Anusol HC

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 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 on 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 several ways to prevent piles, including drinking plenty of water, eating a healthy and balanced diet rich in 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, thereby relieving the pain and discomfort associated with haemorrhoids.

Together, the two active ingredients in Anugesic HC work to reduce the swelling and itching associated with haemorrhoids.

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. Gently squeeze the tube while removing the nozzle from your anus.

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

Anugesic HC side effects and cautions

All medicines carry the potential to cause 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 can be found in the patient information leaflet supplied with your medicine.

If you are concerned about any side effects or have questions about your condition or treatment, please speak with 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 typically resolves within 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 listed here or in the patient information leaflet, please 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 of any unwanted or expired medicines on your behalf. This can help protect the environment.

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

Related information

Avoid these 7 things if you have haemorrhoids