Zinc Oxide 10.75% w/w; Bismuth Oxide 0.875% w/w; Balsam Peru 1.875% w/w.
Class: Topical anorectal protectant / Soothing / Astringent / Mild antiseptic agent
Manufacturer: UK origin
Dosage Form: Topical ointment
Similar Brands:
Uses:
Symptomatic relief of uncomplicated internal and external hemorrhoids (piles), including:
- Pain, itching, swelling, irritation, and discomfort around the anus.
- Minor bleeding or oozing from piles.
- Pruritus ani (anal itching), anal fissures (mild), or proctitis symptoms.
- Post-surgical or post-traumatic anorectal irritation.
Soothes, moisturizes, protects raw areas, reduces swelling, and promotes healing. Not for severe/prolapsed hemorrhoids, infections (bacterial/viral/fungal—requires additional treatment), or as curative therapy—use alongside lifestyle changes (high-fiber diet, hydration, stool softeners).
Dosage:
Apply to clean, dry perianal area (external) and/or internally (using applicator if provided).
Adults: Thin layer externally and/or insert applicator ~1–2 cm into rectum; apply 2–3 times daily (e.g., morning, night, and after bowel movements) or as needed.
How to use internally: Screw on applicator, fill with small amount of ointment, insert gently while lying on side, squeeze to release, then remove/clean applicator.
Duration: Short-term (usually 5–7 days); do not exceed without medical advice (risk of masking issues or local irritation). Not routinely for children; consult doctor/pharmacist for younger users or pregnancy.
Adults: Thin layer externally and/or insert applicator ~1–2 cm into rectum; apply 2–3 times daily (e.g., morning, night, and after bowel movements) or as needed.
How to use internally: Screw on applicator, fill with small amount of ointment, insert gently while lying on side, squeeze to release, then remove/clean applicator.
Duration: Short-term (usually 5–7 days); do not exceed without medical advice (risk of masking issues or local irritation). Not routinely for children; consult doctor/pharmacist for younger users or pregnancy.
Side Effects:
Common (local, mild/transient): Mild burning/stinging/irritation on application, dryness, or temporary discomfort.
Less common: Allergic reactions (rash, itching, redness—often from Peru balsam or excipients).
Serious (rare, seek immediate care): Severe hypersensitivity (swelling, severe rash, breathing difficulty), worsening bleeding/pain, or signs of infection (increased swelling/pus).
Less common: Allergic reactions (rash, itching, redness—often from Peru balsam or excipients).
Serious (rare, seek immediate care): Severe hypersensitivity (swelling, severe rash, breathing difficulty), worsening bleeding/pain, or signs of infection (increased swelling/pus).
Warnings & Precautions:
For external/rectal use only—avoid eyes/mouth.
Do not use >7 days without medical supervision (may thin skin or delay healing if overused).
Not for untreated infections or if allergic to ingredients (e.g., Peru balsam may cause contact dermatitis).
Use caution in pregnancy/breastfeeding (limited data—consult doctor).
Monitor for no improvement or worsening (e.g., persistent bleeding—seek doctor to rule out complications).
Clean area gently; avoid excessive straining. Contains excipients like petroleum jelly (may stain clothing).
Do not use >7 days without medical supervision (may thin skin or delay healing if overused).
Not for untreated infections or if allergic to ingredients (e.g., Peru balsam may cause contact dermatitis).
Use caution in pregnancy/breastfeeding (limited data—consult doctor).
Monitor for no improvement or worsening (e.g., persistent bleeding—seek doctor to rule out complications).
Clean area gently; avoid excessive straining. Contains excipients like petroleum jelly (may stain clothing).
Pregnancy & Lactation:
Pregnancy: Limited specific data; ingredients generally low systemic absorption—use only if clearly needed/short-term; consult doctor (avoid if possible or use under guidance).
Lactation: Minimal absorption expected; generally low risk topically—consult provider.
Lactation: Minimal absorption expected; generally low risk topically—consult provider.
Drug Interactions:
Minimal for topical use (low systemic absorption).
Avoid concurrent strong topical irritants or other anorectal steroids without advice.
Avoid concurrent strong topical irritants or other anorectal steroids without advice.
Contraindications:
Known hypersensitivity to zinc oxide, bismuth salts, balsam peru, benzyl benzoate (in variants), or any excipient.
Untreated acute viral/bacterial/fungal anorectal infection.
Tuberculous/syphilitic lesions in area (relative).
Untreated acute viral/bacterial/fungal anorectal infection.
Tuberculous/syphilitic lesions in area (relative).
Price: Ksh 933/-
Notes:
25g tube (often with screw-on rectal applicator/nozzle for internal application).