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Overview

When haemorrhoids are causing intense pain, itching, or swelling, Proctosedyl Ointment offers fast and effective relief. With a combination of hydrocortisone (a corticosteroid) to calm inflammation and cinchocaine (a local anaesthetic) to numb discomfort, it tackles the condition from two angles — soothing irritation while reducing swelling at the source.

Suitable for both internal and external piles, Proctosedyl Ointment is a discreet and powerful option for restoring comfort and getting back to daily life.

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


What is Proctosedyl Ointment


Proctosedyl Ointment is a combination treatment designed to relieve the pain, itching, and swelling caused by haemorrhoids (piles) and related anal irritation. It works by combining two proven ingredients that target both the underlying inflammation and the uncomfortable symptoms it produces.

Hydrocortisone is a mild corticosteroid that reduces inflammation, redness, and swelling in the delicate tissues around the anus. By calming the body’s inflammatory response, it helps shrink haemorrhoids and makes them less painful.


Cinchocaine is a local anaesthetic that numbs the area quickly, easing pain, soreness, and persistent itching. This provides fast, soothing relief and makes everyday activities more comfortable.


Together, these actions not only provide rapid symptom control but also support the healing process of irritated tissue. Proctosedyl is especially helpful for people struggling with flare-ups of external or internal haemorrhoids, giving targeted relief right where it’s needed.

When used as directed, the ointment can make sitting, walking, and even going to the toilet far less uncomfortable, while helping the affected skin and tissue to recover.

Directions

  • Wash and dry the anal area before use.
  • Apply a small amount of ointment to the affected area twice daily (morning and night).
  • For internal haemorrhoids, use the applicator provided.
  • In severe cases, your prescriber may recommend applying more frequently on the first day.
  • Always wash your hands before and after use.

Side Effects

Most people tolerate Proctosedyl Ointment well, and side effects are uncommon when the treatment is used as directed. However, as with all medicines, some people may experience unwanted effects.

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

  • Temporary stinging, burning, or irritation after application – this is usually mild and settles quickly as the skin adjusts to the ointment.


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

  • Skin thinning or delayed healing with prolonged use – this may occur if corticosteroid treatments like hydrocortisone are used continuously for long periods, especially on delicate skin. Always follow your prescriber’s instructions to minimise this risk.


Rare but serious (seek urgent medical advice):

  • Allergic reactions – symptoms may include severe itching, rash, swelling of the skin, or worsening irritation. In very rare cases, swelling of the face, lips, or difficulty breathing may occur, which requires immediate medical attention.


Most side effects are mild and temporary, and the benefits of treatment usually outweigh any risks. To ensure safe use, Proctosedyl should be applied only for the length of time recommended by your doctor or pharmacist.

Disclaimer: This is not a complete list of side effects. Always read the patient information leaflet supplied with your medicine for full details. If you notice anything unusual or concerning, stop using the ointment and seek medical advice promptly. In an emergency, call 999 or go to A&E.

Warnings

Do not use Proctosedyl Ointment if you:

  • Are allergic to hydrocortisone, cinchocaine, or any other ingredients
  • Have untreated infections in the anal area
  • Are pregnant, unless prescribed by your doctor


Other cautions:

  • Short-term use only (typically no more than 7 days)
  • Prolonged steroid use can cause skin thinning
  • Not recommended during breastfeeding unless advised by a healthcare professional
Frequently asked questions

  • What is Proctosedyl Ointment and how does it work?

    Proctosedyl Ointment (hydrocortisone, cinchocaine) treats painful or inflamed haemorrhoids by reducing swelling and numbing discomfort. Hydrocortisone calms inflammation, while cinchocaine provides fast pain relief. It is especially helpful for flare-ups with significant soreness, itching or swelling.

  • What symptoms does Proctosedyl Ointment help with?

    Proctosedyl Ointment (hydrocortisone, cinchocaine) helps ease pain, swelling, itching and irritation from piles. The steroid reduces inflammation, while the anaesthetic offers quick relief during flare-ups. It is suitable for both internal and external symptoms when used with the applicator.

  • How do I apply Proctosedyl Ointment correctly?

    Apply a small amount of Proctosedyl Ointment (hydrocortisone, cinchocaine) up to three times daily. Wash and dry the area gently first. For internal symptoms, use the applicator provided, inserting it carefully and applying a thin layer inside the anus. Clean the applicator after each use.

  • How long does Proctosedyl Ointment take to work?

    Proctosedyl Ointment (hydrocortisone, cinchocaine) often provides pain relief within minutes thanks to the anaesthetic. Swelling and irritation usually improve within a few days. If symptoms persist after a week, you may need a different treatment.

  • Is Proctosedyl Ointment safe to use?

    Yes, when used short term. Proctosedyl Ointment (hydrocortisone, cinchocaine) contains a steroid, so it should not be used for longer than seven days unless a clinician advises it. Overuse can cause skin thinning or irritation. Used correctly, it is safe and effective for painful flare-ups.

  • Can I use Proctosedyl Ointment during pregnancy or breastfeeding?

    You should speak to a clinician before using Proctosedyl Ointment (hydrocortisone, cinchocaine) during pregnancy or breastfeeding. They may recommend non-steroid treatments or simple lifestyle measures depending on the severity of your symptoms.

  • Can I use Proctosedyl Ointment with other haemorrhoid treatments?

    You can use Proctosedyl Ointment (hydrocortisone, cinchocaine) with non-medicated products like soothing wipes or sitz baths. Avoid using it alongside other steroid creams or anaesthetic-based products unless advised by a clinician.

  • Is Proctosedyl Ointment good for flare-ups with severe inflammation?

    Yes. Proctosedyl Ointment (hydrocortisone, cinchocaine) is particularly useful during painful flare-ups involving swelling, redness or intense itching because the steroid directly targets inflammation. It is often chosen when non-steroid treatments are not strong enough.

  • Can Proctosedyl Ointment help if I have painful cracks or skin irritation?

    Proctosedyl Ointment (hydrocortisone, cinchocaine) may ease soreness caused by irritated or inflamed skin around the anus. However, if you have a fissure, another treatment may be required. A clinician can help distinguish between piles and small tears.

  • Does Proctosedyl Ointment reduce internal pressure or swelling?

    Yes. The hydrocortisone in Proctosedyl Ointment (hydrocortisone, cinchocaine) helps reduce internal swelling, which can ease pressure or the sensation of a lump inside the anus. This makes bowel movements less painful.

  • Can I use Proctosedyl Ointment at night for ongoing discomfort?

    Yes. Using Proctosedyl Ointment (hydrocortisone, cinchocaine) at night can keep symptoms settled while you sleep. The anaesthetic helps reduce itching and pain, while the steroid works to calm inflammation.

  • Can Proctosedyl Ointment help with pain after bowel movements?

    Yes. Proctosedyl Ointment (hydrocortisone, cinchocaine) can reduce the pain that follows passing stools by calming swollen tissue and numbing the area. Addressing constipation will also help reduce strain-related symptoms long term.

  • How long can I use Proctosedyl Ointment for?

    Proctosedyl Ointment (hydrocortisone, cinchocaine) should only be used for up to seven days unless a clinician advises longer. Steroid creams can cause thinning of the skin if used too frequently or for extended periods.

  • Can Proctosedyl Ointment help with itching at night or early morning?

    Yes. The anaesthetic in Proctosedyl Ointment (hydrocortisone, cinchocaine) can calm night-time itching, which is common with irritated or inflamed piles. Applying it before bed may improve comfort overnight.

  • What should I do if Proctosedyl Ointment is not helping?

    If your symptoms remain after a week of using Proctosedyl Ointment (hydrocortisone, cinchocaine), a clinician may recommend a different steroid treatment, suppositories or further investigation. Persistent bleeding or severe pain should always be assessed.