• Hydrocortisone reduces inflammation, swelling, and redness
  • Cinchocaine numbs pain, itching, and irritation for fast comfort
  • Targets internal piles directly

How it works?

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Overview

For painful internal piles, Proctosedyl Suppositories provide direct and powerful relief. With hydrocortisone (a steroid) to reduce swelling and cinchocaine (a local anaesthetic) to numb pain and itching, they work right where they’re needed most — easing irritation and shrinking haemorrhoids from the inside out.

Designed for discreet use, these suppositories are a trusted treatment when creams and ointments alone aren’t enough.

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


What are Proctosedyl Suppositories


Proctosedyl Suppositories are designed to provide targeted relief for internal haemorrhoids (piles) by delivering treatment directly to the site of discomfort. They contain a dual-action formula with two proven ingredients:

Hydrocortisone – a corticosteroid that reduces inflammation, redness, and swelling.


Cinchocaine – a local anaesthetic that quickly numbs pain, itching, and irritation.


By tackling both the underlying inflammation and the uncomfortable symptoms, Proctosedyl Suppositories are considered one of the most effective treatment options for painful, persistent, or hard-to-reach internal haemorrhoids, offering relief where creams and ointments may not be sufficient.

Directions

  • Wash your hands before and after use.
  • Remove the suppository from its foil packaging.
  • Gently insert one suppository into the rectum.
  • Use once or twice daily (morning and night).
  • In severe cases, your prescriber may recommend extra doses on the first day.
  • Do not use for longer than 7 days unless advised.
  • Store Proctosedyl Suppositories in a refrigerator 2°C - 8°C

Side Effects

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

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

  • Temporary stinging, irritation, or burning after insertion – usually mild and short-lived, settling as your body adjusts to the treatment.


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

  • Skin thinning with prolonged use – hydrocortisone (a corticosteroid) can thin delicate tissue if used for longer than recommended. Always follow your doctor’s or pharmacist’s guidance.


Rare but serious (seek urgent medical advice):

  • Allergic reactions – symptoms may include worsening redness, itching, rash, or swelling. In very rare cases, swelling of the face, lips, or difficulty breathing may occur and require immediate medical attention.


Most patients find Proctosedyl Suppositories safe and effective, with side effects (if they do occur) usually mild and temporary.

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 any unusual or concerning symptoms, stop using the suppositories and seek medical advice promptly. In an emergency, call 999 or go to A&E.

Warnings

Do not use Proctosedyl Suppositories if you:

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


Other cautions:

  • Short-term use only (no longer than 7 days without advice)
  • Prolonged steroid use may cause skin thinning or irritation
  • Seek urgent medical advice if bleeding persists or worsens
Frequently asked questions

  • What are Proctosedyl Suppositories and how do they work?

    Proctosedyl Suppositories (hydrocortisone, cinchocaine) treat internal haemorrhoids by reducing inflammation, swelling and pain. Hydrocortisone calms irritated tissue, while cinchocaine provides local anaesthetic relief for discomfort, burning or itching. They are designed specifically for symptoms deeper inside the anal canal where creams may not reach effectively.

  • What symptoms do Proctosedyl Suppositories help with?

    Proctosedyl Suppositories (hydrocortisone, cinchocaine) help relieve internal pain, swelling, itching and discomfort caused by haemorrhoids. They are especially useful when symptoms worsen during bowel movements or when there is pressure deeper inside the anus rather than on the outer skin.

  • How do I use Proctosedyl Suppositories correctly?

    Insert one Proctosedyl Suppository (hydrocortisone, cinchocaine) gently into the anus, usually morning and night or as advised. Wash your hands before and after use and insert while lying on your side for comfort. Suppositories should be placed entirely inside the rectum so the medicine can dissolve and treat internal inflammation.

  • How long do Proctosedyl Suppositories take to work?

    Pain and itching may ease within minutes due to the anaesthetic. Inflammation and swelling usually improve over several days. If your symptoms persist after a week, you may need a different treatment or further assessment by a clinician.

  • Are Proctosedyl Suppositories safe to use?

    Yes, when used short term. Proctosedyl Suppositories (hydrocortisone, cinchocaine) contain a steroid, so they should only be used for up to seven days unless a clinician advises otherwise. Overuse may cause irritation or thinning of the rectal lining, but short courses are usually safe and effective.

  • Can I use Proctosedyl Suppositories during pregnancy or breastfeeding?

    You should speak to a clinician before using Proctosedyl Suppositories (hydrocortisone, cinchocaine) in pregnancy or breastfeeding. Mild, non-steroid treatments may be preferred depending on your symptoms. Your clinician can advise the safest option for you.

  • Can I use Proctosedyl Suppositories with creams or ointments?

    Yes. Proctosedyl Suppositories (hydrocortisone, cinchocaine) can be used alongside external creams if you have both internal and external symptoms. Avoid combining them with other steroid products unless advised by a clinician.

  • Are Proctosedyl Suppositories better for internal piles than creams?

    Yes. Proctosedyl Suppositories (hydrocortisone, cinchocaine) are often more effective for internal haemorrhoids because they dissolve deeper inside the rectum. This allows the steroid to reach inflamed tissue directly, offering stronger relief for pressure, pain and swelling that is not accessible with external creams alone.

  • Can Proctosedyl Suppositories help with bleeding haemorrhoids?

    Yes. Proctosedyl Suppositories (hydrocortisone, cinchocaine) are often more effective for internal haemorrhoids because they dissolve deeper inside the rectum. This allows the steroid to reach inflamed tissue directly, offering stronger relief for pressure, pain and swelling that is not accessible with external creams alone.

  • Can Proctosedyl Suppositories help with bleeding haemorrhoids?

    They may help reduce minor bleeding by calming inflammation, but frequent or heavy bleeding should always be assessed by a clinician. Proctosedyl Suppositories (hydrocortisone, cinchocaine) are not a substitute for medical review if symptoms worsen or persist.

  • What if the suppository comes out after insertion?

    If a Proctosedyl Suppository (hydrocortisone, cinchocaine) slips out within minutes, you may reinsert a new one. If it happens regularly, try inserting while lying down, waiting longer before standing, or using a small amount of lubricant for comfort.

  • Can Proctosedyl Suppositories help with pain after bowel movements?

    Yes. The anaesthetic action of Proctosedyl Suppositories (hydrocortisone, cinchocaine) can ease post-bowel-movement discomfort by reducing swelling and soothing the irritated lining of the rectum. Supporting this with dietary fibre also helps reduce strain.

  • Can I use Proctosedyl Suppositories at night for continuous relief?

    Yes. Using Proctosedyl Suppositories (hydrocortisone, cinchocaine) at bedtime allows the medicine to stay in place longer and reduces night-time irritation or itching. Many people find night dosing helpful for flare-ups.

  • How long should I use Proctosedyl Suppositories for?

    They should only be used for up to seven days unless a clinician recommends a longer course. Proctosedyl Suppositories (hydrocortisone, cinchocaine) contain a steroid, so prolonged use may cause irritation or thinning of the anal lining.

  • Can Proctosedyl Suppositories help with swelling that feels like a lump inside?

    Yes. By reducing inflammation within the anal canal, Proctosedyl Suppositories (hydrocortisone, cinchocaine) can ease the sensation of internal pressure or a soft lump caused by swollen haemorrhoids. This often improves comfort during sitting and bowel movements.

  • What should I do if Proctosedyl Suppositories aren’t helping?

    If your symptoms don’t improve after a week of using Proctosedyl Suppositories (hydrocortisone, cinchocaine), a clinician may recommend alternative suppositories, combination therapy or further investigation. Persistent pain or bleeding should never be ignored.