At a glance
Germoloids and Anusol are two of the most commonly used over-the-counter products for hemorrhoid symptoms in the UK. They take different approaches to symptom relief, and understanding what each contains helps you choose the better option for your specific symptoms.
This guide compares the two products practically — what they contain, what they are best for, and what people report about using them.
What each contains
Germoloids
The key active ingredient in Germoloids is lidocaine — a local anaesthetic. This is combined with zinc oxide, which has mild astringent and protective properties.
Germoloids is available as:
- Cream
- Ointment
- Suppositories
Anusol
Anusol contains zinc oxide, bismuth subgallate, and balsam of Peru. These are astringent and protective ingredients designed to soothe, protect, and help reduce irritation.
Anusol is available as:
- Cream
- Ointment
- Suppositories
There is also Anusol Plus HC, which adds hydrocortisone (a mild steroid) for additional anti-inflammatory effect. This version may require a pharmacist consultation.
How they compare
| Feature | Germoloids | Anusol |
|---|---|---|
| Pain relief | Strong (lidocaine) | Mild (astringent action) |
| Itch relief | Good (lidocaine numbing) | Moderate (soothing/protective) |
| Barrier protection | Yes (zinc oxide) | Yes (zinc oxide, bismuth) |
| Anti-inflammatory | Minimal | Minimal (Plus HC version has this) |
| Best for | Pain-dominant symptoms | General discomfort and irritation |
| Forms | Cream, ointment, suppositories | Cream, ointment, suppositories |
Choosing between them
Choose Germoloids if
- Pain is your primary symptom — the lidocaine provides effective temporary numbing
- Itching is severe — the anaesthetic dulls the itch sensation
- You need quick relief — the numbing effect is relatively fast-acting
- Post-bowel-movement pain is your main concern
Choose Anusol if
- Your symptoms are mild — general discomfort rather than significant pain
- Irritation and soreness are the main issues — the barrier protection is helpful
- You want to avoid anaesthetic ingredients — Anusol (standard) contains no lidocaine
- You need a product for longer-term, mild use — the gentler formulation suits ongoing mild symptoms
- Swelling is a concern — Anusol Plus HC (with hydrocortisone) can address mild inflammation, though it should not be used long-term
What people describe
Germoloids users
- “The numbing is noticeable and provides real relief”
- “Best for the acute pain after a bowel movement”
- “Feels more effective than Anusol for bad days”
- “Can sometimes cause a slight tingling or warming sensation”
Anusol users
- “Gentle and soothing — good for everyday use”
- “Provides a protective barrier that reduces irritation”
- “Less intense than Germoloids — suits milder symptoms”
- “The suppositories are useful for internal symptoms”
- “Plus HC version helped when there was swelling”
Practical guidance
Using either product
- Clean the area gently with warm water before application
- Apply a thin layer — more is not better
- Wash hands before and after
- Follow the product instructions for frequency of use
- Use consistently for a few days before judging effectiveness
Duration of use
- Both products are designed for short-term symptom relief
- If symptoms persist beyond two weeks of consistent use, reassess with a pharmacist or doctor
- Anusol Plus HC (with hydrocortisone) should not be used for more than seven days without clinical guidance
- Ongoing reliance on any topical product suggests the underlying condition needs attention
When neither is enough
If over-the-counter products are not providing adequate relief, the next steps typically include:
- A conversation with a pharmacist about stronger options
- A visit to your GP for assessment and potentially prescription treatment
- Addressing the underlying factors — diet, hydration, toilet habits, and activity levels
- A referral to a specialist if the condition is more complex
The broader picture
Both Germoloids and Anusol manage symptoms. They provide relief while you work on the factors that are causing or maintaining the hemorrhoids. The most effective approach combines topical relief with dietary changes, adequate hydration, proper toilet habits, and regular movement. A topical product on its own is rarely a complete solution.