Apply this medicine in the morning, evening and after each bowel movement. Only apply Proctosedyl to your back passage and the surrounding areas. Do not apply to the face or other parts of the body.

Follow the instructions below to ensure appropriate use of this medication:

• Make sure you wash your hands thoroughly before and after applying the topical ointment.
• Take a pea-sized ointment and apply it thinly on the anal area with the help of your fingers or using the nozzle to help insert a tiny portion of the ointment into the back passage.
• When applying using the nozzle, the nozzle of the Xyloproct ointment must be tightly screwed to the body of the ointment tube.
• Then, gently squeeze the tube until such time that the ointment nozzle is filled with the ointment.
• Gently insert the nozzle into the rectum of the patient and squeeze out the contents lightly.
• Withdraw the nozzle very slowly, and then make sure you thoroughly clean the nozzle with soap and water after every use.
• Never cover the area that was treated with Xyloproct ointment with any waterproof dressing or bandage because it can increase the risk of an allergic reaction.
• If you happen to apply more ointment than necessary, make sure to wipe off the excess ointment using cotton wool.

In the event you miss a dose, it is safe to apply the missed dose as soon as possible. However, if enough time has passed that you should be applying your next dose instead, simply skip the missed dose and resume your typical application schedule.

Always use this medication exactly as your clinician has told you. Check with our clinical team or your GP or pharmacist if you are not sure.

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.

The common side effects include:

• Skin rash
• Thinning of the skin

For full information on side effects and correct use, see the patient information leaflet. If any side effects concern you, or you are experiencing any of the side effects mentioned in the patient information leaflet whilst taking this medication, please contact our clinical team or speak to your GP.

If you have used this ointment for a long time, it is possible that you could get something called ‘adrenal suppression’. Signs include lack of appetite, pain in the stomach, weight loss, feeling sick or being sick, lack of concentration, a feeling of hunger, nervousness and fits.

If you experience blurred vision while using Proctosedyl ointment, you should not drive, cycle or operate machinery. Seek medical attention straight away if you get blurred vision while using this medication.

This medicine is unsuitable to order online if:

• You are pregnant, might become pregnant or think you may be pregnant
• You are breast-feeding or planning to breast-feed

Get emergency medical help if you have signs of an allergic reaction to this medication. These include:

• Hives
• Dizziness
• Fast or pounding heartbeats
• Wheezing
• Difficult breathing
• Swelling of your face, lips, tongue, or throat.

It is important that you let us know which prescription, over-the-counter medicines and recreational drugs you are currently taking. You must also tell us about any other medical conditions that you currently have (or had in the past). This will help us ensure the prescribed medication is safe and appropriate for you to take.

For full information on warnings, medication interactions and contraindications, refer to the Patient Information Leaflet. Please read all packaging and the Patient Information Leaflet before taking any new medicine and inform our clinical team or your GP of medicines you are taking or intend to take.