1. Can Germoloids Cream be used for both internal and external piles?
Yes. It can be applied to external piles and can also be used internally with the applicator for internal piles.
What is Germoloids Cream?
Germoloids Cream is a treatment used to relieve the symptoms of internal and external piles (haemorrhoids) and anal itching.
It contains zinc oxide 6.6% w/w and lidocaine hydrochloride 0.7% w/w. Zinc oxide helps soothe, protect, and shrink swelling, while lidocaine is a local anaesthetic that helps relieve pain, soreness, and itching.
Germoloids Cream can help with:
- Pain and soreness from piles
- Swelling and irritation around the anus
- Itching associated with piles
- Discomfort from internal or external haemorrhoids
Who is Germoloids Cream suitable for
This product is available without a prescription. If you are unsure, speak to a pharmacist.
Germoloids Cream is suitable for:
- Adults
- Children aged 12 years and over
- People with internal or external piles, or anal itching
This is not suitable for:
- Children under 12 years unless directed by a doctor
- Anyone allergic to zinc oxide, lidocaine, or any of the other ingredients
- People with severe or persistent piles, or excessive bleeding, without medical advice
If you are pregnant or breastfeeding, speak to your doctor or pharmacist before use.
How to use Germoloids Cream
Use exactly as directed on the label or as advised by your pharmacist.
Typical use:
- Wash your hands before and after using the cream
- Apply the cream at least twice a day
- Leave at least 3 to 4 hours between applications
- Further applications can be used during the day if needed
- Germoloids Cream is recommended to be used after a bowel movement.
- Do not use more than 4 times in 24 hours
For external piles:
- Apply the cream directly to the affected area
For internal piles:
- Gently insert the applicator into the anal opening
- Squeeze a small amount of cream into the rectum
- Clean the applicator after use
How to store Germoloids Cream
- Do not store above 25°C
- Keep the cream in its original carton
- Keep out of the sight and reach of children
- Do not use after the expiry date
Like all medicines, this product can cause side effects, although not everyone gets them.
Common side effects include:
- Increased local irritation
- Burning sensations at the site of application
- Skin rash
Stop using and seek medical advice urgently if:
- You develop signs of an allergic reaction
- The irritation becomes severe or does not settle
- You experience excessive bleeding or severe haemorrhoid symptoms
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Frequently Asked Questions
2. How often can I use Germoloids Cream?
You can use it at least twice a day, with at least 3 to 4 hours between applications, up to a maximum of 4 times in 24 hours.
3. Is it better to use Germoloids Cream after a bowel movement?
Yes. Using it after a bowel movement is recommended, as this can help the treatment stay in place and provide relief where needed.
4. Can I use Germoloids Cream if my piles keep coming back?
5. Does Germoloids Cream numb the area?
Yes. It contains lidocaine, which is a local anaesthetic that helps relieve pain, soreness, and itching.
Our Clinical Authors
This page has been written by a registered UK pharmacist and reviewed by our clinical team to ensure it is accurate, clear and reflects current clinical guidance.
Last medically reviewed: 06 July 2026
Last updated: 06 July 2026