Proctosedyl Ointment

Proctosedyl (hydrocortisone/cinchocaine) is a prescription medication for the relief of haemorrhoids (piles) and painful anal conditions like fissures. Available through Chemist Doctor's regulated online service following a consultation with UK-licensed clinicians.
You must complete a short online consultation so that our prescriber can ensure that the treatment is suitable for you.
Assessment
Answer some questions about your health concerns & symptoms

Treatment
Connect with a clinician 100% online, no appointment needed

Delivery
Get your medication delivered directly, if prescribed

Table of Contents
- Proctosedyl Ointment: Key Uses and Benefits
- Understanding Haemorrhoids: Causes and Symptoms
- How Proctosedyl Ointment Works: Dual-Action Relief
- Step-by-Step Guide to Using Proctosedyl
- Proctosedyl Ointment: Side Effects and Safety Guidelines
- Common and Rare Side Effects of Proctosedyl
- Who Should Avoid Proctosedyl Ointment?
- Proctosedyl Drug Interactions
- Where Can I Buy Proctosedyl Online in the UK
- Proctosedyl FAQs
Proctosedyl Ointment: Key Uses and Benefits
Proctosedyl ointment is a topical haemorrhoid treatment combining hydrocortisone (a corticosteroid) and cinchocaine (a local anaesthetic). Available as a cream or suppository, it addresses both internal and external piles. Clinical studies show symptom relief within 5–7 days of proper use1.
Understanding Haemorrhoids: Causes and Symptoms
Haemorrhoids (piles) develop when pressure causes swelling in anal blood vessels. Common triggers include:
- Pregnancy or obesity
- Chronic constipation/diarrhoea
- Prolonged sitting
Symptoms
- Bleeding after bowel movements
- Itching or mucus discharge
- Visible lumps around the anus
Always consult a GP for first-time occurrences or rectal bleeding.
How Proctosedyl Ointment Works: Dual-Action Relief
Proctosedyl’s formula targets haemorrhoid discomfort through:
- Hydrocortisone (1%): Reduces inflammation by blocking prostaglandin production.
- Cinchocaine (0.5%): Blocks nerve signals for immediate pain relief.
Think of it as a fire extinguisher—cooling irritation (cinchocaine) while dousing inflammation (hydrocortisone).
Step-by-Step Guide to Using Proctosedyl
For External Haemorrhoids
- Wash hands and dry the area gently.
- Apply a pea-sized amount to fingertips.
- Massage thinly over affected area.
For Internal Haemorrhoids
- Attach the applicator nozzle to the tube.
- Insert gently into the rectum and squeeze.
- Hold position for 1–2 minutes post-application.
Always wash hands before and after use.
Safety and Compliance Guidelines
Overapplication Risks
Exceeding the recommended dose increases systemic absorption risks. If symptoms persist, consult an NHS GP.
Missed Doses
Apply missed doses immediately unless close to the next scheduled application. Never double-dose.
Proctosedyl Ointment: Side Effects and Safety Guidelines
Before using Proctosedyl, review the official Patient Information Leaflet (PIL) and consult your GP if you have haemorrhoid-related concerns.
Common and Rare Side Effects of Proctosedyl
While most users tolerate Proctosedyl well, potential reactions include:
- Common (1–10% of users): Temporary skin thinning at application site
- Rare (<1%):
- Blurred vision (systemic absorption risk)
- Contact dermatitis (rash/redness)
Key safety note: Discontinue use and contact NHS 111 if severe reactions occur.
Who Should Avoid Proctosedyl Ointment?
Contraindications include:
- Hypersensitivity to corticosteroids or local anaesthetics
- Active anal infections (e.g., herpes, tuberculosis)
- Concurrent use with HIV protease inhibitors (ritonavir/cobicistat)
Special Populations
- Pregnancy: Limited absorption data – use only if GP-approved
- Breastfeeding: Potential neonatal steroid exposure
Proctosedyl Drug Interactions
Disclose all medications during consultation, including:
Medication Type | Interaction Risk |
---|---|
Other steroid creams | ↑ Systemic steroid absorption |
Anticoagulants (warfarin) | ↑ Bleeding risk with anal trauma |
Storing Proctosedyl Safely
- Keep below 25°C
- Discard 4 weeks after opening
- Store upright to prevent leakage
Where Can I Buy Proctosedyl Online in the UK
Secure Proctosedyl Prescription & Next-Day Delivery Service
Order Proctosedyl with confidence through our UK-registered medical prescribers, who review all requests within 4 working hours. We guarantee same-day prescription approval for eligible patients and dispatch orders placed before 3pm for next-day tracked delivery.
Our Proctosedyl service combines competitive pricing with strict adherence to MHRA safety standards, ensuring your medication is dispensed through GPhC-registered pharmacies. Every purchase includes:
- Discreet packaging with applicator
- GDPR-compliant consultation
- Original Proctosedyl ointment (hydrocortisone/cinchocaine formulation)
Our Proctosedyl clinical team ensures:
- Full rectal health review (including infection screening)
- Interaction checks (especially with steroid medications)
- Personalised usage guidance (max 7 days continuous use)
Always consult your GP for first-time rectal bleeding, if pregnant/breastfeeding, or with diabetes. Discontinue if irritation occurs. Not suitable for children under 12.
Getting your medication is quick and easy with our simple 4-step process:
Start Consultation
Complete our brief health questionnaire about your medical history and current health.
Medical Review
UK-registered clinicians review your consultation for safe prescribing.
Pharmacy Processing
If approved, our partner pharmacy prepares your medication.
Fast Dispatch
Your order is dispatched via your chosen delivery method.
What does the online consultation involve?
You'll answer questions about your medical history and current health to ensure safe prescribing. Honest responses are vital for your safety.
How do I reorder medication?
Use the login details emailed after your first order to access your account and reorder.
How does the secure chat portal work?
Clinicians may contact you via your account's chat portal to discuss your treatment. Respond securely within your account.
At Chemist Doctor, we respect your privacy and ensure complete discretion at every step.
Discreet Packaging
All orders are shipped in discreet, tamper-evident packaging sealed inside anonymous mailing bags.
Secure Data
Your personal and medical information is kept strictly confidential with SSL encryption.
Private Consultations
All consultations are conducted privately by UK-registered clinicians.
Anonymous Billing
Credit card statements show a neutral descriptor with no reference to medications.
Will my GP be informed about my order?
Only with your consent. We recommend updating your GP directly for seamless care.
We offer two reliable delivery options to suit your needs:
Service Type | Delivery Speed | Order Cut-off | Carrier |
---|---|---|---|
Standard Delivery | 2-3 business days | No cut-off | Royal Mail |
Premium Next-Day Delivery | Next business day | 3 PM weekdays | Royal Mail 24 |
Next-day delivery guarantee applies to orders approved before 3 PM to these regions:
- England
- Scotland
- Wales
- Northern Ireland
Service Restrictions: We currently cannot deliver to: Republic of Ireland, Continental Europe, USA, or Canada
Is packaging discreet?
Yes. All orders are shipped in plain, unmarked packaging via tracked courier services.
Do I need to stay home for delivery?
No. You'll receive a tracking number to monitor your parcel's progress.
Do you deliver on weekends or bank holidays?
Deliveries occur Monday–Friday only. We do not ship on weekends or UK bank holidays.
What should I do if my order hasn't arrived?
Use your tracking number to locate the parcel or contact our support team for assistance.
Can I receive delivery updates via SMS?
Yes. Provide your mobile number at checkout for courier updates. We will not use it for marketing purposes.
Credit/Debit Cards
Visa, Mastercard, Maestro, American Express
Secure 3D authentication
Bank Transfer
Select at checkout for unique reference details
Order processes once payment clears
We use SSL encryption and PCI DSS compliance to secure transactions. Learn more in our Privacy Policy.
How long do refunds take to process?
Card payments: Refunds appear in 3–5 days.
Bank transfers: We'll contact you for account details to return funds.
Why was my order declined?
Declined orders are not charged. Card authorisations release funds within 3–5 days (contact your bank for details).
Can I return prescription medication?
No. UK law prohibits returns of dispensed prescription treatments for safety reasons.
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Proctosedyl FAQs
What active ingredients does Proctosedyl Ointment contain?
Proctosedyl contains two active ingredients: Cinchocaine Hydrochloride (a local anaesthetic) and Hydrocortisone (a topical corticosteroid). These work together to relieve pain and reduce inflammation associated with haemorrhoids.
How should I apply Proctosedyl Ointment?
For external use:
- Wash hands thoroughly
- Apply small amount to fingertip
- Gently rub onto affected area
- Wash hands after application
For internal use:
- Attach provided nozzle to tube
- Insert gently into rectum
- Squeeze tube while withdrawing
- Remain still for 1-2 minutes
- Wash hands and nozzle thoroughly
Use twice daily (morning/evening) and after bowel movements. Do not exceed 7 days of treatment without medical advice.
Why is there a purchase limit for Proctosedyl online?
As a pharmacy-only medicine (POM), Proctosedyl is restricted to one tube per purchase to ensure safe usage and compliance with UK regulations. This allows pharmacists to monitor appropriate treatment duration and refer patients to GPs if symptoms persist beyond 7 days.
How quickly does Proctosedyl work?
Most users notice symptom improvement within 2-3 days. Complete the full 7-day course even if symptoms resolve earlier. If no improvement occurs within 7 days, consult your GP.
What haemorrhoid severity is Proctosedyl suitable for?
Proctosedyl is indicated for mild to moderate (first and second degree) haemorrhoids. For persistent prolapsed haemorrhoids or severe symptoms, consult your GP for examination and alternative treatments.
Can I use other haemorrhoid treatments with Proctosedyl?
Concurrent use of similar treatments (e.g. Scheriproct, Anusol HC) isn't recommended as they contain comparable ingredients and may increase side effect risks. Paracetamol or ibuprofen may be used for additional pain relief if required.
What should I do if Proctosedyl doesn't work?
Discontinue use and consult your GP if symptoms persist after 7 days. Do not switch to similar OTC treatments without medical advice, as they may share similar mechanisms of action.
Can I reuse Proctosedyl if symptoms return?
You may reuse Proctosedyl for recurrent episodes, but limit each course to 7 days maximum. If effectiveness reduces with subsequent uses or recurrence becomes frequent, seek medical assessment to address underlying causes.
What additional measures help during treatment?
- Gently cleanse area twice daily with warm water
- Avoid straining during bowel movements
- Increase fibre intake and hydration
- Use stool softeners if constipated
- Respond promptly to bowel urges
Is Proctosedyl suitable for children?
No. Proctosedyl is only licensed for adults aged 18+. Children and adolescents with haemorrhoid symptoms should consult a GP for age-appropriate treatments.
Are haemorrhoids and piles the same condition?
Yes, "piles" is the common term for haemorrhoids - both refer to swollen blood vessels in the anal area. The medical term is haemorrhoids.
Can Proctosedyl affect my ability to drive?
Proctosedyl is unlikely to affect driving ability. However, if you experience any visual disturbances (a rare side effect), avoid driving or operating machinery until symptoms resolve.
Is alcohol consumption safe while using Proctosedyl?
Proctosedyl has no direct interaction with alcohol. However:
- Alcohol can cause dehydration and constipation
- Constipation may worsen haemorrhoid symptoms
- Moderate intake is advised during treatment
Can I use Proctosedyl during pregnancy or breastfeeding?
Consult your doctor or midwife before using Proctosedyl if you are pregnant, planning pregnancy, or breastfeeding. They can recommend appropriate treatment options for your situation.
Is Proctosedyl available over-the-counter?
No, Proctosedyl is a prescription-only medicine (POM) in the UK. You can obtain it through:
- NHS prescription from your GP
- Private prescription from a registered clinic
- Online prescription services following a medical assessment
![]() | Authored by Nabeel M |
Medical Content Manager & Pharmacy Associate
Nabeel is a co-founder of Chemist Doctor. He works closely with our medical team to ensure the information is accurate and up-to-date.
![]() | Reviewed by Usman M (2073618) |
Director & Superintendent Pharmacist
Usman is a co-founder, and superintendent pharmacist of Chemist Doctor. He leads the clinical team and online prescribing services, utilising his expertise.
Review Date: 24 May 2025
Next Review: 14 December 2025
Published on: 23 May 2025
Last Updated: 24 May 2025
Responsible Pharmacist
![]() | Usman Mir Superintendent GPhc: 2073618 |






Chemist Doctor is an online pharmacy and online doctor service, owned and operated by Chem Doc Ltd (Company Reg. 16478812). Prescriptions are managed by our sister company, Inspire Pharmacy (GPhC No. 9011381), a registered pharmacy located at Unit 18, Croft Road Industrial Estate, Newcastle-under-Lyme, Staffordshire, ST5 0TW. The content on this website is for informational purposes only. It should support, not replace, advice from your healthcare provider. Always consult your doctor if you suspect a health issue or before beginning new medication. Ensure you read the leaflets provided with any medicines. For further details, visit our policies and terms & conditions at the bottom of each page.
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