About preparations for piles containing a corticosteroid

Hämorrhoiden (haemorrhoids) are swellings that can occur around the back passage. Small blood vessels in these areas sometimes become wider and fill with more blood than usual. These blood vessels, and the tissues around them, then form into small swellings, called haemorrhoids. The most common symptom is bleeding after going to the toilet. Larger haemorrhoids can cause pain, irritation, and itching.

If there is a lot of swelling associated with the haemorrhoid, your doctor or pharmacist may recommend a preparation containing a corticosteroid (which is more commonly referred to as a 'steroid'). Typical steroids used for haemorrhoids are hydrocortisone, prednisolone, and fluocortolone. They reduce inflammation, and this helps to ease itching and pain. Some preparations also contain a local anaesthetic and/or other soothing agents.

You can buy some of these preparations without a prescription at pharmacies and other retail outlets. Others are only available on prescription. This type of preparation is suitable for short-term use only - for no more than seven days at a time.

To make sure that this is the right treatment for you, before you start using it, speak with a doctor or pharmacist if:

• You are pregnant or breastfeeding.

• You think the area to be treated might be infected.

• You have ever had an allergic reaction to a medicine, or to any creams or ointments.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about the specific preparation you have been given, and will also provide you with a full list of any side-effects which you could experience from using it.

• The directions for using the preparation will be printed on the packaging. As a guide, most preparations are recommended to be used twice daily (morning and evening) and after a bowel movement.

• Some creams and ointments are intended to be used on the skin around the back passage only. Some others contain an applicator or nozzle, so that the preparation can be applied inside the back passage. If you have been instructed to use the preparation internally, use the applicator provided. Wash and rinse the applicator/nozzle after each use.

How to use suppositories

1. Remove the suppository from the wrapping.

2. Stand with one leg raised on a chair (or lie down on your side if you prefer).

3. Using your finger, gently push the suppository into your back passage as far as comfortable. You may find this easier to do if you moisten the suppository with a little water first.

4. Remain still for a little while to help hold the suppository in place.

5. Waschen Sie danach Ihre Hände.

How to use a rectal spray

1. Before you use the spray for the first time, remove the cap and press the pump down once or twice. This will 'prime' the pump to make it ready for use.

2. Point the spray at the area around your bottom and press the pump down once.

3. Replace the cap and wash your hands afterwards.

• The preparation should only be used for short periods of time. Do no use it for longer than seven days at a time.

• Try to avoid becoming constipated, as this can lead to you straining at the toilet. You can do this by eating foods containing fibre (such as fruit, vegetables, cereals and wholemeal bread) and drinking plenty of water each day.

• Go to the toilet as soon as you feel the need. Some people suppress the feeling and plan to go to the toilet later. This can result in bigger and harder stools forming, which are then more difficult to pass.

• If your symptoms do not improve, or if significant bleeding occurs, make an appointment to see your doctor as soon as possible.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains the most common one associated with topical preparations for piles (haemorrhoids). You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects usually improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Wenn Sie andere Symptome bemerken, die Ihrer Meinung nach auf die Vorbereitung zurückzuführen sind, sprechen Sie mit Ihrem Arzt oder Apotheker für weitere Ratschläge.

• Bewahren Sie alle Medikamente außerhalb der Reichweite und Sicht von Kindern auf.

• An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.