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Scheriproct

Scheriproct

Scheriproct comes as either an ointment or as suppositories. It is used for the treatment of haemorrhoids. Scheriproct ointment is a slightly yellow coloured ointment that comes in a 30g tube with an applicator. Scheriproct suppositories are a yellow/white colour and come in packs of 12.  Scheriproct contains both prednisolone hexanoate and cinchocaine hydrochloride. This means that it works in two different ways. The prednisolone hexanoate is a corticosteroid which helps to relieve skin irritation and inflammation and to soothe the skin. The cinchocaine hydrochloride works as a local anaesthetic to relieve pain. 

Haemorrhoids are a very common condition consisting of swollen blood vessels that appear both in and around your bottom. Often haemorrhoids are frustrating because they cause itching and can also be rather painful and uncomfortable. Haemorrhoids are commonly referred to as piles and although unpleasant are easy to treat within the comfort of your own home. Piles can be caused by straining to go to the toilet, for example, if you don’t have enough fibre in your diet, but are also related to age, pregnancy, inactiveness (people who spend a lot of time sitting down) and to family history. 

What is Scheriproct? 

Scheriproct comes as either an ointment or as suppositories. It is used for the treatment of haemorrhoids. Scheriproct ointment is a slightly yellow coloured ointment that comes in a 30g tube with an applicator. Scheriproct suppositories are a yellow/white colour and come in packs of 12. 

Scheriproct contains both prednisolone hexanoate and cinchocaine hydrochloride. This means that it works in two different ways. The prednisolone hexanoate is a corticosteroid which helps to relieve skin irritation and inflammation and to soothe the skin. The cinchocaine hydrochloride works as a local anaesthetic to relieve pain. 

When is Scheriproct used? 

Scheriproct is used to treat both internal haemorrhoids (inside the anus) and external haemorrhoids (around the anus). 

On the whole, the ointment is used externally and internally (with the help of an applicator) and the suppositories are for internal use only. Scheriproct provides relief from both the pain and from the itching or burning sensation people often experience, as well as helping to speed up recovery.  

Scheriproct is designed to be used as a short term remedy that you can use for around 5 -7 days. If after 7 days there is no improvement you will need to go back to your doctor. 

Scheriproct can be used by both adults and children, but should not be used on children without specific instruction from a doctor or medical professional as there are increased risks. 

In addition to using Scheriproct there are some practical things you can do at which may help ease the pain and discomfort of haemorrhoids while you are waiting for the medication to take effect or to help prevent them from worsening: 

  • Take paracetamol for the pain; 
  • Take a warm bath; 
  • Use an ice pack wrapped in a towel to cool the affected area; 
  • Cut down on alcohol and caffeine; 
  • Use damp tissues to wipe after bowel movements; 
  • Drink plenty of fluids; 
  • Exercise regularly; 
  • Take your time when going to the toilet and try not to strain. 

How do you use Scheriproct? 

Scheriproct can be used either as an ointment or as a suppository. The ointment is aimed at treating external haemorrhoids, while the suppository is obviously targeted at internal haemorrhoids. 

You should always follow the instructions given to you by your doctor or pharmacist when it comes to any medication and how to use it. 

To apply the ointment for external haemorrhoids:  

Ensure the area where you need to apply the cream is clean by washing gently and patting dry; 

  • Wash your hands; 
  • Squeeze a small blob of cream onto your finger and then apply gently to the haemorrhoids without rubbing; 
  • Do not use toilet paper or cotton wool to apply the cream; 
  • When you have finished wash your hands again; 
  • Do not apply a dressing over the top of the cream as this may increase the likelihood of an allergic reaction. 

To apply the ointment for internal haemorrhoids: 

  • Ensure the area where you need to apply the cream is clean by washing gently and patting dry; 
  • Wash your hands; 
  • Inside your pack alongside the cream, you will find a nozzle applicator. Wash this carefully in warm soapy water. Do not use the applicator if it is damaged; 
  • Screw the nozzle onto the end of the tube; 
  • Bring the medication gently into your anus;
  • Squeeze the tube at the bottom while slowly pulling the nozzle out of your anus to leave behind the cream; 
  • Unscrew the nozzle and wash it again along with your hands before storing with the cream for the next application. 

To use the suppository: 

  • Wash your hands; 
  • Tear open the foil packaging and take out the suppository; 
  • Try not to handle it for too long as it will melt at body temperature. If the suppository does get too warm you can place it in cold water to cool it down – you must do this before you open the foil packaging; 
  • Place the suppository inside your anus, inserting it as far as possible; 
  • You may wish to try raising one leg on a stool or squatting to help make inserting the suppository easier and waiting to move around once you’ve inserted the suppository until it feels comfortable; 
  • Wash your hands again. 

What dosages are there? 

Scheriproct Ointment contains 1.9 mg prednisolone hexanoate and 5.0 mg cinchocaine hydrochloride, the other ingredients are macrogol-400-monoricinoleate, castor oil, hydrogenated, castor oil, refined, 2 octyldodecanol, perfume oil and chypre. You should apply the ointment twice a day, although for the first day you can apply it three to four times for quicker relief. Ideally, it should be applied after a bowel movement. 

Each Scheriproct suppository contains 1.3 mg prednisolone hexanoate and 1.0 mg cinchocaine hydrochloride, the other ingredient is hard fat. The usual dose is one suppository a day, however, if the haemorrhoids are severe you may wish to insert two to three suppositories a day at the start of the treatment and gradually lessen this. Ideally you should insert a suppository after a bowel movement. 

Do not use this treatment for more than 7 days in a row. If there is no improvement in your haemorrhoids within 7 days you should seek medical advice. 

Children under the age of 12 should not use Scheriproct unless they are under express instructions from your doctor. 

Do not cover the ointment with dressing once you have applied it as this can increase the chances of an allergic reaction. 

If you accidentally forget to use the ointment or suppository at the right time then don’t worry, simply use it as soon as you remember. If it is close to the time for your next dose then simply skip the dose you forgot as you should never use a double dose. 

Using too much Scheriproct should not cause serious issues but please seek medical advice if you are unsure. If you swallow either substance seek immediate medical assistance. Make sure you wash your hands after use, so you don’t accidentally rub your face. If you need to go to hospital it’s a good idea to take the packaging with you so the medical staff know exactly what you have ingested. 

What are the side effects of Scheriproct? 

As with all medication Scheriproct does come with a warning of some side effects, although not everyone who uses Scheriproct will get them. The side effects are relatively few. 

There is a risk of thinning of the skin, particularly if you use Scheriproct for a prolonged period of time (more than 7 days). 

There are also serious risks to the adrenal gland with prolonged or frequent usage. If you find you have frequent, recurring incidences of haemorrhoids it is best to speak to your doctor about a different treatment. 

In rare cases, allergic skin reactions may occur. Castor oil may irritate the skin leaving it red and itchy. 

When shouldn’t you use Scheriproct? 

Do not use Scheriproct if any of the following apply to you: 

  • You are allergic to prednisolone hexanoate or cinchocaine hydrochloride or any of the other ingredients listed on the packet; 
  • You have any bacterial or fungal infections on the skin that are not being treated; 
  • You have any viral infections, for example, herpes, chicken-pox or shingles; 
  • You are pregnant, breastfeeding or planning a pregnancy (there may be a small risk to your developing baby so seek medical advice). 
  • Remember Scheriproct should not be used on a prolonged or regular basis so if you are experiencing haemorrhoids frequently talk to your doctor about other treatments. 

Does Scheriproct interact with other medications? 

Always tell your doctor about any medication you are taking, including herbal supplements as some medicines can affect how other medication works, making it less effective. Some medicines may increase the effects of Scheriproct, including some medicines for HIV: ritonavir, and cobicistat. If you are taking these medicines and using Scheriproct together your doctor is likely to want to monitor you more carefully. 

Where can you buy Scheriproct? 

You can buy Scheriproct from any pharmacy, order online and have it delivered to your home or office in discreet packaging, or collect in-store. Pop into your supermarket pharmacy or local pharmacy. 

Can I get Scheriproct without a prescription? 

No, Scheriproct is a prescription-only medicine which means that you cannot buy it over the counter. You will need a consultation with a doctor to see if Scheriproct is the right treatment for you. Here again, there is more than 1 option: book an appointment with your local GP or arrange an online consultation at a time that suits you. 

There are lots of over-the-counter remedies for haemorrhoids too so you may want to take a look at these to see if they offer any relief before moving to stronger, prescription-only medicine. Examples are Anusol or Germaloids. 

Sources 

Badvie, S. (2019). Piles (haemorrhoids) | Health Information | Bupa UK. [online] Bupa.co.uk. Available at: https://www.bupa.co.uk/health-information/digestive-gut-health/haemorrhoids [Accessed 20 Nov. 2019]. 

Bayer healthcare (2017). SCHERIPROCT SUPPOSITORIES | Drugs.com. [online] Drugs.com. Available at: https://www.drugs.com/uk/scheriproct-suppositories-leaflet.html [Accessed 28 Nov. 2019]. 

Leo Laboratories Ltd (2019). [online] Medicines.org.uk. Available at: https://www.medicines.org.uk/emc/files/pil.283.pdf [Accessed 28 Nov. 2019]. 

Nhs.uk. (2019). Piles (haemorrhoids). [online] Available at: https://www.nhs.uk/conditions/piles-haemorrhoids/ [Accessed 20 Nov. 2019].