Do Not Use Germoloids HC Spray : * if sensitive to lidocaine (also known as Iignocaine( or any of the other ingredients * on broken or infected skin * internally (inside the anus) * anywhere other than the anal area * if you are pregnant, breast feeding or under 16 years of age.For your safety:Germoloids HC Spray should be used for limited periods only: * Do not use it continuously for more than 7 days. * If your condition does not improve or gets worse consult your doctor.It is very important to obtain medical advice if you have persistent pain or bleeding from the anus, particularly if there has been a change in your bowel habit, if your stomach is swollen or bloated, you hove abdominal pain or if you are losing weight.Do not delay in consulting a doctor if you have these symptoms, as you may require prompt treatment.Do not use if you are already using another product containing a steroid (e.g. prednisolone, beclometasone, betamethasone,z dexamethasone), unless your doctor has said that you can use both products together. If you are not sure check with your doctor or pharmacist. * Keep the spray away from your eyes, nose and mouth.In exceptional circumstances, if steroids such as hydrocortisone are used excessively, thinning of the skin may occur. The symptoms are normally reversible when treatment is stopped.One of Germoloids HC Sprays active ingredients, hydrocortisone, occurs naturally as part of the normal function of the body. Theoretically, if Germoloids HC Spray is used excessively for long periods, it could suppress this natural process, although no such problem has ever been reported.It is possible to develop an allergy to either lidocaine or hydrocortisone, in which case the use of Germoloids HC Spray will make the skin even more sore and itchy. If this happens, the spray should no longer be used. How to help reduce the occurrence and/or severity of the condition.Constipation and straining can make piles worse. To help avoid these the following steps can be taken: * Eat a high fibre diet of fruits, vegetables and whole grain food. * Exercise regularly as it con help to stimulate regular bowel movement. * Drink plenty of fluids at least eight glasses per day (preferably water). * Go to the toilet immediately when you need to pass stools and try to avoid straining.