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csrOur Customer Service agents
Live chatResponse in 45 seconds
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EmailResponse within 5 hours
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doctorDr. Sarah Donald
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Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

  • Review by a qualified doctor
  • Including prescription
  • Free next-day delivery

How Perinal spray works

It is intended to alleviate the external symptoms of piles and contains hdyrocortisone and lidocaine hydropchloride. Hydrocortisone is a natural type of cortisone, known as a corticosteroid, which stops the swelling of blood vessels in the back passage. Swelling of the blood vessels occur because of irritation as a result of pressure. Using a corticosteroid prevents this irritation from causing inflammation, but it can take time to work, which is why the addition of lidocaine in this formula is so beneficial.

Lidocaine hydrochloride is a local anaesthetic, so when applied to a particular area, it temporarily affects the nerves, inhibiting them from relaying impulses to the brain that tell it that the area is experiencing pain and discomfort.

Who can use it?

Perinal is safe to use in general, because it's just used topically, but should be avoided if you are allergic to the active ingredient. You should also not use this treatment if you are experiencing severe anal bleeding, you have recently experienced significant weight loss or you have a swollen stomach.

When doing an online consultation with 121doc, you should mention any medications or past medical conditions so that our doctor can provide a prescription that is tailored to your individual needs.

How to use Perinal spray

The spray should only be used for external haemorrhoids and should therefore not be applied on the inside of the rectum. General application guidelines suggest that the treatment be applied three times a day and that you don't continue using this treatment for longer than seven days without speaking to your doctor.

The side effects

Side effects experienced with this treatment are usually very mild because it's only administered topically. The most common effects are: a temporary tingling or irritation of the area where it has been applied. These side effects shouldn't be a cause for concern, but if any of them persist or you experience anything severe, you should seek immediate medical help.

Ordering Online

Perinal spray can be ordered from 121doc, however we ask all our patients to complete a consultation form when they place their orders. This is so that our doctors can evaluate whether you can use this medication safely and make recommendations if required. If our doctor feels that you can safely use this treatment, they will provide a prescription, which will be processed by our pharmacy and shipped via discreet overnight delivery service. Visit our haemorrhoids treatment page for information on the available prescription medications we offer.

Comparison

 
Product name
Anusol HCBetnovateXyloproctAnugesic
  Overview
Overview Haemorrhoid treatmentHaemorrhoid treatmentHaemorrhoid treatmentHaemorrhoid treatment
  Type of treatment
Type of treatment Topical treatmentTopical treatmentTopical treatmentTopical treatment
  Active ingredient(s)
Active ingredient(s) Hydrocortisone AcetateBetamethasone valerate Lidocaine & Hydrocortisone acetatePramocaine Hydrochloride
  Features
Features Five active ingredients that relieve discomfort externally & internallySoothes external itch & irritationUsed internally & externally to reduce pain & itchingFive active ingredients that relieve discomfort externally & internally
  Breastfeeding
Breastfeeding UnsuitableCautionCautionCaution
  Pregnant
Pregnant UnsuitableCautionCautionCaution
  Application
Application OintmentOintment, cream, lotionOintmentCream
  How to take
How to take Apply directly to the affected area. Apply directly to the affected area. For external use only.Apply directly to the affected area. Apply directly to the affected area.
  Pricing starts at
Pricing starts at £24.99£19.99£29.99£24.95
 
View treatmentView treatmentView treatmentView treatment

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How does it work?

Select
Select Select your treatment and complete our online consultation.
Free consultation

Conditions:

Select a condition here or use the top menu. For every condition, we provide you with information as well as the treatments we currently offer. If you don’t know which is best for you, just click the 'Advise-me' button.

Treatments:

If you know what you want, the quickest way to find a specific medication is to use the search bar here.

Ordering:

Every order starts with an online consultation. We will ask you medical questions to make sure only treatment that is safe and effective is prescribed. We take into account your lifestyle, health and any other medications you’re currently using.

The consultation is completely free, and takes between 5 and 10 minutes of your time.

All your information is safe with us. We don’t share it with anyone unless you want us to.

Help:

If you need any guidance, you can call, message or email our customer service team via the ‘How can we help you?' section here.

Prescribe
Prescribe Our doctors review your order.
Free prescription

Review:

As soon as you place the order, one of our doctors will review your consultation. On working days, this usually takes around one hour.

Questions:

If the doctor has any additional questions, you will receive a phone call and an email. We understand you might be at work or busy. Our customer service representatives are always discreet and can call back at a more convenient time if necessary.

Our emails never contain any personal or medical information, only a link to your private account on our website (where you will find your messages).

Pharmacy:

Once our pharmacy receives your prescription, you will get a second email with your package tracking code.

Deliver
Deliver Expect your delivery the next working day.
Always free. Discreet packaging.
Free next-day delivery

Free:

All orders include next-day delivery. Alternatively, you can select a delivery date that suits you better.

Location:

We also provide a free UPS Access Point service. Pick up your package from one of many collection points across the UK.

With your tracking code, you will know the estimated delivery time. All we need is your signature (or a friend‘s or relative’s).

Discreet:

All parcels are plainly labelled; there is no logo or any indication of its contents. Inside, you will find your treatment as well as a patient leaflet in your chosen language.

Repeat
Repeat Subscribe and save with our repeat service. Never miss a dose again.
10 to 15% off

Repeat:

With 121doc’s Subscribe & Save service, you can automatically receive your treatment every few weeks or months.

The order will be generated by us, using the information you provided (including delivery frequency). You don’t have to do anything. Payment is taken two days before shipping.

Subscribe:

There are two ways to subscribe. The first is during the order process. The second is via your profile here.

You can cancel or amend your repeat prescriptions at any time.

Save:

There are no sign-up fees with this service. Plus, you get a 10% discount off all future prescriptions, increasing to 15% after six orders!

Need help?

csrOur Customer Service team
CallImmediate response
020 3322 1430Available 8:00 - 17:00
Monday - Friday
csrOur Customer Service agents
Live chatResponse in 45 seconds
Available 8:00 - 17:00
Monday - Friday
csrOur Customer Service team
EmailResponse within 5 hours
[email protected]Available 8:00 - 17:00
Monday - Friday
doctorDr. Sarah Donald
Email doctorResponse in 1 day
For medical questions.
Available 8:00 - 17:00
Monday - Friday

...or visit your profile to view your orders and contact us.

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