pileum suppository - Hydrocortisone (0.25% w/w) + Zinc Oxide (5% w/w) medicine

Jamopenz-H Suppository: Complete Medicine Guide

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🏭 MMC Healthcare Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 24, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate for short-term symptomatic relief of hemorrhoids and anal itching.
Reviewed by
SaathiMed Expert Panel | Oct 24, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction with swelling of face, lips, or throat, or difficulty breathing.
  • Heavy rectal bleeding or blood in stool.
  • Severe pain in the rectal area that does not improve.
  • Signs of infection such as fever, chills, or increased redness and discharge.
  • Symptoms of high blood sugar such as increased thirst, frequent urination, or confusion.
  • Signs of fluid retention such as swelling of ankles or sudden weight gain.
  • Visual disturbances or severe headache.

If experiencing severe symptoms, call emergency services immediately.

What is pileum suppository used for?

This medicine is a rectal suppository containing hydrocortisone and zinc oxide. It is used to relieve inflammation, itching, and discomfort associated with hemorrhoids and other anal conditions. It works by reducing inflammation and protecting the irritated area.

  • Generic Name: Hydrocortisone (0.25% w/w) + Zinc Oxide (5% w/w)
  • Manufacturer: MMC Healthcare Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 pileum suppository के बारे में (Hindi Summary)

उपयोग: यह दवा मलाशय में डालने वाली सपोजिटरी है जिसमें हाइड्रोकोर्टिसोन और जिंक ऑक्साइड होते हैं। यह बवासीर, गुदा में खुजली, जलन और सूजन को कम करने के लिए इस्तेमाल की जाती है। हाइड्रोकोर्टिसोन सूजन और खुजली को कम करता है, जबकि जिंक ऑक्साइड प्रभावित हिस्से को सुरक्षा देता है और आराम पहुंचाता है। इस दवा का उपयोग डॉक्टर की सलाह के अनुसार ही करें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में डालने की जगह पर हल्की जलन, खुजली या असुविधा शामिल हो सकती है। कभी-कभी एलर्जी के कारण लालिमा या दाने भी हो सकते हैं। लंबे समय तक इस्तेमाल करने से त्वचा पतली हो सकती है और संक्रमण का खतरा बढ़ सकता है। गंभीर एलर्जी प्रतिक्रिया में चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई हो सकती है। ऐसा होने पर तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का इस्तेमाल डॉक्टर के बताए अनुसार ही करें। उपयोग से पहले और बाद में हाथ धोएं। सपोजिटरी को मलाशय में धीरे से डालें। अगर सपोजिटरी नरम हो जाए तो उसे फ्रिज में कुछ मिनट रखकर ठंडा करें। इस दवा को 7 दिन से ज्यादा इस्तेमाल न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 pileum suppository Uses & Benefits

[{"condition":"Hemorrhoids","description":"This medicine helps reduce inflammation, itching, and pain associated with internal and external hemorrhoids.","evidence":"Well-established for short-term symptomatic relief"},{"condition":"Anal itching (pruritus ani)","description":"The combination of hydrocortisone and zinc oxide soothes irritation and protects the anal area from further irritation.","evidence":"Commonly used, supported by clinical experience"},{"condition":"Anal fissures","description":"This medicine may help reduce inflammation and pain associated with small tears in the anal lining, though it does not heal the fissure itself.","evidence":"Limited evidence, often used as adjunct"},{"condition":"Post-operative rectal discomfort","description":"After certain rectal procedures, this medicine may be used to reduce local inflammation and provide comfort.","evidence":"Clinical experience"}]

Off-label uses: [{"condition":"Diaper rash with secondary inflammation","description":"Sometimes recommended by clinicians for short-term use in adults or older children with severe diaper rash, but not a standard use for a rectal suppository.","evidence":"Limited"},{"condition":"Localized inflammatory skin conditions near the anal area","description":"May be used off-label for other inflammatory conditions of the perianal skin, but only under medical supervision.","evidence":"Limited"}]

Primary treatment for: Hemorrhoids

Also treats: Anal itching, Anal fissures, Post-operative rectal discomfort

📋 Drug Information

Generic Name(s)Hydrocortisone (0.25% w/w) + Zinc Oxide (5% w/w)
Brand Namepileum suppository
ManufacturerMMC Healthcare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassUROLOGY
Action Class
Route of AdministrationRectal
StorageStore below 25°C in a cool, dry place. Do not freeze. Keep the suppositories in their original packaging to protect from light and moisture. If the suppository becomes soft, place it in the refrigerator for a few minutes to firm up before use.
Shelf Life24 months from the date of manufacture, or as indicated on the packaging.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Insert the suppository after a bowel movement for best results.
2
If the suppository is soft, place it in the refrigerator for a few minutes before use.
3
Use the lowest effective dose for the shortest duration to minimize side effects.
4
Do not use this medicine for more than 7 days without consulting your doctor.
5
Inform your doctor if you have diabetes, glaucoma, or a history of immune suppression.
6
Avoid alcohol while using this medicine as it may worsen the condition.
7
If symptoms do not improve within a few days, seek medical advice.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Anal itching
This medicine is commonly prescribed for this.
Likely Use
✅
Hemorrhoids
This medicine helps reduce inflammation and discomfort.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Severe rectal bleeding
This medicine is not for severe bleeding. Seek immediate medical attention.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionHydrocortisone is absorbed through the rectal mucosa to a limited extent when applied topically as a suppository. Systemic absorption is generally low but can increase if the mucosal barrier is damaged or if the product is used over large areas for prolonged periods. Zinc oxide is minimally absorbed through intact skin or mucosa.
DistributionAfter absorption, hydrocortisone is distributed throughout the body, primarily bound to corticosteroid-binding globulin and albumin. Zinc oxide remains largely at the site of application and is not significantly distributed systemically.
Protein BindingHydrocortisone is approximately 90% bound to plasma proteins, mainly corticosteroid-binding globulin and albumin. Zinc oxide does not bind to plasma proteins to a significant extent.
MetabolismHydrocortisone is metabolized primarily in the liver by reduction and conjugation, forming inactive metabolites. Zinc oxide is not metabolized and is excreted unchanged.
Half-LifeThe biological half-life of hydrocortisone is approximately 8 to 12 hours. The half-life of zinc oxide is not applicable as it is not absorbed systemically in significant amounts.
ExcretionMetabolites of hydrocortisone are excreted mainly in the urine, with a small amount in the feces. Zinc oxide is excreted unchanged in the feces.
BioavailabilityThe systemic bioavailability of hydrocortisone from rectal suppositories is not well established but is considered low compared to oral or intravenous administration. Zinc oxide is not systemically bioavailable.
Onset of ActionRelief from symptoms such as itching and discomfort may begin within 15 to 30 minutes after insertion, as the suppository melts and the active ingredients are released.
Peak Plasma TimePeak plasma concentrations of hydrocortisone after rectal administration are not well established. Systemic absorption is minimal, so peak levels are generally low.
Duration of ActionThe local effects of this medicine may last for several hours. Symptom relief typically lasts until the next bowel movement or for about 4 to 6 hours.

How It Works

This medicine works through two complementary mechanisms. Hydrocortisone is a corticosteroid that binds to glucocorticoid receptors inside cells, leading to reduced production of inflammatory mediators such as prostaglandins and leukotrienes. This decreases redness, swelling, itching, and pain in the rectal area. Zinc oxide acts as a physical barrier and a mild astringent. It forms a protective layer over the irritated mucosa, reducing exposure to moisture, stool, and other irritants, and it also has mild antiseptic and soothing properties. Together, these actions provide symptomatic relief from local inflammation and irritation.

Mechanism Steps

1
Insertion and melting: The suppository is inserted into the rectum, where body heat causes it to melt and release the active ingredients.
2
Hydrocortisone binding: Hydrocortisone binds to glucocorticoid receptors in the cells of the rectal mucosa, leading to reduced production of inflammatory substances.
3
Anti-inflammatory effect: This binding decreases the release of prostaglandins and other mediators, reducing redness, swelling, itching, and pain.
4
Zinc oxide barrier: Zinc oxide forms a protective layer over the irritated area, shielding it from moisture and irritants and providing a soothing effect.
5
Symptom relief: The combined actions lead to relief from local symptoms such as itching, burning, and discomfort.

💡 How to Take pileum suppository

Strength: Rectal suppository containing hydrocortisone 0.25% w/w and zinc oxide 5% w/w.

1Wash your hands thoroughly with soap and water.
2If the suppository is soft, place it in the refrigerator for a few minutes to firm it up.
3Remove the suppository from its packaging. You may moisten it with a little water to make insertion easier.
4Lie on your side with one leg bent, or stand with one foot on a chair.
5Gently insert the suppository into the rectum, pointed end first, using your finger or the applicator if provided.
6Push it in about one inch (2.5 cm) for adults, or as directed.
7Stay lying down for a few minutes to allow the suppository to melt and be absorbed.
8Wash your hands again after insertion.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one suppository inserted into the rectum once or twice daily, or as directed by your doctor. The frequency and duration of use depend on the condition being treated and your response to therapy. Do not use for more than 7 days without consulting a doctor. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more susceptible to the systemic effects of corticosteroids. Use the lowest effective dose for the shortest possible duration. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Renal ImpairmentNo specific dose adjustment is established for patients with renal impairment. However, use with caution and consult your doctor, as systemic absorption of hydrocortisone may occur.
Hepatic ImpairmentNo specific dose adjustment is established for patients with hepatic impairment. Use with caution and consult your doctor, as hydrocortisone is metabolized in the liver.
Maximum Daily DoseThe maximum recommended daily dose is generally two suppositories per day, but this may vary based on medical advice. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

No specific food interactions
No restrictions
This medicine is applied rectally and does not interact with food.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of pileum suppository

✅ Common Side Effects

Mild burning or stinging at the site of insertion (Common (may affect up to 1 in 10 people))
This usually resolves on its own. If it persists or worsens, consult your doctor.
Local irritation or itching (Common (may affect up to 1 in 10 people))
Stop using the medicine and consult your doctor if irritation is severe or does not improve.
Temporary urge to have a bowel movement (Common)
This is usually temporary. Try to relax and retain the suppository for at least 15 to 20 minutes if possible.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (less than 1 in 1000 people))
Seek immediate medical attention if you experience swelling of the face, lips, or throat, difficulty breathing, or a rapid heartbeat.
Systemic corticosteroid effects (e.g., high blood sugar, fluid retention, high blood pressure) (Rare with short-term use, more likely with prolonged use)
Contact your doctor if you notice symptoms such as increased thirst, frequent urination, or swelling. Do not use this medicine for longer than prescribed.
Local infection or worsening of an existing infection (Rare)
Consult your doctor if you notice increased pain, redness, or discharge from the rectal area.

⚠️ Rare Side Effects

Skin thinning or mucosal atrophy
Use only as directed and for the shortest duration necessary. Report any unusual changes to your doctor.
Adrenal suppression
Prolonged use may suppress adrenal function. Consult your doctor if you have been using this medicine for a long time and experience fatigue, weakness, or low blood pressure.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Oral corticosteroids Major
Antidiabetic drugs Moderate
Diuretics Moderate
NSAIDs Moderate
Antacids Minor
Topical zinc products Minor

🚨 Major Interactions

  • Corticosteroids (oral or injectable)
  • Anticoagulants (e.g., warfarin)

⚡ Moderate Interactions

  • Antidiabetic drugs
  • Diuretics
  • NSAIDs

🍷 Alcohol Interaction

Alcohol does not directly interact with this medicine when used rectally. However, alcohol can worsen inflammation and irritate the digestive tract, which may counteract the benefits of this medicine. It is advisable to limit alcohol consumption while treating hemorrhoids or anal irritation.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity or allergy to hydrocortisone, zinc oxide, or any other ingredient in the suppository.","Untreated bacterial, fungal, or viral infections of the rectal area.","Tuberculosis of the rectum or other local infections.","Recent rectal surgery or trauma, unless specifically directed by a doctor.","Children under 12 years of age, unless prescribed by a doctor."]

⚠️ Warnings & Precautions

["For rectal use only. Do not take by mouth.","Do not use for longer than the recommended duration without medical advice.","If symptoms persist or worsen after a few days, stop use and consult a doctor.","Avoid contact with eyes. If accidental contact occurs, rinse thoroughly with water.","Keep out of reach of children.","Do not use if the suppository is damaged or discolored.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Inform your doctor about all other medicines you are taking, especially oral corticosteroids, anticoagulants, and antidiabetic drugs.","Patients with diabetes, glaucoma, or a history of immune suppression should use this medicine only under medical supervision.","Prolonged use may increase the risk of local infection and skin thinning."]

🤱 Lactation Safety

It is not known whether hydrocortisone from this rectal suppository passes into breast milk in significant amounts. Zinc oxide is not absorbed systemically. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose with this medicine is unlikely due to its rectal route and low systemic absorption. If someone accidentally ingests the suppository, seek medical attention immediately. Symptoms of overdose may include nausea, vomiting, and signs of systemic corticosteroid excess. Treatment is supportive and symptomatic. Contact a poison control center or emergency department for advice.

⏰ Missed Dose

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not use a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Use this medicine exactly as directed by your doctor. Wash your hands thoroughly before and after inserting the suppository. If the suppository is soft, you may place it in the refrigerator for a few minutes to firm it up before use. Do not use this medicine if the suppository is damaged or discolored. Avoid using this product for more than the recommended duration without consulting your doctor. Do not use this medicine on broken skin or in the presence of an untreated infection. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Keep this medicine out of the reach of children. Do not share this medicine with anyone else, even if they have similar symptoms. If your symptoms do not improve within a few days or if they get worse, stop using the medicine and seek medical advice. Inform your doctor about all other medicines you are taking, including prescription and over-the-counter products, before starting this medicine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to the systemic effects of corticosteroids. Use the lowest effective dose for the shortest duration. Monitor for signs of fluid retention, high blood sugar, and high blood pressure.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Hydrocortisone is generally considered low risk when used topically in small amounts, but medical advice is recommended.

🏥 Post-Surgery Considerations

After rectal surgery, use this medicine only if prescribed by your surgeon. It may help reduce inflammation and discomfort, but it should not be used on infected or healing wounds without medical supervision.

🦷 Dental Procedures

This medicine is not expected to interfere with dental procedures. However, inform your dentist about all medicines you are taking.

💚 Lifestyle Tips for Better Results

🏃
Increase your fiber intake to prevent constipation.
🥗
Drink plenty of water throughout the day.
😴
Avoid straining during bowel movements.
💧
Take warm sitz baths to soothe the anal area.
🧘
Avoid sitting for long periods; take frequent breaks.
🌞
Maintain good anal hygiene.

🏋️ Exercise Considerations

Avoid heavy lifting or strenuous exercise that increases pressure on the rectal area. Gentle walking and light activities are usually fine. Consult your doctor before starting any new exercise routine.

🥗 Diet Recommendations

Eat high-fiber foods like fruits, vegetables, and whole grains.
Stay well hydrated by drinking at least 8 glasses of water daily.
Avoid spicy and processed foods that can irritate the digestive tract.
Limit caffeine and alcohol as they can worsen symptoms.

💼 Impact on Daily Work & Life

This medicine is unlikely to affect your ability to work or drive. However, if you experience any discomfort or dizziness, avoid driving or operating heavy machinery until you feel better.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any severe side effects such as allergic reactions or signs of infection.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to thinning of the skin or mucosal tissue, increased risk of local infections, and systemic corticosteroid effects such as increased blood sugar, fluid retention, and high blood pressure. It is recommended to use this medicine for the shortest duration necessary and under medical supervision. Regular follow-up with your doctor is advised if prolonged use is required.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Sitz baths

Soaking in warm water for 15 minutes several times a day can help relieve hemorrhoid symptoms.

Evidence: Well-established
High-fiber diet

Increasing fiber intake can soften stool and reduce straining.

Evidence: Well-established
Topical anesthetics

Products containing lidocaine or other numbing agents can provide temporary relief.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccination considerations are associated with this medicine. However, if you are due for any vaccines, inform your doctor about your medication.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not freeze unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry your suppositories in their original packaging along with a copy of your prescription. Store them in a cool, dry place, away from direct sunlight. If you are traveling to a different time zone, continue with your regular dosing schedule as prescribed. Check customs regulations for carrying prescription medicines to your destination. If the suppositories become soft, place them in a refrigerator or a cool bag to firm up before use.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic hemorrhoids
Ramesh had been suffering from painful hemorrhoids for weeks. His doctor prescribed this medicine to be used twice daily. After three days, he noticed significant relief from itching and pain. He also started eating more fiber and drinking plenty of water, which helped prevent constipation.
💡 Lesson: Using this medicine as prescribed along with lifestyle changes can provide effective relief from hemorrhoid symptoms.
👤 A 60-year-old woman with anal itching
Sunita experienced persistent anal itching that was affecting her sleep. Her doctor recommended this medicine for short-term use. She applied it as directed and found relief within a few days. She was advised not to use it for more than a week and to follow up if symptoms returned.
💡 Lesson: Short-term use of this medicine can effectively manage anal itching, but prolonged use should be avoided without medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts providing relief from itching and discomfort within 15 to 30 minutes after insertion.

Q: How should I insert the suppository?

A: Wash your hands, lie on your side, and gently insert the suppository into the rectum, pointed end first. Stay lying down for a few minutes.

Q: Can I use this medicine for more than a week?

A: No, you should not use this medicine for more than 7 days without consulting your doctor, as prolonged use can increase the risk of side effects.

Q: Is this medicine safe during pregnancy?

A: Consult your doctor before using this medicine during pregnancy. Hydrocortisone is generally considered low risk when used topically in small amounts, but medical advice is necessary.

Q: What should I do if I miss a dose?

A: If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine long-term?
  • Will it affect my blood sugar levels?
  • Can I drive after using this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I use this medicine during pregnancy?

🔄 Substitutes for pileum suppository

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure hemorrhoids permanently.
    Fact: This medicine provides symptomatic relief but does not cure the underlying condition. Lifestyle changes and medical treatment may be needed.
  • Myth: More frequent use will make it work faster.
    Fact: Using more than prescribed can increase the risk of side effects and does not improve results. Follow your doctor's instructions.
  • Myth: It is safe to use for months without consulting a doctor.
    Fact: Prolonged use can lead to skin thinning, increased risk of infection, and systemic corticosteroid effects. Use only as directed.

🔄 Alternative Options

Generic Alternatives

  • Hydrocortisone and zinc oxide rectal suppositories from other manufacturers.

Brand Alternatives

  • Jamopenz-H Suppository

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Hydrocortisone 0.25% + Zinc Oxide 5%","route":"Rectal","primary_use":"Hemorrhoids, anal itching","onset":"15-30 minutes"},{"medicine":"Hydrocortisone suppository","active_ingredients":"Hydrocortisone only","route":"Rectal","primary_use":"Inflammation and itching","onset":"15-30 minutes"},{"medicine":"Zinc oxide suppository","active_ingredients":"Zinc Oxide only","route":"Rectal","primary_use":"Protection and soothing","onset":"Immediate protective effect"}]

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