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Anusol suppositories
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How to use Anusol Suppositories    
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Remove the plastic cover before insertion.
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Tear along the perforation to remove one suppository from the strip.
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Grasp the two halves of the plastic cover at the coloured end, holding them firmly between the thumb and forefinger of each hand.
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Gently pull apart to expose the suppository fully.
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Adults:
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 Wash the anal area thoroughly and dry carefully with a soft towel. Remove the suppository from the plastic cover and insert as deeply into the anus as possible. One suppository should be inserted at night, in the morning, and after each bowel movement until the condition is controlled.
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Anusol Suppositories are specially shaped for easy insertion into the anus. You may find insertion of the suppositories easier if you place one foot on a chair or lie on your side with one leg drawn up as high as possible under the chin.
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Children:
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 Not recommended for children.
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Important information
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Do not use Anusol Suppositories if you are allergic to any of the ingredients.
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Anusol Suppositories are not to be swallowed. If accidental ingestion occurs, seek medical advice.
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Haemorrhoids and other anal conditions are sometimes of a serious nature. In cases of rectal bleeding or a condition that persists or worsens, consult your doctor.
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How to store Anusol Suppositories
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Store the Suppositories in a cool, dry place in the original packaging.
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Do not use after the expiry date shown on the box.
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Patient Information
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Things to remember about medicines
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Before using the suppositories, please read this leaflet carefully and ask your doctor or pharmacist for advice if you are unsure about anything.
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It is important that you follow the directions carefully. Read the label on the pack and this leaflet for details.
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Keep medicines out of the reach of children.
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Tell medical staff that you are using Anusol Suppositories, for example, if you go into hospital or see a doctor.
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Dispose of all unwanted medicines carefully, preferably by returning them to your local pharmacy.
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The active ingredients and how they work Anusol Suppositories ( 12 or 24 pack size)
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Each 2.8g suppository contains:
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Zinc Oxide PhEur296 mg Bismuth Subgallate BP 198059 mg Balsam Peru PhEur49 mg Bismuth Oxide24 mg
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Bismuth salts
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 are used for their protective effect on the lining of the anal area, offering some protection from faecal matter and bacteria and allowing healing to take place. They also reduce haemorrhoidal swelling, helping to prevent further damage and easing the condition.
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Zinc oxide
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 acts as an adsorbent which reduces skin moisture and friction and discourages certain bacteria from growing. It also has astringent properties which help to reduce haemorrhoidal swelling. Zinc oxide helps to protect raw, irritated areas, and reduce itching.
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Balsam Peru
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 is an antiseptic which relieves inflammation and promotes healing.
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Anusol Suppositories also contain: suppocire BS2, light kaolin, titanium dioxide and miglyol 812.
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Anusol Suppositories are marketed by Warner Lambert Healthcare, a division of Parke, Davis &amp; Company, licensed by Parke, Davis &amp; Company, and manufactured by Parke Davis &amp; Co. Limited, at Usk Road, Pontypool, Gwent, NP4 0YH.
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What are Anusol Suppositories used for?
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Internal piles (swollen blood vessels inside the anus) can produce varying degrees of discomfort, itch, and irritation, particularly during and just after a bowel movement.
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The soothing action of Anusol Suppositories combats the symptoms of internal piles while their antiseptic properties help to reduce inflammation and assist healing.
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Piles are caused by a number of different factors. These are discussed on the reverse of this leaflet together with helpful advice for sufferers.
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Possible side effects
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Side effects do not occur very often, but if anything unusual happens, consult your doctor.
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Very occasionally, a mild irritation or a burning sensation may be experienced. These sensations will usually cease when you stop using the suppositories.
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Date of last revision: January 1994  
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A Healthy Living Plan for Piles Sufferers
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At least 40 per cent of people suffer at some time in their lives from piles. Despite the frequency of the condition, many people are too embarrassed to seek advice or treatment and, as a result, suffer continuous discomfort and misery.
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Fortunately, once you have been diagnosed as having piles, there is much you can do to ease the situation and relieve the symptoms. Readily available from your local pharmacy, Anusol Suppositories can help to relieve the pain and discomfort of piles.
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What are piles?
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Piles (haemorrhoids) are enlarged or swollen blood vessels which can occur inside or outside the anus.
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Symptoms of piles
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 Piles can be present without producing any symptoms at all. but sufferers usually notice the following symptoms
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Bleeding:
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 Blood may appear bright red and scanty on toilet tissue. If the blood is dark in colour, or more profuse, you should consult your doctor.
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Swelling:
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 The swollen blood vessels may be felt as a lump or blockage in the anus after passing a motion.
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Itching, irritation and pain
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 in the anal region.
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What causes piles?
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A number of factors can contribute to the development of piles:
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Excessive straining during bowel movement, usually the result of constipation.
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Pregnancy, the pressure of a growing baby within the lower abdomen results in increased pressure in the anal vessels. This may lead to swelling and distension.
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Heredity
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Competing in games where bursts of high energy movement are required.
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Lifting or heavy manual work resulting in straining or pressure on the lower abdomen.
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If you think you might have piles, you should consult your doctor, particularly if:
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the sufferer is pregnant
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the sufferer is a child
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symptoms are severe and/or persistent
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blood from the anal area is dark in colour
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any bleeding is profuse or persistent
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there is a change in normal bowel habit lasting for more than two weeks
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there is persistent pain in the abdomen.
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For external and internal piles, cream is available. If extra protection for dry, irritated skin is needed, ointment can be used. If internal haemorrhoids are the problem, suppositories deliver a measured dose to the affected area.
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