How To Apply Proctosedyl Ointment: Step-by-Step Usage Guide
Key Takeaways
- Active Ingredients: Hydrocortisone (anti-inflammatory) + Cinchocaine (local anaesthetic)
- Application: 2-3 times daily (morning, evening, and after bowel movements)
- External Use: Apply thin layer to clean, dry skin around anus
- Internal Use: Use provided applicator for internal piles (insert 2cm)
- Duration: Maximum 7 days continuous use unless directed by doctor
- Precautions: Avoid if allergic to corticosteroids or local anaesthetics
Proper application of Proctosedyl ointment is essential for effective haemorrhoid treatment. Our detailed guide demonstrates correct techniques for both external application and internal administration (using the provided applicator), explains optimal dosage and frequency, provides hygiene recommendations to prevent infection, and offers practical tips for comfortable use during acute flare-ups.
Before You Begin
What You'll Need: Proctosedyl ointment tube, clean tissues, mild soap, warm water, and the applicator (for internal use). Wash hands before and after application.
Preparation Steps
- Wash your hands thoroughly with soap and warm water
- Gently clean the anal area with mild soap and water
- Pat the area dry with a clean towel or tissue (avoid rubbing)
- Remove the cap from the Proctosedyl tube
- If using internally, attach the applicator nozzle to the tube
External Application Steps
For external haemorrhoids or anal itching/fissures:
[Diagram: External application technique]
- Squeeze a pea-sized amount (about 1cm) of ointment onto your clean fingertip
- Gently apply to the affected area around the anus
- Use a circular motion to spread thinly over the area
- Avoid getting ointment inside the anal canal unless specifically directed
- Do not rub vigorously - apply with light pressure
- Wash hands thoroughly after application
After Application
- Allow 5-10 minutes for absorption before dressing
- You may use a clean sanitary pad to protect underwear from stains
- Avoid tight clothing that may rub the area
Internal Application Steps
For internal haemorrhoids (using the provided applicator):
[Diagram: Internal application technique with applicator]
- Attach the applicator nozzle firmly to the tube opening
- Gently insert the applicator about 2cm into the anal canal
- Squeeze the tube to deliver a small amount of ointment (about 1cm length)
- Withdraw the applicator while continuing to squeeze gently
- Remove the applicator and wipe clean with tissue
- Wash the applicator with warm soapy water after each use
- Wash hands thoroughly after application
Tip: For easier insertion, you may lubricate the applicator tip with a small amount of ointment before insertion.
Application Frequency
| Condition | Recommended Frequency | Best Times to Apply |
|---|---|---|
| Mild haemorrhoids | Twice daily | Morning and bedtime |
| Severe haemorrhoids | 3-4 times daily | Morning, bedtime, and after bowel movements |
| Anal fissures | 2-3 times daily | After bowel movements and at bedtime |
| Itching/irritation | As needed (max 4x daily) | When symptoms occur |
After Bowel Movements
- Clean the area gently with moist toilet paper or baby wipes
- Pat dry before reapplying ointment
- This helps maintain medication effectiveness and hygiene
Treatment Duration
Standard Course: Most patients see improvement within 3-5 days. Maximum continuous use should not exceed 7 days without medical supervision.
Expected Timeline
| Time Period | Expected Effect | Action |
|---|---|---|
| First 24 hours | Reduced pain and itching | Continue regular application |
| 3-5 days | Decreased swelling and inflammation | Assess if frequency can be reduced |
| 7 days | Complete symptom relief in most cases | Discontinue use if symptoms resolved |
| Beyond 7 days | Persisting symptoms | Consult your GP for evaluation |
Important Precautions
When to Avoid Proctosedyl
- If allergic to hydrocortisone, cinchocaine, or any ingredients
- With untreated infections (bacterial, viral, or fungal)
- If you have tuberculosis affecting the rectal area
- During chickenpox or herpes outbreaks
- If you've recently had vaccinations
Special Considerations
| Situation | Precaution |
|---|---|
| Pregnancy | Only if clearly needed (consult doctor first) |
| Breastfeeding | Avoid application to nipple area |
| Children | Not recommended under 12 years |
| Diabetes | Monitor blood sugar (steroids may affect levels) |
| Liver problems | Use with caution (reduced metabolism) |
Potential Side Effects of Proctosedyl
- Severe allergic reaction (swelling, difficulty breathing)
- Signs of infection (increased pain, pus, fever)
- Severe skin irritation or worsening symptoms
Common Side Effects (1 in 10 people)
- Mild burning or stinging at application site
- Dryness or irritation of the skin around the anus
- Redness or itching
Rare Side Effects
- Skin thinning with prolonged use
- Changes in skin colour
- Increased hair growth at application site
- Systemic effects from steroid absorption (with excessive use)
FAQs
Can I use Proctosedyl with other haemorrhoid treatments?
Do not combine with other steroid creams without medical advice. You may use stool softeners or fibre supplements alongside Proctosedyl.
What if I forget to apply a dose?
Apply as soon as you remember, unless it's nearly time for the next dose. Never apply extra to make up for a missed dose.
Can I use Proctosedyl for itchy bottom (pruritus ani)?
Yes, but only if caused by inflammatory conditions. Avoid use for unknown itch - see your GP to rule out infections or other causes first.
Can I use Proctosedyl for fissures?
Not recommended. While it may temporarily relieve pain, fissures often require different treatments (e.g., GTN ointment). Consult your GP.
Why does it sometimes sting when applied?
The alcohol base in Proctosedyl may cause brief stinging on broken skin. If persistent, discontinue use.
 | Authored by Nabeel |
Medical Content Manager
Nabeel is a co-founder, and medical content manager of Chemist Doctor. He works closely with our medical team to ensure the information is accurate and up-to-date.
 | Reviewed by Dr. Waqas (GMC:7928708) |
Medical Doctor
Dr. Waqas is a GMC-registered doctor at Chemist Doctor, specialising in general health. He balances clinical precision with cultural sensitivity.
 | Approved by Usman |
Medical Director
Usman is a co-founder, and medical director of Chemist Doctor. He leads the organisation's strategic vision, bridging clinical and operational priorities.
Review Date: 12 August 2025
Next Review: 14 February 2026
Published on: 11 August 2025
Last Updated: 12 August 2025
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