Scheriproct ointment is a prescription topical treatment combining a steroid and local anaesthetic for moderate to severe haemorrhoids and anal itching.
Apply twice daily (or up to four times on day one) using the included applicator.
Use for no longer than 5-7 days unless advised otherwise by your doctor.
Scheriproct ointment is a topical treatment designed for short-term relief of haemorrhoids and anal itching. It’s a prescription medicine, which means your doctor or pharmacist needs to assess your symptoms before you can use it. The ointment comes in a 30g tube with a special rectal applicator that makes it easy to apply the medicine exactly where it’s needed [1], [2], [3].
The product contains two active ingredients working together:
Prednisolone
Cinchocaine
Prednisolone hexanoate is a steroid that reduces inflammation, swelling, and redness around the anus[3].
Cinchocaine hydrochloride is a local anaesthetic that numbs the area, providing quick pain relief [3].
This combination makes Scheriproct ointment particularly useful when over-the-counter treatments haven’t been effective enough [3].
Scheriproct ointment is typically prescribed for short-term use only, usually 5-7 days. It’s not meant for long-term daily use because of the steroid content.
If your symptoms haven’t improved after a week, or if they get worse, you should contact your doctor for further advice.
The ointment is stored in a collapsible aluminium tube and should be kept below 25°C, away from heat sources [3].
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Scheriproct ointment is a prescription-strength treatment for moderate to severe haemorrhoids and anal itching. It combines a steroid to reduce inflammation with a local anaesthetic to ease pain and discomfort quickly. This guide covers everything you need to know about using it safely and effectively.
Key takeaways
Scheriproct ointment contains prednisolone (a steroid) and cinchocaine (a local anaesthetic) to tackle inflammation and pain
It’s suitable for moderate to severe internal haemorrhoids (grade 2 and 3) when milder treatments haven’t worked
You apply it twice daily (or up to four times on day one for faster relief) using the included applicator
It works best alongside lifestyle changes like eating more fibre and staying hydrated
It’s not suitable if you have any signs of infection, and you shouldn’t use it for more than 5-7 days without medical advice
Overview: Scheriproct ointment
Scheriproct ointment is a powerful short-term treatment for haemorrhoids that don’t respond to basic self-care or over-the-counter creams. It’s prescribed by doctors when symptoms are more severe and need stronger action [1], [2], [3].
Here’s what you need to know about this medication.
Scheriproct ointment works by combining two active ingredients that tackle different aspects of haemorrhoid symptoms. The steroid reduces inflammation and swelling, while the anaesthetic numbs pain and discomfort [3]. This dual action means you often feel relief quite quickly, sometimes within the first application.
The medicine is designed for short-term use only. Most people use it for 5-7 days while they’re also making lifestyle changes to prevent haemorrhoids from returning. It’s not a long-term solution on its own—the real key to preventing haemorrhoids is addressing the root cause, which is usually constipation and straining [1], [2], [3].
Because Scheriproct ointment contains a steroid, it’s important to use it exactly as prescribed. Steroids are powerful anti-inflammatory agents, but they can have side effects if used incorrectly or for too long. Your doctor will have assessed your symptoms carefully before prescribing it to make sure it’s safe for you.
The applicator included in the pack makes application straightforward. It screws onto the tube, allowing you to apply the ointment directly inside the anal canal if needed. After each use, you simply clean the applicator with warm water and a paper towel. This design helps ensure the medicine reaches the right place and minimises mess.
Active ingredients in Scheriproct ointment
Scheriproct ointment contains two active ingredients: prednisolone hexanoate and cinchocaine hydrochloride. Prednisolone hexanoate is a corticosteroid, which means it's a powerful anti-inflammatory medicine [3]. When applied topically, it reduces swelling, redness, and inflammation in the tissues around the anus. It works by decreasing capillary dilation (widening of small blood vessels), reducing fluid buildup in tissues, and limiting inflammatory cell infiltration [3].
Cinchocaine hydrochloride is a local anaesthetic from the amide group. It works by blocking nerve signals in the area where it's applied, which numbs pain and itching [3].
When combined with prednisolone, it provides quick symptom relief while the steroid works to reduce the underlying inflammation. The two ingredients work synergistically, meaning they're more effective together than either would be alone [3].
What is Scheriproct ointment for?
Scheriproct ointment is prescribed for the symptomatic relief of haemorrhoids and pruritus ani (anal itching) in the short term. It's particularly useful for moderate to severe internal haemorrhoids (grade 2 and 3) that cause significant pain, itching, or bleeding [3]. If you have mild haemorrhoids that respond well to over-the-counter treatments, your doctor will usually recommend trying those first [2].
Your doctor might prescribe Scheriproct ointment if you've tried milder treatments without success, or if your symptoms are severe enough that you need faster relief while you're making lifestyle changes.
It's not suitable for all types of haemorrhoids or all patients, which is why it requires a prescription.
Scheriproct ointment is also used for anal itching (pruritus ani) when it's related to haemorrhoids. However, if your itching is caused by something else—like a fungal infection, herpes, or another skin condition—Scheriproct ointment won't be appropriate and might actually make things worse. This is why proper diagnosis is essential before starting treatment.
How does Scheriproct ointment work?
Scheriproct ointment works through two complementary mechanisms. The prednisolone hexanoate component is a steroid that suppresses the inflammatory response in the tissues around the anus [3]. When haemorrhoids become inflamed, the blood vessels dilate (widen), fluid builds up in the tissues, and inflammatory cells accumulate. Prednisolone reverses these processes by reducing capillary dilation, decreasing intercellular oedema (fluid buildup), and limiting inflammatory cell infiltration [3].
The cinchocaine hydrochloride component works as a local anaesthetic by blocking sodium channels in nerve cells [3]. This prevents nerve signals from being transmitted, effectively numbing the area [3]. Because pain and itching are transmitted by nerve signals, blocking these signals provides rapid relief [3].This is why many people feel better almost immediately after applying Scheriproct ointment.
The combination of these two ingredients addresses both the physical problem (inflammation and swelling) and the symptoms (pain and itching).
The steroid tackles the root cause by reducing inflammation, while the anaesthetic provides immediate comfort. This is why Scheriproct ointment is more effective than single-ingredient treatments for moderate to severe haemorrhoids. However, it's important to remember that Scheriproct ointment treats symptoms, not the underlying cause of haemorrhoids. You still need to address constipation, straining, and other risk factors to prevent haemorrhoids from returning.
How to use Scheriproct ointment
Apply a thin layer of Scheriproct ointment twice daily to the affected area. On your first day of treatment, you can apply it three to four times for faster improvement. Use the rectal applicator provided in the pack for internal application. Simply screw the applicator onto the tube and gently insert it into the anus, then squeeze out a small amount of ointment. You don't need to use much—a thin layer is sufficient [3].
After each application, clean the applicator carefully. Wipe it externally with a paper towel, then remove any remaining product inside using a cotton swab. Rinse the applicator under warm water for about one minute and dry it with a paper towel. This keeps the applicator clean and hygienic for the next use. Don't use the applicator if it's damaged.
Use Scheriproct ointment for no longer than 5-7 days unless your doctor advises otherwise. If your symptoms haven't improved after a week, or if they get worse, contact your doctor. Don't assume that using it for longer will help more—steroids can cause side effects with prolonged use, including skin thinning. Always follow your doctor's instructions about how long to use.
Warnings and precautions: Scheriproct ointment
Do not use Scheriproct ointment if you have any signs of infection around the anus. This includes bacterial infections, fungal infections (like thrush), or viral infections (like herpes simplex). Steroids suppress the immune system locally, which means they can make infections worse [3]. If you have blisters, sores, pustules, or unusual discharge, see your doctor before using Scheriproct ointment.
Tell your doctor if you're pregnant or breastfeeding before using Scheriproct ointment. Although topical steroids are generally considered safer than oral steroids during pregnancy, there's limited evidence of safety, particularly in the first trimester. Your doctor will weigh the benefits against the risks. If you're breastfeeding, small amounts of steroid can pass into breast milk, so your doctor needs to know [3].
Scheriproct ointment contains castor oil and related ingredients that can reduce the effectiveness of latex products like condoms. If you rely on condoms for contraception, use an alternative method while using Scheriproct ointment and for a short time afterwards. Some people are allergic to the ingredients in Scheriproct ointment, particularly the local anaesthetic cinchocaine. If you've had allergic reactions to local anaesthetics before, tell your doctor.
Side effects: Scheriproct ointment
Most people tolerate Scheriproct ointment well when used as directed for short periods. However, like all medicines, it can cause side effects. The most common side effect is allergic skin reactions, including rash, itching, or redness. If you develop a rash or increased itching after starting Scheriproct ointment, stop using it and contact your doctor [3].
With prolonged or excessive use of topical steroids, there's a risk of skin atrophy (thinning of the skin). This is why Scheriproct ointment is only recommended for short-term use (5-7 days). Skin atrophy is rare with short-term use but becomes more likely if you use the product for weeks or months. Never use Scheriproct ointment for longer than prescribed without consulting your doctor [3].
Rarely, systemic side effects can occur if large amounts of the steroid are absorbed into the bloodstream. These might include adrenal suppression (reduced function of the adrenal glands), though this is uncommon with topical application. Visual disturbances have been reported rarely with corticosteroid use. If you experience blurred vision or other eye problems while using Scheriproct ointment, contact your doctor [3].
Drug interactions: Scheriproct ointment
Scheriproct ointment can interact with certain medicines, particularly those that inhibit the enzyme CYP3A. These include some antifungal medicines, certain antiretroviral drugs (used for HIV), and some other medications. If you're taking any of these medicines, tell your doctor before using Scheriproct ointment, as the combination might increase the risk of systemic steroid side effects [3].
If you're already taking oral or injected steroids for another condition, using Scheriproct ointment adds to your overall steroid exposure. Your doctor needs to know about all steroids you're taking so they can monitor you appropriately. The combination isn't necessarily dangerous, but it requires careful oversight [3].
Scheriproct ointment doesn't interact significantly with most common medicines. However, always tell your doctor and pharmacist about all medicines you're taking, including over-the-counter products, supplements, and herbal remedies. This helps ensure there are no unexpected interactions.
Frequently asked questions: Scheriproct ointment
How quickly does Scheriproct ointment work?
Many people feel relief within the first application or two. The local anaesthetic provides immediate numbing, while the steroid begins reducing inflammation right away. However, full benefit might take a few days as the inflammation gradually subsides.
Can I use Scheriproct ointment long-term?
No. Scheriproct ointment is designed for short-term use only, typically 5-7 days. Prolonged use of topical steroids can cause skin thinning and other side effects. If you need relief for longer than a week, contact your doctor.
Is Scheriproct ointment suitable for external haemorrhoids?
Scheriproct ointment can be used for external haemorrhoids, though it's particularly effective for internal ones. For external haemorrhoids, you apply it directly to the affected area rather than using the applicator.
Can I use Scheriproct ointment if I'm pregnant?
Scheriproct ointment should generally be avoided in pregnancy, particularly in the first trimester. However, if your symptoms are severe and other treatments haven't worked, your doctor might consider it. Always discuss pregnancy with your doctor before using any medicine.
What should I do if Scheriproct ointment doesn't work?
If your symptoms haven't improved after 5-7 days, or if they get worse, contact your doctor. You might need a different treatment, or your symptoms might be caused by something other than haemorrhoids.
Can I buy Scheriproct ointment without a prescription?
No. Scheriproct ointment is a prescription-only medicine in the UK. Your doctor or pharmacist needs to assess your symptoms and confirm it's safe for you before you can use it. You can purchase Scheriproct ointment from Courier Pharmacy after completing the online questionnaire.
Does Scheriproct ointment contain any allergens?
Scheriproct ointment contains castor oil and related ingredients that can cause allergic reactions in some people. If you're allergic to castor oil or any other ingredients, tell your doctor before using it.
Can I use Scheriproct ointment while breastfeeding?
Small amounts of steroid can pass into breast milk. Your doctor will weigh the benefits against the risks. In most cases, short-term use is considered acceptable, but always check with your doctor first.
What should I do if I forget a dose?
If you forget a dose, apply it as soon as you remember, unless it's almost time for your next dose. Don't double up on doses. Continue with your regular schedule.
Can Scheriproct ointment cause skin thinning?
Yes, prolonged use of topical steroids can cause skin atrophy (thinning). This is rare with short-term use (5-7 days) but becomes more likely with longer use. Never use Scheriproct ointment for longer than prescribed.
Is Scheriproct ointment safe for children?
Scheriproct ointment is not recommended for children. Haemorrhoids are rare in children, and if they occur, different treatments are usually considered.
Can I use Scheriproct ointment with other haemorrhoid treatments?
Ask your doctor or pharmacist before combining Scheriproct ointment with other treatments. Some combinations might be safe, while others might not be.
What's the difference between Scheriproct and other haemorrhoid treatments?
Scheriproct ointment is stronger than over-the-counter treatments because it contains a steroid. It's reserved for moderate to severe haemorrhoids that don't respond to milder treatments. Over-the-counter options like Anusol are suitable for mild to moderate cases.
How should I store Scheriproct ointment?
Store Scheriproct ointment below 25°C, away from heat sources. Keep it out of reach of children. Don't store it in the bathroom, as moisture can affect the product.
Can Scheriproct ointment affect my ability to drive?
No. Scheriproct ointment doesn't affect your ability to drive or operate machinery.
What should I do if I use too much Scheriproct ointment?
If you accidentally use more than recommended, don't panic. Wash the area gently with water. If you experience unusual symptoms, contact your doctor or poison control.
Does Scheriproct ointment interact with alcohol?
No direct interaction exists between Scheriproct ointment and alcohol. However, alcohol can contribute to constipation and dehydration, which can worsen haemorrhoids.
Can Scheriproct ointment be used for conditions other than haemorrhoids?
Scheriproct ointment is specifically designed for haemorrhoids and anal itching. Don't use it for other conditions without consulting your doctor.
How do I clean the applicator?
After each use, wipe the applicator externally with a paper towel. Remove any remaining product inside using a cotton swab. Rinse under warm water for about one minute and dry with a paper towel. Don't use the applicator if it's damaged.
What should I do if I have an allergic reaction?
If you develop a rash, itching, swelling, or difficulty breathing after using Scheriproct ointment, stop using it immediately and seek medical help. Contact your doctor or call 999 if symptoms are severe.
How Courier Pharmacy can help
At Courier Pharmacy, we understand that haemorrhoids can be uncomfortable and embarrassing. You can purchase Scheriproct ointment after completing the online health questionnaire. It will be dispatched discreetly and answer any questions you have about using it safely.
We also offer free consultations with our pharmacists, who can discuss your symptoms, check that Scheriproct ointment is the right choice for you, and advise on lifestyle changes that help prevent haemorrhoids from returning. Prevention is just as important as treatment.
For those managing haemorrhoids long-term, we stock a range of over-the-counter treatments and can recommend products suitable for your specific situation. We're here to support your health journey without judgment.
Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice.
This article was written by the Courier Pharmacy team and reviewed by our registered pharmacist to ensure accuracy and clinical relevance. It's based on current NHS and NICE guidance, the product's summary of product characteristics (SmPC), and real patient experiences.
We've aimed to make technical information accessible and practical, so you can use Scheriproct ointment safely and effectively. If you have specific concerns about your symptoms or how to use this medicine, please consult your GP or pharmacist for personalised advice.
