Anusol Plus HC Ointment is a short-course haemorrhoid ointment that helps calm inflammation and soothe irritated skin, making piles symptoms like itching and soreness easier to manage.
Anusol Plus HC Ointment is a topical rectal treatment. It is used to ease symptoms linked with piles (haemorrhoids) and itching around the anus (pruritus ani).
It’s designed for short-term symptom relief, especially when things feel sore, irritated, or inflamed. If you’ve ever thought, “Please can my bum stop being dramatic,” this is the sort of product people reach for. For background on piles and common symptoms, see the NHS guide on haemorrhoids [1].
One reason Anusol Plus HC Ointment is popular is that it combines a mild steroid (hydrocortisone acetate) with protective and soothing ingredients. That “combo approach” matters because piles symptoms often come as a bundle: swelling, itching, soreness, and skin that feels raw. NICE CKS also highlights that haemorrhoid care is usually about symptom control plus lifestyle steps (like avoiding constipation) [2].
Anusol Plus HC Ointment usually comes in a tube with a rectal nozzle, which means it can be used for external symptoms and, when appropriate, for internal symptoms too. The aim is simple: reduce inflammation, protect irritated tissue, and make day-to-day life more comfortable while the underlying flare settles. For official product details (including dosing limits), the SmPC is a key reference [3].
Helps relieve itching, soreness, and swelling linked with piles
Contains hydrocortisone acetate plus protective ingredients
Can be used externally and, with the nozzle, internally
Intended for short-term use (typically up to 7 days)
Works best alongside constipation prevention and gentle hygiene
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This deep dive covers what Anusol Plus HC Ointment is for, how it works, how to use it safely, what to watch out for, and the most common questions people ask before they try it.
Overview: Anusol Plus HC Ointment
Piles are common, and they’re not a sign you’ve “failed at adulthood.” They’re swollen blood vessels in or around the anus, often linked with straining, constipation, pregnancy, or long periods sitting on the loo scrolling like it’s a part-time job [1]. When they flare, the area can feel sore, itchy, and inflamed.
Anusol Plus HC Ointment focuses on symptom relief. It won’t remove haemorrhoids overnight, but it can make a flare much more manageable. The hydrocortisone helps reduce inflammation, while the other ingredients help protect and soothe the irritated tissue [3].
The big win is comfort. When symptoms settle, it’s easier to keep up with the boring-but-brilliant basics: fibre, fluids, and not straining. NICE CKS places a lot of emphasis on these supportive steps because they reduce recurrence and help healing [2].
Used properly, this ointment can be part of a sensible short-term plan. Used for too long or too often, topical steroids can irritate skin or cause thinning. That’s why the dosing limit matters, even if it feels tempting to keep going “just in case” [3].
If you have red flags like persistent bleeding, severe pain, or symptoms that don’t improve, don’t tough it out. Those signs need a proper assessment to rule out other causes.
Buy Anusol Plus HC Ointment online
Anusol Plus HC Ointment is a Pharmacy Only medicien, which means it can be purchased without a prescription..
You can buy Anusol Plus HC Ointment from courierpharmacy.co.uk by completing a quick online consultation. A UK-qualified prescriber reviews your answers to make sure the treatment is safe and suitable for you.
How it works
Complete the online consultation
A prescriber reviews your answers
If approved, a prescription is issued
We dispense and deliver discreetly
If it isn’t suitable, we’ll explain why and suggest the next best option.
Active ingredients in Anusol Plus HC Ointment
The key active ingredient in Anusol Plus HC Ointment is hydrocortisone acetate, a mild corticosteroid that reduces inflammation and itching. The formulation also includes ingredients that help protect and soothe irritated tissue, which is useful when the skin feels raw or tender during a haemorrhoid flare [3].
Each 100g of ointment contains:
Hydrocortisone acetate
0.25g
Bismuth subgallate
2.25g
Bismuth oxide
0.875g
Balsam Peru
1.875g
Benzyl benzoate
1.25g
Zinc oxide
10.75g
Hydrocortisone is effective for short bursts, but it’s not meant for long-term daily use in this area. The SmPC sets out the short-course approach and the reasons for caution, including the possibility of systemic absorption if used excessively [3].
What is Anusol Plus HC Ointment used for?
Anusol Plus HC Ointment is used for the symptomatic treatment of internal and external haemorrhoids and itching around the anus (pruritus ani). In plain terms: it’s for when piles are making life uncomfortable and you want to calm things down quickly [3].
It’s most suitable when symptoms are mainly irritation, itching, mild swelling, and soreness. If the main issue is heavy bleeding, severe pain, a hard lump, or symptoms that keep coming back, it’s still worth speaking to a clinician because you may need a different plan (or a check that it really is haemorrhoids).
It can also be part of a broader haemorrhoid plan that includes stool-softening strategies. NICE CKS covers lifestyle measures and when to consider other treatments if symptoms persist [2].
How does Anusol Plus HC Ointment work?
Anusol Plus HC Ointment works in a few complementary ways. First, hydrocortisone acetate reduces local inflammation. When tissue is inflamed, it tends to itch, swell, and feel sore. Calming that inflammation can reduce the “itch–scratch–irritate” cycle that keeps symptoms going [3].
Second, the protective ingredients form a barrier over irritated tissue. Think of it like putting a gentle shield over skin that’s been rubbed raw. That barrier effect can reduce friction and help the area feel less tender during the day, especially after bowel movements [3].
Third, some ingredients have mild astringent or soothing properties. That can help reduce weeping, irritation, and that unpleasant “everything feels a bit angry” sensation. The SmPC explains the intended local effects and notes that most ingredients act locally rather than being absorbed into the bloodstream [3].
Finally, the practical effect is comfort. And comfort matters because it makes it easier to do the basics that actually prevent recurrence: avoiding constipation, not straining, and keeping the area clean and dry without over-washing.
How to use Anusol Plus HC Ointment
Start by gently cleaning the area with water (or a mild, fragrance-free cleanser) and patting dry. Avoid harsh soaps or vigorous rubbing, because that can make irritation worse. The NHS advice on piles includes gentle hygiene and avoiding triggers that worsen symptoms.
Apply a small amount of Anusol Plus HC Ointment sparingly. More is not better here. Use it at night, in the morning, and after each bowel movement, up to four times a day. If you’re treating internal symptoms, use the rectal nozzle provided, then clean the nozzle after each use [3].
Use it for a short course only, typically up to 7 days. If symptoms haven’t improved by then, or if they worsen, stop and seek advice.
Warnings and precautions: Anusol Plus HC Ointment
If you have rectal bleeding, blood in the stool, or a change in bowel habit, speak to a clinician before using Anusol Plus HC Ointment. These symptoms can sometimes point to other conditions that need assessment.
Do not use Anusol Plus HC Ointment if you have certain infections in the area, including fungal infections or viral lesions such as herpes simplex. Steroids can worsen some infections by reducing local immune response [3].
Avoid prolonged or excessive use. Even though hydrocortisone is mild, topical steroids can cause skin thinning and irritation if overused, and there is a possibility of systemic absorption, especially with frequent application or broken skin [3].
Do not use in pregnancy or breastfeeding unless a clinician specifically advises it. The SmPC notes limited safety evidence and recommends avoidance in these groups [3].
If you notice blurred vision or other visual disturbances, stop and seek medical advice. Visual disturbance has been reported with topical and systemic corticosteroids and may need assessment [3].
Side effects: Anusol Plus HC Ointment
Many people use Anusol Plus HC Ointment without problems, especially when it’s used for a short course. The most likely side effects are local reactions at the application site, such as burning, irritation, redness, pain, itching, rash, or hives [3].
Allergic reactions can happen, although they’re uncommon. If you develop swelling, severe itching, widespread rash, or feel unwell, stop using it and seek urgent advice [3].
With prolonged or excessive use, topical steroids can cause thinning of the skin, stretch marks, or visible small blood vessels. This is one reason the 7-day limit matters [3].
If symptoms don’t improve, worsen, or bleeding occurs, stop and get checked. NHS and NICE both emphasise that persistent or worsening symptoms need review.
Drug interactions: Anusol Plus HC Ointment
Because Anusol Plus HC Ointment is applied locally, interactions are less common than with tablets. However, using other corticosteroid products at the same time (topical or oral) can increase the chance of systemic steroid effects, especially if used frequently or over large areas [3].
Co-treatment with strong CYP3A inhibitors (including some HIV medicines such as cobicistat-containing products) may increase the risk of systemic corticosteroid effects. In practice, this is a “tell your prescriber” situation so they can weigh up risk and monitor if needed [3].
If you’re using other rectal treatments (suppositories, creams, ointments), it’s worth spacing applications and checking compatibility. Too many products at once can irritate the area or make it hard to tell what’s helping.
If you’re unsure, a quick medication check with a pharmacist is sensible, especially if you’re on long-term steroid therapy, immunosuppressants, or medicines that affect bleeding risk.
FAQ: Anusol Plus HC Ointment
What is Anusol Plus HC Ointment used for?
It’s used for short-term relief of symptoms from internal or external haemorrhoids and itching around the anus.
How quickly does Anusol Plus HC Ointment work?
Some people feel relief from itching and soreness within a day or two, but it can take several days for symptoms to settle. If there’s no improvement after 7 days, seek advice.
Can I use Anusol Plus HC Ointment for internal piles?
Yes, if supplied with a rectal nozzle and you follow the instructions. Clean the nozzle after each use.
Can I use Anusol Plus HC Ointment for external piles?
Yes. Apply sparingly to the affected area after gentle cleaning and drying.
How often can I apply Anusol Plus HC Ointment?
Up to four times a day: at night, in the morning, and after each bowel movement.
How long can I use Anusol Plus HC Ointment for?
Usually up to 7 days unless a clinician advises otherwise.
What should I do if I miss a dose?
Just apply it when you remember, but don’t exceed four applications in a day.
Can I use Anusol Plus HC Ointment in pregnancy?
The SmPC advises not to use it in pregnancy unless specifically directed by a clinician.
Can I use Anusol Plus HC Ointment while breastfeeding?
The SmPC advises not to use it while breastfeeding unless specifically directed by a clinician.
Can Anusol Plus HC Ointment cause skin thinning?
Yes, topical steroids can thin skin if used too long or too often. That’s why short-course use matters.
What if I have bleeding with piles?
Bleeding should be assessed, especially if it’s persistent, heavy, or new. NHS and NICE advise speaking to a clinician in these cases.
Can I use Anusol Plus HC Ointment with other haemorrhoid creams?
It’s best to avoid layering lots of products at once. If you need more than one, ask a pharmacist how to space them to reduce irritation.
Does Anusol Plus HC Ointment cure haemorrhoids?
It treats symptoms, not the underlying cause. Preventing constipation and straining is key for longer-term control.
What lifestyle changes help alongside Anusol Plus HC Ointment?
Fibre, fluids, not straining, and avoiding long toilet sitting are all helpful. NICE CKS covers these steps in detail.
Can I use Anusol Plus HC Ointment if I have a fungal infection?
No. The SmPC lists fungal lesions as a contraindication.
Can I use Anusol Plus HC Ointment if I have herpes?
No. Viral lesions such as herpes simplex are listed as a contraindication.
Can Anusol Plus HC Ointment affect my eyes?
Rarely, blurred vision has been reported with topical steroids. If this happens, stop and seek medical advice.
What are the most common side effects?
Local irritation, burning, redness, itching, rash, or hives at the application site.
Can I use Anusol Plus HC Ointment if I’m on steroid tablets?
Tell your prescriber or pharmacist. Using multiple steroid products can increase the chance of systemic effects.
Can Anusol Plus HC Ointment interact with HIV medicines?
Some strong CYP3A inhibitors (including cobicistat-containing products) may increase the risk of systemic steroid effects. This needs clinician review.
When should I seek urgent help?
Seek urgent advice if you have heavy bleeding, severe pain, feel faint, or have symptoms that don’t improve or worsen. NHS and NICE outline red flags and when to get checked.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional before starting any new treatment.
[3] Electronic Medicines Compendium (emc) (n.d.) Anusol Plus HC Ointment: Summary of Product Characteristics (SmPC). Available at: https://www.medicines.org.uk/emc/product/3807/smpc (Accessed: 9 March 2026).
