Designated Class 2 OTC Drug
Topical hemorrhoid medication
⚡ Contains steroid
Ointment type
A series with the most 6 active ingredients
Boraginol® A Ointment
Tendo Pharmaceutical / The A series with the most ingredients, providing strong care for external hemorrhoids
Steroid Weak class
Pain, bleeding, swelling, itching, disinfection
Apply directly to external hemorrhoids and anal fissures
Contains antihistamine
Product overview
Boraginol® A Ointment is the topical ointment in the Tendo Pharmaceutical A series that contains the most 6 active ingredients. Centered on the steroid (prednisolone acetate, Weak class), it combines local anesthetic, antihistamine, sterilizing and disinfecting, tissue repair, and blood circulation promotion ingredients to approach pain, bleeding, swelling, itching, and disinfection of hemorrhoids and anal fissures from multiple angles.
A mild oily base gently protects the injured affected area while delivering active ingredients. It can be applied directly to the affected area or spread on gauze and applied, providing a simple way to treat external hemorrhoids.
Classification: Designated Class 2 OTC Drug / Content: 6g × 2 tubes or 20g
Four features
💪
A series with the most ingredients: 6 types included
Compared to the 4 formulations of A Suppository and A Suppository ointment, the ointment additionally contains antihistamine (chlorpheniramine) and sterilizing and disinfecting (isopropyl methylphenol). It is a formulation optimized for external care.
⚡
Steroid also calms bleeding and swelling
Prednisolone acetate (Weak class) directly suppresses inflammation. It is effective for symptoms such as bleeding, swelling, and itching that cannot be addressed by the M series.
🛡️
Has sterilizing and disinfecting effects
Isopropyl methylphenol suppresses bacterial growth in the affected area. This additional function, not found in A Suppository, supports healing while maintaining hygiene of the affected area.
🌿
Antihistamine for itching
Chlorpheniramine maleate also acts on allergic itching. Combined with steroids, it provides a double approach to thoroughly care for itching.
Ingredients and amounts (per 1g)
🌟 Two ingredients unique to A ointment (not included in A Suppository or A Suppository ointment)
- Chlorpheniramine maleate (antihistamine) — dual action on allergic itching
- Isopropyl methylphenol (sterilizing and disinfecting) — suppresses bacterial growth in the affected area and prevents infection
| Active ingredients | Amount | Main effects | Classification |
|---|---|---|---|
| Prednisolone acetate | 0.5 mg |
Suppresses inflammation and calms bleeding, swelling, and itching
Steroid anti-inflammatory (Weak class)
|
Steroid |
| Lidocaine | 30 mg |
Relieves pain and itching quickly through local anesthetic action
Local anesthetic
|
Anesthetic |
| Chlorpheniramine maleate ★ Only A ointment | According to the stated amount |
Suppresses allergic itching through antihistamine action
First-generation antihistamine drug
|
Antihistamine |
| Isopropyl methylphenol ★ Only A ointment | According to the stated amount |
Suppresses bacterial growth in the affected area, sterilizes, disinfects, and prevents infection
Sterilizing and disinfecting ingredients
|
Sterilization |
| Allantoin | 10 mg |
Promotes repair of damaged mucous membranes and skin tissues and supports wound healing
Tissue repair ingredients
|
Repair |
| Vitamin E acetate (Tocopherol acetate) |
According to the stated amount |
Improves peripheral blood circulation and supports relief of congestion and swelling
Blood circulation promotion and Vitamin E
|
Blood circulation |
Additives: Oily base (white petrolatum, etc.) / white to slightly yellowish white ointment
Indications and effects
Targets: Addresses all 5 symptoms caused by hemorrhoids (external hemorrhoids) and anal fissures
*Because it is an ointment type, it is mainly suitable for use on hemorrhoids outside or near the anus (external hemorrhoids, anal fissures).
*Because it is an ointment type, it is mainly suitable for use on hemorrhoids outside or near the anus (external hemorrhoids, anal fissures).
Dosage and administration
| Target age | How to use | Amount per use | Number of times per day |
|---|---|---|---|
| 15 years old and above (adult) | Apply directly to the affected area or spread on gauze and apply | Appropriate amount | 1 to 3 times |
| Under 15 years old | Do not use | ||
⚠️ Usage points
・Use only on the anal area (avoid contact with eyes, mouth, etc.)
・Recommended timing: after bowel movement, after bathing, before bedtime
・How to open the tube hole: turn the cap upside down and press the protrusion against the tube tip to open
・If ointment is hard: warming the tube by hand will soften it
・Not for long-term continuous use (contains steroids)
・If no improvement after 10 days of use, stop use and consult a doctor or pharmacist
・Be careful of staining clothes (may be hard to remove due to oiliness)
・Use only on the anal area (avoid contact with eyes, mouth, etc.)
・Recommended timing: after bowel movement, after bathing, before bedtime
・How to open the tube hole: turn the cap upside down and press the protrusion against the tube tip to open
・If ointment is hard: warming the tube by hand will soften it
・Not for long-term continuous use (contains steroids)
・If no improvement after 10 days of use, stop use and consult a doctor or pharmacist
・Be careful of staining clothes (may be hard to remove due to oiliness)
Boraginol Series Product Comparison
| Comparison items | 🟡 A Ointment (This product) |
🟢 M Ointment | 🟢 M Suppository | 🟡 A Suppository | 🟡 A Suppository ointment | 🔵 EP Oral medicine |
|---|---|---|---|---|---|---|
| Drug classification | Designated Class 2 OTC Drug | Class 2 | Class 2 | Designated Class 2 OTC Drug | Designated Class 2 OTC Drug | Class 2 |
| Dosage form | Ointment (tube) | Ointment (tube) | Suppository (solid) | Suppository (solid) | Suppository ointment (with nozzle) | Granules (oral) |
| Number of active ingredients | ★ 6 types (most) | 4 types | 4 types | 4 types | 4 types | 4 ingredients (3 herbal medicines + Vit E) |
| Steroid (Prednisolone acetate ester) |
✔ Present 0.5mg/g |
✘ None | ✘ None | ✔ Present 1mg/1.75g |
✔ Present 1mg/2g |
✘ None |
| Lidocaine (local anesthetic) | ✔ 30mg/g | ✔ 30mg/g | ✔ 60mg/1.75g | ✔ 60mg/1.75g | ✔ 60mg/2g | ✘ None |
| Glycyrrhetinic acid (Plant-derived anti-inflammatory) |
✘ None | ✔ 15mg/g | ✔ 30mg/1.75g | ✘ None | ✘ None | ✘ None |
| Chlorpheniramine (Antihistamine) |
★ Only in A Ointment | ✘ None | ✘ None | ✘ None | ✘ None | ✘ None |
| Antibacterial disinfectant (Isopropyl methylphenol) |
✔ Present | ✘ None | ✘ None | ✘ None | ✔ Present | ✘ None |
| Allantoin (tissue repair) | ✔ 10mg/g | ✔ 10mg/g | ✔ 20mg/1.75g | ✔ 20mg/1.75g | ✔ 20mg/2g | ✘ None |
| Vitamin E (promotes blood circulation) | ✔ Present | ✔ Present | ✔ Present | ✔ Present | ✔ Present | ✔ 100mg/2 packets |
| Efficacy for bleeding | ✔ Present | ✘ None | ✘ None | ✔ Present | ✔ Present | ✔ Present |
| Efficacy for swelling | ✔ Present | ✘ None | ✘ None | ✔ Present | ✔ Present | ✔ Present |
| Disinfectant effect on affected area | ★ Present | ✘ None | ✘ None | ✘ None | ✔ Present (when applied) | ✘ None |
| Acts on internal hemorrhoids | ✘ Not suitable | ✘ Not suitable | ✔ Acts by insertion (Suppository) | ✔ Acts by insertion (Suppository) | ✔ Acts by insertion (Suppository ointment) | ✔ Acts systemically |
| External hemorrhoids and surrounding skin | ✔ Direct application | ✔ Direct application | ✘ Not suitable | ✘ Not suitable | ✔ Suitable for topical application | ✔ Acts systemically |
| Number of uses per day | Apply 1–3 times | Apply 1–3 times | Insert 1–2 times (for Suppository) | Insert 1–2 times (for Suppository) | Insert 1–2 times (for Suppository ointment) Apply 1–3 times |
Take 2 times (1 packet after meals) |
| Long-term continuous use | ⚠️ Not allowed (Contains steroids) |
Relatively allowed (Confirmation required) |
Relatively allowed (Confirmation required) |
⚠️ Not allowed (Contains steroids) |
⚠️ Not allowed (Contains steroids) |
About 1 month |
| Use during pregnancy | Consult a doctor | Consultation required (Relatively mild) |
Consultation required (Relatively mild) |
Consult a doctor | Consult a doctor | Consult a doctor |
| Especially suitable for | For those concerned about all five symptoms of external hemorrhoids and want disinfection as well | For those who want to avoid steroids and care only for external pain and itching | For those who want to avoid steroids and care for internal pain and itching | For those concerned about bleeding and swelling from internal hemorrhoids | For those with symptoms both inside and outside (steroids allowed) | For those who want to improve from the inside with oral medicine or find external application difficult |
🟡 A (A series = steroid-containing, Designated Class 2 OTC Drug) 🟢 M (M series = steroid-free, Class 2) 🔵 EP (oral medicine, herbal medicine)
Frequently Asked Questions
How do the ingredients of A Ointment differ from those of A Suppository and A Suppository ointment?
Compared to the four ingredients in A Suppository and A Suppository ointment (prednisolone, lidocaine, allantoin, vitamin E), A Ointment adds chlorpheniramine maleate (antihistamine) and isopropyl methylphenol (antibacterial disinfectant) for a six-ingredient formula. This allows a broader approach unique to ointments applied directly to the outside.
Which should I choose, A Ointment or M Ointment?
A Ointment is suitable for symptoms accompanied by bleeding and swelling, and when a disinfectant effect is also desired. For those concerned about steroids, seeking long-term care, or pregnant (consultation required), the M series is a milder option. For symptoms of pain and itching only, M Ointment is sufficient.
Can A Ointment be used for internal hemorrhoids?
The ointment type is a product applied to the outside of the anus and the area around the anus. For internal hemorrhoids (hemorrhoids inside the anus), A Suppository (insertion type) or A Suppository ointment (nozzle insertion type) is more suitable. If symptoms are present both inside and outside, A Suppository ointment is the most comprehensive selection.
It contains steroids, but are side effects okay?
The prednisolone acetate included is the weakest "Weak class" steroid. As long as you follow the dosage and use it short-term, systemic effects are considered extremely small. However, avoid long-term use and adhere to the 10-day usage guideline. If you are concerned, please consult a pharmacist before use.
Can I use it together with EP oral medicine?
EP oral medicine works from inside the body with herbal ingredients, while A Ointment approaches directly from the outside, so their mechanisms differ. However, please consult a pharmacist or registered seller before combining hemorrhoid medicines.
Brand story
Tentou Pharmaceutical Co., Ltd. — The pinnacle ointment of the A series made by a specialized hemorrhoid manufacturer
Founded in 1948, Tentou Pharmaceutical is Japan’s only specialized manufacturer focusing its management resources on the field of "hemorrhoid medicines." The A series, centered on the steroid ingredient prednisolone acetate, has long been supported as a lineup effective for the five hemorrhoid symptoms (pain, bleeding, swelling, itching, disinfection).
Among them, A Ointment is the only one in the A series with a 6-ingredient formula. By adding antihistamines and antiseptics, it offers the most comprehensive approach to external hemorrhoid care. The convenience of a tube ointment applied directly to the outside of the anus and the synergistic effect of the 6 ingredients are why many users continue to choose it.
Among them, A Ointment is the only one in the A series with a 6-ingredient formula. By adding antihistamines and antiseptics, it offers the most comprehensive approach to external hemorrhoid care. The convenience of a tube ointment applied directly to the outside of the anus and the synergistic effect of the 6 ingredients are why many users continue to choose it.
Usage precautions
⛔ Do not use if you fall under the following
- Those who have had allergic reactions (rash, redness, itching, etc.) to this product or its ingredients
- Those with infected affected areas
- Children under 15 years old
⛔ Things not to do
- Do not use for a long time (contains steroids)
⚕️ Consult a doctor or pharmacist before use
- Those receiving medical treatment
- Pregnant women or those who think they may be pregnant
- Those who have had allergic reactions to medicines
⚠️ Precautions during use
- Strictly follow the prescribed dosage and usage.
- Use only on the anal area.
- If symptoms do not improve after 10 days of use, stop use and consult a doctor or pharmacist.
- If side effects (rash, redness, itching, swelling, irritation, pus) occur, stop use and consult a specialist.
- Rarely, shock (anaphylaxis) may occur. If itching, hives, difficulty breathing, palpitations, etc. appear immediately after use, seek medical attention immediately.
- Do not repeatedly bend the tube (may cause tearing).
- Be careful of staining clothes (may be difficult to remove due to oil content).
Storage and handling
- Store tightly closed in a cool place away from direct sunlight.
- Keep out of reach of children.
- Avoid transferring to other containers (may cause misuse or quality deterioration).
- Do not use products past the expiration date (printed on the package).
- If the ointment hardens during cold weather, warming the tube by hand will soften it.
Please consult a pharmacist or registered seller before purchase or use.
This product is a Designated Class 2 OTC Drug. For appropriate product selection based on symptoms, chronic conditions, other medications, or pregnancy status, please feel free to contact our staff.
This product is a Designated Class 2 OTC Drug. For appropriate product selection based on symptoms, chronic conditions, other medications, or pregnancy status, please feel free to contact our staff.
*The information on this page is based on general product information and is not intended as medical advice. If symptoms are severe or do not improve, please consult a doctor. Please read the package and accompanying documents carefully and use the product correctly. Contents may change without notice.
Package insert