Customer declaration: I agree to use this pharmacy-only medicine strictly as directed. If symptoms persist, or if I suffer any adverse effects, I will contact my pharmacist or doctor immediately. I acknowledge that I have read and understood the information provided about this medicine.

Proctosedyl ointment is used for the relief of the discomfort of haemorrhoids (piles) and other painful conditions of the anus, such as fissures (tears).

Haemorrhoids often result when people strain while trying to open their bowel . This problem is often, but not always, associated with low-fibre diets.

Proctosedyl ointment contains the active ingredients hydrocortisone, a steroid, and cinchocaine hydrochloride, a local anaesthetic. These work together to reduce swelling, numb pain and relieve itching.

Active Ingredients:
Hydrocortisone 5 mg/g and cinchocaine hydrochloride 5 mg/g.

Inactive Ingredients: liquid paraffin, white soft paraffin, wool fat.

Contraindications:

Do not use if you are allergic to any of the ingredients in this product.

Do not use when infections affecting the anus or surrounding area are present (eg sexually transmitted diseases such as herpes).

Do not use if you have tuberculosis.

Do not use in children under 12.

Precautions (check with pharmacist before use if any of the following apply):
If you have any cuts or abrasions in the area of the anus (eg if there is blood on toilet paper or in the toilet after opening the bowels).
If you have any fungal infections such as thrush, in the area of the anus.
If you have prolonged anal pain or if there is blood present in the faeces.
If you are taking any other medicines.�

Dosage:
Apply sparingly over affected area 3 times daily for 1st week (after morning stool, noon and evening), twice daily for 2nd week (after morning stool and evening), once daily for 3rd week (after morning stool). Maximum treatment duration is usually 3 weeks.

For best results, first go to the toilet and empty your bowels. Do not strain. Wash and dry the anal area. Before and after use, wash your hands well with soap and water.

1. If the affected area is on the surface, use your finger to apply just enough ointment to cover the painful area.

2. If you need to apply Proctosedyl ointment deeper, first screw the plastic nozzle (which is supplied in the carton) tightly on to the tube. Then gently insert the nozzle all the way into the rectum (back passage) and squeeze the tube from the lower end, while at the same time withdrawing it from the rectum

Note that if the area is very inflamed and painful, it is advisable to initially apply the ointment with a finger, rather than insert the nozzle.

Advice and warnings:
It is not known if Proctosedyl adversely affects latex rubber condoms. Thus, it is recommended that you avoid contact between latex rubber condoms and Proctosedyl.

Do not strain while trying to open your bowels as straining may aggravate haemorrhoids.

Increasing the amount of fibre in the diet may reduce your chance of getting haemorrhoids. This can be achieved by eating more fruit, salads, vegetables and cereals containing bran. It may also be helpful to drink plenty of non-alcoholic fluids and exercise regularly.

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