CRR: 342008 Ref: 22089 Date: 10 Mar 2016
Adults and the elderly:
Adults and the elderly
Insert one suppository into the back passage (anus) far enough so that it doesn't slip out, at night, in the morning and after each bowel movement.
■ Do NOT take orally
zinc oxide, bismuth oxide, bismuth subgallate, balsam peru
■ This medicine is used for the relief of internal piles and other related conditions.
■ This medicine is for use in adults over the age of 18 years.
■ Do not use this medicine:
■ If you are allergic to Anusol or any of the other ingredients of this medicine. See section 6 ►
■ Speak to your doctor:
■ If you have rectal bleeding or blood in the stool
which has not been diagnosed as piles. See section 2 ►
■ Follow the instructions on how to use this product carefully. See section 3 c
Now read this whole leaflet carefully before you use this medicine. Keep the leaflet: you might need it again.
Anusol Suppositories help to relieve the swelling, itch and irritation of internal piles (haemorrhoids) and other related conditions, such as anal itching.
It contains the following ingredients:
Zinc oxide and Bismuth salts are mildly astringent and antiseptic. They soothe and protect raw areas. Balsam Peru is mildly antiseptic and has a protective action on sore areas and may help healing.
This product is for use by adults over the age of 18 years.
This medicine is suitable for most people but a few people should not use it. If you are in any doubt, talk to your doctor or pharmacist.
■ If you are allergic to Anusol or any of the other ingredients of this medicine (listed in section 6).
If this applies to you, get advice from a doctor or pharmacist without using Anusol.
■ If you have rectal bleeding or blood in the stool
or if you are in doubt whether any bleeding you have experienced is caused by piles.
If any of these bullet points apply to you, talk to a doctor or pharmacist.
■ If you are pregnant or breast-feeding, only use this medicine on the advice of your doctor.
Anusol Suppositories should be inserted into the anus
■ Wash anal area and dry gently with a soft towel before using this medicine.
■ Remove plastic cover from the suppository before use.
■ Wash your hands before and after using Anusol.
■ The suppository will melt after insertion.
This medicine is not recommended for children under 18 years old.
If anyone has used too much or has accidentally swallowed Anusol Suppositories, contact a doctor or your nearest Accident and Emergency department (Casualty), taking this leaflet and pack with you.
If you forget a dose, use the next dose when needed. Do not use a double dose.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Rare: may affect up to 1 in 1,000 people
■ Hypersensitivity reactions (such as rash).
■ Burning, redness, irritation, itching, or pain may occur on application. This does not usually last a long time, so if this lasts longer than a few days, tell your doctor.
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any possible side
effects not listed in this leaflet. You can also report
side effects directly via the Yellow Card Scheme at:
The following details are applicable for Malta:
ADR Reporting The Medicines Authority Post-Licensing Directorate 203 Level 3, rue D'Argens GZR-1368 Gzira
Keep out of the sight and reach of children.
Do not store above 25°C.
Do not use your medicine after the date shown as an expiry date on the packaging.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
The active substances are per 100 g: Zinc oxide 296 mg, Bismuth subgallate 59 mg, Balsam Peru 49 mg, Bismuth oxide 24 mg.
Other ingredients are: Kaolin light, suppocire BS2 pastilles (hard fat), titanium dioxide (E171), miglyol 812.
Anusol Suppositories are white suppositories available in plastic strips with either two strips (12 suppositories) or four strips (24 suppositories) in a box.
Product Licence holder: McNeil Products Ltd Maidenhead, Berkshire, SL6 3UG, UK.
Manufacturer: Farmea, 10, rue Bouche Thomas, ZAC Sud d'Orgemont, 49000 ANGERS Cedex, France.
This leaflet was revised November 2015.
Anusol is a registered trade mark.
Piles (haemorrhoids) are swollen blood vessels which occur inside or outside the back passage (anus).
Some people have piles without experiencing any symptoms, but sufferers may notice the following:
■ Bleeding: Although streaks of bright red blood on the toilet paper are not uncommon in people with piles, it may be a sign of a more serious condition and you should see your doctor to check this.
■ Swelling: The swollen blood vessels may be felt as a lump or blockage in the anus.
■ Pain, itching and irritation in the anal region.
At least 40% of people suffer from piles at some time in their lives. However, many people are too embarrassed to seek advice or treatment and, as a result, suffer unnecessary discomfort.
Fortunately, there is much you can do to ease the situation and relieve the symptoms.
A number of factors can contribute to the development of piles:
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