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Anugesic-HC

Anugesic is a topical haemorrhoid treatment from Pfizer which contains a local anaesthetic to relieve the itching and discomfort of piles, as well as a corticosteroid to fight inflammation.

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About Product

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 soothe the itching and discomfort of piles.


What are haemorrhoids?

Haemorrhoids, commonly called 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 a number of unpleasant symptoms including:

  • Bleeding following defecation
  • Distended lumps hanging from the anus
  • Itching around the anus (anal pruritus)
  • Mucus discharge after passing a 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 cause of haemorrhoids is often associated with excessive pressure exerted upon the blood vessels surrounding the blood vessels. 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, called 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. This numbs the area, relieving the pain and discomfort of haemorrhoids.

Together, they 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 provided plastic applicator nozzle.

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 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. Being aware and vigilant of the side effects your treatment poses is vital to your health. If you are concerned about any of the side effects or have any questions regarding your condition or treatment, speak to your GP.

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. You can also report your side effects online using the Yellow Card Scheme.

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

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

  • are allergic to any of the ingredients of this medicine (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 any of the following apply to you:

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

Always store medicines out of the sight and reach of children. Do not dispose of medicine in household waste or wastewater. 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 Anusol 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.

Alcohol and caffeine can have a diuretic effect, which reduces the amount of fluid in the body. This can increase the viscosity of faecal matter which may result in constipation, making it more difficult or painful to defecate.

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.


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

Treatment information

  • Product name: Anusol 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.
Click here to view the Anugesic-HC - Patient Information Leaflet