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Germoloids cream – patient leaflet, side effects, dosage

Updated:
Key facts
Status:
General sale (GSL)
Medicine strength:
66 mg/gram + 7 mg/gram
Other strengths and forms:
Contains active substances:

Patient leaflet - Germoloids cream

1. WHAT GERMOLOIDS® CREAM IS AND WHAT IT IS USED FOR

Haemorrhoids (also known as piles) are swollen or enlarged blood vessels, which can cause discomfort, itching and bleeding, particularly after a bowel movement. They may be either internal (inside the anus) or external (outside the anus).

Germoloids Cream is used to relieve the symptoms of pain, swelling and irritation associated with internal and external haemorrhoids and anal itching (pruritus ani).

The cream contains two active substances, zinc oxide and lidocaine.

Zinc oxide has astringent properties (causes contraction when applied to the skin), which help to shrink swelling. It also helps to soothe and protect the area around the anus from damage and has antiseptic properties.

Lidocaine is a local anaesthetic, which helps to soothe swelling, pain and irritation and relieve itching.

The cream base acts as an emollient to help the passing of stools and reduce straining during bowel movement which is bad for haemorrhoids.

2. WHAT YOU NEED TO KNOW BEFORE YOU USE GERMOLOIDS® CREAM

DO NOT use Germoloids Cream:

  • If you are allergic (hypersensitive) to zinc oxide or lidocaine, or any of the other ingredients in the product (see section 6).

Warnings and precautions

Before using Germoloids Cream, talk to your doctor if you:

  • Continually suffer from haemorrhoids or have severe haemorrhoids. • Experience excessive bleeding.

Pregnancy and breastfeeding:

You may use Germoloids Cream if you are pregnant or breastfeeding but as with all medicines at this time, you should discuss it with your doctor first.

Germoloids Cream contains methyl hydroxybenzoate:

Methyl hydroxybenzoate (E218) may cause allergic reactions (possibly delayed).

3. HOW TO USE GERMOLOIDS® CREAM

Follow the directions below carefully.

Wash your hands before and after using the cream.

Adults and children aged 12 years and over:

  1. 1. Before using the cream for the first time, check that the tube seal is not broken. 2. Remove the seal by peeling from the tag.
  2. 3.

    For external haemorrhoids, apply the cream directly to the affected area. For internal haemorrhoids, screw the applicator nozzle onto the tube and smear some of the cream on the outside of the nozzle to ease application. Carefully insert the applicator into the opening of the anus. Gently squeeze the tube whilst slowly withdrawing the nozzle so that the cream moves gently up the anus.

    1. 4. Replace the cap firmly after use. Always keep the tube of cream, cap and nozzle clean.

Apply the cream to the affected area at least twice a day with a minimum of 3 to 4 hours between applications. Further applications can be made at any time of the day, and are particularly recommended after a bowel movement. Do not use the cream more than 4 times in any 24 hour period.

Children under 12: Not recommended unless used under the supervision of a doctor. If you have any further questions on the use of this product, ask your doctor or pharmacist.

The cream is for use in and around the anus only. Do not put the cream in your mouth or swallow it. If some of the cream is swallowed accidentally, tell your doctor straight away or contact your nearest Accident and Emergency Department.

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them. Rarely, you may experience increased local irritation at the site of application after applying the cream.

If you experience any of these symptoms or react badly to the cream in any other way, stop using this product and tell your doctor or pharmacist immediately.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5. HOW TO STORE GERMOLOIDS® CREAM

Keep this medicine out of the sight and reach of children.

Do not store above 25°C. This product should be stored in its original carton. Do not use this medicine after the expiry date which is stated on the pack and on the end of the tube of cream. The expiry date refers to the last day of that month. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.

6. CONTENTS OF THE PACK AND OTHER INFORMATION

What Germoloids Cream contains:

The active substances are zinc oxide (6.6% w/w) and lidocaine hydrochloride (0.7% w/w). The other ingredients are emulsifying wax, white soft paraffin, methyl salicylate, methyl hydroxybenzoate (E218), butyl hydroxybenzoate and water. See end of Section 2 for methyl hydroxybenzoate (E218) advice.

What Germoloids Cream looks like and contents of the pack:

Germoloids Cream is available in tubes containing 25g or 55g of a white cream (not all pack sizes may be marketed).

Marketing Authorisation Holder: Bayer plc, 400 South Oak Way, Reading, RG2 6AD, UK. consumerhealthuk@bayer.com

Manufacturer: Famar A.V.E. Avlon Plant, 49th km National Road Athens-Lamia, Avlona Attiki, 19011, Greece.

How to help reduce the occurrence and/or severity of the condition:

Constipation and straining during bowel movement can make haemorrhoids worse. To help avoid this, the following steps can be taken:

  • Eat a high fibre diet of fruits, vegetables and whole grain food
  • Drink plenty of fluids, at least eight glasses a day (preferably water)
  • Go to the toilet immediately when you need to pass stools and try to avoid straining during bowel movement
  • Exercise regularly as it can help to stimulate regular bowel movement.

This leaflet was last revised in November 2020.

Remember: if you have any doubts about using Germoloids® Cream correctly, seek the advice of your doctor or pharmacist.

® Germoloids is a registered trademark.

120 mm

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 00010/0265

Last revision stated in the text: November 2020 · MHRA data as of 13 October 2026

What the sections and the side effect frequencies mean: How to read a patient leaflet

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Germoloids cream

What these facts mean

Prescription needed?? No, general sale list medicine (GSL) – also sold outside pharmacies
Active substances? Lidocaine, Zinc oxide
Strength? 66 mg/gram + 7 mg/gram
Pharmaceutical form? Rectal cream
How is it taken? Rectal, Cutaneous
Excipients? Polawax, White soft paraffin, Methyl salicylate, Methyl hydroxybenzoate, Butyl hydroxybenzoate, Purified water.
Pack sizes 25 gram, 55 gram
Is it available?? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life? Three years
Storage Store below 25°C.
Drug group (ATC)?
  1. C Cardiovascular system drugs
    1. C05 Vasoprotectives
      1. C05A Agents for treatment of hemorrhoids and anal fissures for topical use
        1. C05AX Other agents for treatment of hemorrhoids and anal fissures for topical use
          1. C05AX04 zinc preparations
Marketing authorisation? PL 00010/0265 (first authorised 26 November 1990)
Marketing authorisation holder? Bayer plc
Codes? GTIN 5010605830464, 5010605830495 · BNF 01070100

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 11.1.0 of 9 November 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.