Product details of PROCTOSEDYL Ointment for Hemorrhoids
Proctosedyl Ointment contains two active ingredients;
Cinchocaine Hydrochloride and Hydrocortisone. 

It is mainly used to treat Haemorrhoids (piles). 
Manufactured in The UK by Sanofi-Aventis
Proctosedyl Ointment is available in a 15g tube
Comes with an attachable plastic applicator
Also include a comprehensive patient information leaflet

The active ingredient, Cinchocaine belongs to a group of 
medicines called local anaesthetics. These medicines work by
blocking the pain messages along the nerve fibres at the point
of application. This prevents the pain signals from reaching the
brain. This will cause a numbing sensation in the area where the
ointment has been applied. When treating Haemorrhoids, using
a local anaesthetic such as Cinchocaine will numb the pain and
itching associated with piles.

The other active ingredient, Hydrocortisone belongs to a category
of medicines known as Corticosteroids. These medicines work to
reduce and relieve pain and inflammation. Inflammation is caused
by an immune response that causes blood vessels to dilate (widen),
resulting in the affected area becoming red, painful, itchy and 
swollen. Hydrocortisone works from within the cell. It actively
reduces the substances produced that trigger the inflammation. 

When Hydrocortisone is used topically to treat Haemorrhoids, 
it will effectively reduce the painful inflammation and 
swelling caused by this condition.
When combined in Proctosedyl Ointment, these two active ingredients 
provide effective short-term relief for the treatment and management 
of piles and anal itching. Proctosedyl Ointment is suitable for treating 
external haemorrhoids around the anal area through direct application. 
If the Haemorrhoids are internal, the ointment can still be applied by 
using the plastic applicator included with every tube. This applicator 
or nozzle screws onto the top of the tube, allowing for comfortable 
insertion into the rectum. If your haemorrhoids are solely internal 
then suppositories such as Anusol HC Suppositories, may be a more 
suitable choice.

When you must not use it
Do not use PROCTOSEDYL if you
are allergic to it or any of the
ingredients listed at the end of this
leaflet.
Some symptoms of an allergic
reaction include skin rash, itching,
shortness of breath or swelling of the
face, lips or tongue, which may cause
difficulty in swallowing or breathing.
As for all steroid preparations, do
not use PROCTOSEDYL when
uncontrolled infections, bacterial,
viral infections (eg. herpes,
cowpox), fungal, or parasitic
infections or infections affecting
the anus or surrounding area are
present eg sexually-transmitted
diseases.
PROCTOSEDYL use may hide signs
of infection.
PROCTOSECYL contains
hydrocortisone which can cause
thinning and damage to the skin.
Do not use PROCTOSEDYL if you
have tuberculosis.
Some diseases can be made worse by
using PROCTOSEDYL.
Do not give PROCTOSEDYL to
children under 12 years of age.

How to use it
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.

Ointment:
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 & cap (which are supplied in the carton) tightly on to the
tube, removing the cap immediately before use.
3. 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.
4. After use, wash the nozzle with warm, soapy water then recap the nozzle.

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.

Suppositories:
1. Remove the suppository from its packaging.
2. Moisten the suppository by dipping it briefly in cool water.
3. Put one foot on the side of the bath or toilet, raising the knee to the chest.
4. Insert the suppository gently into the rectum (back passage).
5. Try not to go to the toilet for at least one hour to allow the suppository time to work.

PROCTOSEDYL should not be used
by children under 12 years of age.

How long to use it?
PROCTOSEDYL should be used three times daily for first week, after morning stool, noon and evening.

If you use it for longer than 7 days, then you may be able to reduce the number of times you have to use it each day.
During your second week of use, you may be able to use PROCTOSEDYL twice a day after morning stool and evening, and then once daily in your third week of use after morning stool.
You should not use PROCTOSEDYL continuously for longer than three weeks.