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  1. Click on the green "Back To Get Started" button, then click "Start Consultation" button on the next page.
  2. Fill in our short consultation form.
  3. Choose delivery method and mode of payment.
  4. Our team of expert prescribers will assess whether medication is suitable.
  5. If you get the green light and it is deemed suitable, your order will be processed quickly and efficiently.
Confidential Service

Your privacy is important, Prescription Doctor are committed to keeping your details completely confidential.

This is why we also take steps to conceal your prescription products under two layers of packaging.

Delivery and Packing
Discreet Delivery?

We have a commitment to delivering a discreet service and understand your need for privacy. We ship all orders via a trackable courier using discreet, plain packaging.

Do I Need to Wait in All Day for Delivery?

Once your order is dispatched you will receive a tracking number via sms and email.

Do You Deliver on Weekends?

We deliver medications between Monday and Saturday. You can upgrade to Saturday delivery on Friday.

My Order Hasn’t Arrived What Should I Do?

You should receive a tracking number with your order which you can use this number to track your parcel online. This should give you a clear indication of where your parcel is. If you haven’t received your parcel in the time frame given by our couriers, contact your local depot to find out where it is. You can also contact our support team who will do this for you.

Can I Be Notified by Text?

On checkout you will be asked to leave your mobile number so our courier can text you about the delivery. This is also useful if the courier has problems finding your address. We will not use your mobile number for anything else.

Payment Methods
How Can I Pay for My Order?

You can pay for your order using credit, debit card or via bank transfer.

I Don’t Have a Credit Card, How Can I Pay?

If you don’t have a credit or debit card you can pay via bank transfer. We will give you a unique reference number at checkout along with details of how to make the transfer. Once the money has cleared in our account, we will process your order.

How Do You Keep My Details Safe?

We are a completely secure site and take many measures to ensure your details are kept safe. We understand that you have a right to extreme privacy when purchasing sensitive health medications. All information that you provide to us is stored on our secure servers. Any payment transactions will be encrypted using SSL technology.

Payment and refunds?

You can pay for your order using credit, debit card and bank transfer.

Card Payment: Please notify us that you wish to cancel your order. Your refund will show available In 1 - 3 days.

Bank Transfer: A member of our team will contact you requesting for your bank details. These details are only used to transfer the funds back into your account.

Treatment Information

Table of contents

What is Anugesic HC?

Anugesic HC is a treatment for haemorrhoids, also known as piles, which is available as a topical cream.

The medicine contains a corticosteroid, to reduce the inflammation, and a local anaesthetic to relieve the symptoms of itching and discomfort of piles.

What are haemorrhoids?

Haemorrhoids (piles) are swollen lumps filled which blood which develop inside and around the anus. It is possible to be unaware of the condition, but they can cause several unpleasant symptoms, including:

  • Bleeding after passing stool
  • Distended lumps hanging from the anus
  • Itching around the anus (anal pruritus)
  • Mucus discharge after passing stool
  • Soreness, redness and swelling around the anus

Diagnosis of haemorrhoids is usually made based upon the physical symptoms alone. For suspected internal haemorrhoids, your GP may request a physical internal examination of your rectum or refer you to a colorectal specialist.

If it is the first time you are experiencing haemorrhoids, or if you experience any rectal bleeding, you should see your doctor as soon as possible.

The main cause of haemorrhoids is often associated with excessive pressure exerted upon the blood vessels surrounding the anal area. There are a number of factors which contribute to the development of haemorrhoids, including:

  • Age
  • Being overweight or obese
  • Chronic diarrhoea
  • Extended periods of sitting
  • Heavy lifting
  • Pregnancy
  • Straining when constipated

There are a number of ways you can prevent piles, including drinking plenty of water, eating a healthy and balanced diet enriched with fibre, and exercising regularly.

How does Anugesic HC work?

Anugesic HC contains a corticosteroid, hydrocortisone, and a local anaesthetic called pramocaine hydrochloride.

The corticosteroid (hydrocortisone) reduces inflammation at the site of application by preventing cells from producing inflammatory chemicals. By preventing this immune response, the inflamed blood vessels return to their normal size.

Pramocaine hydrochloride is a local anaesthetic which prevents pain signals from being sent to the brain. It works by numbing the nerves in the affected area relieving the pain and discomfort of haemorrhoids.

Together, both active ingredients in Anugesic HC work to reduce the swelling and itching of piles.

How do I use Anugesic HC?

Anugesic HC cream can be used to treat both external and internal piles, using the plastic applicator nozzle supplied with your medicine.

You should use Anugesic HC cream once in the morning, once in the evening, and after each bowel movement.

Always remember to wash your hands before and after each application of Anugesic HC.

For use on external haemorrhoids:

  1. Thoroughly wash the anal area and dry carefully with a soft towel.
  2. Expel a small amount of the cream onto your finger.
  3. Apply the cream to the area affected by haemorrhoids.

For internal use:

  1. Affix the supplied plastic applicator nozzle to the medicine
  2. Gently insert the applicator into your back passage.
  3. Softly squeeze the tube while removing the nozzle from your back passage.

Always wash the nozzle after each use in hot soapy water.

Anugesic HC side effects and cautions

All medicines carry the potential of causing unwanted side effects, though not everyone experiences them. You should familiarise yourself with the possible side effects and cautions associated with using Anugesic HC, which you can find in the patient information leaflet supplied with your medicine.

If you are concerned about any of the side effects, or have any questions regarding your condition or treatment, speak to your doctor.

The most common side effect of Anugesic HC cream is a burning, itching or stinging sensation which is felt around the site of application, especially if applied to broken skin. This side effect tends to be mild and goes away after a short time.

Using Anugesic HC cream for more than 7 days can be harmful. Overuse can cause the skin to thin, develop a striped appearance, or impact the blood vessels beneath the skin.

If you notice any side effects, whether they are listed here or in the patient information leaflet, report them to your doctor.

What should I do if I experience the signs and symptoms of an allergic reaction?

If you experience the signs and symptoms of an allergic reaction, stop using Anugesic HC and seek immediate medical attention.

Symptoms of an allergic reaction include:

  • Difficulty breathing
  • Difficulty swallowing
  • Raised, lumpy rash or hives
  • Red and watery eyes
  • Swelling of the face, lips, tongue or throat
  • Wheezing

Who should not take Anugesic HC?

Anugesic HC is not suitable for everyone. Do not use this treatment if you:

  • are allergic to any of its ingredients (listed in the patient information leaflet)
  • had a reaction to similar medicines
  • have tubercular, fungal or viral lesions (e.g. genital warts)

In order to determine whether Anugesic HC is suitable for you, please inform your doctor if you:

  • are pregnant or intend on becoming pregnant
  • have an untreated rectal infection
  • have chickenpox or shingles
  • have lacerations around the anal area
  • have recently had a smallpox vaccination
  • experience rectal bleeding, of which the cause is not known

Staying safe with Anugesic HC

Do not dispose of medicine in household waste or wastewater. Ask your local pharmacy to dispose any unwanted or expired medicines on your behalf. This can help protect the environment.

If you have medicine you no longer need, take it to your local pharmacy to dispose of safely.

Always keep medicine out of the sight and reach of children.

Frequently asked questions about Anugesic HC

Can I drink alcohol while using Anugesic HC?

While it is unlikely that alcohol will interact with the medicine, you should avoid alcoholic and caffeinated beverages while undergoing treatment for haemorrhoids.

You should avoid or limit your alcohol consumption while being treated for piles. Alcohol can cause dehydration, leading to constipation, which worsens the symptoms of piles.

You should avoid or limit your alcohol consumption while being treated for piles.

Can I use Anugesic HC while pregnant or breastfeeding?

There is insufficient evidence to validate the safety of Anugesic HC while pregnant or breastfeeding. Because of this, the risks posed to an unborn child are not known. If you are pregnant, intend on becoming pregnant or breastfeeding, you should speak to your doctor for further advice before using Anugesic HC.

Table of contents

What is Anugesic HC?

What are haemorrhoids?

How does Anugesic HC work?

How do I use Anugesic HC?

Anugesic HC side effects and cautions

Frequently asked questions

Related information

Avoid these 7 things if you have haemorrhoids

Treatment information

  • Product name: Anugesic HC
  • Manufacturer: Pfizer
  • Active Ingredient(s): hydrocortisone and pramocaine hydrochloride
  • Administration: Topical
  • Presentation: Cream
  • Available Strength: hydrocortisone (0.5g), pramocaine hydrochloride (1.0g)
  • Exemption: Prescription Only
  • Application: Men and women over 18 with piles
  • Dosage: Apply a small amount of the cream to internal or external piles in the morning, evening and after each bowel movement
  • Description: A topical treatment for haemorrhoids which contains a corticosteroid and a local anaesthetic
  • Drug Class: Topical local anaesthetic
  • Alcohol Consumption: Avoid or limit alcohol consumption
  • When Pregnant: Do not use if you are pregnant or intend on becoming pregnant. Speak to your doctor for further advice.
  • When Breastfeeding: Do not use if you are breastfeeding. Speak to your doctor for further advice.
  • Price: 14.99 GBP
Click here to view the Anugesic-HC - Patient Information Leaflet

Authored & Reviewed By

Mohamed Imran Lakhi

Mohamed Imran Lakhi

MPharm - Lead Pharmacist
Imran Lakhi is the superintendent pharmacist and founder at Prescription Doctor. He has been at the core of our team.

Published on: 25/02/2019 Reviewed on: 13/03/2024
Customer Service