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Perinal Spray


Get notified when this treatment is available

All inclusive service
No hidden fees
Next day delivery
Discreetly packaged
Discreet delivery
Prescriber available
Prescriber assess you online
How to order
  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 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 sprayed on the outside of the anus to relieve itching and discomfort caused by piles.

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 gives no indication of 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 these instances, you should speak to your doctor about available treatments.

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.

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 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 a number of ways you can prevent haemorrhoids, including drinking plenty of water, eating a healthy and balanced diet enriched 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 which numbs the area it is applied to.

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 spray away from you and depress the top once or twice until you see a fine mist being 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 and continue to use Perinal Spray as you would normally.

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

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 casualty department for help. Remember to take any remaining medicine and the packaging with you so that doctors know exactly what you have used.

Perinal spray side effects and cautions

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

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

If you have any doubts or concerns about anything you read in the patient information leaflet, speak to your doctor or ask a pharmacist.

Side effects of Perinal Spray

All medicines have the potential of causing 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 you can find 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 they are listed here or in the patient information leaflet, speak to your doctor.

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

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 - this includes 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 haemorrhoids 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.

Table of contents

What is Perinal Cutaneous spray used for?

How does Perinal spray work?

How to use Perinal spray?

Side effects and cautions

Frequently asked questions

Related information

Avoid these 7 things if you have haemorrhoids

Treatment information

  • Product Name: Perinal spray
  • Manufacturer: Dermal
  • Active Ingredient(s): Hydrocortisone and Lidocaine
  • Administration: Topical
  • Presentation: Colourless to pale yellow aqueous cutaneous spray solution
  • Available Strength: 0.2% hydrocortisone and 1.0% lidocaine
  • Exemption: Pharmacy
  • Application: Adults with painful haemorrhoids
  • Dosage: Spray once over affected area up to 3 times a day for 7 days
  • Description: A haemorrhoid treatment which contains a corticosteroid and anaesthetic
  • Drug Class: Local anaesthetic
  • Alcohol Consumption: Avoid or limit alcohol consumption
  • When Pregnant: Do not use Perinal spray if you are pregnant or intend on becoming pregnant.
  • When Breastfeeding: Do not use Preinal spray if you are breastfeeding.
  • Price: 19.99 GBP
Click here to view the Perinal Spray - 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

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