Anustat is a multi-ingredient prescription ointment containing Cinchocaine HCl, Hydrocortisone, Neomycin Sulphate, and Esculin. It is primarily used for the symptomatic relief of hemorrhoids and other inflammatory conditions of the anorectal region. Produced by Beximco Pharmaceuticals Ltd., it combines a local anesthetic, a corticosteroid, an antibiotic, and a vascular protector to provide comprehensive relief.
What is Anustat Used For?
Anustat 15 gm Ointment is prescribed for:
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Hemorrhoid Management: Treatment of both internal and external hemorrhoids.
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Anal Fissures & Proctitis: Relief from pain, inflammation, and tearing in the anal lining.
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Pruritus Ani: Relief of persistent itching (anal pruritus) and peri-anal eczema.
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Post-Surgical Care: Reducing pain and discomfort following a hemorrhoidectomy or other rectal surgeries.
Clinical Insight: Anustat works through a four-way action: Cinchocaine numbs the pain, Hydrocortisone reduces swelling, Neomycin prevents bacterial infection, and Esculin strengthens skin blood vessels. Recent clinical discussions emphasize its efficacy in “post-partum hemorrhoidal conditions.” For a deeper pharmacological review, you can see its components on DrugBank.
Dosage
For adults, the ointment is typically applied twice daily (morning and evening) and after each bowel movement.
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External Application: Apply a small amount to the affected area with a finger.
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Internal Application: For deeper relief, attach the provided applicator nozzle to the tube, insert it fully into the rectum, and squeeze gently while withdrawing.
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Children: This medication is generally not recommended for pediatric use.
Common Side Effects
Anustat is usually well-tolerated, but localized reactions may occur:
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Temporary stinging or burning at the application site.
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Skin irritation or rash.
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Skin thinning (striae) if used for an extended period.
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Increased sensitivity to Neomycin.
2026 Safety Update: According to research archives at the Mayo Clinic, long-term use of topical steroids like Hydrocortisone can lead to systemic absorption. Users are advised not to exceed the prescribed duration to avoid adrenal suppression.
Important Warnings & Precautions
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Limited Duration: Avoid long-term continuous use (usually not more than 7 days) to prevent skin atrophy.
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Hearing Safety: Neomycin can occasionally affect hearing if absorbed through extensively damaged skin; avoid use on open, bleeding wounds.
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Infections: Do not use if the area has a fungal, viral (e.g., Herpes), or tubercular infection.
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No Sudden Stops: Consult your doctor before stopping if you have used it for a prolonged period.
Anustat vs. Erian: Key Differences and Usage
While both treat hemorrhoids, Anustat and Erian (Square) have slightly different antibiotic components (Neomycin vs. Framycetin) but perform very similar roles in reducing pain and swelling.
| Feature | Anustat Ointment | Erian Ointment |
| Manufacturer | Beximco Pharmaceuticals | Square Pharmaceuticals |
| Primary Antibiotic | Neomycin Sulphate | Framycetin Sulphate |
| Key Action | Anesthetic + Anti-inflammatory | Anesthetic + Anti-inflammatory |
| Pack Size | 15 gm Tube | 15 gm Tube |
| Unit Price | ৳80.00 | ৳80.00 |
Anustat Price in Bangladesh (January 2026 Update)
The following table provides the current retail pricing for Beximco’s Anustat range.
| Product Name | Format | Pack Size | Unit Price (BDT) |
| Anustat | Ointment | 15 gm | ৳80.00 |
| Anustat | Suppository | 10s Pack | ৳100.00 |
Anustat Alternative Brands & Prices
If you are looking for an alternative, here are the top 10 brands in Bangladesh for this therapeutic class as of January 2026:
| Brand Name | Company Name | Price (15gm BDT) |
| Anorel | Popular Pharmaceuticals | ৳80.00 |
| Retocain | Drug International Ltd. | ৳45.00 |
| Erian | Square Pharmaceuticals | ৳80.00 |
| Hemocane | Incepta Pharmaceuticals | ৳75.00 |
| Rectocare | Eskayef (SK+F) | ৳80.00 |
| Dolo | Aristopharma Ltd. | ৳75.00 |
| Noricane | Renata Limited | ৳75.00 |
| Anusol HC | ACI Limited | ৳80.00 |
| Proctosedyl | Sanofi Bangladesh | ৳85.00 |
| Xyloproct | AstraZeneca/Local | ৳90.00 |
Frequently Asked Questions (FAQ) About Anustat
Q: What is the Anustat price in Bangladesh?
As of January 2026, the retail price for Anustat 15 gm Ointment is ৳80.00.
Q: What is Anustat used for?
It is primarily used to relieve the pain, itching, and inflammation associated with internal/external hemorrhoids, anal fissures, and proctitis.
Q: What are the side effects of Anustat?
Common side effects include local irritation, burning sensations, or skin rash. Long-term use can lead to skin thinning.
Q: Is Anustat safe during pregnancy?
It should be used with caution and only if prescribed by a doctor. While local application has low absorption, topical steroids are generally avoided in large amounts during pregnancy. Reference data can be found on PubMed.
Q: What is the recommended Anustat dose?
Apply a small amount twice daily (morning and evening) and after each bowel movement.
Q: Can I use Anustat for a long time?
No. Prolonged use should be avoided as the steroid component (Hydrocortisone) can cause skin damage or be absorbed into the bloodstream.
Q: Does Anustat stop bleeding?
It helps reduce the inflammation that causes bleeding, but for active or heavy rectal bleeding, you must consult a surgeon immediately.
Q: Is Anustat an antibiotic?
It contains Neomycin, which is an antibiotic that helps prevent or treat minor bacterial infections in the anal area.
Q: Are there alternatives to Anustat in Bangladesh?
Yes, Anorel (Popular), Retocain (DIL), and Erian (Square) are the most common alternatives available in pharmacies.
Disclaimer: This information is for educational purposes only (updated January 2026). Always consult a qualified physician or proctologist before starting any treatment for anorectal conditions.
