Key Takeaways: Using Proctosedyl Safely

For external use only (ointment): apply a small amount to the anal area up to 3-4 times daily.
Suppositories: for internal haemorrhoids – insert one after a bowel movement, up to twice daily.
Maximum use: do not use for more than 7 days unless directed by a doctor.
Children: not recommended under 12 years.
Pregnancy/breastfeeding: only if prescribed by a doctor after risk assessment.
Storage: ointment below 25°C; suppositories in fridge (2°C–8°C).

Proctosedyl is a dual-action treatment for haemorrhoids (piles) containing hydrocortisone and cinchocaine. Using it correctly ensures you get the fastest relief while avoiding side effects. This guide explains exactly how to apply the ointment and insert suppositories, the right dosage, and important safety advice.

Important Medical Advice

Stop using Proctosedyl and see a doctor if: bleeding continues, pain worsens, or you have no improvement after 7 days. Seek emergency help if you experience signs of allergic reaction (swelling of face, lips, throat) or if you accidentally swallow a large amount.

How to Use Proctosedyl: Step-by-Step Guide

Proctosedyl comes as an ointment and as suppositories. Choose the form that suits your symptoms – ointment for external piles, suppositories for internal piles.

Using Proctosedyl Ointment

Prepare: Wash your hands with soap and water. Gently clean the anal area with warm water and pat dry.
For external application: Squeeze a small amount (about 1 cm) of ointment onto your fingertip. Apply gently to the affected area around the anus, up to 3–4 times daily.
For deeper application (using the nozzle): Remove the cap and screw the plastic nozzle firmly onto the tube. Gently insert the nozzle fully into the rectum (back passage). Squeeze the tube from the lower end while slowly withdrawing the nozzle. After use, wash the nozzle with warm soapy water and recap it.
If the area is very inflamed: it may be more comfortable to apply with a finger rather than the nozzle until the tenderness subsides.

Using Proctosedyl Suppositories

Prepare: Wash your hands. Remove one suppository from the blister pack.
Moisten: Dip the suppository briefly in cool water to help it glide in.
Position: Stand with one foot on a chair or lie on your side with knees bent. Raise one knee towards your chest.
Insert: Gently push the suppository into the rectum, pointed end first. Push about 2-3 cm (for adults).
Stay still: Remain lying down for a few minutes to prevent the suppository from slipping out. Try not to open your bowels for at least one hour to allow absorption.

🗒️ Pro tip: If you forget a dose, use it as soon as you remember. If it's nearly time for the next dose, skip the missed one – do not double up.

Proctosedyl Dosage Guide

The amount you use depends on the form and your symptoms. Always use the smallest effective amount for the shortest possible time.

Form	Standard dose	Maximum frequency
Ointment (external)	Thin layer (approx 1 cm)	3–4 times daily
Ointment (with nozzle)	One application per dose	Up to 3 times daily
Suppositories	One suppository	Morning and night, or after each bowel movement (max 2 per day)

Do not use for longer than 7 days without medical advice. Prolonged use can cause skin thinning or mask more serious conditions.

Who Should Use Proctosedyl?

Proctosedyl is suitable for adults and children over 12 years with:

Internal or external haemorrhoids (piles)
Anal fissures (small tears in the skin around the anus)
Itching or discomfort in the anal area due to inflammation
Proctitis (inflammation of the rectum lining)

It is designed for short-term relief of symptoms. If your piles are persistent, see your doctor for further treatment options.

Who Should NOT Use Proctosedyl?

Do not use Proctosedyl if:

You are allergic to hydrocortisone, cinchocaine, or any of the ingredients (wool fat, paraffin, etc.).
You have an untreated bacterial, fungal, or viral infection in the anal area (e.g., herpes, thrush, sexually transmitted infections). Steroids can make infections worse.
You have tuberculosis affecting the area.
You are under 12 years of age.
You have cuts or open wounds that are bleeding heavily.

If you are unsure, ask a pharmacist or doctor before using.

Using Proctosedyl with Food? (What to Know)

Proctosedyl is applied topically, so food does not affect how it works. However, what you eat can influence your haemorrhoids:

High-fibre foods: Eating plenty of fruit, vegetables, and whole grains softens stools and reduces straining – this helps prevent piles from getting worse.
Drink water: Aim for 6–8 glasses of non-alcoholic fluids daily to avoid constipation.
Avoid spicy foods: Some people find spicy meals can irritate the anal area during a flare-up.

There’s no need to adjust your meals around using Proctosedyl – just use it as directed, ideally after a bowel movement.

Special Conditions: Pregnancy & Breastfeeding

Pregnancy

Proctosedyl should only be used during pregnancy if clearly needed and prescribed by a doctor. Although absorption is low, high doses of corticosteroids are best avoided, especially in the first trimester. Your doctor will weigh the benefits against any potential risks.

Breastfeeding

It is not known whether the ingredients pass into breast milk after topical use. Because only tiny amounts are absorbed, it’s unlikely to affect a nursing infant, but use only on medical advice and for the shortest duration. Avoid applying directly to the nipple area.

🗒️ Always tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding before using any new medicine.

Proctosedyl Usage FAQs

Can I use Proctosedyl if I have bleeding piles?

Yes, but if bleeding is heavy or continues for more than a few days, stop and see a doctor to rule out other causes. Do not apply to open wounds.

How long does one suppository take to melt?

At body temperature, the suppository usually melts within 5–15 minutes. Remain lying down to prevent it from leaking out.

Can I use Proctosedyl more than twice a day?

Ointment can be used up to 3–4 times daily. Suppositories are usually limited to twice daily. Never exceed the recommended frequency.

What should I do if I accidentally swallow Proctosedyl?

Accidental ingestion of a small amount (like from a tube) is unlikely to cause harm. If a large amount is swallowed, contact your doctor or NHS 111 immediately.

Can I use Proctosedyl with other creams?

Avoid using other topical products in the same area unless advised by a doctor. They may interfere with absorption or increase irritation.

Need a New Supply or Advice?

If you've used Proctosedyl before and need a repeat, or if you'd like to discuss your symptoms with a UK-registered doctor, start an online consultation today.