Uniroid-HC is a medical preparation formulated with two potent active ingredients to address the discomfort of haemorrhoids and other related perianal conditions. Unlike over-the-counter preparations, Uniroid is a prescription-only medication, ensuring it is used appropriately under medical supervision. Its effectiveness stems from its dual mechanism of action, targeting both inflammation and pain.
How Uniroid Cream Works: A Dual Mechanism
The dual-action formula of Uniroid-HC combines the benefits of a corticosteroid with a local anaesthetic to combat the main symptoms of haemorrhoids.
The Role of Hydrocortisone
One of the key active ingredients is hydrocortisone, a mild corticosteroid.
- Anti-inflammatory effect: Hydrocortisone works by reducing the inflammation in the blood vessels and tissues surrounding the anus. This counters the immune response that causes swelling, redness, and discomfort, effectively shrinking the inflamed tissue.
- Itching relief: By reducing inflammation, hydrocortisone also helps to relieve the persistent and irritating itch associated with piles.
The Role of Cinchocaine Hydrochloride
The second active ingredient is cinchocaine hydrochloride, a powerful local anaesthetic.
- Numbing effect: Cinchocaine provides targeted pain relief by blocking the nerve endings in the skin of the application site.
- Rapid action: This numbing effect helps to alleviate pain and discomfort almost immediately upon application, offering quick symptomatic relief.
Indications for Uniroid Cream's Use
Uniroid cream is prescribed for the short-term treatment of several anal and rectal conditions.
- External Haemorrhoids: For piles located outside the anus, Uniroid provides short-term relief from pain, irritation, and itching.
- Internal Haemorrhoids: Using the specialised nozzle applicator, the cream can also be effectively applied inside the rectum to treat internal piles.
- Anal Fissures: The anti-inflammatory and pain-relieving properties can aid in the healing process of tears or open sores in the anal area, though it's important to consult a doctor before use.
- Perianal Irritation: The ointment also helps to soothe and relieve general irritation and itching (pruritus ani) in the perianal region caused by various conditions.
How to Apply Uniroid Cream Correctly
Proper application is crucial for the medication's effectiveness and to minimize side effects. Always follow the instructions provided by your doctor or pharmacist.
External Application
- Clean the area: Gently wash the anal area with mild soap and water, then pat it dry with a soft, clean towel.
- Apply a thin layer: Squeeze a small amount of ointment onto your fingertip and gently spread a thin layer over the affected area. Do not rub vigorously.
- Wash your hands: Always wash your hands thoroughly before and after applying the ointment.
Internal Application
- Attach the nozzle: Screw the supplied plastic nozzle onto the tube.
- Insert the nozzle: Gently insert the entire nozzle into the rectum.
- Administer the dose: While slowly withdrawing the nozzle, squeeze the tube gently from the bottom to deliver the ointment.
- Clean the nozzle: The nozzle must be washed thoroughly in warm, soapy water after each use.
Dosage and Duration
- Frequency: Typically, the ointment is applied twice a day (morning and evening) and after each bowel movement, or as directed by a doctor.
- Duration: Treatment should be limited to a maximum of seven days to avoid potential side effects, especially the thinning of the skin. If symptoms persist after this period, consult your doctor again.
Potential Side Effects and Precautions
While generally well-tolerated, Uniroid-HC can cause some side effects, especially with prolonged or excessive use.
- Local Skin Reactions: Some individuals may experience a mild burning or irritation sensation upon initial application, which usually subsides quickly. Other skin reactions, like rashes, are also possible.
- Skin Thinning: Long-term, continuous use can cause the delicate perianal skin to thin and damage easily, increasing the risk of further irritation.
- Adrenal Suppression: Although rare, the hydrocortisone can be absorbed into the bloodstream in large doses or with overuse, potentially suppressing the adrenal glands. This can cause systemic side effects like fatigue and digestive issues.
- Blurred Vision: Visual disturbances, including blurred vision, have been reported in rare cases. If this occurs, it is important to consult a doctor.
Contraindications
Uniroid-HC is not suitable for everyone and should be avoided in certain cases:
- Infections: It is contraindicated in cases of anal thrush, viral lesions (such as herpes simplex), and tuberculosis, as the steroid component can worsen infections.
- Allergies: Individuals with a known allergy or hypersensitivity to hydrocortisone, cinchocaine, or other ingredients should not use the product.
- Pregnancy and Breastfeeding: Use during pregnancy or breastfeeding is generally not recommended unless a doctor advises it, as corticosteroids can potentially affect foetal development.
- Children: Uniroid-HC is not recommended for children under 12 unless specifically directed by a doctor.
Comparison: Uniroid Cream vs. Other Haemorrhoid Treatments
Uniroid differs from other common haemorrhoid treatments in its active ingredient combination. Here is a brief comparison with Anusol HC Ointment, another hydrocortisone-based product.
| Feature | Uniroid-HC Ointment | Anusol-HC Ointment | Anusol Cream | Over-the-Counter Options |
|---|---|---|---|---|
| Prescription Status | Prescription-only | Prescription-only | Can be purchased over-the-counter | Widely available without prescription |
| Active Ingredients | Hydrocortisone, Cinchocaine | Hydrocortisone, Zinc Oxide | Hydrocortisone, Zinc Oxide, Bismuth Salts, Benzyl Benzoate | Variable (e.g., phenylephrine, pramoxine) |
| Primary Function | Reduces inflammation and numbs pain | Reduces inflammation and provides protective barrier | Reduces inflammation, protects, and acts as an astringent | Varies by product (e.g., shrinking, pain relief) |
| Key Advantage | Combines potent anti-inflammatory with strong local anaesthetic for fast, targeted relief | Combines anti-inflammatory with a protective, healing agent | Multiple ingredients for a more comprehensive over-the-counter solution | Accessibility and no need for consultation |
When to Seek Further Medical Advice
Uniroid is intended for short-term use to manage acute symptoms. Consult a doctor if:
- Your symptoms do not improve within seven days of treatment.
- Symptoms worsen or recur frequently.
- You experience any unusual rectal bleeding, especially if the blood is dark in colour.
- You suspect any of the contraindications may apply to you.
Conclusion
Uniroid cream is a powerful and effective prescription medication for providing symptomatic relief from the pain, itching, and inflammation caused by both internal and external haemorrhoids. Its dual-action formula leverages hydrocortisone to reduce swelling and cinchocaine to numb the area, offering targeted and rapid comfort. However, due to its potent ingredients, it is vital to follow a doctor's instructions for a short-term treatment course to mitigate potential side effects. For prolonged or worsening symptoms, further medical evaluation is necessary to determine the underlying cause and ensure the correct treatment plan.
