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: Rectal suppositories
Similar Brands:
Uses:
Symptomatic relief of uncomplicated internal and external hemorrhoids (piles) and related anorectal conditions, including:
- Internal hemorrhoids (piles)—pain, itching, swelling, irritation, burning, soreness.
- Minor bleeding or oozing from piles.
- Anal pruritus (itching around anus), mild anal fissures, or proctitis symptoms.
- Post-surgical or post-traumatic anorectal discomfort/irritation.
Soothes irritated membranes, reduces edema/swelling, protects raw areas, prevents bacterial overgrowth, and aids healing. Not for severe/prolapsed hemorrhoids, active infections (bacterial/viral/fungal—requires additional treatment), or as curative therapy—use alongside lifestyle measures (high-fiber diet, hydration, stool softeners, avoiding straining).
Dosage:
Rectal route only—insert deep into rectum (preferably after bowel movement/defecation for best retention and effect).
Adults and elderly: 1 suppository inserted morning, night, and after each bowel movement (or as directed; typically 2–3 times daily).
How to use: Clean anal area with soap/warm water, pat dry; remove wrapper; lie on side with upper leg bent; grasp suppository (pointed end first); insert as deeply as comfortable (use finger or applicator if provided); hold buttocks together 30–60 seconds to aid retention.
Duration: Short-term (e.g., 5–7 days); continue up to 2 weeks after symptoms remit if advised, but do not exceed without medical supervision. Not recommended for children under 12 years (consult doctor). Adjust/avoid in severe renal/hepatic impairment or pregnancy without advice.
Adults and elderly: 1 suppository inserted morning, night, and after each bowel movement (or as directed; typically 2–3 times daily).
How to use: Clean anal area with soap/warm water, pat dry; remove wrapper; lie on side with upper leg bent; grasp suppository (pointed end first); insert as deeply as comfortable (use finger or applicator if provided); hold buttocks together 30–60 seconds to aid retention.
Duration: Short-term (e.g., 5–7 days); continue up to 2 weeks after symptoms remit if advised, but do not exceed without medical supervision. Not recommended for children under 12 years (consult doctor). Adjust/avoid in severe renal/hepatic impairment or pregnancy without advice.
Side Effects:
Common (local, mild/transient): Mild burning/stinging/irritation on insertion, temporary discomfort, dryness, or leakage/melting sensation.
Less common: Allergic reactions (rash, itching, redness—often from balsam peru).
Serious (rare, seek immediate care): Severe hypersensitivity (swelling, severe rash, breathing difficulty), worsening bleeding/pain, signs of infection (increased swelling/pus), or systemic effects if overused (unlikely with short-term use).
Less common: Allergic reactions (rash, itching, redness—often from balsam peru).
Serious (rare, seek immediate care): Severe hypersensitivity (swelling, severe rash, breathing difficulty), worsening bleeding/pain, signs of infection (increased swelling/pus), or systemic effects if overused (unlikely with short-term use).
Warnings & Precautions:
For rectal use only—do not swallow or use orally.
Do not use >7 days without medical supervision (risk of masking underlying issues, local irritation, or delayed healing).
Not for untreated infections or if allergic to ingredients (e.g., balsam peru 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 like thrombosis).
Clean area gently; avoid excessive straining/wiping. May stain clothing (petroleum base).
Do not use >7 days without medical supervision (risk of masking underlying issues, local irritation, or delayed healing).
Not for untreated infections or if allergic to ingredients (e.g., balsam peru 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 like thrombosis).
Clean area gently; avoid excessive straining/wiping. May stain clothing (petroleum base).
Pregnancy & Lactation:
Pregnancy: Limited specific data; 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 rectal/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, or any excipient.
Untreated acute viral/bacterial/fungal anorectal infection.
Tuberculous/syphilitic lesions in area (relative).
Not for children under 12 years without specialist advice
Untreated acute viral/bacterial/fungal anorectal infection.
Tuberculous/syphilitic lesions in area (relative).
Not for children under 12 years without specialist advice
Price: Ksh 940/-
Notes:
Pack Size: 12s