Anusol plus Ointment relieves the burning sensation swelling itching and pain due to internal and external hemorrhoids. This ointment contains a topical anaesthetic along with an emollient and an astringent agent to help relieve discomfort caused by hemorrhoids. For fast long-lasting relief of the pain and discomfort of internal and external hemorrhoids use Anusol plus Ointment. The formula contains an emollient agent to ease the burning sensation and a gentle astringent agent to help reduce the swelling of hemorrhoidal tissue so your hemorrhoids have a better chance to heal. The plus in Anusol plus is a topical anesthetic that helps numb pain almost as soon as you apply it and also relieves the itch that so often accompanies hemorrhoids. This 30-gram tube of Anusol plus Ointment comes with a plastic applicator and is for external and internal use."" Cleanse area using warm water. Pat dry. For longest-lasting relief smooth ointment gently over affected external area. To treat internal hemorrhoids remove cap from tube and lubricate applicator with a small amount of ointment. Attach applicator to tube insert into rectum and squeeze gently to release medication. Wash applicator with soap and hot water after use. Repeat every 4 hours or as needed and after every bowel movement.