Designated Class 2 OTC Drug
External hemorrhoid treatment drug
⚡ Contains steroid
🔄 2WAY use
For both internal and external hemorrhoids
Boraginol® A Suppository ointment
Tendo Pharmaceutical / Nozzle injection + direct application, covers both inside and outside the anus with one tube
Steroid Weak class
Four active ingredients
Single-use individual packaging
Convenient for carrying and travel
🔄
2WAY type for injection + application — suitable for both inside and outside
You can use one tube for both "injection use" to deliver medicine directly to internal hemorrhoids by inserting the nozzle into the anus, and "application use" to apply to external hemorrhoids and surrounding skin.
💉 For injection use (internal hemorrhoids)
Insert the nozzle into the anus and slowly inject the entire amount of one unit. Hygienic as hands do not touch. 1 to 2 times a day.
🖐️ For application use (external hemorrhoids)
Take an appropriate amount on a clean finger and apply to the affected area, or spread on gauze and apply. 1 to 3 times a day.
Product overview
Boraginol® A Suppository ointment is a nozzle-attached injection ointment from Tendo Pharmaceutical's A series, containing steroids (prednisolone acetate Weak class) as the core, combined with four active ingredients for local anesthesia, tissue repair, and blood circulation promotion. It is effective for the four symptoms of pain, bleeding, swelling, and itching caused by hemorrhoids and anal fissures.
The biggest feature is the 2WAY design. You can use one tube for both direct injection into the anus (internal hemorrhoids) with the nozzle and for application on the outside (external hemorrhoids, anal fissures). The single-use individual packaging is hygienic, and the ointment type requires no temperature control and is more portable than suppositories.
Classification: Designated Class 2 OTC Drug / Content: 2g×10 units / 2g×30 units / 2g×50 units
Four features
🔄
2WAY injection + application
Inject for internal hemorrhoids, apply directly for external hemorrhoids and anal fissures. This is the most comprehensive selection for those with symptoms both inside and outside.
⚡
Steroid calms the four symptoms
Prednisolone acetate (Weak class) directly suppresses inflammation and is effective for bleeding, swelling, and itching. Lidocaine quickly relieves pain and itching.
🧪
Container design tailored to the Japanese anus
The nozzle is 6mm in diameter and 26mm in length. It is designed to deliver medicine above the dentate line where internal hemorrhoids are common, optimized for the anal structure of Japanese people.
🎒
No temperature control needed, convenient to carry
Unlike suppositories, there is no worry about melting due to body temperature, and individual packaging makes it easy to carry. Safe to use even when going out or traveling.
📐
Details of nozzle design
The length to the dentate line in the anal canal of Japanese people is about 18mm. Since internal hemorrhoids are located slightly above the dentate line, the nozzle length is set to 26mm to reliably deliver the active ingredients. The tip is rounded to minimize irritation to the damaged affected area.
The length to the dentate line in the anal canal of Japanese people is about 18mm. Since internal hemorrhoids are located slightly above the dentate line, the nozzle length is set to 26mm to reliably deliver the active ingredients. The tip is rounded to minimize irritation to the damaged affected area.
Ingredients and amounts (per 1 unit 2g)
| Active ingredients | Amount | Main function | Classification |
|---|---|---|---|
| Prednisolone acetate | 1 mg |
Suppresses inflammation and calms bleeding, swelling, and itching
Steroidal anti-inflammatory (Weak class)
|
Steroid |
| Lidocaine | 60 mg |
Relieves pain and itching quickly with local anesthetic effect
Local anesthetic
|
Anesthesia |
| Allantoin | 20 mg |
Promotes repair of damaged mucous membranes and skin tissues and supports wound healing
Tissue repair ingredients
|
Repair |
| Vitamin E acetate (tocopheryl acetate) |
50 mg |
Improves peripheral blood circulation and supports relief of congestion and swelling
Promotes blood circulation and contains vitamin E
|
Blood circulation |
Additives: white petrolatum, medium-chain triglycerides, glyceryl monostearate
*Because it is an injection type, a small amount of medicine remains inside the container, but the filling accounts for the remaining amount.
*Because it is an injection type, a small amount of medicine remains inside the container, but the filling accounts for the remaining amount.
Efficacy and effects
Indications: hemorrhoids (internal hemorrhoids, external hemorrhoids), anal fissures
*No disinfectant effect (A Ointment and Premium Suppository ointment have disinfectant effect)
*No disinfectant effect (A Ointment and Premium Suppository ointment have disinfectant effect)
Dosage and administration
💉 For injection use (inside the anus)
| Target age | Amount per use | Number of times per day |
|---|---|---|
| 15 years and older | One unit (full amount) | 1 to 2 times |
| Under 15 years old | Not for use | |
🖐️ For application use (apply to affected area)
| Target age | Amount per use | Number of times per day |
|---|---|---|
| 15 years and older | Appropriate amount | 1 to 3 times |
| Under 15 years old | Not for use | |
⚠️ Points for use
・Recommended timing: after bowel movement, after bathing, before bedtime
・Only insert the nozzle part into the anus during injection (do not insert the body part)
・Do not use a tube that has been used for application for injection (because the amount of medicine is reduced)
・Use the entire amount of one unit during injection
・Not for long-term continuous use (due to steroid content)
・If there is no improvement after 10 days of use, stop use and consult a doctor or pharmacist
・Do not flush used containers and bags down the toilet
・Recommended timing: after bowel movement, after bathing, before bedtime
・Only insert the nozzle part into the anus during injection (do not insert the body part)
・Do not use a tube that has been used for application for injection (because the amount of medicine is reduced)
・Use the entire amount of one unit during injection
・Not for long-term continuous use (due to steroid content)
・If there is no improvement after 10 days of use, stop use and consult a doctor or pharmacist
・Do not flush used containers and bags down the toilet
Correct usage: Injection procedure
1
Remove the cap and squeeze a small amount of ointment from the nozzle tip
Improves slipperiness to help smooth insertion.
2
Slowly insert the nozzle part into the anus
Insert only the nozzle part. Keep the body (main container) outside.
3
Slowly press the body to inject the full amount.
Press and pull out to ensure the medicine is delivered. Use the entire amount of one unit.
4
Used containers and bags should be disposed of as general waste.
Do not flush down the toilet. Please dispose of the individual packaging bags as they are.
Boraginol Series Product Comparison
| Comparison items | 🟡 A Suppository ointment (This product) |
🟢 M Ointment | 🟢 M Suppository | 🟡 A Suppository | 🟡 A 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 | Suppository ointment (Individually packaged with nozzle) |
Ointment (Tube) |
Suppository (Solid) |
Suppository (Solid) |
Ointment (Tube) |
Granules (Oral) |
| Number of active ingredients | 4 types | 4 types | 4 types | 4 types | ★ 6 types | 4 ingredients (3 herbal medicines + VitE) |
| Steroid (Prednisolone acetate) |
✔ Yes 1mg / 2g |
✘ No | ✘ No | ✔ Yes 1mg / 1.75g |
✔ Yes 0.5mg / g |
✘ No |
| Lidocaine (local anesthetic) | ✔ 60mg / 2g | ✔ 30mg / g | ✔ 60mg / 1.75g | ✔ 60mg / 1.75g | ✔ 30mg / g | ✘ No |
| Glycyrrhetinic acid (Plant-derived anti-inflammatory) |
✘ No | ✔ 15mg / g | ✔ 30mg / 1.75g | ✘ No | ✘ No | ✘ No |
| Allantoin (tissue repair) | ✔ 20mg / 2g | ✔ 10mg / g | ✔ 20mg / 1.75g | ✔ 20mg / 1.75g | ✔ 10mg / g | ✘ No |
| Vitamin E (promotes blood circulation) | ✔ 50mg / 2g | ✔ Yes | ✔ Yes | ✔ Yes | ✔ Yes | ✔ 100mg / 2 packets |
| Bactericidal and disinfectant effect | ✘ No | ✘ No | ✘ No | ✘ No | ✔ Yes | ✘ No |
| Antihistamine | ✘ No | ✘ No | ✘ No | ✘ No | ✔ Yes (Chlorpheniramine) |
✘ No |
| Efficacy for bleeding | ✔ Yes | ✘ No | ✘ No | ✔ Yes | ✔ Yes | ✔ Yes |
| Efficacy for swelling | ✔ Yes | ✘ No | ✘ No | ✔ Yes | ✔ Yes | ✔ Yes |
| Acts on internal hemorrhoids | ★ Direct action by nozzle injection | ✘ Not suitable | ✔ Acts by insertion | ✔ Acts by insertion | ✘ Not suitable | ✔ Acts systemically |
| External hemorrhoids and surrounding skin | ✔ Responds with topical application | ✔ Direct application | ✘ Not suitable | ✘ Not suitable | ✔ Direct application | ✔ Acts systemically |
| Portability and temperature control | ★ No temperature control needed Individually packaged, portable ◎ |
No temperature control needed Tube portable ◎ |
⚠️ High temperature caution (Risk of melting) |
⚠️ High temperature caution (Risk of melting) |
No temperature control needed Tube portable ◎ |
No temperature control needed Granules portable ◎ |
| Number of uses per day | Inject 1 to 2 times Apply 1 to 3 times |
Apply 1 to 3 times | Insert 1 to 2 times | Insert 1 to 2 times | Apply 1 to 3 times | Take 2 times (After meals, 1 packet) |
| Long-term continuous use | ⚠️ Not allowed (Steroid-containing) |
Relatively allowed (Confirmation required) |
Relatively allowed (Confirmation required) |
⚠️ Not allowed (Steroid-containing) |
⚠️ Not allowed (Steroid-containing) |
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 |
| For these people | For those with symptoms both inside and outside, who prioritize portability and want hygienic use | For those who want to avoid steroids and only care for external pain and itching | For those who want to avoid steroids and care for internal pain and itching | For those concerned about internal bleeding and swelling | For those who also need to treat external bleeding, swelling, and disinfection | For those who want to improve from the inside with oral medicine and find external use 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 Suppository ointment and Suppository differ?
The biggest difference is portability and whether it can be used in 2 ways. A Suppository ointment can be injected inside with a nozzle and also applied outside, so it supports both internal and external use. It also does not require temperature control and is convenient to carry. A Suppository is for internal hemorrhoids only and can be inserted reliably, but it requires temperature control because it may melt at high temperatures.
Is it okay to use a tube that has already been used for topical application for injection?
It is not possible. After topical use, the medicine is reduced, so the full amount needed for one injection cannot be secured. If you want to use both injection and topical application, please use separate units for each.
What is the difference between A Suppository ointment and A Ointment (tube)?
The active ingredients differ. A Suppository ointment contains 4 ingredients and can be used both internally and externally but has no disinfectant effect. A Ointment (tube) contains 6 ingredients, including antibacterial and disinfectant components (isopropyl methylphenol) and antihistamine (chlorpheniramine), but is for external use only. If both internal and external use plus disinfection are needed, please consider the premium suppository ointment.
Is long-term use safe despite containing steroids?
The included prednisolone acetate ester is the weakest "Weak class" steroid. However, avoid long-term use; the recommended usage period is 10 days. If no improvement is seen, stop use and consult a doctor or pharmacist.
Is it okay to use together with EP oral medicine?
EP oral medicine improves blood circulation from the inside using herbal ingredients, while A Suppository ointment delivers active ingredients directly through external application. Although their action pathways differ, please consult a pharmacist or registered seller before combining hemorrhoid treatments.
Brand story
Tentou Pharmaceutical Co., Ltd. — A hemorrhoid specialist manufacturer that has continuously researched the Japanese anal canal
Founded in 1948, Tentou Pharmaceutical is Japan's only manufacturer specializing exclusively in hemorrhoid treatments, focusing its management resources on this specialized field. The name Boraginol comes from "bury + gin (medicine) + ol (compound)," embodying the design philosophy of delivering medicine reliably to the affected area.
A Suppository ointment is one of the products that best represents its philosophy. The 26mm nozzle length is a figure derived from research on the anatomical structure of the Japanese anal canal. Features like single-use individual packaging, rounded nozzle tip design, and 2WAY functionality embody "consideration for patients" in every detail, which is why it has been chosen by many users for years.
A Suppository ointment is one of the products that best represents its philosophy. The 26mm nozzle length is a figure derived from research on the anatomical structure of the Japanese anal canal. Features like single-use individual packaging, rounded nozzle tip design, and 2WAY functionality embody "consideration for patients" in every detail, which is why it has been chosen by many users for years.
Usage precautions
⛔ Do not use if you fall under the following categories
- 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 long periods (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 usage and dosage.
- Use only on the anal area.
- When inserting, insert only the nozzle part (do not insert the body).
- Do not use a tube that has been used for ointment application for suppository insertion.
- If symptoms do not improve after 10 days of use, stop use and consult a doctor or pharmacist.
- If side effects such as rash, redness, itching, swelling, irritation, or pus occur, stop use and consult a specialist.
- Anaphylactic shock may rarely occur. If itching, hives, hoarseness, difficulty breathing, palpitations, or confusion appear immediately after use, seek medical attention immediately.
- Do not flush used containers and bags down the toilet.
Storage and handling
- Avoid direct sunlight and store in a cool place with the cap on.
- Since this is an ointment type, there is no risk of dissolution like with suppositories, but avoid high temperature and humidity.
- 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).
- Do not use if the outer box is open or the packaging is damaged.
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