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HEMOAL RECTAL OINTMENT

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About the medicine

How to use HEMOAL RECTAL OINTMENT

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Hemoal Rectal Ointment

Benzocaine, Ephedrine Hydrochloride

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

Follow exactly the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult a doctor or pharmacist, even if it is a side effect not listed in this leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days.

Contents of the Package Leaflet

1. What is Hemoal and what is it used for.

2. What you need to know before you start using Hemoal.

3. How to use Hemoal.

4. Possible side effects.

5. Storage of Hemoal.

6. Contents of the pack and further information.

1. What is Hemoal and what is it used for

It is a local anesthetic due to the action of benzocaine and a vasoconstrictor due to the action of ephedrine.

It is indicated for the symptomatic relief of pain, itching, or burning associated with hemorrhoids in adults.

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you start using Hemoal

Do not use Hemoal:

  • if you are allergic (hypersensitive) to benzocaine, ephedrine hydrochloride, or any of the other components of this medicine (listed in section 6), to other local anesthetics derived from p-aminobenzoic acid, parabens, or paraphenylenediamine, or commercial hair dyes
  • if you have presented an allergy to local anesthetics
  • if you have had, suspect you may have, or are at increased risk of an increase in methemoglobin in the blood (methemoglobinemia)
  • if you are being treated with sulfonamides
  • if you are being treated with cholinesterase inhibitors (medicines for Alzheimer's disease) or have reduced cholinesterase activity
  • if you are being treated with sympathomimetic agents
  • if you have severe coronary artery disease or cardiovascular disorder
  • if you have hypertension
  • if you have hyperthyroidism
  • if you are currently being treated or have been treated in the last two weeks with medicines for treating depression, such as monoamine oxidase inhibitors (MAOIs)
  • on extensive areas of skin, eczematous skin, sunburned skin, infected skin, or cracked skin

Warnings and Precautions

Consult your doctor or pharmacist before starting to use Hemoal.

This medicine should not be used if you have serious heart problems (complete heart block).

This medicine should be used with caution if you have diabetes, closed-angle glaucoma, Raynaud's phenomenon, pheochromocytoma, or prostatic hyperplasia.

Maintain normal intestinal function through a suitable diet (fruits, vegetables, adequate fluid intake, and regular exercise). It may be useful to take some laxative, volume enhancer, or stool softener simultaneously. Excessive use of laxatives should be avoided, as it could lead to intestinal laziness.

Use of Other Medicines

Tell your doctor or pharmacist if you are using or have recently used other medicines, including those obtained without a prescription.

This medicine may interact with:

  • Phenothiazines (antipsychotic) or MAOI antidepressants may produce an increase in blood pressure, cardiac arrhythmia, or even cause death.
  • Cardiac glycosides: the use of cardiac glycosides (e.g., digoxin) at the same time as ephedrine may increase the risk of irregular heartbeat or heart attack.
  • Antidepressants: tricyclic antidepressants (e.g., amitriptyline) and noradrenergic-serotonergic antidepressants may increase the risk of cardiovascular side effects with ephedrine.
  • Sympathomimetic agents: the use of ephedrine with other sympathomimetic agents may increase the risk of hypertension and other cardiovascular effects.
  • Beta-blocker antihypertensives: the use of this medicine at the same time as beta-blocker antihypertensives or other antihypertensives may reduce their effectiveness.
  • Sulfonamides (medicines for treating infections): should not be used at the same time as benzocaine, as it may decrease the effect of sulfonamides.
  • Cholinesterase inhibitors (medicines for Alzheimer's disease): should not be used at the same time as benzocaine, as it may increase the effect of benzocaine.
  • Alkaloids of ergot: risk of vasoconstriction and/or increased tension (hypertension) when used in combination with ephedrine.
  • Linezolid (antibiotic for treating severe bacterial infections): risk of increased tension (hypertension) when used with ephedrine.
  • Adrenergic neuron blockers: ephedrine may reduce or cancel the antihypertensive effects of guanethidine.
  • Appetite suppressants and psychostimulants of the amphetamine type: risk of hypertension and increased heart rate with concomitant use of ephedrine and sibutramine.
  • Halogenated anesthetics: ephedrine should be used with caution if you are undergoing anesthesia with halogenated anesthetics, as it may induce cardiac rhythm disorder (ventricular fibrillation).
  • Other local anesthetics of the benzocaine type: there may be cross-reactivity between benzocaine and other local anesthetics of the ester type.
  • Theophylline (anti-asthmatic, bronchodilator): increased risk of adverse reactions after concomitant administration of theophylline and ephedrine.
  • Dexamethasone (glucocorticoid): ephedrine increases the elimination of dexamethasone.
  • Doxapram (respiratory stimulant): risk of hypertension when used in combination with ephedrine.
  • Oxytocin: risk of hypertension when used in combination with ephedrine.

Interactions with diagnostic tests:

Do not use Hemoal 72 hours before performing the pancreas puncture test with bentiromide, as there is a possibility of interference with the test result.

Pregnancy, Breastfeeding, and Fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Consult your doctor or pharmacist before using any medicine.

You should not use this medicine if you are pregnant or breastfeeding, unless it has been recommended by your doctor, as there is a possibility of absorption.

Use in People Over 65 Years and Weak Patients:

People over 65 years and weak patients may be more sensitive to benzocaine, so the dose should be reduced.

Use in Children

It is not recommended due to the lack of data on efficacy and safety.

Driving and Using Machines

No effects on the ability to drive or use machines have been described.

Hemoal Contains Acetylated Lanolin Alcohols

This medicine may produce local skin reactions (such as contact dermatitis) because it contains acetylated lanolin alcohols.

3. How to Use Hemoal

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

This medicine is applied rectally.

Personal hygiene is essential to control hemorrhoidal symptoms. Therefore, the area should be kept clean, washing it, especially after each bowel movement, with a little mild soap and drying it without rubbing with a clean towel.

Apply a thin layer of ointment (approx. 1 cm) to the clean and dry affected anal area, in the morning, at night, and after each bowel movement. Generally, 3 to 4 times a day.

Apply with a finger, using the tip of the finger to overcome the resistance of the sphincter.

To use it inside the anal canal, remove the protection from the cannula, screw it onto the tube, lubricate it with a little ointment, and carefully insert it into the anal canal. Then, apply a small amount of ointment by exerting gentle pressure on the tube. If you encounter resistance during application, it should be interrupted as it may be harmful and damaging.

After application, unscrew the cannula from the tube and wash it before storing it.

Wash your hands before and after each application. For reasons of hygiene and to avoid infections, the cannula should only be used by a single patient.

Treatment should not last more than 7 days. If anorectal symptoms (pain, itching, burning) do not improve within this time or bleeding appears, you should consult your doctor.

People Over 65 Years and Weak Patients:should reduce the dose, see “Use in people over 65 years and weak patients”

If You Use More Hemoal Than You Should:

If you have used more Hemoal than you should, consult your doctor or pharmacist or the Toxicology Information Service. Phone 91 562.04.20 indicating the medicine and the amount applied.

The symptoms that may appear due to overdose are anxiety, nervousness, palpitations, headache, and insomnia.

If You Forget to Use Hemoal:

Do not apply a double dose to make up for forgotten doses.

If you have any other doubts about the use of this product, ask your doctor or pharmacist.

Medicine questions

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4. Possible Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Rare side effects (may affect up to 1 in 1,000 people):

  • reduction of blood flow to the area where the ointment is applied (ischemia)

Very rare side effects (in less than 1 in 10,000 people)

  • hypersensitivity reactions
  • anxiety
  • headache, nervousness, insomnia
  • palpitations

Side effects of unknown frequency: (cannot be estimated from the available data)

  • increase in methemoglobin in the blood (methemoglobinemia) that causes a blue discoloration of the skin and mucous membranes (cyanosis)
  • decreased appetite, decreased potassium level in the blood (hypokalemia)
  • confusion, depression, psychotic states, fear, irritability
  • restlessness, tremor
  • accelerated heart rate (tachycardia), irregular heartbeats (arrhythmia), angina-like pain, slow heart rate (bradycardia), cardiac arrest
  • high blood pressure (hypertension), cerebral hemorrhage, low blood pressure (hypotension)
  • fluid accumulation in the lungs (pulmonary edema)
  • nausea, vomiting, excessive saliva
  • urinary retention
  • weakness, increased sweating (hyperhidrosis)
  • changes in blood glucose levels
  • allergic dermatitis

Others:

Contact allergic reactions, anal burning sensation may occur.

Drying of the skin area where the ointment is applied (epithelium) and hardening of mucous membranes.

Reporting of Side Effects

If you experience any side effects, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) (http://www.aemps.gob.es/). By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Hemoal

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

Store below 30°C.

Do not use after the expiration date stated on the packaging. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicines in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Contents of the Pack and Further Information

Composition of Hemoal:

Per gram:

The active ingredients are: benzocaine 30 milligrams and ephedrine (hydrochloride) 2 milligrams.

The other ingredients (excipients) are: zinc oxide, white petrolatum, and acetylated lanolin alcohols.

Appearance of the Product and Contents of the Pack

Flexible aluminum tube, interior epoxy coating with screw cap made of polyethylene, containing 30g and 50g of rectal ointment. Each pack contains a cannula for rectal application.

Marketing Authorization Holder

Reckitt Benckiser Healthcare, S.A.

C/ Mataró, 28

08403 Granollers-Barcelona

Manufacturer

INDUSTRIA QUIMICA Y FARMACEUTICA VIR, S.A.

Laguna, 66-68-70. Poligono Industrial Urtinsa II (Alcorcón)

  • 28923 – Spain

or

ALCALA FARMA, S.L.

Carretera M-300 Km 29,920 (Alcalá de Henares) - 28802 - Spain

Date of the Last Revision of this Leaflet: June 2025

Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) (http://www.aemps.gob.es/).

Online doctors for HEMOAL RECTAL OINTMENT

Discuss questions about HEMOAL RECTAL OINTMENT, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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€55
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Doctor

Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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€80
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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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€60
5.0 (184)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€50
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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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€55
5.0 (40)
Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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€70

Frequently Asked Questions

Is a prescription required for HEMOAL RECTAL OINTMENT?
HEMOAL RECTAL OINTMENT does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in HEMOAL RECTAL OINTMENT?
The active ingredient in HEMOAL RECTAL OINTMENT is benzocaine. This information helps identify medicines with the same composition but different brand names.
Who manufactures HEMOAL RECTAL OINTMENT?
HEMOAL RECTAL OINTMENT is manufactured by Reckitt Benckiser Healthcare S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of HEMOAL RECTAL OINTMENT online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether HEMOAL RECTAL OINTMENT is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to HEMOAL RECTAL OINTMENT?
Other medicines with the same active substance (benzocaine) include HEMOAL FORTE RECTAL OINTMENT, TITANOREIN LIDOCAINE RECTAL CREAM, ABRASONE RECTAL, RECTAL CREAM. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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