PROCTOSEDYL Ointment is used for the relief of the discomfort of haemorrhoids (piles) and other painful conditions of the anus (rear end), such as fissures (tears). Haemorrhoids often result when people strain while trying to open their bowel (defecate). This problem is often, but not always, associated with low-fibre diets. PROCTOSEDYL Ointment contains the active ingredients hydrocortisone, a steroid, and cinchocaine hydrochloride, a local anaesthetic. These work together to reduce swelling, numb pain and relieve itching. Active Ingredients: hydrocortisone 5 mg/g and cinchocaine hydrochloride 5 mg/g. Inactive Ingredients: liquid paraffin white soft paraffin wool fat Dosage: For best results, first go to the toilet and empty your bowels. Do not strain. Wash and dry the anal area.Before and after use, wash your hands well with soap and water. 1.If the affected area is on the surface, use your finger to apply just enough ointment to cover the painful area. 2.If you need to apply PROCTOSEDYL Ointment deeper, first screw the plastic nozzle (which is supplied in the carton) tightly on to the tube. Then gently insert the nozzle all the way into the rectum (back passage) and squeeze the tube from the lower end, while at the same time withdrawing it from the rectum Note that if the area is very inflamed and painful, it is advisable to initially apply the ointment with a finger, rather than insert the nozzle. Warnings: Tell your doctor or pharmacist if you have or have had any medical conditions, especially the following: cuts or abrasions in the area of the anus eg. if there is blood on toilet paper or in the toilet after opening the bowels (defecating). Your doctor or pharmacist will need to consider this when recommending treatment with PROCTOSEDYL. fungal infections such as thrush, in the area of the anus. PROCTOSEDYL does not treat these conditions. Your doctor or pharmacist may need to provide treatment for these conditions. severe or prolonged anal pain or if blood is present in the faeces, in which case you should have a doctor examine the area When you must not use it Do not use PROCTOSEDYL if you are allergic to it or any of the ingredients listed Some symptoms of an allergic reaction include skin rash, itching, shortness of breath or swelling of the face, lips or tongue, which may cause difficulty in swallowing or breathing. PROCTOSEDYL OINTMENT may hide signs of infection. As for all steroid preparations, do not use PROCTOSEDYL when infections affecting the anus or surrounding area are present eg. sexually-transmitted diseases such as herpes. PROCTOSEDYL use may hide signs of infection. Do not use PROCTOSEDYL if you have tuberculosis.Some diseases can be made worse by using PROCTOSEDYL. Do not give PROCTOSEDYL to children under 12 years of age. Do not use it after the expiry date (EXP) printed on the pack.If you use it after the expiry date has passed, it may not work as well. Do not use it if the packaging is torn/damaged or shows signs of tampering.