Important Medical Disclaimer
The information provided in this article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional, such as a doctor or pharmacist, before starting any new medication or treatment. They can assess your individual health needs and provide guidance on the appropriate and safe use of any product.
What is Rowatanal and How Does It Work?
Rowatanal is a topical cream formulated for the relief of symptoms associated with internal and external hemorrhoids (piles), such as pain, itching (pruritus), and general irritation around the anal area [1.2.2, 1.3.4]. Produced by Rowa Pharmaceuticals, an Irish company, the cream is designed to offer comfort through its unique combination of active ingredients [1.4.1].
Key Active Ingredients
Rowatanal’s efficacy comes from its multi-action formula. The primary active ingredients found in the cream include:
- Bismuth Subgallate: This is an astringent, meaning it helps to constrict and shrink body tissues. In Rowatanal, it works to reduce the size of hemorrhoidal tissue and provides a protective coating [1.4.1, 1.4.5].
- Zinc Oxide: Known for its use in skin-protectant creams (like diaper rash ointment), zinc oxide is also an astringent and has mild antiseptic properties. It soothes and protects the irritated skin, creating a barrier against further irritation from stool [1.4.1, 1.4.2].
- Menthol: This ingredient provides a cooling sensation upon application, which helps to immediately relieve the feelings of itching and burning associated with hemorrhoids [1.2.2, 1.4.1].
- Calcium Carbonate: Some formulations also include calcium carbonate, which contributes to the protective properties of the cream [1.2.1, 1.4.3].
Together, these ingredients provide antiseptic, emollient (soothing), and astringent (cleansing) properties to manage the uncomfortable symptoms of hemorrhoids [1.3.4, 1.4.5].
The Big Question: Is Rowatanal Over the Counter?
The answer to whether you can buy Rowatanal without a prescription is not straightforward; it depends on national regulations.
- In Ireland and Europe: The manufacturer's Irish website classifies Rowatanal as a "Non-Prescription" product [1.2.2]. This typically means it can be purchased without a doctor's prescription, though it may sometimes be classified as a "pharmacy-only" medicine, requiring a brief consultation with the pharmacist before purchase. An Irish pharmacy notes it only delivers medicines within Ireland [1.6.3].
- In the Philippines: There is conflicting information. The Philippines FDA verification portal and some retailers list Rowatanal as an "Over-the-Counter (OTC)" product [1.2.1, 1.2.4]. However, other major retailers like Watsons and MyPharma state that a doctor's prescription is required to purchase it [1.2.3, 1.2.5]. MIMS Philippines categorizes it as "Non-Rx" (non-prescription) [1.4.5]. This discrepancy suggests that while officially it may not require a prescription, some retail chains have implemented their own policies requiring one.
- In the United States and Canada: Rowatanal is not a commonly available or approved drug in the US or Canada. While it can be found on online marketplaces like eBay and shipped to these countries, it is not regulated or sold through standard pharmacies [1.6.1].
This variability highlights the importance of checking with local pharmacies or healthcare providers to understand how to obtain Rowatanal in your specific region.
How to Use Rowatanal Cream Safely
According to the product leaflet, Rowatanal is for rectal use only and should not be ingested [1.4.1].
- Clean the Area: Before application, wash the anal area thoroughly and gently dry it with a soft towel.
- Apply Cream: Apply the cream to the affected external area 2-3 times daily and after each bowel movement.
- Internal Use: For internal hemorrhoids, use the provided applicator nozzle. The nozzle should be lubricated before insertion and cleaned thoroughly with a hot detergent solution after each use [1.4.1].
- Duration: Continue the treatment for a few days after symptoms improve to ensure the condition is fully controlled [1.4.1].
If your piles are bleeding, have been present for a long time, or if the condition worsens, you must consult a doctor [1.4.1].
Potential Side Effects and Precautions
Side effects with Rowatanal are reported to be rare. The most common experience is a brief, transient cooling sensation when the cream is applied, which is caused by the menthol [1.5.6]. In very rare cases, sensitivity reactions can occur [1.4.1]. The product also contains wool fat, which may cause local skin reactions like contact dermatitis in sensitive individuals [1.4.1]. If you are allergic to any of the ingredients, you should not use this product [1.4.1]. This product should not be used during pregnancy or lactation unless deemed essential by a physician [1.4.1].
Rowatanal Alternatives: Comparison Table
Several other hemorrhoid treatments are widely available, often over the counter. Here’s how Rowatanal compares to two popular alternatives, Preparation H and Anusol.
| Feature | Rowatanal | Anusol (Standard Formulations) | Preparation H (Multi-Symptom Cream) |
|---|---|---|---|
| Primary Active Ingredients | Bismuth Subgallate, Zinc Oxide, Menthol [1.4.2] | Zinc Oxide, Bismuth salts [1.8.4] | Glycerin, Phenylephrine HCl, Pramoxine HCl, White Petrolatum [1.9.3, 1.9.4] |
| Mechanism of Action | Astringent, protective, cooling anesthetic | Astringent, protective, antiseptic | Protectant, vasoconstrictor (shrinks tissue), local anesthetic (numbs pain) |
| Common Availability | Non-prescription/OTC in some countries (Ireland, Philippines); requires import in others (US/Canada) [1.2.2, 1.2.4] | Widely OTC | Widely OTC |
| Primary Benefit | Soothes, protects, and cleanses with a cooling effect [1.4.5] | Soothes and protects irritated skin | Numbs pain, reduces swelling, and protects [1.9.3] |
Lifestyle Tips for Managing Hemorrhoids
Topical treatments provide symptomatic relief, but lifestyle changes are crucial for long-term prevention and management [1.7.2].
- Increase Fiber Intake: A high-fiber diet (fruits, vegetables, whole grains) softens stool and increases its bulk, which helps you avoid straining during bowel movements.
- Stay Hydrated: Drinking plenty of water helps keep stool soft.
- Don't Delay Bowel Movements: Go to the bathroom as soon as you feel the urge. Waiting can cause stool to become dry and harder to pass [1.7.2].
- Exercise: Regular physical activity helps prevent constipation and can reduce pressure on veins.
- Avoid Prolonged Sitting: If you have a sedentary job, get up and move around periodically.
Conclusion
So, is Rowatanal over the counter? The answer is yes in some countries like Ireland and parts of Asia, but its status can be inconsistent even within a single country, as seen in the Philippines [1.2.1, 1.2.3]. In North America, it is generally not available through standard pharmaceutical channels. Due to these regional differences in regulation and availability, it is essential to consult with a local pharmacist. They can provide accurate information on whether you can purchase Rowatanal OTC, if a prescription is needed, or suggest the best locally available alternative for your symptoms.
