How to Use Preparation H Cream?

How to Use Preparation H Cream?

Preparation H cream is primarily used to provide temporary relief from discomfort associated with hemorrhoids. Application typically involves gently cleansing the affected area, drying it thoroughly, and then applying a small amount of the cream directly to the affected area up to four times daily, especially at night, in the morning, or after each bowel movement.

Understanding Preparation H and Hemorrhoids

Hemorrhoids are swollen veins in the anus and rectum that can cause pain, itching, and bleeding. While often not serious, they can be incredibly uncomfortable. Preparation H offers temporary relief from these symptoms through a combination of ingredients, primarily acting as a vasoconstrictor and protectant. Phenylephrine is the vasoconstrictor, helping shrink swollen tissue. Other ingredients such as mineral oil and petrolatum create a protective barrier. Understanding this basic function is key to effective use.

Benefits of Using Preparation H

Preparation H provides several key benefits when used correctly:

  • Relief from Itching: Soothes the irritated skin around the anus.
  • Reduction of Swelling: Helps to shrink swollen hemorrhoidal tissue due to its vasoconstrictive properties.
  • Temporary Pain Relief: Provides a soothing effect, reducing pain and discomfort.
  • Protective Barrier: Creates a barrier to protect the inflamed area from further irritation.

It’s important to remember that Preparation H is a symptom relief medication, not a cure for hemorrhoids. If your symptoms persist or worsen, consult a healthcare professional.

The Correct Application Process: A Step-by-Step Guide

Applying Preparation H effectively involves several crucial steps:

  1. Clean the Area: Gently cleanse the affected area with mild soap and water. Pat dry with a soft towel. Avoid harsh scrubbing.
  2. Prepare the Applicator (If Using): If using an applicator, ensure it’s clean. Some preparations come with an applicator; if not, a clean fingertip can be used.
  3. Apply the Cream: Squeeze a small amount of Preparation H onto your fingertip or the applicator. A pea-sized amount is usually sufficient.
  4. Apply Internally (If Necessary): If you have internal hemorrhoids, gently insert the applicator or lubricated finger into the rectum approximately 1 inch. Squeeze gently to apply the cream internally.
  5. Apply Externally: Gently spread the cream over the affected external area.
  6. Wash Your Hands: Thoroughly wash your hands with soap and water after each application to prevent infection.
  7. Frequency: Apply up to four times daily, especially at night, in the morning, and after each bowel movement.

Common Mistakes to Avoid

Avoiding common mistakes ensures optimal effectiveness and minimizes potential side effects:

  • Over-application: Using too much cream can lead to skin irritation. Stick to the recommended amount.
  • Ignoring Hygiene: Neglecting to clean the area before application can introduce bacteria and worsen the condition.
  • Prolonged Use Without Consulting a Doctor: Preparation H is intended for temporary relief. If symptoms persist for more than a week, consult a doctor.
  • Using Expired Product: Check the expiration date. Expired medications may be less effective and potentially harmful.
  • Assuming It Cures Hemorrhoids: Remember it only provides symptomatic relief. Addressing the underlying cause often requires lifestyle changes or medical intervention.

When to Seek Professional Medical Advice

While Preparation H can provide relief, it’s crucial to know when to consult a doctor:

  • Persistent Bleeding: Any rectal bleeding should be evaluated by a doctor to rule out more serious conditions.
  • Severe Pain: Intense pain that doesn’t subside with Preparation H may indicate a more severe problem.
  • Symptoms Worsening: If your symptoms worsen despite using Preparation H, seek medical advice.
  • No Improvement After a Week: If there’s no noticeable improvement after a week of using Preparation H, consult a healthcare professional.
  • Changes in Bowel Habits: Any significant changes in bowel habits, such as persistent diarrhea or constipation, warrant a medical evaluation.

Comparing Preparation H Formulations

Preparation H comes in various forms, each tailored for specific needs:

FormulationKey IngredientsPrimary Benefit
Original OintmentPhenylephrine, Mineral Oil, PetrolatumTemporary relief from itching, burning, and discomfort
Cooling GelWitch Hazel, GlycerinSoothing relief with a cooling sensation
Medicated WipesWitch Hazel, GlycerinCleansing and soothing relief in wipe form
Rapid Relief with Lidocaine CreamLidocaine, Glycerin, PhenylephrineAnesthetic effect for more intense pain relief

Choose the formulation that best addresses your specific symptoms and preferences. Always read the label carefully and follow the instructions.

Preparation H and Pregnancy

Women who are pregnant or breastfeeding should consult their doctor before using Preparation H. While generally considered safe, it’s essential to seek medical advice to ensure it’s appropriate for your individual circumstances.


Frequently Asked Questions (FAQs)

Can I use Preparation H for facial wrinkles?

No, Preparation H is not intended for facial use or wrinkle reduction. While it may temporarily reduce puffiness due to its vasoconstrictive properties, this is a temporary effect and can potentially be harmful. It’s important to use products specifically formulated for facial skin. Using Preparation H on the face can lead to dryness, irritation, and other adverse effects.

How long does it take for Preparation H to work?

The time it takes for Preparation H to provide relief varies depending on the severity of the symptoms. Most people experience some relief within a few minutes to an hour. However, it may take several days of consistent use to see significant improvement. If you don’t experience any relief after a week, consult your doctor.

Can Preparation H cause any side effects?

While generally safe, Preparation H can cause side effects in some individuals. These may include mild skin irritation, burning, or itching. More serious side effects are rare but can include allergic reactions. Discontinue use and consult a doctor if you experience any severe or persistent side effects.

Can I use Preparation H while pregnant or breastfeeding?

It is recommended to consult with a doctor before using Preparation H during pregnancy or breastfeeding. While many consider it safe, it’s vital to discuss the risks and benefits with a healthcare professional who can assess your specific situation.

What are the alternatives to Preparation H?

Alternatives to Preparation H include other over-the-counter hemorrhoid creams (containing hydrocortisone or pramoxine), witch hazel wipes, sitz baths (soaking in warm water), and lifestyle modifications such as increasing fiber intake and staying hydrated. In some cases, medical procedures may be necessary.

Can I use Preparation H with other medications?

It’s always best to consult with your doctor or pharmacist before using Preparation H with other medications, both prescription and over-the-counter. While serious interactions are rare, some medications can potentially affect the effectiveness or safety of Preparation H.

How should I store Preparation H cream?

Preparation H should be stored at room temperature, away from heat and direct sunlight. Keep it out of reach of children. Do not use if the seal is broken or the cream has changed color or consistency.

Can I use Preparation H for anal fissures?

While Preparation H may provide some temporary relief from the discomfort of anal fissures (small tears in the lining of the anus), it’s primarily designed for hemorrhoids. For anal fissures, consider using stool softeners and topical ointments specifically formulated for healing fissures.

How often should I apply Preparation H cream?

The recommended frequency is up to four times daily, especially at night, in the morning, and after each bowel movement. Do not exceed the recommended dosage.

What should I do if I accidentally swallow Preparation H?

If you accidentally swallow Preparation H, contact a poison control center or seek immediate medical attention. While it’s unlikely to cause serious harm in small amounts, it’s best to err on the side of caution.

Can Preparation H cure hemorrhoids completely?

No, Preparation H provides temporary relief from hemorrhoid symptoms but does not cure the underlying condition. Lifestyle changes, such as increasing fiber intake and staying hydrated, can help prevent future hemorrhoids. In some cases, medical procedures may be necessary for a complete cure.

Is it safe to use Preparation H long-term?

Preparation H is not intended for long-term use. If your symptoms persist for more than a week despite using Preparation H, consult a doctor to rule out other underlying conditions and discuss alternative treatment options. Prolonged use can potentially lead to skin irritation or other adverse effects.

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