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Pileum Suppository is used to treat anal fissures, haemorrhoids (piles), and anal pruritus. Additionally, it is also used in pre and post-operative treatment in anorectal examinations and proctologic surgery. It works by decreasing pain and discomfort. In some cases, this medicine may cause side effects such as burning sensation, irritation, itching and redness at the site of application.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

MMC Healthcare Ltd

Consume Type :

Rectal

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Pileum Suppository

Pileum Suppository is a rectal medication designed to relieve painful, swollen, and irritated conditions of the lower passage, such as haemorrhoids and small tears in the skin. It helps soothe local discomfort, ease itching, and protect the delicate tissue as it heals.

For the best results, you should use this medication consistently at the exact frequency recommended by your healthcare provider. Incorporating simple daily habits, such as eating more fibre and drinking plenty of water, will also support your recovery and improve your comfort.

While Pileum Suppository is generally well-tolerated, some people may experience mild, temporary burning or irritation where it is applied. If you experience severe pain, skin thinning, or unexpected bleeding, stop using it and consult a doctor immediately.

Do not use this if you have an untreated skin infection, tuberculosis of the skin, or a known allergy to any of its components. Talk to your doctor before starting this treatment if you have severe heart problems, a weakened immune system, or damaged skin in the application area.

Tell your healthcare team about any other creams, ointments, or oral medicines you use, as certain products may interact with this treatment. If you are pregnant, breastfeeding, or planning a pregnancy, consult your doctor or pharmacist to ensure it is safe for you.

Uses of Pileum Suppository

Pileum Suppository is used to relieve pain, inflammation, and irritation affecting the anal and rectal area. It may be prescribed for the following conditions:

  • Haemorrhoids (piles): Pileum Suppository helps ease the intense swelling, itching, and throbbing pain associated with both internal and external haemorrhoids.
  • Anal fissures: It helps soothe the sharp pain and promotes the healing of small, painful tears in the lining of the lower passage.
  • Proctitis: It helps reduce localized redness, swelling, and irritation in the lining of the rectum.

Key Benefits

Pileum Suppository offers rapid, targeted relief directly at the site of discomfort, helping you return to your daily routine without constant distraction.

  • Rapid pain relief: The local numbing action works quickly to dull sharp pain and throbbing, allowing for more comfortable movement and bowel movements.
  • Reduced swelling and itching: It targets the inflammatory response, significantly shrinking swollen tissues and calming persistent, irritating itching.
  • Skin protection and healing: It forms a soothing protective barrier over raw areas, preventing further irritation from friction while supporting the body's natural tissue repair process.

Directions for Use

  • Follow your doctor’s instructions on the dosage and timing of this medication, to ensure safety.
  • Lie down on your left side and raise your right knee to the chest. Remove the wrapper and insert the pointed end of the suppository into the rectum.
  • Wash your hands thoroughly before and after use.

How Pileum Suppository Works

Pileum Suppository contains four active ingredients that work together to relieve pain, reduce inflammation, protect the affected area, and promote healing. Allantoin is a skin protectant and healing agent that helps stimulate the regeneration of skin cells. It supports the repair of damaged tissues, cracks, and small tears while keeping the affected area soft and moisturised. Hydrocortisone is a mild corticosteroid that works by reducing the production of chemicals in the body that cause inflammation. This helps relieve redness, swelling, itching, and irritation in the affected area. Lidocaine is a local anaesthetic that temporarily blocks the nerve signals responsible for transmitting pain. This provides fast, localised relief from pain, burning, and discomfort. Zinc oxide is a skin protectant that forms a protective barrier over the affected skin. It helps shield the area from moisture, friction, and other irritants while supporting the natural healing process. Together, these ingredients help relieve pain, itching, and inflammation, protect damaged skin, and promote faster healing of the affected area.
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Alcohol

Consult your doctor

It is not known whether Pileum Suppository interacts with alcohol. Please consult your doctor.

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Pregnancy

Consult your doctor

Please consult a doctor if you are pregnant. Your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

Please consult your doctor if you have any concerns regarding this; your doctor will decide whether Pileum Suppository can be used by breastfeeding mothers or not.

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Driving

Safe

Pileum Suppository usually does not affect your ability to drive.

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Liver

Consult your doctor

Please consult your doctor before using Pileum Suppository if you have a liver impairment or any concerns regarding this.

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Kidney

Consult your doctor

Please consult your doctor if you have any concerns regarding the usage of Pileum Suppository in patients with kidney impairment.

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Children

Consult your doctor

Please consult a doctor regarding the usage of Pileum Suppository in children. Pileum Suppository should be used in children only if prescribed by a doctor.

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Heart

Caution

Pileum Suppository can generally use even if you have heart problems, but with caution.

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Geriatrics

Caution

Geriatric patients can generally use Pileum Suppository, but with extra caution and medical supervision.

What if I have taken an overdose of Pileum Suppository

If you accidentally swallow this medicine or use far too much of it, seek immediate medical attention or contact a poison control centre right away.

Diet & Lifestyle Advise

  • Increase your dietary fibre: Eat more whole grains, fruits, vegetables, and beans to soften your stools, making them easier to pass without straining.
  • Stay well-hydrated: Drink plenty of water throughout the day to prevent constipation and reduce friction during bowel movements.
  • Avoid straining: Do not force or strain during bowel movements, and try not to sit on the toilet for prolonged periods.
  • Take sitz baths: Soak your pelvic area in warm water for 15 to 20 minutes two to three times a day to soothe irritation and improve local blood flow.
  • Wear loose clothing: Opt for loose-fitting cotton underwear to prevent sweat build-up and reduce friction on the sensitive skin.
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How Soon It Starts Working

The time required for Pileum Suppository to start to work: Pileum Suppository ideally shows its action within 3 to 5 minutes after administration. The time for which the effects of Pileum Suppository last: The duration of action for Pileum Suppository is unknown.

What if you forget to take Pileum Suppository

If you miss a dose, use it as soon as you remember. However, if it is nearly time for your next scheduled application, skip the missed dose and return to your regular schedule. Do not apply a double amount to make up for a missed one.

Storage

• Store Pileum Suppository at room temperature, ideally between 15°C and 30°C, in a cool, dry place.

Drug Warnings

  • Use only as directed: Apply this medicine only to the rectal area. Avoid contact with the eyes, nose, mouth, or other mucous membranes.
  • Check the product before use: Do not use the cream if the tube seal is broken or if you notice any change in its colour, texture, or smell.
  • Clean the applicator after each use: Wash the applicator tip thoroughly with warm water and mild soap after every application, then replace the protective cap.
  • Limit the duration of treatment: Do not use this medicine for more than 7 consecutive days unless your doctor specifically advises otherwise, as prolonged use may cause skin thinning.
  • Avoid airtight coverings: Do not cover the treated area with airtight dressings or plastic coverings unless instructed by your doctor, as this may increase medicine absorption and the risk of side effects.

Drug-Drug Interactions

verifiedApollotooltip

The following medicines may interact with Pileum Suppository and may require closer monitoring or treatment adjustments:

  • Other topical corticosteroids: Combining this with other steroid creams may increase the risk of skin thinning or excessive absorption into the bloodstream.
  • Heart rhythm medications: Using this alongside certain medicines for irregular heartbeats may increase the risk of side effects if systemic absorption occurs.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip
  • No clinically significant food interactions are known with Pileum Suppository when used as directed.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANORECTAL PREPARATIONS]

FAQs

Pileum Suppository belongs to the group of medicines called anorectal preparations used to treat anal fissures, haemorrhoids (piles), and anal pruritus. Pileum Suppository is also used in pre and post-operative treatment in anorectal examinations and proctologic surgery.
Pileum Suppository contains Allantoin, Hydrocortisone, Lidocaine, and Zinc oxide. Allantoin decreases pain and discomfort by shrinking the blood vessels in the affected area. Hydrocortisone helps in reducing itching, redness and swelling due to piles. Lidocaine blocks the pain signals from the nerves to the brain, thereby decreases the sensation of pain. Zinc oxide has astringent, soothing, protectant and antiseptic properties. Together, Pileum Suppository relieves pain and discomfort due to piles and anal fissures.
Pileum Suppository contains a steroid; therefore, it should not be used for longer durations unless prescribed by a doctor. If your condition does not improve despite using Pileum Suppository for a few weeks, consult your doctor, he/she may prescribe you an alternate medicine.
Please do not stop using Pileum Suppository without consulting your doctor. Continue using Pileum Suppository for as long as your doctor has prescribed it. Do not be reluctant to speak with your doctor if you experience any difficulty while using Pileum Suppository.
The symptoms of anal fissure and piles are similar. However, anal fissure is a small tear in the mucosa that lines the anus, whereas piles are the inflamed and swollen veins in the rectum and anus that cause discomfort, pain, and bleeding.
It is not recommended to use Pileum Suppository in the presence of an infection. Appropriate anti-bacterial, anti-fungal or anti-viral therapy should be given if there is an infection at the application site.
You should only use Pileum Suppository during pregnancy if your doctor determines that the benefits outweigh the risks. Talk to your doctor before using any rectal treatments while pregnant.
If you experience unexpected or severe rectal bleeding, do not apply this medication until you have been evaluated by a healthcare professional. Talk to your doctor to find the exact cause of the bleeding.
A mild, brief stinging or burning sensation can occur when you first apply the medicine. If this feeling is severe or does not go away, wash the area gently and talk to your doctor.
Yes, if your doctor has prescribed it for internal conditions, you can use the provided applicator to apply it internally. Always follow the step-by-step instructions and talk to your doctor or pharmacist if you are unsure.
You should not use this medication for longer than seven days in a row unless your doctor explicitly instructs you to do so. Overuse can cause the skin to become thin and fragile. Talk to your doctor if your symptoms persist.
While moderate alcohol consumption is unlikely to interact directly with this rectal medicine, alcohol can dehydrate you and worsen constipation, which hinders healing. Talk to your doctor for personalized advice.
Wash the applicator thoroughly with warm water and mild soap after each use, rinse it well, dry it with a clean tissue, and replace the cap. Talk to your doctor or pharmacist if you need advice on proper hygiene.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. WebMD Medical Reference Review Board. Details Drug and Treatment Monograph. Atlanta, GA: WebMD; 2026. [Accessed on 02 Jun. 2026]Check here
  2. Products. [Accessed on 02 Jun. 2026]Check here
  3. Ministry of Health and Family Welfare. National Formulary of India (NFI) 2021. 6th ed. New Delhi, India: IPC; 2021. Clinical Drug Monographs: Anaproct Ointment
  4. Hydrocortisone+Zinc Oxide+Lidocaine+Allantoin [Summary of Product Characteristics]. Thane, India: Kremoint Pharma Pvt. Ltd.; 2024

Country of origin

India

Manufacturer/Marketer address

61, Kurinji Street, Fathima Nagar, Valasaravakkam, Chennai - 600087
Other Info - PIL0218
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