Description:

Preparation H Ointment is a popular over-the-counter topical medication designed to provide temporary relief from the symptoms of hemorrhoids (piles), including pain, itching, burning, swelling, discomfort, and irritation in the anal/rectal area. It works by shrinking swollen hemorrhoidal tissue, soothing the area, and forming a protective barrier.

Prescription:

• No, it is an over-the-counter (OTC) product available without a prescription.

Therapeutic Category:

• Hemorrhoidal preparation / Topical anorectal protectant, vasoconstrictor, and anesthetic (anti-hemorrhoid treatment).

Active Ingredients/Composition:

Formulations vary slightly by region and product variant, but common key active ingredients in many Preparation H Ointment versions include:

• Phenylephrine HCl (0.25%) – Vasoconstrictor (shrinks swollen tissue).
• Mineral Oil (14%) – Protectant.
• Petrolatum / White Petrolatum (up to 74.9% or 15% in some blends) – Protectant.
• In some maximum strength or cream-like variants: Glycerin (14.4%), Pramoxine HCl (1%) – Local anesthetic.

Other inactive ingredients may include lanolin, corn oil, paraffin, preservatives (e.g., methylparaben, propylparaben), thyme oil, and more (check local packaging for exact list, as formulations differ by country).

Variant:

• Standard Preparation H Hemorrhoidal Ointment (often the classic version with phenylephrine and protectants). Other variants in the line include Maximum Strength (with added pramoxine and glycerin), Cooling Gel, Rapid Relief with Lidocaine, or Cream versions. In some countries (e.g., parts of Europe or older formulas), it may include shark liver oil or different bases.

Consume Type:

• Topical ointment (for external and/or intrarectal application; semi-solid, greasy texture for soothing and protection).

Directions/Usage:

• Cleanse the affected area by patting or blotting (use wipes if available), then gently dry.
• Apply externally to the affected area up to 4 times daily (especially at night, morning, or after bowel movements).
• For internal use: Attach the applicator to the tube, lubricate it, gently insert into the rectum, and apply.
• Clean applicator after each use.
• Do not exceed recommended dosage or use longer than 7 days without consulting a doctor.
• Adults and children 12 years+: Use as directed; under 12: Ask a doctor.

Common Side Effects:

• Generally well-tolerated when used as directed. Possible mild effects include local irritation, stinging/burning (especially on raw tissue), or redness. Rare: Allergic reactions (rash, hives). Phenylephrine may cause temporary increased blood pressure or heart rate if over-absorbed (rare with topical use). Stop use and seek medical help if bleeding occurs, symptoms worsen, or no improvement in 7 days.

Package Type:

• Typically aluminum or plastic tubes , often with a screw-on applicator cap for internal use.

Storage Advice:

• Store at room temperature 20-25°C (68-77°F), in a cool, dry place away from direct sunlight, heat, and moisture. Keep out of reach of children.

Safety Advice:

• For external and/or intrarectal use only. Consult a doctor before use if you have heart disease, high blood pressure, thyroid disease, diabetes, prostate enlargement, or are taking medications for high blood pressure/depression. Ask a healthcare professional if pregnant or breastfeeding. Do not use if allergic to any ingredients. Stop use if condition worsens, bleeding starts, or pain increases. Not a substitute for medical treatment of severe hemorrhoids. Keep out of eyes/mouth.

Product Substitutes:

• Other OTC hemorrhoid treatments like Anusol (zinc oxide-based), Anusol-HC (with hydrocortisone), Tucks pads/witch hazel, Proctosedyl, Germoloids, or generic phenylephrine/mineral oil/petrolatum ointments. For stronger relief, prescription options (e.g., hydrocortisone creams) may be recommended by a doctor.

Manufacturer/Marketer:

• Haleon

Country of Origin:

• United States