Formulary

1.7.2 Compound haemorrhoidal preparations with corticosteroids

First Line
Second Line
Specialist
Hospital Only

These preparations are of limited clinical value and should only be used for short periods (not more than a few days) as they cause sensitisation of the skin. Excessive application of preparations containing local anaesthetics should be avoided.

Anusol HC

(Benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide)

  • Ointment (£6.00 = 30g)
  • Suppositories (£4.24 = 12 suppositories)

Indications

  • Haemorrhoids, pruritus ani

Dose

  • 1 suppository or application of ointment in morning, at night and after defecation

Notes

  1. Prescribe by brand (to aid identification where products contain multiple ingredients, or to prevent confusion where multiple brands contain similar ingredients)
Scheriproct

(Cinchocaine with prednisolone)

  • Ointment (£3.23 = 30g)
  • Suppositories (£1.52 = 12 suppositories)

Indications

  • Haemorrhoids, pruritus ani

Dose

  • Insert 1 suppository daily after a bowel movement, for 5–7 days (in severe cases initially 2–3 times daily)

Notes

  1. Prescribe by brand (to aid identification where products contain multiple ingredients, or to prevent confusion where multiple brands contain similar ingredients)
Xyloproct

(Hydrocortisone 0.275% with lidocaine 5%)

  • Ointment (£4.19 = 20g)

Indications

  • Haemorrhoids, pruritus ani

Dose

  • Apply several times daily; short-term use only

Notes

  1. Prescribe by brand (to aid identification where products contain multiple ingredients, or to prevent confusion where multiple brands contain similar ingredients