• Before using the cream, please read this leaflet carefully and ask your doctor or pharmacist for advice if you are unsure about anything.

• It is important that you follow the directions carefully. Read the label on the pack and this leaflet for details.

• Keep medicine out of the reach of children.

• Tell medical staff that you are using Anusol Cream, for example if you go into hospital or see a doctor.

• Dispose of all unwanted medicines carefully preferably by returning them to your local pharmacy.

Each 100g of cream contains: Bismuth Oxide 2.14 g

Zinc Oxide PhEur 10.75 g

Balsam Peru PhEur 1.80 g

Bismuth salts are used for their protective effect on the lining of the anal area, offering some protection from faecal matter and bacteria and allowing healing to take place. They also reduce haemorrhoidal swelling, helping to prevent further damage and easing the condition.

Zinc oxide acts as an adsorbent which reduces skin moisture and friction and discourages certain bacteria from growing. It also has astringent properties which help to reduce haemorrhoidal 'swelling. Zinc oxide helps to protect raw, irritated areas, and reduce itching.

Balsam Peru is an antiseptic which relieves inflammation and promotes healing.

Anusol Cream base also contains: glycerol monostearate propylene glycol, methyl and propyl p-hydroxybenzoates, sorbitan monostearate, liquid paraffin, titanium dioxide polysorbate 60.

Anusol Cream is prepared in a lubricating base to help relieve itching and irritation. The vanishing cream base aids absorption and minimises the problem of staining.

Anusol Cream is marketed by Warner Lambert Healthcare, a division of Parke, Davis & Company. Licensed by Parke, Davis dc Company and manufactured by Parke Davis dc Co. Limited, at Usk Road Pontypool, Gwent, NP4 0YH.

Anusol Cream is used to relieve the following anal conditions:

Itch (pruritus ani): inflammation of the anal area can lead to itching, particularly where there is cracked, dry skin. Itch frequently accompanies piles, threadworm irritation, or fungal or bacterial infection. It is usually worse when the affected area is restricted and overwarm. The Anusol Cream base helps to moisturise dry skin and the soothing agents relieve itch, general rectal inflammation (pruritus), or lesions in the anal canal (anal fissures).

Side effects do not occur very often, but if anything unusual happens, consult your doctor.

Very occasionally, a mild irritation or a burning sensation may be experienced. These sensations will usually cease when you stop using the cream.

Anusol Cream is for application in the anal region only.

Adults: Wash the anal area thoroughly and dry carefully with a soft towel. Gently smooth or apply Anusol Cream to the affected area, preferably using lint or a cotton wool pad.

Use Anusol Cream in the morning, at night, and after each bowel movement until the condition is controlled.

For internal application: Use the plastic applicator nozzle provided. The nozzle should be washed carefully after each use in hot soapy water and then rinsed thoroughly in clean water convenience, the nozzle can be stored on the tube.

Children: Not recommended for children.

• Anusol Cream is not to be swallowed. If accidental ingestion occurs, seek medical advice.

• Haemorrhoids and other anal conditions are sometimes of a serious nature. In cases of rectal bleeding or a condition that persists or worsens, consult your doctor.

• Do not use after the expiry date shown on the box.

Date of last revision: April 1993