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Pramocaine Hydrochloride/Hydrocortisone Acetate/Zinc Oxide/Peru Balsam/Benzyl Benzoate/Bismuth Oxide

Anugesic HC is a cream used to relieve haemorrhoids. It treats pain and swelling, and also helps to repair damaged skin cells in the affected region.

Here at Treated.com you can buy Anugesic online. Our confidential online facility enables you to get fast yet discreet access to the treatment you need.

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PLEASE NOTE: This treatment is not available through our online pharmacy service. This page is for information only. If you are experiencing any of the symptoms related to the condition(s) this medication treats, we strongly recommend that you see your GP in person.

This content was reviewed by a clinician on

04 August 2020
dr daniel

Dr Daniel Atkinson

(GP Clinical Lead - GMC No. 4624794) 04 August 2020
Product information

Anugesic HC is a topical cream for haemorrhoids, marketed in the UK by Pfizer. It contains a number of active ingredients which soothe discomfort, reduce inflammation and help the affected region to heal. The cream is applied in the evening, morning, and after each bowel opening.

  1. Soothes discomfort
  2. Reduces inflammation
  3. Encourages new skin growth

Haemorrhoids, also referred to as piles, are swollen blood vessels (varicose veins) in the anal region. They cause swellings which can appear inside or outside the rectum, and cause feelings of discomfort or irritation. In many cases, blood may be present after bowel movements and appear on toilet paper.

Piles are extremely common, and most people will likely experience the condition to some extent at least once. Haemorrhoids are not serious, but if you notice more severe bleeding or find that it is being passed into the bowl along with stools, you should approach your doctor for advice.

One of the major contributing factors to haemorrhoids is high pressure in the blood vessels in and around the rectum. This might be more common in those who are overweight, or frequently experience constipation. Sitting down for long periods of time may increase a person’s susceptibility to haemorrhoids, as might prolonged diarrhoea. Due to increased pressure in the blood vessels in the pelvis, piles may also be more likely to occur during pregnancy.

There are a number of steps you can take to prevent piles or stop them from getting worse. These include: making alterations to your diet, such as eating more fibre and reducing caffeine intake, so that you aren’t as likely to get constipated; losing weight; or embarking on a regular programme of light exercise.

Some cases may clear up on their own after a few days, without the need for treatment. However, others may be more persistent and uncomfortable, and require medicinal help. Anugesic HC is an effective remedy for haemorrhoids, and is available to buy from our online pharmacy.

There are several functioning constituents in Anugesic HC, each serving a different purpose. Hydrocortisone acetate tackles inflammation by preventing the activity of a chemical which the body releases in response to irritation. One of the other ingredients, pramocaine hydrochloride, is a mild anaesthetic which stops pain signals being transmitted from the affected area to the brain. The remaining active agents, zinc oxide, balsam peru, benzyl benzoate and bismuth oxide, all work as antiseptics, and help to ease irritation. Balsam peru also helps the regeneration of healthy skin tissue.

Our secure clinic service makes buying Anugesic online simple. Simply take a couple of minutes to complete our health assessment, and one of our team of dedicated clinicians will examine your answers. If they are confident that the product you are ordering is safe, they will generate a prescription for you and send this electronically to our UK-based pharmacy. Once dispensed, we’ll ship your treatment to your door via next-day courier.

Page last reviewed:  04/08/2020


Make sure you follow the directions issued by your prescriber when using this treatment to get the best possible results. You should also familiarise yourself with the guidelines in the patient information leaflet, as this will help you to lower the risk of potential side effects.

  1. Apply as directed.
  2. Prior to use, clean the anal region and dry carefully. 
  3. Administer a small amount to the inflamed area before bedtime. Repeat in the morning, and again after every bowel movement. 
  4. The cream can be applied with the nozzle provided for use on internal haemorrhoids. Wash after each use with soap and rinse thoroughly with water.
  5. In most cases, a course of treatment will be seven days or less. Do not use the cream for longer than this unless specifically instructed to do so by your prescriber.
  6. Speak to your doctor if you notice any rectal bleeding.
  7. Never exceed the dose prescribed for you or apply to any region other than the anus or rectum.

If you need any further assistance, refer to the leaflet provided or ask your doctor.

Page last reviewed:  04/08/2020
Please read the patient information leaflet for this medicine fully before use:

Anugesic-HC 0.005

Side effects & Warnings

Side effects

Not everyone who uses this item will experience side effects. Nonetheless, it is important to be aware of the nature of these before you begin treatment, so that you can act accordingly if you notice anything which causes you concern.

Notify your doctor right away if you develop any indications of an allergic reaction.

Frequency unknown:

Burning, itching or stinging if the skin at the site of application is broken, or a rash.

This is not a complete list of associated side effects. Consult the leaflet provided for more.

Taking it with other medicines

It is not thought that Anugesic HC interacts with other treatments, but you should still divulge any information relating to other medications you are taking when filling in our medical questionnaire.

Conditions to look out for

This product is not suitable for those who: have had hypersensitivity reactions in the past to any of the ingredients contained in it; or have lesions caused by genital warts or other viral or fungal conditions.

Your prescriber needs to know if you: have cuts or an anal infection; are experiencing rectal bleeding; have chickenpox or shingles; or have been vaccinated against smallpox.

Pregnancy and breastfeeding

Check with your doctor before using Anugesic if you are pregnant, breastfeeding or trying to become pregnant.

Page last reviewed:  04/08/2020
Please read the patient information leaflet for this medicine fully before use:

Anugesic-HC 0.005


Can I still drink alcohol?

Yes. It is not thought to be affected by alcohol.

Will I still be able to drive?

Yes. Your ability to drive is not likely to be compromised by this treatment. If you feel as though it is, however, do not drive and contact your doctor as soon as possible.

Can I take the medicine while pregnant?

It may not be suitable for those who are pregnant or breastfeeding. In these cases, let your prescriber know so that they can advise you.

How should I store it?

In a safe place out of the reach of children, below 25°C.

Am I allergic to anything in the medicine?

This item contains: pramocaine hydrochloride, hydrocortisone acetate, zinc oxide, balsam peru, benzyl benzoate, bismuth oxide, liquid paraffin, propylene glycol (E1520), polysorbate 60, sorbitan stearate, glyceryl monostearate, titanium dioxide (E171), methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216) and purified water.

Do not use it if you are allergic to any of these ingredients.

Is it available over-the-counter?

You can buy Anugesic HC from our UK pharmacy, but you will need to complete our health questionnaire first. This is so that our prescriber can assess your suitability for the treatment.

How to buy Anugesic-HC online

Our secure consultation service can help you get the prescription you need. We won’t make you book an appointment, and we won’t make you wait in line. If the product is suitable for you, our doctor or pharmacy prescriber will issue a prescription for it, which will be fulfilled by our dispensing pharmacy. Delivery on all orders is made by 24-hour parcel, so that you don’t have to wait more than one working day to receive your item.

Page last reviewed:  04/08/2020
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