Perinal Spray

What is Perinal Cutaneous spray used for?

Perinal spray is a topical treatment for external haemorrhoids (piles), which contains the active ingredients hydrocortisone and lidocaine (a local anaesthetic agent).

It is applied to the outside of the anus to relieve itching and discomfort caused by haemorrhoids.

With Prescription Doctor's confidential online service, you can get a private prescription of Perinal Spray online from a UK-based pharmacy via a fast next-day delivery.

We ensure all items are packaged in discreet packaging, which does not indicate the contents of the parcel.

What are Haemorrhoids?

Haemorrhoids (piles) are small lumps in or around the anus, which develop due to increased pressure in the surrounding blood vessels, resulting in swelling and inflammation.

In many cases, haemorrhoids are painless and go away on their own after a few days. Other cases may be painful or discomforting. In such instances, consult your doctor about available treatment options.

It is possible to be unaware of the condition, but it 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.

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 leading cause of haemorrhoids is often associated with excessive pressure exerted upon the blood vessels surrounding the anal area.

There are numerous 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 haemorrhoids, including drinking plenty of water, eating a healthy and balanced diet rich in fibre, and exercising regularly.

How does Perinal spray work?

Perinal spray contains two active ingredients: Hydrocortisone and Lidocaine.

Hydrocortisone (0.2%) is a corticosteroid (steroid) which reduces inflammation. It does this by preventing cells from releasing chemicals which cause an inflammatory response.

The other ingredient, Lidocaine (1%), is a local anaesthetic that numbs the area to which it is applied.

Together, both active ingredients work to provide effective relief by numbing the affected area and reducing the inflammation.

How to use Perinal spray?

Before using the spray for the first time, you will need to prime it. To prime the spray, hold the canister away from you and depress the top once or twice until a fine mist is produced.

Once primed, your spray is ready to use.

To use the Perinal spray:

1. Wash the affected area and dry it gently.
2. Separate your buttocks, if necessary, and spray once onto the afflicted area.
3. Wash your hands after each application.
4. Repeat the previous steps up to three times a day if necessary

What should I do if I forget to use Perinal Spray?

If you forget to use Perinal Spray, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue using Perinal Spray as you usually would.

Do not use more Perinal Spray to make up for a missed dose.

Do not use Perinal Spray more than three times a day.

What should I do if I use more Perinal Spray than I should?

If you use more Perinal Spray than you should, go to your nearest hospital's accident and emergency department for help. Remember to take any remaining medicine and its packaging with you, so doctors know exactly what you have used.

Perinal spray side effects and cautions

Before using Perinal cutaneous spray, please read the patient information leaflet enclosed with your medicine. The patient information leaflet contains important instructions on how to store, use, and dispose of Perinal spray safely, as well as further information regarding the product's safety.

You can read the patient information leaflet for Perinal Spray online.

If you have any doubts or concerns about the information in the patient information leaflet, please consult your doctor or ask a pharmacist.

Side effects of Perinal Spray

All medicines have the potential to cause side effects, though not everyone will experience them.

You should familiarise yourself with the possible side effects and cautions associated with using Perinal spray, which can be found in the patient information leaflet (PIL) supplied with your medicine.

Side effects of Perinal Spray include:

• Tingling after application
• Irritation or discomfort

These side effects typically subside after some time.

If your side effects persist or if you experience any other symptoms, whether listed here or in the patient information leaflet, please speak to your doctor.

If you experience signs and symptoms of an allergic reaction, stop using Perinal Spray and consult your doctor or seek emergency medical attention if necessary.

Before you use Perinal spray, please speak to your doctor if you have:

• bleeding or persistent pain from your anus, especially if this causes you to go to the toilet more frequently than usual
• bloating or swelling of the stomach
• lost weight unintentionally

How to stay safe while using Perinal spray?

Do not use Perinal spray if you are allergic to any of its ingredients.

Do not use Perinal cutaneous spray for more than 7 days.

Keep the medicine out of the sight and reach of children and pets.

It is unknown whether this medicine is safe to use during pregnancy or while a woman is breastfeeding. If you are pregnant, planning on becoming pregnant or trying for a baby, speak to your doctor before using Perinal spray.

Interactions between Perinal spray and other medicines may occur. You should inform our prescriber of any other medicines you are taking, including over-the-counter, prescription, and natural medicines such as health supplements.

Only use one haemorrhoid treatment at a time.

Frequently asked questions

Can I drink alcohol while using Perinal Spray?

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

Can I use Perinal Spray while pregnant or breastfeeding?

If you are pregnant, intend on becoming pregnant or breastfeeding, you should speak to your doctor for further advice before using Perinal Spray.

How is Perinal Spray different from haemorrhoid creams?

Unlike haemorrhoid creams, which require contact with the haemorrhoids themselves, Perinal Spray can be applied without touching the haemorrhoids. The spray also makes it easier to apply in hard-to-reach places.

If you are unsure which haemorrhoids treatment is right for you, speak to your doctor.

Can I use Perinal Spray to treat external piles, and a cream to treat internal piles?

If you have both internal and external haemorrhoids (piles), you should choose a treatment which can treat both at the same time. You should not use two separate haemorrhoid treatments at the same time without first speaking to your doctor.

How long can I use Perinal Spray for?

You can use Perinal Spray for 1 week. If your haemorrhoids persist after this time, speak to your doctor.

What should I do if Perinal Spray doesn't clear my haemorrhoids?

If Perinal Spray does not work for you, speak to your doctor for advice. They will be able to determine another suitable course of treatment.

Related information

Avoid these 7 things if you have haemorrhoids