Tear along the perforation to remove one suppository from the strip.

2. Grasp the two halves of the plastic cover at the coloured end, holding them firmly between the thumb and forefinger of each hand.

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

• Keep medicines out of the reach of children.

• Tell medical staff that you are using Anusol Suppositories, 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.

Anusol Suppositories ( 12 or 24 pack size)

Each 2.8g suppository contains:

Zinc Oxide PhEur 296 mg

Bismuth Subgallate BP 1980 59 mg

Balsam Peru PhEur 49 mg

Bismuth Oxide 24 mg

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 Suppositories also contain: suppocire BS2, light kaolin, titanium dioxide and miglyol 812.

Anusol Suppositories are marketed by Warner Lambert Healthcare, a division of Parke, Davis & Company, licensed by Parke, Davis & Company, and manufactured by Parke Davis & Co. Limited, at Usk Road, Pontypool, Gwent, NP4 0YH.

Internal piles (swollen blood vessels inside the anus) can produce varying degrees of discomfort, itch, and irritation, particularly during and just after a bowel movement.

The soothing action of Anusol Suppositories combats the symptoms of internal piles while their antiseptic properties help to reduce inflammation and assist healing.

Piles are caused by a number of different factors. These are discussed on the reverse of this leaflet together with helpful advice for sufferers.

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 suppositories.

At least 40 per cent of people suffer at some time in their lives from piles. Despite the frequency of the condition, many people are too embarrassed to seek advice or treatment and, as a result, suffer continuous discomfort and misery.

Fortunately, once you have been diagnosed as having piles, there is much you can do to ease the situation and relieve the symptoms. Readily available from your local pharmacy, Anusol Suppositories can help to relieve the pain and discomfort of piles.

Piles (haemorrhoids) are enlarged or swollen blood vessels which can occur inside or outside the anus.

Piles can be present without producing any symptoms at all. but sufferers usually notice the following symptoms

Bleeding: Blood may appear bright red and scanty on toilet tissue. If the blood is dark in colour, or more profuse, you should consult your doctor.

Swelling: The swollen blood vessels may be felt as a lump or blockage in the anus after passing a motion.

A number of factors can contribute to the development of piles:

• Excessive straining during bowel movement, usually the result of constipation.
• Pregnancy, the pressure of a growing baby within the lower abdomen results in increased pressure in the anal vessels. This may lead to swelling and distension.
• Heredity
• Competing in games where bursts of high energy movement are required.
• Lifting or heavy manual work resulting in straining or pressure on the lower abdomen.

If you think you might have piles, you should consult your doctor, particularly if:

• the sufferer is pregnant

• the sufferer is a child

• symptoms are severe and/or persistent

• blood from the anal area is dark in colour

• any bleeding is profuse or persistent

• there is a change in normal bowel habit lasting for more than two weeks

• there is persistent pain in the abdomen.