Important: Formulation and dosage details
Formulation:
Ointment (includes hydrocortisone acetate 0·275%, lidocaine 5%) (Xyloproct®)
Dosage:
Apply several times daily, short-term use only.
We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
Local anaesthetics are used to relieve pain associated with haemorrhoids and pruritus ani, however good evidence is lacking. Xyloproct® contains lidocaine (in addition to hydrocortisone); of the available topical anaesthetics it is least likely to cause irritation. Prolonged use of corticosteroids can cause atrophy of anal skin. Use Anusol-HC®, Xyloproct® and Scheriproct® for a maximum of 7 days.
Suppositories are suitable for internal haemorrhoids and proctitis whereas creams and ointments are suitable for external haemorrhoids.
Ointment (includes hydrocortisone acetate 0·25%) (Anusol Plus HC®OTC)
Apply ointment morning and night and after a bowel movement, for a maximum of 7 days.
Suppositories (include hydrocortisone acetate 10mg) (Anusol Plus HC®OTC)
By rectum, Insert 1 suppository morning and night and after a bowel movement, for a maximum of 7 days.