• Hydrocortisone reduces swelling, redness, and inflammation
  • Soothes itching, soreness, and discomfort around the anal area
  • Can be applied externally or internally with the applicator provided

How it works?

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Overview

If piles are leaving you sore, swollen, and constantly uncomfortable, Anusol HC Ointment offers extra-strength relief. Enriched with hydrocortisone, this cream not only soothes itching and pain but also actively reduces inflammation and swelling — helping you feel more like yourself, faster.

Designed for both internal and external haemorrhoids, Anusol Plus HC Ointment provides targeted, soothing relief in a discreet treatment you can use at home.

This medicine requires a secure online consultation with a UK-registered prescriber, and will only be supplied if clinically appropriate.


What is Anusol Plus HC Ointment


Anusol Plus HC Ointment combines the proven soothing action of standard Anusol with the added benefit of hydrocortisone, a mild steroid that reduces inflammation and swelling. This makes it particularly helpful for patients experiencing:

  • Persistent soreness and itching
  • Noticeable swelling or inflammation
  • Discomfort during daily activities such as sitting or going to the toilet


By addressing the root inflammation as well as surface symptoms, Anusol Plus HC Ointment provides faster, more powerful relief than non-steroid creams.

Directions

  • Wash and dry the affected area thoroughly before application.
  • Apply a thin layer morning and night, and after each bowel movement if possible.
  • For internal haemorrhoids, use the applicator nozzle provided
  • Wash hands before and after use.
  • Use for up to 7 days unless advised otherwise by your prescriber.

Side Effects

Most people tolerate Anusol HC Plus Ointment well, and side effects are uncommon when the cream is used as directed. However, some patients may experience unwanted effects.

Common (may affect up to 1 in 10 people):

  • Mild burning, stinging, or irritation after application – usually short-lived and settles quickly.


Less common (may affect up to 1 in 100 people):

  • Temporary skin irritation or dryness – generally mild and improves once treatment is stopped.


Rare but serious (seek medical advice if persistent):

  • Skin thinning with prolonged use – caused by hydrocortisone (a corticosteroid) if used for longer than recommended. Always follow your doctor’s or pharmacist’s instructions on duration of use.


Most side effects are mild and temporary, and the majority of patients use Anusol HC Plus Ointment without difficulty.

Disclaimer: This is not a complete list of side effects. Always read the patient information leaflet provided with your medicine for full details. If irritation persists, or you notice anything unusual, stop using the cream and consult your doctor, pharmacist, or prescriber.

Warnings

Do not use Anusol HC Plus Ointment if you:

  • Are allergic to hydrocortisone or any other ingredients
  • Have untreated infections in the anal area


Other cautions:

  • Only for short-term use (up to 7 days) unless prescribed otherwise
  • Not usually recommended during pregnancy or breastfeeding unless prescribed by a doctor
  • Do not use on broken or infected skin unless directed by your prescriber
Frequently asked questions

  • What is Anusol Plus HC and how does it work?

    Anusol Plus HC is a medicated treatment for haemorrhoids that reduces inflammation, itching, swelling and irritation. The hydrocortisone helps calm inflamed tissue, while the other ingredients protect sore skin and support healing. It is used for short-term relief during more painful or inflamed piles flare-ups.

  • What symptoms does Anusol Plus HC help with?

    Anusol Plus HC targets swelling, itching, redness and discomfort caused by haemorrhoids. The hydrocortisone reduces inflammation, while the barrier ingredients protect raw or irritated skin. This combination makes it helpful for more severe symptoms compared to standard Anusol products.

  • How do I use Anusol Plus HC correctly?

    Apply a small amount of Anusol Plus HC two or three times daily and after bowel movements. Clean and dry the area first. It can be used externally or internally using the applicator supplied. Do not use it more often than recommended to avoid steroid-related skin thinning.

  • How long does Anusol Plus HC take to work?

    Many people notice improved comfort within hours of applying Anusol Plus HC. Inflammation and swelling often settle within two to three days. If symptoms do not improve within a week, a clinician may recommend another treatment such as suppositories or a non-steroid option.

  • Is Anusol Plus HC safe to use?

    Anusol Plus HC is safe when used for short periods, typically a few days. Using it longer than recommended can increase the risk of skin thinning or irritation from the steroid ingredient. If symptoms keep returning, a clinician can review your treatment plan.

  • Can I use Anusol Plus HC while pregnant or breastfeeding?

    You should check with a clinician before using Anusol Plus in pregnancy or while breastfeeding. Although topical hydrocortisone is often considered low risk, individual assessment helps ensure it is the safest option for managing haemorrhoid symptoms.

  • Can Anusol Plus HC be used with other haemorrhoid treatments?

    Anusol Plus HC can be combined with lifestyle measures such as increased fibre, hydration and avoiding straining. Avoid using it alongside other steroid treatments unless advised by a clinician. Non-steroid creams may be used at different times of the day if additional soothing is required.

  • Why does Anusol Plus HC contain hydrocortisone, and when is it needed?

    Hydrocortisone in Anusol Plus HC is included to reduce inflammation and swelling during more severe flare-ups. It is especially helpful when standard soothing creams are not providing enough relief. This makes it useful for short periods when haemorrhoids become red, swollen or very itchy.

  • Can Anusol Plus HC help with painful or swollen external piles?

    Yes. Anusol Plus HC is particularly helpful for external haemorrhoids that become swollen and tender. The hydrocortisone reduces inflammation, while the barrier ingredients protect irritated skin. It may be more effective for short-term pain relief than standard non-steroid creams.

  • Does Anusol Plus HC reduce bleeding from haemorrhoids?

    It may help reduce minor bleeding linked to inflammation by calming swollen tissue. However, Anusol Plus HC will not address significant or persistent bleeding, which always requires a clinical review to rule out fissures or other causes.

  • Can I use Anusol Plus HC inside the anus?

    Yes. Anusol Plus HC can be used just inside the anal opening when applied with the applicator provided. Internal use helps reduce inflammation affecting internal haemorrhoids. Use sparingly and only for short periods as directed.

  • Can I use Anusol Plus HC if I have sensitive skin?

    Many people with sensitive skin tolerate Anusol Plus HC well because it acts locally and the soothing ingredients help protect sore tissue. If you notice worsening redness or irritation, stop using it and speak to a clinician as steroid sensitivity is uncommon but possible.

  • Can I use Anusol Plus HC after bowel movements?

    Yes. Applying Anusol Plus HC after a bowel movement helps reduce irritation and restores comfort quickly. Clean the area gently, avoid fragranced wipes and dry thoroughly before applying to prevent worsening soreness.

  • How long can I safely use Anusol Plus HC for?

    Anusol Plus HC should normally be used for up to seven days unless directed otherwise. Longer use increases the risk of thinning the skin or making irritation worse. If symptoms return frequently, a clinician may consider an alternative treatment plan.

  • What should I do if Anusol Plus HC doesn’t improve my symptoms?

    If symptoms do not improve after a week of using Anusol Plus HC, or if they worsen, you may need a suppository, a non-steroid product or further assessment for fissures or persistent haemorrhoids.