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Ultraproct comes as either an ointment or as suppositories. It is used for the treatment of haemorrhoids.   Ultraproct ointment is a yellowy/white colour and comes in a 30g tube with an applicator. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

Patient Leaflet(s)

Haemorrhoids are swollen blood vessels in and around your bottom which are often itchy and uncomfortable, they are also commonly known as piles. Piles are very common but the good news is they can usually be treated easily at home.  Haemorrhoids can be caused by straining to go to the toilet, so if you have them you should eat a high fibre diet to soften your stools. They are also common in the people over the age of 45, in women during and after pregnancy, in people who spend a lot of time sitting down and in people with a family history if haemorrhoids. 

What is Ultraproct? 

Ultraproct comes as either an ointment or as suppositories. It is used for the treatment of haemorrhoids.  

Ultraproct ointment is a yellowy/white colour and comes in a 30g tube with an applicator. 

Ultraproct Suppositories are also a yellowy/white colour and come in packs of 12. 

Ultraproct contains both fluocortolone and cinchocaine hydrochloride. This means that it works in two different ways. The fluocortolone 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 Ultraproct used? 

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

As a rule, the ointment is used externally and internally and the suppositories are for internal use only. It provides both relief from pain and from the itching or burning sensation people often experience, as well as helping to speed up recovery.  

Ultraproct can be used by both adults and children, but should not be used on children without specific instruction from a doctor or medical professional. 

Ultraproct 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. 

In addition to using Ultraproct 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: 

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

How do you use Ultraproct? 

 Ultraproct 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; 
  • Screw the nozzle, which you’ll find in the packet, onto the end of the tube; 
  • Carefully insert the applier fully inside the 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 the fridge or cold water to cool it down; 
  • Place the suppository inside your anus, inserting it as far as possible; 
  • You may wish to lie down while you do this and stay there for a couple of minutes once the suppository is in place. Or try raising one leg on a stool or squatting to help make inserting the suppository easier; 
  • Wash your hands again. 

What dosages are there? 

Ultraproct ointment contains 0.92g of fluocortolone privalate, 0.95mg of fluorcortolone hexanote and 5mg of cinchocaine hydrochloride per 1g.  

The other ingredients are polyethylene glycol 400 monoricinoleate, castor oil, hydrogenated castor oil, 2-octyl dodecanol, citrus rose perfume oil. 

You should apply the ointment twice a day for up to 7 days. You can apply the ointment 3 or 4 times on the first day you use it for quicker relief. 

Ultraproct Suppositories contain 0.61mg of fluocortolone private, 0.63mg of fluocortolone hexanote and 1mg of cinchocaine hydrochloride per suppository.  

The other ingredient is hard fat. 

You should use just one suppository per day, after a bowel movement, for up to 7 days. 

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 should not use Ultraproct unless they are under express instructions from your doctor. 

Do not cover the ointment with a 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. 

If for any reason you do apply more ointment than necessary or insert too many suppositories then please seek medical assistance. 

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 Ultraproct? 

Just like all medication, Ultraproct comes with a warning of side effects. Not everyone who uses Ultraproct will get them. The good news is that Ultraproct has very few side effects. 

There is a risk of an allergic reaction from the castor oil and hydrogenated castor oil in the ointment. Although allergic reaction is rare it is worth being aware of the symptoms which include itching, pain or a rash around the anus area. Stop using the treatment and seek immediate medical assistance if you think you are experiencing an allergic reaction. 

Thinning of the skin may occur if Ultraproct is applied for long periods of time. You should only apply it for 7 days at a time. If you frequently have to use Ultraproct talk to your doctor. 

When shouldn’t you use Ultraproct? 

Do not use Ultraproct if you are allergic castor oil, fluocortolone primavate, fluocortolone hexacate, cinchocane hydrochloride or any of the other ingredients listed on the package. 

Ultraproct is not for children under 12 unless prescribed by a doctor. 

Ultraproct should not be used by women who are pregnant or breastfeeding or trying for a baby unless your doctor feels that it is absolutely essential as there is a small risk to the baby’s development. 

You can drive and operate heavy machinery while using Ultraproct as it will not impair your ability to do so. 

Does Ultraproct interact with other medications? 

Ultraproct has no known interaction with other medications, which means that You should be safe to use it alongside any other medication you are taking. However, it is always a good idea to mention anything you are taking to your doctor or pharmacist, including herbal supplements, just in case. 

Where can you buy Ultraproct? 

You can buy Ultraproct from any pharmacy with a prescription, 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 Ultraproct without a prescription? 

No, Ultraproct 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 Ultraproct 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 Haemarroids 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. 


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]. 

Meadow Laboratories Ltd (2017). ULTRAPROCT OINTMENT | Drugs.com. [online] Drugs.com. Available at: https://www.drugs.com/uk/ultraproct-ointment-leaflet.html [Accessed 24 Nov. 2019]. 

Meadow Laboratories Ltd (2014). Ultraproct Suppositories - Leaflet. [online] Imedi.co.uk. Available at: https://imedi.co.uk/ultraproct-suppositories [Accessed 24 Nov. 2019]. 

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

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.