORTISONE WITH LIDOCAINE (First Line)

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Ointment (includes hydrocortisone acetate 0·275%, lidocaine 5%) (Xyloproct®)

Dosage:

Apply several times daily, short-term use only.

BENZYL BENZOATE WITH BISMUTH OXIDE, BISMITH SUBGALLATE, HYDROCORTISONE ACETATE, PERU BALSAM AND ZINC OXIDE

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Ointment (includes hydrocortisone acetate 0·25%) (Anusol Plus HC® OTC)

Dosage:

Apply ointment morning and night and after a bowel movement, for a maximum of 7 days.

Important: Formulation and dosage details

Formulation:

Suppositories (include hydrocortisone acetate 10mg) (Anusol Plus HC® OTC)

Dosage:

By rectum, Insert 1 suppository morning and night and after a bowel movement, for a maximum of 7 days.

CINCHOCAINE WITH PREDNISOLONE

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Ointment (includes prednisolone hexanoate 0·19%, cinchocaine 0·5%) (Scheriproct®)

Dosage:

Apply twice daily for 5 to 7 days.