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Anusol Ointment - 25g

Anusol Ointment - 25g

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  • ✔️ Relieves itching, soreness and swelling from haemorrhoids
  • ✔️ Contains zinc oxide and bismuth for soothing astringent action
  • ✔️ Suitable for both internal and external haemorrhoid treatment
  • ✔️ Includes rectal nozzle for targeted internal application
  • ✔️ Gentle enough for use up to four times daily

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What Is Anusol Ointment for Piles?

 

Haemorrhoids — more commonly known as piles — affect a significant number of people in the UK at some point in their lives. They can cause itching, soreness, swelling, and general discomfort around the anal area, and while they are rarely serious, they can be genuinely miserable to live with. Anusol ointment for piles is one of the most widely recognised over-the-counter treatments available, offering targeted relief from these uncomfortable symptoms. You can browse the full range of treatments in our haemorrhoids and piles collection if you want to compare your options.

Anusol Ointment 25g contains a combination of astringent and protective ingredients that work directly on the affected tissue. It is available without a prescription and is suitable for most adults. At just £6.99, it represents an accessible, no-fuss option for managing mild to moderate haemorrhoid symptoms at home.

 

How Does Anusol Ointment Work?

 

The ointment works through several complementary mechanisms rather than a single active compound. Its formulation includes zinc oxide, bismuth subgallate, bismuth oxide, and Peru balsam — each playing a distinct role in symptom relief.

  • Zinc oxide acts as an astringent and skin protectant, helping to reduce irritation and form a barrier over the affected tissue.
  • Bismuth subgallate and bismuth oxide have mild antiseptic and astringent properties, helping to reduce swelling and protect inflamed mucous membranes.
  • Peru balsam promotes healing of the skin and mucous membranes and has mild antiseptic activity.

Together, these ingredients soothe the area, reduce inflammation, and create a protective layer that helps prevent further irritation — particularly after bowel movements, which can aggravate symptoms considerably.

 

Who Should Use Anusol Ointment?

 

Anusol Ointment is designed for adults experiencing the typical symptoms of haemorrhoids. It is suitable for both internal and external haemorrhoids, thanks to the rectal nozzle included in the pack. That said, it is not appropriate for everyone, and there are some groups who should seek medical advice before using it.

  • Adults with external haemorrhoids causing itching, soreness, or discomfort
  • Adults with internal haemorrhoids (using the rectal nozzle applicator)
  • People experiencing anal irritation not caused by a more serious underlying condition
  • Those looking for a non-prescription, topical option to manage mild to moderate symptoms

It is not recommended for children under 12 without medical supervision. If you are pregnant or breastfeeding, speak to your GP or midwife before use. If you have rectal bleeding, you must see a doctor before starting any treatment — bleeding can sometimes indicate a more serious condition that needs investigation.

 

How Does Anusol Ointment Compare to Anusol Cream?

 

Feature Anusol Ointment 25g Anusol Cream
Base type Greasy, occlusive ointment base Lighter, water-miscible cream base
Active ingredients Zinc oxide, bismuth compounds, Peru balsam Zinc oxide, bismuth compounds, Peru balsam
Suitable for internal use Yes (with rectal nozzle) Yes (with rectal nozzle)
Texture preference Better for dry, cracked skin Preferred by those who dislike greasy feel

 

Is Anusol Ointment Suitable for Long-Term Use?

 

Anusol ointment for piles is intended for short-term symptom relief only. You should not use it for more than 7 consecutive days without speaking to a doctor or pharmacist. If your symptoms persist beyond this period, worsen, or are accompanied by rectal bleeding, it is important to seek medical advice promptly. Prolonged use without review is not recommended.

Storing the ointment correctly also matters. Keep it below 25°C, away from direct sunlight, and out of reach of children. If you are also managing digestive discomfort alongside your symptoms, our constipation collection may be worth exploring — straining during bowel movements is one of the most common triggers for haemorrhoids.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Anusol Ointment 25g specifications
Treatment category Haemorrhoids and piles
Mechanism of action Astringent, antiseptic, and skin-protective action
Effective for Itching, soreness, swelling, and discomfort from haemorrhoids
Suitable for Adults and children over 12
Active ingredients Zinc oxide, bismuth subgallate, bismuth oxide, Peru balsam
Pack size 25g
UK classification General Sale List (GSL)
Drug class Topical astringent / skin protectant
Preparation Ointment
Route of administration Topical / rectal

Specifications of Anusol Ointment 25g

 

What Is Anusol Ointment and What Is It Used For?

 

Anusol Ointment 25g is an over-the-counter topical treatment used to relieve the symptoms of haemorrhoids (piles). Haemorrhoids are swollen blood vessels in or around the rectum and anus. They are extremely common — the NHS notes that around half of all people in the UK will have haemorrhoids at some point in their lives. Symptoms include itching, soreness, swelling, and a feeling of fullness or discomfort around the back passage.

The ointment can be applied externally around the anal area or internally using the rectal nozzle provided. It is not a cure for haemorrhoids, but it provides meaningful symptomatic relief while the body heals. Lifestyle changes — such as increasing dietary fibre, staying hydrated, and avoiding straining — remain an important part of managing piles alongside any topical treatment.

 

What Do You Need to Know Before Using Anusol Ointment?

 

Before using this ointment, read the following carefully. There are certain situations where you should not use it, and others where caution is needed.

Do not use Anusol Ointment if you:

  • Are allergic to zinc oxide, bismuth compounds, Peru balsam, or any other ingredient in the formulation
  • Have rectal bleeding — always see a GP first to rule out other causes
  • Are under 12 years of age (unless directed by a doctor)

Use with caution and seek advice if you:

  • Are pregnant or breastfeeding
  • Have a history of skin sensitivity or allergic reactions to topical products
  • Have symptoms that have not improved after 7 days of treatment
  • Notice any worsening of symptoms during use

Drug interactions:

  • No significant drug interactions are currently known for Anusol Ointment when used topically as directed.
  • If you are using any other rectal preparations, speak to your pharmacist before combining treatments.

 

How Should You Use Anusol Ointment?

 

Always use this product exactly as described in the patient information leaflet or as directed by your pharmacist. Do not exceed the recommended frequency of application.

  1. Wash your hands thoroughly before and after application.
  2. Clean and gently dry the affected area.
  3. For external use: apply a small amount of ointment directly to the outside of the anal area.
  4. For internal use: attach the rectal nozzle to the tube, insert gently, and squeeze a small amount of ointment inside the rectum.
  5. Apply up to four times daily and after each bowel movement.
  6. Do not use for more than 7 consecutive days without medical advice.
Indication Age Group Dose Frequency
External haemorrhoids Adults and children over 12 Small amount applied topically Up to 4 times daily
Internal haemorrhoids Adults Small amount via rectal nozzle Up to 4 times daily

 

What Are the Possible Side Effects of Anusol Ointment?

 

Like all medicines, Anusol Ointment can cause side effects, although not everyone experiences them. Most people tolerate it well when used as directed. If you are also managing related digestive symptoms, you might find our IBS and cramps collection useful alongside your haemorrhoid treatment.

Common side effects:

  • Mild local irritation or burning sensation at the application site
  • Temporary increase in itching immediately after application

Less common side effects:

  • Hypersensitivity or allergic reaction (rash, increased redness, swelling)
  • Contact dermatitis in people sensitive to Peru balsam or other ingredients

Stop using the ointment immediately and contact your pharmacist or GP if you experience signs of an allergic reaction, including significant swelling, rash, or difficulty breathing.

 

How Should You Store Anusol Ointment?

 

  • Store below 25°C in a cool, dry place
  • Keep away from direct sunlight and heat sources
  • Keep the tube tightly closed when not in use
  • Keep out of the sight and reach of children
  • Do not use after the expiry date printed on the tube
  • Do not dispose of medicines via wastewater or household waste — return unused medicines to your pharmacy

If you have any concerns about storage or the condition of your ointment, speak to your pharmacist. You can also explore our creams and ointments collection for other topical treatments available from Cured Pharmacy.

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Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Anusol Ointment online in the UK?

You can buy Anusol Ointment 25g online from Cured Pharmacy, a GPhC-registered UK online pharmacy, for just £6.99. It is available without a prescription and can be ordered directly from our haemorrhoids and piles collection. It is also stocked in most UK high street pharmacies and supermarkets.

How does Anusol Ointment work in the body?

Anusol Ointment works through a combination of astringent, antiseptic, and skin-protective ingredients. Zinc oxide and bismuth compounds reduce swelling and soothe irritated tissue, while Peru balsam supports healing of the skin and mucous membranes. Together, they create a protective barrier that reduces friction and discomfort around the affected area.

How do I apply Anusol Ointment step by step?

Start by washing your hands and cleaning the affected area gently before application. For external haemorrhoids, apply a small amount of ointment directly to the skin around the anus up to four times daily and after each bowel movement. For internal haemorrhoids, attach the rectal nozzle to the tube and insert a small amount of ointment into the rectum as directed.

How long does Anusol Ointment take to work?

Many people notice a reduction in itching and soreness within a few days of consistent use. The ointment provides symptomatic relief rather than treating the underlying cause of haemorrhoids, so lifestyle changes such as increasing fibre intake are also important. If you see no improvement after 7 days, consult your GP or pharmacist.

What is the correct dose of Anusol Ointment for adults?

The recommended dose for adults is a small amount applied to the affected area up to four times daily and after each bowel movement. You should not apply more than this or use the ointment for longer than 7 consecutive days without medical advice. Always follow the instructions in the patient information leaflet supplied with the product.

Can I use Anusol Ointment during pregnancy?

Haemorrhoids are particularly common during pregnancy due to increased pressure on the pelvic blood vessels. However, you should speak to your GP or midwife before using Anusol Ointment if you are pregnant or breastfeeding, as they can advise on the most appropriate treatment for your situation. Do not self-treat without seeking advice first.

What are the side effects of Anusol Ointment?

Side effects are uncommon but can include mild local irritation, a temporary burning sensation, or — rarely — a hypersensitivity reaction to one of the ingredients such as Peru balsam. If you notice increased redness, swelling, or a rash after applying the ointment, stop use immediately and seek advice from your pharmacist or GP. Most people tolerate the product well when used as directed.

Is Anusol Ointment the same as Anusol Cream?

Anusol Ointment and Anusol Cream share the same active ingredients but differ in their base formulation. The ointment has a greasier, more occlusive base that may offer longer-lasting protection and is often preferred for drier or more irritated skin. The cream has a lighter texture that some people find more comfortable for everyday use.

Who is eligible to use Anusol Ointment?

Anusol Ointment is suitable for adults and children over 12 years of age who are experiencing symptoms of haemorrhoids such as itching, soreness, or swelling. It is not recommended for children under 12 without medical supervision, and those with rectal bleeding should see a GP before using any haemorrhoid treatment. Pregnant or breastfeeding individuals should seek medical advice first.

How long can you use Anusol Ointment for?

Anusol Ointment should not be used for more than 7 consecutive days without consulting a doctor or pharmacist. If your symptoms persist beyond this period, it is important to seek medical advice to rule out other conditions. Short-term use alongside dietary and lifestyle changes is the recommended approach for managing haemorrhoids.

What happens if I use too much Anusol Ointment?

Applying more ointment than recommended is unlikely to cause serious harm, but it will not speed up your recovery and may increase the risk of local skin irritation. Stick to the recommended amount — a small quantity applied up to four times daily is sufficient. If you accidentally ingest any of the ointment, contact NHS 111 or your nearest A&E for advice.

Can Anusol Ointment be used for anal fissures?

Anusol Ointment is licensed specifically for the relief of haemorrhoid symptoms and is not indicated for anal fissures. If you suspect you have an anal fissure — characterised by sharp pain during bowel movements and sometimes bright red bleeding — you should see your GP for an appropriate diagnosis and treatment plan. Do not self-treat an undiagnosed condition.

What are the alternatives to Anusol Ointment?

There are several other over-the-counter haemorrhoid treatments available in the UK, including Preparation H, Germoloids, and Scheriproct (available on prescription). Some products contain a local anaesthetic such as lidocaine for faster pain relief. You can compare options in our haemorrhoids and piles collection to find the most suitable treatment for your symptoms.

Can constipation make haemorrhoids worse?

Yes — straining during bowel movements due to constipation is one of the most common causes and aggravating factors for haemorrhoids. Increasing your dietary fibre intake, drinking plenty of water, and avoiding prolonged sitting on the toilet can all help. If constipation is an ongoing issue, our constipation collection includes a range of treatments that may help alongside your haemorrhoid management.

What are the latest findings on topical haemorrhoid treatments?

Current NHS guidance continues to recommend topical treatments containing astringents and skin protectants — such as those found in Anusol Ointment — as a first-line option for mild to moderate haemorrhoid symptoms. These should be used alongside lifestyle modifications for the best outcomes. For persistent or severe haemorrhoids, procedures such as banding or surgery may be considered by a specialist.

How Should You Use Anusol Ointment?

Always read the patient information leaflet before using Anusol Ointment. Wash your hands thoroughly before and after each application, and make sure the affected area is clean and gently dried beforehand. This helps the ointment make proper contact with the skin and reduces the risk of introducing bacteria to an already irritated area.

Follow these steps for correct application:

What Is the Correct Dose of Anusol Ointment?

The correct dose depends on whether you are treating external or internal haemorrhoids, and on your age. Always apply the smallest effective amount — more is not better with topical treatments, and over-application can increase the risk of local irritation.

When Is the Best Time to Use Anusol Ointment?

The most important times to apply Anusol Ointment are after each bowel movement and before going to bed at night. Applying after a bowel movement helps soothe the area when it is most likely to be irritated, while a bedtime application allows the ointment to work overnight without being disturbed. Consistency is key — regular application throughout the day gives the best chance of symptom relief.

If you are using the ointment four times daily, try to space applications evenly throughout the day. Morning, midday, evening, and bedtime is a practical routine for most people.

How Long Can You Use Anusol Ointment For?

Anusol Ointment is intended for short-term use only. Do not use it for more than 7 consecutive days without speaking to a doctor or pharmacist. Most people find their symptoms improve within this timeframe when the ointment is used alongside lifestyle changes such as increasing dietary fibre and fluid intake.

If your symptoms have not improved after 7 days, or if they worsen at any point, stop using the ointment and seek medical advice. Persistent or recurrent haemorrhoids may require further investigation or a different treatment approach.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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What Are the Most Common Side Effects of Anusol Ointment?

Most people use Anusol Ointment without experiencing any significant side effects. When side effects do occur, they are usually mild and localised to the area of application. They tend to resolve on their own once you stop using the product or reduce the frequency of application.

  • Mild burning or stinging sensation immediately after application
  • Temporary increase in itching at the application site
  • Mild redness or warmth around the treated area

What Are the Less Common Side Effects of Anusol Ointment?

Less commonly, some people may experience a reaction to one or more of the ingredients in the ointment. Peru balsam, in particular, is a known sensitiser and can occasionally cause contact dermatitis in susceptible individuals. If you have a history of reactions to balsam-containing products, speak to your pharmacist before using this ointment.

  • Contact dermatitis (skin inflammation, redness, and flaking)
  • Localised swelling around the application site
  • Skin dryness or peeling with prolonged use

What Are the Serious Side Effects of Anusol Ointment?

Serious side effects are rare but can occur. A hypersensitivity or allergic reaction to any of the active or inactive ingredients is the most significant risk. Signs of a serious allergic reaction include widespread rash, significant swelling (particularly of the face, lips, or throat), difficulty breathing, or dizziness. This requires immediate medical attention.

You should also seek urgent medical advice if you notice any rectal bleeding during or after use, as this may indicate a condition that requires further investigation beyond topical treatment.

What Should You Do If You Experience Side Effects?

If you notice mild irritation after applying the ointment, try reducing the frequency of application and ensure you are using only a small amount each time. Avoid applying the ointment to broken or heavily inflamed skin without first seeking advice from a pharmacist.

If you experience signs of an allergic reaction or your symptoms worsen significantly, stop using the ointment immediately. Contact your GP, call NHS 111, or visit your nearest urgent treatment centre for guidance. Do not continue using the product if you suspect a reaction.

Can Anusol Ointment Interact With Other Medicines?

No significant drug interactions have been identified for Anusol Ointment when used topically as directed. However, if you are using any other rectal preparations — such as suppositories or other topical creams — at the same time, speak to your pharmacist before combining them. Using multiple products in the same area simultaneously may increase the risk of local irritation or reduce the effectiveness of one or both treatments.

Always inform your pharmacist of all medicines you are currently taking, including over-the-counter products and supplements, to ensure there are no concerns specific to your situation.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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