Designated Class 2 OTC Drug
External hemorrhoid treatment drug
⚡ Contains steroid
🌡️ Quickly dissolves at body temperature
Direct action on internal hemorrhoids
Boraginol® A Suppository
Tendo Pharmaceutical / Quickly melts at body temperature and delivers directly to internal hemorrhoids
Steroid Weak class
Four active ingredients
Pain, bleeding, swelling, itching
Aluminum individual packaging
Product overview
Boraginol® A Suppository is an anal insertion type Suppository from Tendo Pharmaceutical's A series, containing steroid (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 oil-based base (hard fat) quickly melts at body temperature and spreads inside the anus, delivering active ingredients directly to the internal hemorrhoid area. Simple operation by just inserting, hygienic use without touching the medicine. Individually wrapped in aluminum sheets for clean storage and carrying one by one.
Classification: Designated Class 2 OTC Drug / Content: 10 pieces / 30 pieces
Four features
🎯
Direct action on internal hemorrhoids
By inserting into the anus, the medicine spreads throughout the inside, delivering active ingredients directly to the internal hemorrhoid area that cannot be reached from outside.
⚡
Steroid cares for the four symptoms
Prednisolone acetate (Weak class) suppresses inflammation at the root and is effective for bleeding, swelling, and itching. Lidocaine quickly relieves pain and itching.
🌡️
Smoothly melts at body temperature
The oil-based base quickly melts at body temperature (about 37°C) and spreads evenly. It is designed to gently protect damaged mucous membranes while delivering active ingredients.
✋
Hygienic without hand contact
Just peel off the aluminum packaging and insert. No need to touch the medicine directly, allowing hygienic use.
🔬
Function of oil-based base (hard fat)
The Suppository base uses hard fat that melts easily at body temperature. After insertion, it quickly melts at body temperature (about 37°C) and spreads evenly throughout the anus, efficiently delivering active ingredients to the affected area. At the same time, the melted base protects the mucous membrane and supports smooth bowel movements.
The Suppository base uses hard fat that melts easily at body temperature. After insertion, it quickly melts at body temperature (about 37°C) and spreads evenly throughout the anus, efficiently delivering active ingredients to the affected area. At the same time, the melted base protects the mucous membrane and supports smooth bowel movements.
Ingredients and amount (per piece 1.75g)
| Active ingredients | Amount | Main function | Classification |
|---|---|---|---|
| Prednisolone acetate | 1 mg |
Suppresses inflammation and relieves bleeding, swelling, and itching
Steroid 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 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
Promotes blood circulation and Vitamin E
|
Blood circulation |
Additives: hard fat (oil-based base that melts at body temperature)
White to slightly yellowish white Suppository. Individually wrapped in aluminum sheets.
White to slightly yellowish white Suppository. Individually wrapped in aluminum sheets.
Efficacy and effects
Indications: hemorrhoids (internal and external hemorrhoids), anal fissures
* As it is a Suppository type, it is mainly suitable for use inside the anus (internal hemorrhoids). It cannot be applied directly to external hemorrhoids.
* No disinfectant effect (A Ointment has disinfectant effect).
* As it is a Suppository type, it is mainly suitable for use inside the anus (internal hemorrhoids). It cannot be applied directly to external hemorrhoids.
* No disinfectant effect (A Ointment has disinfectant effect).
Dosage and administration
| Target age | How to use | Amount per use | Number of times per day |
|---|---|---|---|
| 15 years old and above (adults) | Insert into the anus excluding the aluminum packaging | 1 piece | 1 to 2 times |
| Under 15 years old | Not for use | ||
⚠️ Usage points
・Recommended timing: after morning bowel movement, after bathing, before bedtime
・If the Suppository is hard: warm it slightly by holding it in your hand with the aluminum packaging before insertion
・If the Suppository is soft or partially melted: use it after cooling it in cold water or refrigerator without opening
・Do not use for long-term continuous use (due to steroid content)
・If there is no improvement after 10 days of use, stop using and consult a doctor or pharmacist
・Use only on the anal area
・Recommended timing: after morning bowel movement, after bathing, before bedtime
・If the Suppository is hard: warm it slightly by holding it in your hand with the aluminum packaging before insertion
・If the Suppository is soft or partially melted: use it after cooling it in cold water or refrigerator without opening
・Do not use for long-term continuous use (due to steroid content)
・If there is no improvement after 10 days of use, stop using and consult a doctor or pharmacist
・Use only on the anal area
About temperature management
🌡️
Suppositories melt at high temperatures. Please be especially careful during summer and travel.
The hard fat base is designed to melt at body temperature (about 37°C). It may melt if left in hot places such as in summer, under direct sunlight, or inside a car. It is recommended to use a cooling bag when carrying it.
* If melted, you can re-solidify it in the refrigerator (do not freeze) with the aluminum packaging before use.
The hard fat base is designed to melt at body temperature (about 37°C). It may melt if left in hot places such as in summer, under direct sunlight, or inside a car. It is recommended to use a cooling bag when carrying it.
* If melted, you can re-solidify it in the refrigerator (do not freeze) with the aluminum packaging before use.
Correct usage: insertion procedure
1
Check the hardness of the Suppository
If too hard, warm it with your hands; if too soft, cool it with cold water or in the refrigerator to adjust to an appropriate hardness.
2
Peel off the aluminum packaging
Carefully peel off the aluminum from the cut. Do it quickly so that the suppository does not melt from the warmth of your hands.
3
Slowly insert into the anus
Lie on your side or stand with one foot on a stool, and slowly push the thin end of the suppository into the anus.
4
Rest as is for a while
Since the suppository may come out easily if you stand up immediately after insertion, please rest for about 1 to 2 minutes.
Boraginol Series Product Comparison
| Comparison items | 🟡 A Suppository (This product) |
🟢 M Ointment | 🟢 M Suppository | 🟡 A Ointment | 🟡 A Suppository ointment | 🔵 EP Oral medicine |
|---|---|---|---|---|---|---|
| Drug classification | Designated Class 2 OTC Drug | Class 2 OTC Drug | Class 2 OTC Drug | Designated Class 2 OTC Drug | Designated Class 2 OTC Drug | Class 2 OTC Drug |
| Dosage form | Suppository (Aluminum individual packaging) |
Ointment (Tube) |
Suppository (Aluminum individual packaging) |
Ointment (Tube) |
Suppository ointment (Individually packaged with nozzle) |
Granules (Oral) |
| Number of active ingredients | 4 types | 4 types | 4 types | ★ 6 types | 4 types | 4 ingredients (3 herbal medicines + VitE) |
| Steroid (Prednisolone acetate) |
✔ Yes 1mg / 1.75g |
✘ No | ✘ No | ✔ Yes 0.5mg / g |
✔ Yes 1mg / 2g |
✘ No |
| Lidocaine (local anesthetic) | ✔ 60mg / 1.75g | ✔ 30mg / g | ✔ 60mg / 1.75g | ✔ 30mg / g | ✔ 60mg / 2g | ✘ No |
| Glycyrrhetinic acid (Plant-derived anti-inflammatory) |
✘ No | ✔ 15mg / g | ✔ 30mg / 1.75g | ✘ No | ✘ No | ✘ No |
| Allantoin (tissue repair) | ✔ 20mg / 1.75g | ✔ 10mg / g | ✔ 20mg / 1.75g | ✔ 10mg / g | ✔ 20mg / 2g | ✘ No |
| Vitamin E (promotes blood circulation) | ✔ Yes | ✔ Yes | ✔ Yes | ✔ Yes | ✔ 50mg / 2g | ✔ 100mg / 2 packets |
| Bactericidal and disinfectant effect | ✘ No | ✘ No | ✘ No | ✔ Yes | ✘ No | ✘ No |
| Antihistamine | ✘ No | ✘ No | ✘ No | ✔ Yes (Chlorpheniramine) |
✘ No | ✘ No |
| Effective for bleeding | ✔ Yes | ✘ No | ✘ No | ✔ Yes | ✔ Yes | ✔ Yes |
| Effective for swelling | ✔ Yes | ✘ No | ✘ No | ✔ Yes | ✔ Yes | ✔ Yes |
| Acts on internal hemorrhoids | ★ Acts directly by insertion | ✘ Not suitable | ✔ Acts by insertion | ✘ Not suitable | ✔ Acts by nozzle insertion | ✔ Acts systemically |
| External hemorrhoids and surrounding skin | ✘ Not suitable | ✔ Direct application | ✘ Not suitable | ✔ Direct application | ✔ Treats by application | ✔ Acts systemically |
| Portability and temperature control | ⚠️ Beware of high temperature (Risk of melting) |
No temperature control needed Portable ◎ |
⚠️ Beware of high temperature (Risk of melting) |
No temperature control needed Portable ◎ |
No temperature control needed Individually packaged, portable ◎ |
No temperature control needed Portable ◎ |
| Number of uses per day | Insert 1 to 2 times | Apply 1 to 3 times | Insert 1 to 2 times | Apply 1 to 3 times | Insert 1 to 2 times Apply 1 to 3 times |
Take 2 times (1 packet after meals) |
| Long-term continuous use | ⚠️ Not allowed (Contains steroids) |
Relatively allowed (Check required) |
Relatively allowed (Check 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 |
| For these people | For those concerned about bleeding, swelling, and pain of internal hemorrhoids and want simple operation | 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 who need treatment for external bleeding, swelling, and disinfection | For those with symptoms both inside and outside, who prioritize portability and want hygienic use | 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 OTC Drug) 🔵 EP (Oral medicine, herbal medicine)
Frequently Asked Questions
How do A Suppository and A Suppository ointment differ?
A Suppository features a simple use for insertion only and is for internal use. A Suppository ointment has a 2-way design with nozzle insertion plus external application, addressing symptoms both inside and outside. The ointment also does not require temperature control and is highly portable. For those who want to use simply for internal hemorrhoids, suppositories are recommended; for those who want to address both internal and external symptoms or prioritize portability, the suppository ointment is recommended.
What is the difference between A Suppository and M Suppository?
The biggest difference is the presence or absence of steroids. A Suppository contains prednisolone acetate (a weak class steroid) and is effective for bleeding and swelling. M Suppository does not contain steroids and uses plant-derived glycyrrhetinic acid as an anti-inflammatory ingredient. It is not effective for bleeding or swelling but is suitable for those who want to avoid steroids or prefer long-term care.
Can I use the suppository if it has melted?
If kept in the aluminum packaging and cooled in the refrigerator (no freezing), it can be re-solidified to its original shape and used. However, due to the risk of quality deterioration, temperature control with a cooler bag is recommended during summer or travel.
It contains steroids, but are side effects okay?
The included prednisolone acetate ester is the weakest "Weak class" steroid. As long as the usage and dosage are followed and used short-term, systemic effects are considered minimal. However, avoid long-term use and limit to about 10 days. If concerned, please consult a pharmacist before use.
Is it okay to use together with EP oral medicine?
EP oral medicine improves blood circulation from the inside using herbal medicine, while A Suppository delivers active ingredients directly to the affected area through external application. Although their action pathways differ, please consult a pharmacist or registered seller before combining hemorrhoid treatments.
Brand story
Tendo Pharmaceutical Co., Ltd. — The "delivery" technology pursued by a hemorrhoid-specialized manufacturer
Founded in 1948, Tendo 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 reliably delivering medicine to the affected area.
A Suppository is the simplest form to realize the concept of "delivery." By using a hard fat base that quickly melts at body temperature, the active ingredients are evenly spread throughout the inside of the anus, reliably reaching the affected internal hemorrhoids that are hard to reach by hand. The ease of insertion and the formulation backed by years of clinical experience are why Boraginol A Suppository continues to be chosen.
A Suppository is the simplest form to realize the concept of "delivery." By using a hard fat base that quickly melts at body temperature, the active ingredients are evenly spread throughout the inside of the anus, reliably reaching the affected internal hemorrhoids that are hard to reach by hand. The ease of insertion and the formulation backed by years of clinical experience are why Boraginol A Suppository continues to be chosen.
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 pus in the affected area.
- Children under 15 years old.
⛔ Do not do the following
- 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 medications.
⚠️ Precautions during use
- Strictly follow the prescribed usage and dosage.
- 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 such as rash, redness, itching, swelling, irritation, or pus occur, stop use and consult a specialist.
- Rarely, shock (anaphylaxis) may occur. If itching, hives, hoarseness, difficulty breathing, palpitations, confusion, or other symptoms appear immediately after use, seek medical attention immediately.
Storage and handling
- Avoid direct sunlight and store in a cool place (be especially careful as it melts at high temperatures).
- In summer or in high-temperature places, refrigeration (no freezing) is recommended.
- Use a cooler bag when carrying.
- 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 (indicated on the package).
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