What is it used for?

• Short-term relief (five to seven days) from the symptoms of piles (haemorrhoids) and anal itching.

How does it work?

• Ultraproct ointment and suppositories contain two active ingredients, cinchocaine (dibucaine hydrochloride) and fluocortolone.
• Cinchocaine is a type of medicine called a local anaesthetic. It works by temporarily blocking the pathway of pain messages along nerve fibres. This numbs sensation in the area where the medicine has been applied and produces relief from pain and itching.
• Fluocortolone is a type of medicine called a corticosteriod and is used for reducing inflammation. Inflammation is caused by the release of various substances that are important in the immune system. These substances cause blood vessels to widen, resulting in the irritated area becoming red, swollen, itchy and painful. Fluocortolone works by acting inside cells to decrease the production of these substances. When inserted into the rectum fluocortolone acts locally to reduce the swelling and itching of piles.
• Ultraproct suppositories and ointment are used for the short-term relief (five to seven days) of the symptoms of piles and anal itching. The suppositories are more suitable for treating internal piles. The ointment is applied to the anal area to relieve external piles and can also be inserted into the back passage using the applicator provided to relieve internal piles.

How do I use it?

• Wash your hands thoroughly before and after applying this medicine.
• Ultraproct ointment and suppositories should be used after the bowels have been emptied. The area around the anus should be thoroughly washed and dried before using this preparation.
• Ultraproct ointment can both be used internally or externally for the anal area. For application into the back passage, a nozzle provided with the ointment should be screwed on to the tube. The nozzle should then be gently inserted in to the rectum and a small amount of cream/ointment squeezed out. The nozzle should be withdrawn slowly. The nozzle should be thoroughly cleaned after each use.
• Ultraproct suppositories are to be inserted into the rectum only. One suppository should be used after each bowel movement for five to seven days. This can be increased to two or three times a day if the symptoms are severe. After one week a suppository should be inserted every other day for a further week.

Warning!

• This medicine should not be used for longer than seven days at a time. If symptoms persist after this period consult your doctor.
• Avoid prolonged use.
• This medicine is not to be taken by mouth.
• This medicine is not recommended for use in children.

Not to be used in

• Thin, easily damaged skin (atrophic skin).
• Untreated bacterial, fungal, viral or parasitic (eg worm) infections.
• Children.
• This medicine should not be used if you are allergic to any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and breastfeeding

• The safety of this medicine for use during pregnancy has not been established. Corticosteroids can be absorbed into the bloodstream after application to the anus or rectum and may be harmful to a developing baby. This medicine should not be used during pregnancy unless considered essential by your doctor. Seek medical advice from your doctor.
• There is no information available regarding the safety of this medicine during breastfeeding. However, it has been used for many years in women who are breastfeeding and is not known to be harmful. Seek medical advice from your doctor.

Side effects

• Decreased functioning of the adrenal gland (adrenal suppression).
• Allergic skin reactions.
• Skin thinning.

The side effects listed above may not include all of the side effects reported by the medicine's manufacturer.

For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

How can this medicine affect other medicines?

• This medicine is not known to affect any other medicines. However, as with all medicines, if you are already taking any other medicines you should always check with your pharmacist before taking this one as well.

References:

https://www.hpra.ie/img/uploaded/swedocuments/3f5adb66-0814-47ef-9b57-dec505cec66e.pdf

https://www.medicines.ie/medicines/ultraproct-34094/patient-info

https://www.netdoctor.co.uk/medicines/digestion/a7704/ultraproct-ointment-suppositories/

https://www.medsafe.govt.nz/consumers/cmi/u/ultraproct.pdf

https://www.drugs.com/uk/ultraproct-ointment-leaflet.html

https://www.dokteronline.com/en/ultraproct