Effective rectal suppositories for hemorrhoids. Suppositories for the treatment of hemorrhoidal fissures - a list of the most effective and inexpensive with a description

There are many varieties. You can find suppositories that will simplify the process of defecation, relieve inflammation or stop bleeding. This treatment method is one of the most accessible and effective in the fight against hemorrhoids.

Quite often, patients use ointments to treat this disease, but their effect is not as deep as the effect of suppositories. Suppositories are able to penetrate more deeply and act directly on the affected tissue.

Photo: Doctor's diagnosis

Of course, the easiest solution when choosing the right suppositories for the treatment of hemorrhoids is to contact a highly qualified doctor. The doctor will make a diagnosis, identify acute or chronic hemorrhoids in the patient and prescribe the correct suppositories. If the patient chooses suppositories himself, then he must be aware that the effect of the drug may not always be exactly what is required to be achieved.

All suppositories are divided into several types. It depends on which treatment is most competent and what effect should be achieved. Thus, candles are divided into the following types:

Photo: Maintain hygiene when using suppositories for hemorrhoids

Using rectal suppositories is not as simple a process as it might seem at first glance. In this case, there are a number of rules that must be followed for proper administration of the suppository and effective therapy.

Constipation should be avoided. If such conditions occur, under no circumstances should you strain. To facilitate bowel movements, you need to use special medications and adjust your diet. You should choose laxatives especially carefully and it is better to consult your doctor first.
When using any candles, the patient should maintain hygiene. To do this, it is worth keeping an eye on the cleanliness of the anus, washing it thoroughly even if pain occurs. You should also ensure that your hands are clean before using suppositories.
Suppositories are usually used no more than 2 times a day. As usual, application occurs in the morning and evening. Suppositories should be used after bowel movements.

If the result is not visible immediately after completing a course of therapy, and the patient notices the appearance of new, uncharacteristic symptoms, it is necessary to undergo re-diagnosis by a proctologist, since the diagnosis in this case is called into question.

The best and most effective types of candles

Define best views suppositories for all people with hemorrhoids are impossible. This is explained by the fact that each specific case of the disease is individual. Depending on what specific symptoms torment the patient, you can choose only a certain type of suppositories. For example, in case of severe bleeding, suppositories, which provide a softening effect and improvement of bowel movements, are unlikely to be able to stop it.
Analyzing reviews from patients who used different types suppositories, you can make a short list of products that are in particular demand due to their high efficiency.

Relief

Photo: Relief candles

Relief candles, which have a complex effect and are quite effective in the fight against hemorrhoids at different stages. Some difficulties for patients are caused by choosing the right Relief among its three varieties. In order to avoid mistakes, it is enough to know how they differ:

Relief - includes phenylephrine hydrochloride and shark liver oil;
Relief Ultra - also contains shark liver oil, as well as hydrocortisone;
Relief Advance - contains benzocaine and shark liver oil.

Relief is valued due to its extensive effect on several main symptoms of the disease at once. Shark oil, which is part of the drug, leads to fast healing cracks and relieve inflammation. This component also acts as an immunostimulant.

The candles are based on cocoa butter. This component has a softening effect and accelerates the healing process.

The drug is used 4 times a day. An important condition Using candles is to read the instructions. Relief has a fairly wide list of contraindications and possible side effects.

Procto-Glyvenol

This drug is very much appreciated by those who are trying to relieve hemorrhoidal, excruciating pain. contain lidocaine and tribenoside.

The action of these candles is aimed at:

relieving severe pain;
vein toning;
reducing skin tension;
relieving itching.

The drug is contraindicated in pregnant women and breastfeeding mothers. Under no circumstances should the drug be used for acute liver failure.

These suppositories are used no more than 2 times a day - in the morning and before bedtime. Admission should occur until significant improvement in the patient’s condition occurs. When acute symptoms go away, patients can use suppositories once a day for another 10-14 days.

Among the side effects of Procto-Glivenol, the following symptoms are worth noting:

allergic reactions;
slight swelling of tissues;
significant increase in intestinal motility;
slight burning sensation;

If such symptoms occur, you should immediately contact your proctologist to adjust the treatment. Each of the side effects can lead to worsening.

Proctosedyl M

The drug has a composition quite rich in components. It contains:

esculoside - helps reduce capillary fragility;
benzocaine is a local anesthetic;
butamben - reduces itching;
hydrocortisone - a glucocorticosteroid that provides analgesic effect;
Framycetin is a broad-spectrum antibiotic.

The drug also has a fairly wide range of contraindications for use. Suppositories are not suitable for use in patients who suffer from:

fungal infections;
viral infections;
tuberculosis;
hypertension and heart disease.

Proctosedyl M is contraindicated for women during pregnancy or breastfeeding, as well as for children.

A distinctive feature of the drug is its speed of action. The first effects are noted already in the first 3-4 minutes. The drug can be used for no more than 7 days. This is explained by the presence of a hormonal component in its composition.

Among side effects Symptoms such as burning, obsessive itching, allergic reactions and a feeling of dryness in the rectum may be detected. With prolonged use of the drug for more than a week, patients may experience systemic side effects.

Anuzol

Photo: Anuzol - suppositories for hemorrhoids

Anuzol is a fairly inexpensive and effective remedy against hemorrhoids, the price of which makes it more affordable for patients. Anuzol contains the following components:

zinc sulfate;
bismuth oxide;
bismuth tribromophenolate;
belladonna leaf extract.

The last component is quite effective. Belladonna provides astringent, analgesic, anti-inflammatory and antiseptic effects.

This drug is contraindicated during breastfeeding and pregnancy, as well as for the following ailments:

BPH;
myasthenia gravis;
angle-closure glaucoma;
intestinal atony;
heart failure.

Apply 1-2 Anuzol suppositories per day. Application time: morning and evening, one candle each. If Anuzol is used to eliminate pain, then using more than 6 suppositories can be harmful and lead to side effects, including:

diarrhea;
dry mouth;
burning in the anal area;
drowsiness;
visual impairment;
cardiopalmus;
headaches and dizziness (information about effective tablets for headaches -).

Ultraproct

Photo: Ultraproct - suppositories for hemorrhoids

The drug contains flocortolone and cinchocaine. Fluocoolon is a hormonal component that acts quickly and for a long time. Cinchocaine is a local anesthetic.

The drug should not be used for syphilis and tuberculosis. Also, suppositories are not used for increased sensitivity in the anorectal area. The product is contraindicated for children, pregnant women and people with allergies. In the second and third trimester of pregnancy and during lactation, the use of Ultraproct is possible after consultation with a doctor.

The drug is used only once a day, immediately after bowel movement. According to the instructions, the suppositories are administered rectally and as deeply as possible. In case of a particularly complex course of the disease, doctors allow the use of 3 suppositories at once on the first day of using suppositories.

Gepatrombin G

Photo: Gepatrombin G suppositories for hemorrhoids

Suppositories contain 3 main active components:

Heparin sodium;
Prednisolone;
Lauromacrogol.

The drug, due to its composition, is very effective and strong. It is combined and has several effects at once:

antibacterial;
venosclerosing;
antithrombic;
antiallergic;
antiexudative;
regenerative;
local anesthetic.

This set of effects can cope with hemorrhoids in the shortest possible time.

Suppositories are contraindicated for people with tuberculosis, syphilis, skin tumors, hypersensitivity, a tendency to bleed, as well as those who suffer from viral, bacterial and fungal infections of the skin. Suppositories are not used in the first trimester of pregnancy. In the second and third trimester, use is possible with the permission of the doctor.

Use candles 2 times a day. After improvement, the dose is reduced to 1 time per day. Suppositories are administered in the morning and evening after defecation for 7 days.

There are also a number of side effects of the drug:

redness of the skin;
systemic side effects;
allergic reactions.

The possibility of overdose is practically excluded. If suppositories are accidentally used orally, severe vomiting may occur. In this case, urgent gastric lavage is necessary.

Nigepan

Photo: suppositories for hemorrhoids Nigepan

These suppositories contain two main potent components - anesthesin and heparin. Anestezin affects inflamed areas and also actively eliminates pain. The action of the second, active substance Nigepan is also aimed at eliminating pain and inflammation, in addition, the substance actively fights pathogenic microorganisms.

One of the additional components is Heparin, which can prevent the formation of blood clots and also promote healthy regeneration of damaged tissues.

The drug is contraindicated only in those patients who have hypersensitivity to one of the components of the drug. Typically, all components of these rectal suppositories are well tolerated. Suppositories are not used for the treatment of children under 14 years of age, or for use during pregnancy or breastfeeding.

Treatment with Nigepan should last about 1-2 weeks on average. It is important not to exceed these deadlines. Use 1 candle in the morning and evening. Suppositories should be administered only after defecation.

Photo: Treatment of hemorrhoids during pregnancy

Most suppositories are not designed for use during pregnancy, especially in the first trimester. However, there are a number of candles, the use of which will not harm the child and mother. Among them:

Natalsid - suppositories with a natural composition. They are based on a polysaccharide based on brown algae. The drug is excellent for the treatment of complex forms of hemorrhoids during pregnancy. There is also an analogue called Alginatol. This remedy can be used to treat children from six months to 14 years old. The course of therapy with Natalsid is quite short-term and lasts 1-2 weeks.
Betiol - ichthyol suppositories, which contain the most important medicinal element - belladonna extract. The drug is indicated for the treatment of hemorrhoids in women who are breastfeeding and pregnant. Contraindications include hypersensitivity and glaucoma. No more than 8-10 suppositories can be used per day. The ideal daily dose is 3 suppositories.
Suppositories with sea buckthorn oil are perhaps the safest and most natural suppositories. Sea buckthorn oil is indicated for bleeding and itching. It quickly heals injured tissue and relieves inflammation. The course of treatment is about 2 weeks. Therapy must be repeated a month after completion of the course. Use 2 suppositories per day. Side effects may include a burning sensation in the rectum.
Glycerin suppositories soften stools and help improve and simplify bowel movements. They actively heal small cracks and wounds. The drug also has bactericidal properties. These suppositories can be used at any stage of hemorrhoid development.
Posterisan is a drug that is excellent for the treatment of hemorrhoids and external hemorrhoidal cones. These suppositories can be used by both pregnant and nursing mothers. Particular care should be taken to use the drug in those patients who are intolerant to phenol. These suppositories are used morning and evening, and the full course of therapy lasts 2-3 weeks.

It is worth noting that pregnant women are often prescribed suppositories with papaverine. Reviews of these suppositories speak of their analgesic properties. Also, such drugs do an excellent job with muscle spasms.

Cost of drugs

Photo: Inexpensive suppositories for hemorrhoids (price)

The cost of different drugs may vary. This, first of all, depends on the network of pharmacies where the drug is purchased and on the number of suppositories in the pack. The average price for the most famous drugs for hemorrhoids is:

Relief - up to 300 rubles;
Relief Advance - 350-380 rubles;
Relief Ultra - 330-400 rubles;
Procto-Glyvenol - 350 -400 rubles;
Proctosedyl M - from 370 rubles to 450 rubles;
Anuzol - 60-80 rubles;
Proctosedyl M - from 370 to 420 rubles;
Ultraproct from 640 to 700 rubles;
Gepatrombin G - from 170 rubles.

The price may also depend on the region in which the suppositories are purchased.

Watch the video: how to choose suppositories for hemorrhoids, suppositories with sea buckthorn for hemorrhoids

There can be many reasons for the occurrence of hemorrhoids; most often people suffer from it during sedentary or, conversely, hard work, a sedentary lifestyle, and in women - during pregnancy. High blood pressure V abdominal cavity leads to disruption of the outflow and inflow of blood in the anorectal area. Stagnant processes provoke overflow and expansion of the venous walls, and, as a consequence, the development of hemorrhoids.

It is necessary to get rid of this pathology quickly and effectively, without bringing the situation to a critical stage of the disease. In the article below we will consider the rating of the TOP 5 best suppositories for hemorrhoids: the most effective means, reviews, prices, and characteristics of drugs.

Causes

The main causes of hemorrhoids are venous dysfunction of the anorectal vessels and weakness of the rectal muscles.

The first reason for the formation of hemorrhoids is that the cavernous veins of the rectum cannot cope with the volume of blood that enters them through the arterial vessels. As a result, the cavernous veins, engorged with blood, expand and become deformed. Thus, the formation of nodes occurs, which are more often called cones.

In addition to the above, we can identify many more reasons, for example:

sedentary lifestyle;
constant constipation;
prolonged diarrhea;
unbalanced diet;
excessive loads associated with lifting weights;
age;
carrying a child and natural childbirth;
heavy heredity;
hypothermia of the body;
diseases of internal organs;
stress.

If you notice the above symptoms, we strongly recommend that you seek help from a proctologist, who, after conducting a series of diagnostic studies, will clarify the diagnosis and, if necessary, prescribe complex antihemorrhoidal therapy.

Rating TOP 5 best suppositories for hemorrhoids

The TOP best products include:

Belladonna extract.
Proctosan.

Let's take a closer look at the range of products presented.

Nigepan - combined medicine, belonging to the group of direct-acting anticoagulants, that is, drugs that prevent the formation of blood clots in blood vessels. When applied, the composition is quickly absorbed and begins to act almost instantly. Due to the presence of an anesthetic in the composition, the medication can be used not only to eliminate hemorrhoids, but also to reduce pain.

Price: from 200 to 215 rubles.

Using the product is quite simple. Of course, at this time you need to follow a special diet so as not to cause constipation. They were the ones who helped me get early-stage hemorrhoids. But I encountered a serious problem only after giving birth. Then ointment alone was not enough for me personally and I added these suppositories. Everything went pretty quickly. I recommend it, an inexpensive but effective drug.

Suppositories with methyluracil have a pronounced immunostimulating effect, which is very important for hemorrhoids, when the patient has a general decrease in immunity. The drug quite quickly activates the cellular and humoral immunity systems at the local level, in particular, T- and B-lymphocytes, cytokines and other components immune system. This leads to an improvement in the general condition of the patient and prevents the addition of a bacterial infection in the anal area. The active ingredient of the drug has anabolic, anti-catabolic and regenerating effects.

Cost: from 60 to 74 rubles.

suppress the inflammatory process in hemorrhoids;
relieve pain and burning;
the effect is immediate (4-5 days).

not found.

Methyluracil suppositories are used for hemorrhoids as part of complex therapy. The main thing is that their therapeutic effect lies in tissue regeneration. However, their ability to stop bleeding is weakly expressed. They also do not reduce the formation or affect the resorption of existing blood clots. To completely cure hemorrhoids, suppositories alone will not be enough, depending, probably, on the stage. In general, the product eliminates pain and burning and quickly returns you to active life. I recommend it.

suppositories for hemorrhoids Methyluracil

Belladonna extract

Suppositories for hemorrhoids with belladonna are deservedly popular in the treatment of such a common disease among the population as hemorrhoids. Thanks to the main substances in their composition in the form of scopolamine, hyoscyamine and atropine, which are active alkaloids, this drug has very pronounced properties aimed at eliminating inflammatory processes, and also has an analgesic and antispasmodic effect. Thanks to these unique qualities, the body's sensitivity to perception is reduced. pain symptom By blocking nerve impulses, intestinal muscle spasms are eliminated.

Price tag: from 43 to 50 rubles.

the best remedy for cracks;
no age restrictions;
excellent analgesic effect;
result from the first use.

causes flatulence;
It does not fight the problem, it only temporarily eliminates the symptoms.

I discovered hemorrhoids during pregnancy, and quite severe symptoms, which developed rapidly. With the help of these suppositories I very quickly got rid of pain, swelling and inflammation also disappeared, and constipation stopped, going to the toilet became easy and effortless. Now everything is fine, the condition is normal, nothing worries me.

suppositories for hemorrhoids Belladonna extract

Proctosan

The action of the medication is aimed at relieving the inflammatory process. Thanks to the universal properties of suppositories, the anus is protected from irritation. During the period of use of the medicine, the formation of a special film is observed, with the help of which the affected area is protected from the negative effects of various factors. The drug contains bufexamak, bismuth subgallate, titanium dioxide and lidocaine hydrochloride, which mutually potentiate each other's action.

eliminates pain and burning;
rapid elimination of symptoms of the disease;
are used for both treatment and prevention purposes.

may leak at night.

After giving birth I developed hemorrhoids. In our family, unfortunately, not only do I have hemorrhoids, my husband does too. As soon as I felt that I had this problem, I immediately bought Proctosan suppositories. I took the course and everything went away. To be honest, I didn’t even expect such an effect, I thought only surgery would help. So I got rid of hemorrhoids and don’t suffer anymore.

suppositories for hemorrhoids Proctosan

Betiol suppositories are widely used in the conservative treatment of hemorrhoids. The components of the drug eliminate spasm of the anus muscles, relieve inflammation and pain, kill pathogenic bacteria and speed up recovery. The undoubted advantage of Betiol suppositories is their inexpensive cost, which makes them accessible to patients. The presented suppositories consist of two active components - belladonna (belladonna) extract and ichtamoll. Belladonna extract is made from the leaves of the belladonna plant by extracting it. Belladonna vulgare extract contains a number of atropine alkaloids, such as scopolamine, hyoscyamine, apoatropine, etc.

Cost: from 74 to 80 rubles.

the ability to eliminate discomfort from hemorrhoids;
stopping bleeding;
helps with cracks;
has an antiseptic effect during treatment.

not found.

Conquered hemorrhoids at home. It's been a month since I forgot about my bumps. Oh, I tried so many methods - nothing helped. Both expensive and cheap products, until I read a lot of reviews and bought Betiol. Within 3-4 applications everything went away, and the pain began to go away after the first candle. I'm happy with this effect, thank you.

suppositories for hemorrhoids Betiol

Comparative table of the presented funds

In order to compare the presented products, we recommend taking a look at the table with their characteristics.

Means	Quantity per package (pcs)	Indications	Contraindications	Price, rub)
	10	pain during defecation, pain in the anus, presence bloody discharge from the rectum, prolapse of hemorrhoids, feeling of squeezing		from 200 to 215
	10	period of exacerbations, with inflammation of hemorrhoids and violations of the integrity of the rectal mucosa, surgical or minimally invasive intervention to remove hemorrhoids	individual intolerance to components, history of allergy to heparin, hemophilia, hemorrhagic vasculitis	from 60 to 74
Belladonna extract	10		infectious diseases and neoplasms in the intestines, tuberculosis, diabetes with skin lesions, existing erosive areas and ulcers on the intestinal walls, individual intolerance to one of the constituent substances	from 43 to 50
Proctosan	10	how to treat anal eczema acute form, and chronic, inflammation of the rectal mucosa	anal fissures, acute and chronic anal eczema, thromboembolism, diabetes, syphilis, tuberculosis, pregnancy, lactation	from 320 to 359
	10	acute hemorrhoids, chronic hemorrhoids stages 1-4, cracks and tears of the anus, postoperative period	childhood, colitis, constipation, intestinal atony, gall bladder and duct stones, pregnancy, lactation	from 74 to 80

Instructions for use

Let's consider the basic principles of using suppositories for hemorrhoids, however, we strongly recommend that you individually study the instructions contained in the package with the product.

Before inserting a suppository into the rectum, you need to make sure that this product was stored under conditions that comply with the instructions.
It is necessary to administer the suppository after the act of defecation, as well as after carrying out the necessary hygienic measures. This is required because the mechanical effect of the suppository on the anus can lead to a reflexive desire to empty the intestines. If defecation occurs, the desired effect of the therapeutic measure will decrease or not occur at all.
If personal hygiene rules are not followed, the corresponding nodes may become infected, which will lead to the formation of chronic inflammation in the rectal area.
For single use, it is best to administer the suppository before bedtime. In a situation where double use of the suppository is required, in the morning after its administration you should remain in bed for about half an hour.

Folk remedy recipe

In the article below, let's look at a homemade remedy for hemorrhoids that our grandparents used. However, before use you should consult a proctologist.

The most popular remedy traditional medicine in the fight against hemorrhoidal disease - simple raw potatoes. Even experienced proctologists recognize the effectiveness of this recipe.

What you will need:

Peel any type of potato;
there is no need to heat treat it;
Use a knife to cut out a rectal suppository measuring a couple of centimeters;
to facilitate insertion into the rectum, you can lubricate the tip of the candle with vegetable oil;
Of course, unlike pharmaceutical suppositories, such a suppository will not dissolve on its own, it will come out in a natural way for the morning.

It is worth noting that on late stages development of hemorrhoidal disease folk remedies(including raw potatoes) become practically ineffective. If the patient has allowed the development of large nodes and led to rectal prolapse, only minimally invasive methods or surgical removal of hemorrhoids can help.

What to look for when choosing

Let's consider the selection criteria that will help you purchase the right and high-quality drug.

Prescription of the drug. In connection with this criterion, we recommend that you first consult a doctor and then choose a remedy for treatment. There are many drugs, for example, for pain, burning, bleeding, anti-inflammatory, anti-spasm, etc. The list can be endless. Therefore, you should not self-medicate; consult a doctor.
Contraindications. Each drug has many contraindications, the violation of which entails very adverse consequences. If you want to achieve maximum effect from treatment, follow the instructions strictly.
Best before date. An important criterion from the list, which is also important to follow when purchasing a drug. Not all pharmacists take into account the service life, so double-check everything at the point of purchase. An expired product will not only not have a pronounced effect, but it can also cause more harm and aggravate the situation.

Hemorrhoids are lesions of the veins of the rectum, which leads to the formation of painful lumps. People who are forced to sit or stay in one position for a long time are more susceptible to the disease. In women, the risk of hemorrhoids is higher, as it contributes to anatomical structure their genitourinary organs.

Hemorrhoids are usually called small bumps that come out of the anus, but this is only one of the manifestations of the disease. Hemorrhoids begin to develop in the mucous or submucous membrane of the rectum, closer to the anus.

The main provocateurs of the disease:

poor blood circulation in the pelvic area;
passive lifestyle;
frequent or sudden heavy lifting;
overweight;
poor nutrition;
weak vessel walls;
intestinal infections;
tumor formations;
rectal injuries.

Hemorrhoids go through several stages successively if they are not treated in time.

Dilatation of veins, injury to the walls of the mucous membrane with difficulty defecating. At the same time, a person feels a slight burning and tingling sensation; blood may not even be noticeable.
Dilated veins swell, forming nodes. They give the feeling of a foreign body in the intestine. During emptying they get injured and bleed. Knots can come out under heavy load. A person experiences pain when defecating.
The nodes are greatly enlarged and constantly fall out even from the slightest physical activity, they have to be constantly adjusted manually. Cracks appear in the intestine, bleeding becomes profuse.
At the last stage, the nodes can no longer be set; they become very swollen and take on a red-blue hue. Only their surgical removal is shown here.

How to treat

A coloproctologist treats hemorrhoids.

The specialist conducts a visual examination of the cones, a digital examination of the anus, and, if necessary, the diagnosis is supplemented by anoscopy, endoscopy and irrigoscopy.

In the first stages, treatment is conservative. It is enough to use suppositories, tablets and special ointments. At stages 3 and 4, it may be necessary to remove the inflamed nodes using one of the popular methods:

cryodestruction;
photocoagulation;
sclerotherapy;
ligation with latex rings.

Of the local remedies, suppositories have proven themselves to be the best, since they act directly on the source of inflammation. If ointments act only on prolapsed nodes and it is inconvenient to insert them inside, then the suppositories end up deep inside the rectum, which enhances the effect of treatment.

List of effective drugs

Rectal suppositories have long been successfully used to eliminate hemorrhoids. The drug should be prescribed by a doctor depending on the course of the disease.

All candles, based on their mechanism of action, are divided into several groups.

Suppositories for hemorrhoids

Group name	Description
	- prevent the formation of blood clots; Improve blood circulation; They prevent vascular fragility and have a tonic effect on the veins.
	- eliminate bleeding; Constrict blood vessels; Eliminate inflammation; Restore mucous tissue.
	- improve venous blood flow; Stimulates the regeneration of damaged tissues.
	Quickly eliminate inflammation and relieve pain.
	Help boost local immunity to fight germs and bacteria.
	They help eliminate inflammation and pain, have a very mild effect, have virtually no contraindications, but treatment must be long-term.
	Natural suppositories with a pronounced antihemorrhoidal effect.

For reference! The doctor may prescribe one or several types of medications that will need to be used according to a special regimen. At the same time, during treatment you need to adjust your diet to eliminate problems with bowel movements, because this will only aggravate the course of hemorrhoids.

Women in a position who are more susceptible to hemorrhoids need to be careful when choosing treatment products. You can only use suppositories that are prescribed by a specialist.

List of popular and effective drugs

Components	Action	Mode of application	Contraindications
- shark liver oil; Phenylephrine hydrochloride.	- healing, restorative effect; Relieves pain; Eliminates inflammation; Constricts blood vessels.	Suppositories can be used 1 pc. up to 4 times a day. It is necessary to administer suppositories at a certain period of time and a sufficient number of times to achieve a pronounced therapeutic effect.	- reaction to components; Thromboembolism; Granulocytopenia.
- heparin; Lauromacrogol 600; Prednisolone.	- eliminates inflammation, swelling; Reduces painful symptoms; Accelerates the healing of mucous membranes.	Suppositories are administered in the morning and evening, 1 pc. about a week.	- intestinal tumors; The period of bearing a child; Poor blood clotting;
- butamen; Benzocaine; Esculoside; Hydrocortisone; Framycetin sulfate.	- eliminates swelling, inflammation, pain; Strengthens blood vessels; Suppresses the development of bacteria.	Suppositories are administered up to 4 times a day, 1 piece each, therapy lasts about a week.	- pregnancy; Intestinal tuberculosis; Syphilis; Heart failure.
- heparin; Lidocaine; Prednisolone.	The main components of the suppositories are the same as those of the drug "Hepatrombin G", they have a similar effect. Lidocaine additionally provides local anesthesia.	The remedy is indicated both at the initial stage, when hemorrhoids have not yet appeared in the form of lumps, and at stages when it is necessary to cure the formed nodes. Suppositories are administered 1 pc. twice a day. If the knots fall out, it is necessary to insert the candle not completely. Part of it should melt and lubricate the emerging nodes. Therapy lasts up to 12 days.	- pregnancy; Reaction to drug components; Poor blood clotting.
Sodium alginate.	The product, the main component of which is brown algae, has an analgesic effect, regenerates the mucous membrane, relieves inflammation, and has a hemostatic effect.	Suppositories are used 1 pc. up to 2 times a day, therapy can last about 10-14 days.	Reaction to the main component.
- cinchocaine hydrochloride; Fluocortolone pivalate; Fluocortolone hexonate.	- reduces swelling; Eliminates pain; Accelerates the restoration of mucous membranes.	You can use suppositories 1 pc. three times a day. Therapy may take up to 20 days.	- pregnancy; Venereal diseases; Tuberculosis.
- bufexamak; Bismuth subgallate; Titanium dioxide; Lidocaine.	It has analgesic, disinfectant and regenerating properties.	Suppositories are administered in the morning and evening, 1 piece each, therapy lasts up to 12 days.	- pregnancy; Reaction to components; Sexually transmitted diseases or intestinal tuberculosis.
- bismuth tribromophenate; Belladonna extract; Zinc sulfate.	- eliminates inflammation; Suppresses microbial activity; Reduces intestinal tone; Helps increase sphincter tone.	Suppositories are used from 3 to 7 pcs. per day, based on the doctor’s recommendations.	- prostatitis; Pregnancy; Myocardial dysfunction; Low intestinal motility; Narrow-angle glaucoma.

Almost any disease can be treated using systemic and local medications. Systemic drugs include injection solutions and tablets. Local medicines are medicines that need to be applied to a specific area.

In case of inflammation of hemorrhoids, creams and ointments (for the external form of the disease) and rectal suppositories (for internal affected cones) are considered local remedies.

The latter type of drug is considered extremely effective, especially in the initial stages of the disease. You should take a closer look at the most effective suppositories for hemorrhoids, their features, cost and contraindications.

Features of the drugs

Antihemorrhoidal suppositories are usually called rectal suppositories, since they must be placed in the rectum. This organ in Latin transcription sounds like rectum.

Rectal suppositories have the fastest possible effect, penetrating through the mucous membranes of the rectum and entering directly into nearby blood vessels.

Candles from internal hemorrhoids may vary by:

incoming components;
the therapeutic effect provided;
duration of therapy.

Treatment of hemorrhoids with rectal suppositories is carried out at any stage of the pathological process, including during exacerbations. Local medications relieve inflammation and pain, stop bleeding, and relieve itching in the rectum.

Suppositories can be single-component, that is, including only one active ingredient, or multi-component, that is, having several active ingredients at once.

In any case, it is the proctologist who must prescribe these medications, and before using them, the patient must carefully study the instructions.

Instructions for use

Using suppositories for hemorrhoids requires a balanced approach. First of all, you should make sure that the suppository was stored in the refrigerator, the packaging is intact, and the medication has not expired.

If any one nuance is not observed, most likely, suppositories for hidden hemorrhoids will not help. However, we should not forget about other rules for using such drugs.

Antihemorrhoid suppositories are used after bowel movements (you can do a cleansing enema), since the very process of introducing the medication into the rectum can cause the urge to defecate, which can negate the effect of the procedure.
To insert a rectal suppository into the anus, the patient must lie on his side. This is the optimal position that ensures better penetration of the drug into the rectum.
The next step is to remove the healing “cone” from the packaging. You cannot do this in advance, since candles melt quickly at room temperature, and even more so in your hands.
With one hand you need to spread the gluteal muscles, and with the other hand, insert the anal insert so that it passes through the sphincter ring and ends up in the rectum.
If such a procedure for men or female patients is unpleasant and painful, the tip of the suppository should be lubricated with Vaseline or non-greasy ointment.
To prevent the melted drug from leaking out, you need to lie down on your stomach and lie there for about half an hour. If the urge to defecate occurs, it is better to endure it, allowing the active components to penetrate the rectal mucosa.
Since the base of candles (paraffin or petroleum jelly) can leak under the influence of high temperatures, care should be taken to prevent contamination of clothing.

In addition, hemorrhoids are often accompanied by difficulties with bowel movements, so the treating doctor may prescribe a simultaneous appointment.

The frequency of use of suppositories for hemorrhoids depends on the severity and stage of the disease.

Most often, doctors prescribe 1-2 suppositories per day for 7-14 days. If any undesirable consequences occur, treatment is reviewed.

Types of drugs

Patients are often unhappy that suppositories intended for the treatment of internal hemorrhoids are powerless against the disease. This usually happens due to the fact that patients choose their own medication, without focusing on the characteristics of the course of the disease.

Rectal suppositories for hemorrhoids are conventionally divided into several large categories.

Anticoagulants (anti-clotting agents). With internal hemorrhoids, microscopic blood clots often appear, which then unite and develop into thrombosis of hemorrhoidal nodules. Heparin, the active ingredient in such drugs, prevents the formation of blood clots and helps strengthen the walls of veins and capillaries.
Hemostatic (hemostatic) drugs. Such medications include anti-inflammatory drugs that restore damaged tissue in hemorrhoids. The combination of these effects helps prevent bleeding.
Hormonal suppositories. The inclusion of glucocorticosteroids in rectal suppositories makes it possible to impart. In addition, hormonal substances reduce vascular permeability and reduce the outflow of fluids into tissues, which reduces the severity of inflammatory processes. Typically, antihemorrhoidal hormonal suppositories are prescribed in severe cases.
Angioprotectors. Hemorrhoids are characterized by increased permeability of blood vessels in the rectum. Angioprotective suppositories for internal hemorrhoids and fissures reduce the permeability of venous and capillary membranes, normalize metabolism in blood vessels, improve microcirculation and regenerate cells.
Astringent suppositories. Bismuth and zinc are the main ingredients that contain astringent suppositories against hemorrhoids. Such drugs can dry out inflamed tissues, resulting in reduced swelling and pain. In addition, the active components have a disinfecting effect and protect damaged areas with the help of the created film.
Immunity modulating medications. Hemorrhoids often become a “gateway” for pathogenic microbes, therefore, for complex therapy, proctologists can prescribe immunomodulating suppositories for hemorrhoids. They improve local protection, regenerate damaged tissues, relieve inflammation and increase the body's resistance to harmful bacteria.
Candles with herbal ingredients. Effective and fairly inexpensive suppositories for hemorrhoids, which are popular among patients of all categories. These natural medicines contain plant components such as ginkgo biloba, extract and squeezes from.
Homeopathic medicines. Gently affects damaged areas of the rectum. The effectiveness of such suppositories is not as high as that of other medications, but they are distinguished by relative harmlessness, an almost complete absence of restrictions and minor contraindications. Most often, for the treatment of hemorrhoids, they are used in complex therapy of the disease.

Such a variety of drugs that affect internal hemorrhoids simply obliges patients to consult with a specialist before choosing the optimal medication.

In the case of incorrectly selected rectal suppositories, the condition may worsen and acute hemorrhoids may become chronic. And if used incorrectly, patients are not immune from cracks.

Candles for resorption hemorrhoidal nodes

Many patients constantly wonder which suppositories are best for hemorrhoids. It is impossible to answer unequivocally, since the effectiveness of the remedy will depend on the severity of the symptoms and the course of the disease.

Suppositories with heparin

Gepatrombin G

Let's consider their properties. Inexpensive and effective rectal suppositories with anticoagulant properties.

The main active components are the following substances:

– prevents the occurrence of microscopic blood clots;
– relieves inflammation and swelling, has an antiexudative and antipruritic effect;
lauromacrogol is an analgesic component that helps to sclerotize (narrow blood vessels) the affected hemorrhoidal node.

The approximate duration of therapy is 7 days. The frequency of use depends on the severity of symptoms - usually suppositories are used 1-2 times a day.

The drug is prohibited for use if the following restrictions exist:

increased bleeding;
tuberculosis;
syphilitic manifestations affecting the intestines;
infection of the anus;
gastrointestinal tumor;
first 3 months of pregnancy;
hypersensitivity to ingredients.

Side effects include discomfort in the rectal area.

for hemorrhoids cost approximately 165 to 195 rubles.

Hepazolon

Another good suppository of combined action, which is indicated for independent or complex therapy.

The main advantage is that the drug can also be used for already formed blood clots in the anus.

The properties of the suppository are determined by the active components it contains. Among them:

heparin;
prednisolone;
lidocaine is a well-known anesthetic; it is the analgesic properties that ensure high efficiency.

The duration of therapy should not exceed 14 days. Use suppositories up to two times a day.

The main diseases and conditions for which the use of the product is prohibited:

infection of the anal area;
impaired blood clotting;
first trimester of gestation;
intolerance to ingredients.

Really good suppositories that are well tolerated by patients. In some situations, irritation occurs in the rectum.

Approximate price – from 220 rubles.

Nigepan

A two-component drug prescribed in cases where hemorrhoids are complicated by thrombotic processes.

Active ingredients of these suppositories:

heparin;
benzocaine is a chemical compound that has an anesthetic effect.

The duration of therapy ranges from 10 days to 2 weeks. Candles should be used after going to the toilet or performing a hygiene procedure 2 times a day.

These rectal suppositories have a minimal number of restrictions and adverse reactions. do not use if the ingredients are intolerant, and the only undesirable consequence is an allergy.

You can buy the medicine for 190-230 rubles.

Hemostatic suppositories

Relief

Anti-inflammatory and vasoconstrictor rectal suppositories. These suppositories are indicated for the treatment of hemorrhoids, fissures, minor injuries and erosive damage to the rectum. They are especially often prescribed for bleeding from the anus.

Active ingredients of the drug:

phenylephrine - helps to reduce the lumen of capillaries and veins, resulting in the outflow of blood from inflamed hemorrhoidal cones;
shark liver oil – stops bleeding, regenerates, heals mucous membranes and relieves inflammation.

Suppositories are administered after each visit to the toilet (no more than 4 times a day). The duration of use is determined by the attending physician after examining the patient.

Main restrictions on admission:

reduced number of granulocytes in the blood;
thromboembolism - blockage of blood vessels with blood clots;
intolerance to ingredients.

The medication must be used with extreme caution, since an overdose may increase blood clotting.

They cost approximately 370 rubles.

Natalsid

A natural medicine whose effect is due to a natural ingredient – sodium alginate. This substance stops bleeding, heals wounds, relieves pain, and relieves inflammation. In addition, intestinal function is further normalized.

Contraindications include the following conditions:

intolerance to components;
age restrictions (prohibited under 14 years old).

When diagnosed with "" treatment is carried out for 1-2 weeks, the frequency of use is 1 suppository 2 times a day.

Customer reviews confirm that suppositories are well tolerated, only in some situations allergic reactions may occur.

Approximate cost: 350 rubles.

Relief Advance

Hemostatic properties are provided by the shark liver oil contained in the preparation. This substance increases blood clotting and helps heal damaged areas of the mucous membrane. The anesthetic contained in the composition further reduces the intensity of painful sensations.

Another advantage is that they are allowed during pregnancy. Of course, after taking into account all the risks and threats, which include, among other things:

intolerance to ingredients;
thromboembolism;
low granulocyte count.

The drug should be administered 4 times a day after bowel movements. Patients usually tolerate these suppositories well, and allergic conditions rarely occur.

The medicine is quite expensive - prices vary from 400 to 450 rubles.

Glucocorticosteroid suppositories

Ultraproct

Multicomponent hormonal drug quickly relieves itching and inflammation due to the corticosteroid flucortolone, and also accelerates resorption hemorrhoidal node. The local anesthetic contained in the composition additionally relieves pain.

Suppositories are used 2-3 times a day for a week. It is especially often prescribed for severe forms of the disease, complicated by thrombosis of blood vessels.

Hormonal suppositories for hemorrhoids and rectal medications are contraindicated for use in the following situations:

tuberculosis and syphilis of the rectum;
infections in the anus;
first trimester of gestation;
childhood.

Undesirable consequences include discomfort in the anus, and local allergic reactions rarely occur.

The drug is quite expensive - approximately 650 rubles.

Relief Ultra

In addition to shark liver oil, the main component of all medications whose name begins with the word “relief,” the suppositories contain the hormone hydrocortisone and zinc sulfate.

Hormonal substances help reduce inflammation, narrow veins and capillaries and relieve itching. Zinc compounds accelerate healing, fight cracks and promote resorption hemorrhoidal nodes

The duration of treatment is determined by the doctor; suppositories are used four times a day after bowel movements and hygiene procedures.

Contraindications include the following conditions:

infectious lesions of the anal passage;
tuberculous or syphilitic lesions of the anus;
rectal tumor;
excess sodium in the body;
bearing a child;
intolerance to ingredients.

Patient reviews prove that undesirable consequences rarely occur. Itching and burning may occur on the skin and mucous membranes at the site of insertion of the suppository.

The price of suppositories is about 500 rubles.

Proctosedyl M

This Indian hormonal medication is most often prescribed for severe forms of hemorrhoids, for example, after complicated labor or surgery.

– a multicomponent drug, which includes analgesic components, an antibiotic and a hormonal substance – hydrocortisone acetate.

Suppositories relieve the condition quickly - within a week, but the presence of the hormone in the composition requires gradual withdrawal: from 3-4 times on the first day to once by the seventh day of use.

tuberculosis or syphilis in the anus;
infection of the rectum;
gestation and breastfeeding;
early age;
hypersensitivity;
heart diseases.

Undesirable consequences occur infrequently, usually in the form of drying out of the anal mucosa or allergic reactions (itching or redness).

The usual cost of rectal suppositories is 370 rubles.

Angioprotective drugs

Methyluracil

The names of the suppository and the active component are the same. is able to optimize the process of cell regeneration, accelerate tissue restoration through various immune mechanisms.

Treatment with this drug should last from a week to 3-4 months. The frequency of use of suppositories is 1-2 inserts up to four times a day.

blood cancer;
oncological pathology of the lymphatic system;
bone marrow tumor.

The suppositories are well tolerated; sometimes discomfort occurs after inserting the suppository into the anus. Allergies are extremely rare.

The cost does not exceed 90 rubles.

Procto-Glyvenol

A two-component angioprotective drug that improves blood circulation, protects the walls of blood vessels, additionally relieves pain and relieves inflammation, and helps resolve hemorrhoids.

The suppository contains the following ingredients:

tribenozide – increases tone and reduces the permeability of cell membranes, and also relieves swelling and inflammation;
lidocaine.

The frequency of use should not exceed 2 times a day. The suppository is administered in the morning or evening after bowel movement. When the condition stabilizes, you need to switch to a single use of the medication.

Suppositories are prohibited in the following cases:

hypersensitivity to ingredients;
liver diseases;
pregnancy (first weeks);
minority.

Itching in the anus occurs quite rarely. The drug can also act on intestinal motility, activating its contractions.

The price range is from 400 to 420 rubles.

Proctis-M

An expensive medicine that was developed by Italian pharmacists for the treatment of rectal pathologies.

The main component is hylauronic acid, which promotes the restoration of cells and tissues, improves the nutrition of blood vessels, and increases their elasticity.

The advantage of the drug is the ability to use the drug for a long time in the absence of any undesirable consequences.

In extremely rare cases, intolerance to the ingredients of the suppositories may occur.

Suppositories are used once a day. However, the multiplicity can be increased in case of severe disease.

The price of the medicine is 700-850 rubles.

Astringent suppositories

Anuzol

Cheap suppositories for hemorrhoids, which are suitable for complex therapy of pathology. The components have the following useful qualities:

bismuth – dries, “knits” and promotes the destruction of pathogenic microorganisms;
zinc – acts similarly, further reducing the severity of the inflammatory process;
belladonna - the extract of this plant helps reduce the muscle tone of the rectum, but increases the activity of the anal valve.

The duration of use depends on the severity of the disease. The anal insert is inserted several times a day, depending on the severity of symptoms.

Restrictions on use include the following conditions:

low gastrointestinal motility;
heart diseases;
weak muscle tone;
gestation and lactation;
hypersensitivity to ingredients;
benign hyperplasia of prostate adenoma.

It is possible that local allergies, constipation or diarrhea may occur. In rare situations, drowsiness, tachycardia, migraine, and dry mouth are possible.

The cost of a suppository is from 70 to 90 rubles.

Neo-Anuzol

This is a multicomponent local drug that relieves inflammation and spasms, has astringent and antiseptic properties.

The difference from the previous suppository is that it has a more saturated composition and is approved for use during pregnancy.

Neo-Anuzol suppositories are administered into the anus several times a day until the patient’s condition improves.

The drug is cheap - the cost is approximately 80 rubles.

Anestezol

The domestic drug contains, in addition to bismuth and zinc, an anesthetic and menthol. Such a rich composition allows anti-hemorrhoidal suppositories to relieve pain, constrict blood vessels, eliminate inflammation, and protect damaged areas.

Use suppositories twice a day after bowel movements and other hygiene procedures. The duration of the therapeutic course is determined depending on the severity of the symptoms.

Restrictions on the use of suppositories:

hypersensitivity to the components of the drug;
minor age.

Adverse reactions occur quite often - in about 10% of cases. Typically, patients note discomfort in the anal passage, and sometimes a laxative effect of suppositories is observed.

In general, anal inserts are inexpensive and effective; the usual cost is 75 rubles.

Immunomodulatory suppositories

Posterisan

Suppositories are used as part of complex therapy for diseases of the rectum, including inflammation of hemorrhoidal cones.

Frequency of use – 3-4 times a day, duration – at least three weeks.

When using suppositories, you must follow a diet and avoid constipation and dense feces, and also monitor the appearance of unusual symptoms - manifestations of allergies, aggravation of symptoms. They require cancellation of treatment and revision of the diagnosis. Self-medication with suppositories is not acceptable!

Features of choosing rectal suppositories

Suppositories are the optimal drug for delivering medications to anal fissures and hemorrhoids. When introduced into the anus, they begin to melt, uniformly and quickly delivering active medicinal substances to the epicenter of inflammation.

Depending on the active substance, the characteristics of the course of hemorrhoids, and the prevailing symptoms of the disease, proctologists conditionally divide proctological suppositories into the following groups:

Drugs of the heparin group (strengthen veins and blood vessels, prevent the formation of blood clots).
Hemostatic (constrict blood vessels and stop bleeding).
Containing hormones (quickly relieve pain, itching, burning).
Stimulating the restoration of mucous membranes and tissues (angioprotectors, promote healing).
Bismuth preparations (form a protective film on the epithelium).
Stimulating local immunity (increasing resistance to the influence of bacteria and microorganisms).
Suppositories of homeopathic origin (herbal origin, are relatively gentle).
Candles with herbal ingredients.

Many of the below dosage forms, produced by pharmacological companies around the world, are combined, that is, they combine several drugs with different effects. Their use requires specialist supervision.

Technique of insertion into the rectum

Administration should be carried out after checking the quality of the drug (expiration date and correct storage - it should be cool) and bowel movement (naturally, using microenemas or medicinal suppositories).

It is also important to carry out hygiene measures (washing hands and, if necessary, putting on medical gloves) and a psychological attitude: the muscles must be relaxed, otherwise injury to the rectal mucosa is possible. The introduction algorithm looks like this:

Choosing a comfortable position for insertion (it is preferable to insert the suppository on the left side, with legs bent at the knees and brought to the stomach).
Lubricating the anus with cream, Vaseline or the suppository itself with water to facilitate insertion.
Spreading the buttocks and inserting the narrow end behind the external sphincter with a finger (at a distance of 2-2.5 centimeters). For children, suppositories are inserted with the little finger to a depth of 1-1.5 centimeters.
Tension of the anus muscles so that the candle does not come back out. The lying down mode must be observed for 15, or preferably 30 minutes.

If defecation occurs soon after the administration of the suppository, then it is necessary to wash yourself warm water to avoid irritation and the development of an allergic reaction. For external hemorrhoids or fissures, it is possible to apply a medicinal ointment.

The best list of effective suppositories for hemorrhoids

Pharmaceutical companies offer a wide range of suppositories intended for the treatment of proctological diseases. Which one to choose in a particular case should be decided by a proctologist or therapist, based on their clinical analysis, symptoms and the presence of other pathologies in the anamnesis.

Let us list the best drugs for hemorrhoids, those that have undergone a number of clinical trials in Russia. They are recommended for the treatment of internal hemorrhoids for persons of different ages(including children), focusing on their effectiveness and safety.

Relief

The pharmacological range of Relief suppositories includes 3 variations of the drug. A mandatory auxiliary component is 3% shark liver oil, which has antioxidant properties. The active ingredients are different, which explains the different pharmacological properties of suppositories.

Relief. Contains 0.25% mesatone, which has a local vasoconstrictor effect. Indicated for bleeding hemorrhoids, relieves swelling and reduces itching in the anus. In the postoperative period, it promotes wound healing without inflammation and suppuration. Special instructions: reduces the effect of blood pressure medications; when combined with antidepressants, it can cause the development of a hypertensive crisis; prohibited for use in children under 12 years of age.
Relief Advance. Contains 10% benzocaine. It has a local pronounced analgesic effect within 2-10 minutes after administration. In order to enhance the effect, it is possible to administer it after a minute of heating in the palms. Special instructions: in case of overdose, drowsiness and agitation are possible; not recommended for children under 12 years of age.
Relief-Ultra. Contains 0.5% hydrocortisone acetate. This steroid hormone inhibits inflammatory mediators, relieves itching, and suppresses allergic manifestations. It is effective in the postoperative period, because zinc sulfate, which is part of the suppositories, accelerates the process of formation of granulation tissue. Special instructions: contraindicated during pregnancy, may cause a number of side effects caused by an excessive dose of corticosteroids.

Price: from 300 to 500 rubles.

Suppositories are placed 3-4 times a day, after each bowel movement, and after inserting them into the anal canal, melting takes place in just 2-3 minutes. This means that there is no need to lie on your stomach for up to half an hour.

Natalsid

The drug of choice for chronic bleeding hemorrhoids. Belongs to the hemostatic class of drugs. The main component is sodium alginate, a marine polysaccharide obtained from brown algae. Main pharmacological properties of suppositories:

Stimulate the healing of mucous membranes and tissues thanks to hyaluronic acid (a component of alginic acid).
Reduces excessive intestinal motility, normalizing stool consistency and relieving pain reflexes.
The carboxyl groups of alginic acid reduce blood clotting time, stopping bleeding from hemorrhoids.
Alginates stimulate the synthesis of immunoglobulins, increasing the resistance of the rectal mucosa to the pathogenic effects of microbes.

Price: 350-380 rub.

Suppositories are administered twice a day, pre-moistened with water (they help easy and painless administration). The duration of treatment is from 7 to 14 days. Special instructions: an allergic reaction to alginates is possible, expressed in hives, burning; allowed during pregnancy.

Proctosan

Suppositories containing a unique combination of active ingredients. The effect of their use is well expressed in both acute and bleeding hemorrhoids at stages 1-2. The mechanism of action of suppositories is based on the properties of non-steroidal anti-inflammatory components included in their composition. This:

Bufexamac disrupts the metabolism of arachidonic acid, reducing the severity of the inflammatory process and inhibiting pain mediators;
Bismuth subgallate dries and disinfects the wound, forms a protective film on it, which reduces the tendency to bleeding and protects the wound surface during bowel movements;
Titanium dioxide enhances the effect of bufexamac and bismuth, accelerates regeneration processes;
lidocaine hydrochloride quickly relieves pain (does not affect the myocardium), relieves burning and itching.

Price: 360-440 rub.

Until the clinical picture of the disease improves, Proctosan is administered twice a day, then switched to a single dose. Special instructions: contraindicated under 18 years of age, during pregnancy and lactation, may affect the strength of the condom when used simultaneously.

Anuzol

Suppositories “Anuzol” and “Anuzol Neo” have antiseptic, antispasmodic, drying and other effects. They are successfully used to treat internal and external hemorrhoids, including those complicated by dilated hemorrhoidal veins. What is the difference between the drugs in this line?

Anuzol. Contains belladonna extract (relieves spasms and anesthetizes), bismuth oxide and bismuth tribromophenolate (coagulates the liquid released into the tissue during inflammation, forming a protective film), zinc sulfate (dries the wound) and glycerin (softens feces). Special instructions: contraindicated in childhood and during pregnancy, glaucoma; Systemic phenomena are possible (from headaches to hallucinations) with an overdose of belladonna.
Anuzol Neo. In addition to zinc oxide, it contains bismuth nitrate, iodine, methylene blue (antiseptics), resorcinol (kills germs), tannin (relieves inflammation and has an astringent effect). There is no belladonna in the composition, so suppositories are allowed during pregnancy and lactation. Special instructions: mild allergic reactions are possible.

Price: 80-110 rub.

Duration of use – from 7 to 10 days, per day from 1 to 3 suppositories.

Gepatrombin G

A drug that affects the tone of the venous bed of hemorrhoidal veins. Their use eliminates congestion, activates blood circulation and prevents the formation of blood clots. For hemorrhoids, both ointment and suppositories can be used. However, in chronic cases, treatment with suppositories gives a greater effect. They include:

Heparin – promotes recovery connective tissue, prevents blood clotting.
Prednisolone is a hormonal component that helps relieve itching and inflammation and resolves swelling.
Polidocanol is a local anesthetic that scleroses (helps “stick together”) hemorrhoids.

Price: 180-220 rub.

Special instructions: absolute contraindication - tendency to bleeding, first trimester of pregnancy, fungal infections of the anus. Side effects are rare, but allergies and loose stools are possible.

Posterisan

The main active ingredient of Posterizan suppositories is unique. These are metabolites of E. coli, which, after special treatment, come into contact with the rectal mucosa and increase its resistance to the influence of harmful microorganisms. These German-made suppositories are available in two variations:

Posterisan. Microbial cells of suppositories “provoke” the production of protective antibodies that absorb microorganisms and dead cells, reduce swelling and increase vascular permeability. Used for eczema of the anal area, hemorrhoids, and in the postoperative period. Special instructions: phenol, which is part of the drug, can cause moderate pain accompanied by redness; allowed during pregnancy.
Posterisan Forte. In addition to the metabolic products of E. coli, it contains hydrocortisone, which relieves redness, itching and prevents the development of an allergic reaction. Indications for use are persistent hemorrhoids with persistent anal itching. Special instructions: due to the hormone content, it is contraindicated during pregnancy; not prescribed for fungal and bacterial infections.

Price: 350-600 rub.

Proctosedyl

A combined drug produced in the form of rectal capsules. Its hormonal components fight the symptoms of inflammation, and anesthetics have a local anesthetic effect. The greatest pharmacological significance are:

Hydrocortisone – relieves inflammation and its symptoms: pain, itching, redness.
Framycetin sulfate– an antibiotic that suppresses the activity of microorganisms (Salmonella, Streptococcus, Shigella).
Butamben and ethyl aminobenzoate– anesthetics that relieve sphincter spasm and itching.
Esculoside is an analogue of vitamin P that reduces capillary fragility.

Price: 340-390 rub.

Suppositories are used for a short period of time, at the beginning of treatment in the morning, in the evening and after each bowel movement, then 1 per day. Special instructions: prescribed with caution for hypertension, contraindicated during pregnancy and lactation.

Betiol

Suppositories of plant origin, based on belladonna extract. Its alkaloids relieve spasms, thereby achieving an analgesic effect. Ichthyol kills microbes and has an antiseptic and anti-inflammatory effect. It is often prescribed by proctologists, but the list of contraindications for use is long. Basic:

Cardiac ischemia;
Glaucoma;
Atrial fibrillation;
Thyrotoxicosis;
Gastrointestinal obstruction;
High blood pressure in the chronic stage.

Price: 60-100 rub.

Dosage depends on the stage of the disease, however, more than 10 suppositories per day cannot be administered. Special instructions: pregnancy and lactation (high risk for the child), enhances the effect of medications - antidepressants, antispasmodics, reduces the speed of reactions, affects visual acuity.

Olestesin

Suppositories based on pharmacopoeial sea buckthorn oil. Carotenoids isolated from it help restore the mucous membrane, increase the tone of the cavernous veins, and reduce pain. Vitamin K stops bleeding in the hemorrhoid. Wound healing is also promoted by:

Etazol sodium (relieves inflammation);
Benzocaine (eliminates pain);
Sulfaethidol (destroys germs and bacteria).

Price: 120-150 rub.

The course of treatment should not exceed 10 days. Twice a day you can administer 1 (in severe cases 2) suppositories. Special instructions: allowed during pregnancy; Possible loosening of stools.

Ultraproct

A medicinal drug produced in the form of suppositories that relieves the negative symptoms of hemorrhoids. Has local analgesic and anti-inflammatory effects. Active ingredients:

Fluocortolone is a glucosteroid in two forms, differing in the mass of molecules and the speed of penetration into the mucosa. Acts quickly and for a long time. Reduces the amount of fluid released into the tissue during inflammation, weakens granulation processes.
Cinchocaine is an anesthetic that inhibits nerve impulses.

Price: 650-680 rub.

The total duration of use is up to 4 weeks, gradually reducing the number of administered suppositories. Special instructions: may cause dryness of the dermis in the anal area, itching; Contraindicated in childhood and pregnancy (1st trimester).

Nigepan

Individual sensitivity to components;
Pregnancy, childhood.

Price: 230-250 rub.

According to the instructions, the suppositories are administered twice a day, 1 piece at a time. The duration of treatment is 10-14 days. Special instructions: use with caution in case of low blood viscosity.

Symetrid

Proctological suppositories with anti-inflammatory and analgesic effects. Prescribed for hemorrhoids, proctitis, anal fissures, and symptoms of inflammation. The pharmacological effect is achieved through:

Sinaflan is a glucocorticoid hormone that suppresses the progression of inflammatory reactions.
Dermatol, a bismuth-based substance that has an astringent effect, forms a microfilm on the wound surface that prevents microbes from penetrating into it.
Menthol - constricts blood vessels, thereby relieving pain and stopping the flow of blood.
Trimecaine is an anesthetic that dampens impulses in nerve fibers at the local level.

These components of the drug act only at the local level, without penetrating into the bloodstream. Only in cases of overdose is it possible to develop side effects (for example, steroid diabetes). Special instructions: not prescribed to children, pregnant and lactating women, persons with hypersensitivity to any components. Course of treatment: 5 days, 1 pc. in a day.

Aurobin

A combined drug developed by a Hungarian company for the treatment of hemorrhoids, anal fistulas, dermatitis and eczema of the anal area. The operating principle is as follows:

Prednisolone relieves inflammation, reduces vascular permeability, and relieves allergies.
Triclosan fights bacteria and germs.
Lidocaine eliminates pain, relieves symptoms of inflammation - itching, redness.
Panthenol accelerates the processes of connective tissue regeneration and improves interstitial metabolism.

Price: 310-340 rub.

Symptoms of hemorrhoids and pain of the Aurobin suppository are relieved after the first administration. However, treatment should be continued for 1-2 weeks, introducing 1 piece every day. Special instructions: during pregnancy, it is used only in the 2nd and 3rd trimesters; bradycardia is possible with excessive administration.

Parembal

A bismuth preparation in combination with extracts from witch hazel bark. Relieves pain during bowel movements, relieves symptoms of inflammation and activates regeneration processes. Conditions of use:

To relieve swelling and heal wounds, adults and pregnant women take 1 suppository twice a day and after each bowel movement.
Duration of treatment: up to 4 weeks, after the disappearance of symptoms another 5 days.
For bleeding nodes, it can be used only after consulting a proctologist.

Special instructions: local allergic reactions are possible. It is possible to treat with Parembal ointment, which is administered into the anus using a cannula.

Preparation H

Suppositories produced in Great Britain for the treatment of hemorrhoids of the angioprotector class. Research shows that the drug:

Helps relieve pain and itching caused by inflammatory processes on the mucous membrane.
Significantly reduces swelling.
Softens tissues and mucous membranes (especially inflamed and dry ones), reducing pain.

Price: 1900 rub.

Like most similar dosage forms, they are administered after bowel movements, as well as in the morning and evening. Treatment lasts another 5-7 days after the condition normalizes. Special instructions: can be used during pregnancy in doses recommended by a proctologist; contraindications – hypersensitivity to the components.

Ginkor procto

Suppositories of the angioprotector class (affect the process of blood microcirculation, improve the condition of the walls of blood vessels and veins). They are used to treat uncomplicated hemorrhoids and to speed up recovery in the postoperative period. Main components:

Extract. Antioxidant, protects cells from the influence of radical compounds, increases venous tone.
Butamben. An anesthetic that neutralizes pain and itching.

If the symptoms of the disease are severe, the administration of suppositories is required 2 times a day, and if it subsides - 1 time. Duration of treatment is up to 14 days. The lack of positive dynamics indicates the need for additional diagnostic measures. Special instructions: during pregnancy, use only after assessing possible risks; Contraindicated in case of hypersensitivity to the components of the drug and local anesthetics.

Methyluracil

Methyluracil suppositories are intended to accelerate regeneration processes in case of injury to the mucous membrane. They affect the epithelization of tissues and nucleic acid metabolism in them. Used for hemorrhoids, anal fissures, erosive and ulcerative colitis.

Once at the site of the disease, they:

Relieves inflammation;
Stop bleeding;
Block pain impulses;
Stimulate cellular immunity.

Price: 60-220 rub.

The drug is administered 1-2 times a day (children over 8 years old - ½ candle) for 7 days. Advanced hemorrhoids can be treated with methyluracil for up to 4 months. Special instructions: contraindicated in children under 8 years of age, persons with leukemia, gastrointestinal tumors, early stages pregnancy; may have a sedative effect and reduce concentration.

Sea buckthorn candles

Sea buckthorn rectal suppositories are suitable for the treatment of hemorrhoids, sphincter fissures, and proctitis. Their components penetrate to the epicenter of inflammation, eliminating it and relieving swelling. The pharmacological effect is achieved by the following mechanisms:

Sea buckthorn extract affects the cell wall of inflamed cells, reducing the amount of inflammatory factors they secrete - prostaglandin, cytokine, histamine, thus relieving the manifestations of inflammation - swelling, itching, redness.
Vitamins C and E protect healthy cells from free radical damage, strengthen the walls of blood vessels and prevent bleeding.
Fatty acids and vitamins are building materials necessary for the restoration and formation of mucosal cells and other tissues.
The components of the suppository damage the cell wall of E. coli, salmonella and other bacteria.

Price: 70-100 rub.

Therapeutic treatment with sea buckthorn oil involves a single (in some cases double) administration for 14 days in a row. Special instructions: allowed during pregnancy and the postpartum period; children over 6 years old are given 1 suppository per day; a burning sensation and local allergic reactions are possible.

Ichthyol candles

They belong to the class of venotonics, improve local blood flow and relieve inflammatory reactions. Their basis is ichthyol, obtained by dry distillation of bituminous shale. It contains organically bound sulfur. When these substances come into contact with the mucous membrane, they irritate the nerve endings, provoking reflex trophism of the tissues. Medicinal properties ichthyola:

Normalizes blood circulation;
Strengthens the walls of blood vessels;
Reduces swelling;
Eliminates inflammation;
Activates regeneration processes.

Price: 70-100 rub.

No negative effects of drugs containing ichthyol on the fetus were detected. Special instructions: treatment with ichthyol should not be combined with iodine intake, the use of alkaloids and heavy metal salts; Allergic reactions occur in 0.1%.

Witch hazel

Homeopathic suppositories made from an extract of the bark of the Virginia witch hazel bush. Prescribed by proctologists for the treatment of hemorrhoids and for preventive purposes. According to the instructions, use of the drug:

Helps strengthen vascular walls;
Improves blood microcirculation;
Eliminates venous congestion.

Price: 70-90 rub.

Duration of use: 7-14 days, 1-2 administrations per day. Special instructions: cannot be used for strangulated hemorrhoids due to the risk of bleeding; presence of allergies to suppository components; It is not recommended to combine it with glucocorticosteroids due to a decrease in therapeutic effect.

Sulgan

Multicomponent suppositories that have analgesic, drying and anti-inflammatory effects. Indicated for hemorrhoids, anal fissures, inflammation of the lower rectum.

A mixture of ethyl esters of lipolenic and linoleic acids;
Menthol;
Triclosan;
Lidocaine;
Witch hazel water;
Zinc oxide.

Frequency of administration: 1 piece at night, for bedridden patients 2-3 suppositories per day. Special instructions: during pregnancy, prescribe, but with caution; Breastfeeding is stopped during treatment with suppositories. Read the instructions for a complete list of contraindications for the use of suppositories!

Use during pregnancy and breastfeeding

When choosing a drug for the treatment of hemorrhoids during pregnancy or in the postpartum period, you should pay attention to its safety for both the woman and the fetus and infant. This nuance significantly limits the choice of antihemorrhoidal suppositories.

The following drugs, produced in the form of suppositories, have found wide use in obstetric practice:

Relief. In obstetric practice, two drugs from the line are approved - the usual “Relief” and “Relief Advance”. It has been confirmed that shark oil contained in the preparation accelerates the healing process of wounds and reduces the severity of inflammation. Suppositories are non-toxic, do not cause side effects, and quickly relieve pain (in 1-2 minutes) during pregnancy and the postpartum period.
Procto-Glyvenol. Contains tribenozide and lidocaine. Allowed from the second trimester of pregnancy and during breastfeeding. Suppresses inflammatory receptors, reduces venous stagnation. Well tolerated by 96% of women.
Gepatrombin G. Indicated in the second half of pregnancy. Relieves pain, relieves swelling and improves blood flow.
Olestesin. Contains sea buckthorn oil, which heals wounds and cracks and promotes blood clotting. As prescribed by a doctor in any trimester of pregnancy and during lactation. It acts within 1-2 minutes after administration.
Natalsid. Made from natural ingredients. The base is seaweed. Facilitate the process of defecation and stop bleeding. Can be used at any stage of pregnancy.
Betiol. Prescribed if there are significant indications. Contains belladonna extract.
Glycerin. Facilitate defecation and heal microcracks, help get rid of constipation.
Sea buckthorn. Allowed for any period of time, improve regeneration processes, destroy pathogenic microorganisms.
With propolis (for example, Gemo-Prost T). They have antimicrobial and anti-inflammatory effects. Contraindication: intolerance to bee products.

At the initial stage of development of hemorrhoids, relief can be brought by the use of homemade suppositories. These can be candles made from potatoes (a candle cut from it is dipped in honey and inserted into the rectum), or from honey. The starch contained in potatoes envelops the wound, preventing germs from penetrating into it, and honey relieves pain and inflammation.

Conclusion

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