Suppositories for hemorrhoids pain relievers: a list of the best drugs

Pain with hemorrhoids is one of the main diagnostic signs that allows you to assess the general condition of the patient, the dynamics of the treatment and its effectiveness. Pain syndrome can be of varying intensity, accompanied by burning sensation, anal itching and other unpleasant symptoms. Even if the painful sensations are moderate, they still cause a lot of discomfort, since pain with hemorrhoids can worsen with any physical activity, after prolonged sitting, with coughing and sneezing. You can cope with pain using traditional methods, but the most effective way to relieve pain is to use medication.

The most popular dosage form for inflammation and expansion of the veins of the hemorrhoidal plexus are suppositories. They act quickly, and the active ingredients of the drugs with this method of application do not penetrate into the upper parts of the digestive tract, which reduces the drug load on the stomach, liver and pancreas iron. To choose anesthetic suppositories for hemorrhoids, you need to understand how they work, as well as have information about possible contraindications. Depending on the active ingredients, suppositories for hemorrhoids can have a different cost, therefore this dosage form is available to all social categories of patients.

The advantages of suppositories over other dosage forms

The main advantage of rectal suppositories over tablets and ointments is the rapid absorption of the active substance by the mucous membranes of the large intestine. In order for the pill to work, it must first be partially digested in the stomach, where it is broken down and processed with gastric juice and digestive enzymes. After this, there is a further advancement of the liquid mass into the duodenum. The average time for the onset of the analgesic effect with this method of application is about 15-30 minutes.

With local use, the medicine begins to act in 5-15 minutes, since the local effect of the anesthetic on the pain receptors occurs. Rectal suppositories are also indicated for those who suffer from acute or chronic diseases of the gastrointestinal tract. This is due to the fact that most of the drugs negatively affect the state of the mucous membranes of the stomach and intestines, and overuse of drugs can lead to the development of medicinal gastritis, colitis, or gastroduodenitis. If a person is prone to allergies, topical application of anesthetics will help reduce the risks of pathological reactions due to minimal absorption into the systemic circulation.

Other benefits of suppositories include:

• the ability to continue treatment when taking oral dosage forms is difficult (such a situation may arise when the child refuses to take pills, or the medicine must be given to an elderly person who has disrupted facial muscles);
• minimal toxic load on the liver and pancreas;
• the minimum list of side effects (compared to pills).

Note! Rectal suppositories are most effective at the initial stage of hemorrhoids. With inflammation of 3-4 degrees, the use of stronger analgesics in the form of solutions for intravenous or intramuscular administration may be required.

Benzocaine medications

Benzocaine is one of the strongest local anesthetics with a wide spectrum of anesthetic activity. It is a white powder in the form of small crystals with a bitter taste. When applied topically, benzocaine causes a feeling of numbness and blocks the functioning of pain receptors, eliminating pain and alleviating the patient's condition. In medicine, benzocaine is used for local anesthesia during diagnostic procedures and manipulations, as well as for surface anesthesia during dental treatment. In the industry, benzocaine is widely used in the production of prolonged-release condoms and anal lubricants.

Below are the most effective suppositories for hemorrhoids, which include benzocaine.

Anesthetic in combination with bismuth ("Anestezol")

It is one of the most effective local anesthetics for hemorrhoids, which also has a bactericidal and disinfectant effect and prevents infection from entering the rectum. The drug has a combined composition and, in addition to benzocaine, also contains zinc, bismuth and menthol. Menthol enhances the effect of benzocaine due to the cooling effect, zinc dries the skin and reduces inflammation caused by anal discharge during the acute course of hemorrhoids. Bismuth has an astringent effect and protects the walls of the anus from repeated injury and damage.

You can use Anestezol 1-2 times a day. In childhood, it is possible to use the drug from the age of 12.

"Proctosedil". Combined drug with two anesthetics

Another very effective drug for getting rid of pain and relieving the inflammatory process in hemorrhoids is Proctosedil suppositories. The medicine contains two anesthetics at once - benzocaine and butamben. Butamben helps to cope with itching and burning, which often occur at any stage of hemorrhoids and disrupt the patient's usual rhythm of life. Glucocorticoid hormone in the composition of suppositories (hydrocortisone) quickly stops the inflammatory process, reduces exudation in inflamed tissues, and eliminates puffiness.

The presence in the composition of esculoside, which has P-vitamin activity, improves the condition of blood vessels and capillaries, reduces their fragility, and increases the elasticity of the vascular walls. Due to this, suppositories "Proctosedil" help not only reduce pain, but also stop bleeding - one of the most important signs of hemorrhoids. The antibiotic framycetin reduces the risk of infection from the anorectal zone and reduces the intensity of the inflammatory process.

It is necessary to enter suppositories several times a day: after each bowel movement, in the evening before going to bed and immediately after waking up. Hygienic washing is recommended before administration.

Note! "Proctosedil" has no contraindications, but in some cases the drug can cause side effects and allergies. At the beginning of use in the anus, there may be a burning sensation and increased dryness. If these effects are mild, there is no need to discontinue the drug.

Anesthetic thrombolytic agent "Nigepan"

Rectal suppositories "Nigepan" are combined drugs for the treatment of hemorrhoids from the group of anticoagulants. Benzocaine and sodium heparin are used as active ingredients in the manufacture of the drug. Heparin thins the blood, prevents platelet aggregation and the formation of blood clots. The drug reduces inflammation, reduces the intensity of pain and prevents clogging of the veins of the hemorrhoidal plexus.

It is necessary to use "Nigepan" 2 times a day for 10-14 days.

Medicines with lidocaine

Lidocaine is one of the oldest analgesics. It works quickly (the effect usually occurs within 5-10 minutes) and is more effective than other pain relievers. In cardiology, lidocaine is used as a cardiac depressant and heart rate regulator. The disadvantages of this anesthetic include a short period of action and a high risk of allergic reactions.

Suppositories with lidocaine can be recommended for patients with severe pain when it is necessary to quickly reduce the intensity of the pain syndrome. They are often recommended for drivers and other sedentary occupations when it is necessary to urgently relieve a pain attack (for example, in the middle of the working day).

Bismuth preparations in combination with lidocaine ("Proctosan")

A very effective drug with a combined composition. According to its pharmacological properties, it belongs to the group of bismuth preparations and has a bactericidal and disinfectant effect. "Proctosan" also has a high anti-inflammatory activity due to the presence in the composition of bufexamak - a non-steroidal anti-inflammatory drug. Suppositories "Proctosan" can be used not only for symptomatic therapy and relief of pain attacks, but also as the main drug for the treatment of hemorrhoids and anal fissures.

The action of the drug:

• heals wounds and cracks, increases the protective functions of mucous membranes, stimulates tissue regeneration and repair;
• relieves painful sensations, itching and burning;
• dries the skin in the anorectal region, provides prevention of irritation with intense anal discharge;
• reduces the intensity of the inflammatory process in the hemorrhoidal veins;
• has an astringent effect.

It is necessary to apply "Proctosan" after cleansing the intestines and hygienic toilet of the anorectal area up to 2-3 times a day.

Note! Treatment should be continued until the symptoms disappear completely and within 10 days after the acute symptoms subside.

Analgesics and microcirculation correctors ("Procto-Glivenol")

"Procto-Glivenol" contains two active ingredients: lidocaine and tribenoside. Suppositories "Procto-Glivenol" help to establish blood circulation in the vessels of the rectum and eliminate one of the main causes of hemorrhoids - stagnation of blood and fluids with subsequent ischemic tissue damage. It is necessary to use the drug 2 times a day before the relief of acute symptoms. To maintain the therapeutic result and achieve a stable remission, it is recommended to continue treatment for several days, the dosage being 1 suppository per day.

Note! About 73% of the metabolites of active substances are excreted from the body with bile, therefore, the use of "Procto-Glivenol" is contraindicated in severe liver diseases.

Hormonal anesthetic ("Aurobin")

A very effective pain reliever for hemorrhoids in the form of suppositories. Contains lidocaine and a steroid hormone from the group of glucocorticoids - prednisolone. Suppositories "Aurobin" help to quickly reduce tissue swelling, relieve inflammation, reduce the exudation of inflammatory fluid in damaged tissues. Prednisolone, which is part of the composition, has a pronounced antipruritic and antiallergic effect, therefore the suppositories effectively deal with itching, burning, flushing and other symptoms associated with increased production histamine.

The formula of the drug is fortified with dexpanthenol. It is a stimulator of tissue regeneration and repair: it promotes the healing of cracks, restoration the integrity of the skin and mucous membranes and an increase in their resistance to the effects of pathological factors. You can use "Aurobin" up to 2 times a day.

Anesthetic with phenylephrine "Relief"

"Relief" is the best-selling drug for hemorrhoids, and its effectiveness is confirmed by numerous reviews of doctors and patients. In the "Relief" line there are two types of suppositories with analgesic effects:

• "Relief Pro" (contains 20 mg of lidocaine);
• Relief Advance (contains 206 mg of benzocaine).

"Relief Pro" additionally contains glucocorticoid hormones that help not only get rid of pain, but also relieve inflammation. It is necessary to use drugs under the brand name "Relief" from 1 to 3 times a day (depending on the severity of symptoms).

Inexpensive suppositories for pain relief

The choice of inexpensive drugs for the treatment of hemorrhoids and relief of painful sensations is quite extensive. Many of these drugs have a herbal composition, due to which it is possible to reduce the cost of the final product and reduce the cost of its production. Listed below are the most effective and inexpensive pain relievers for hemorrhoids available to a wide range of patients from various social categories.

Candles with belladonna

Belladonna (belladonna) is a medicinal plant widely used in folk medicine to treat diseases of the rectum, female reproductive system, heart disease. Belladonna suppositories are used during pregnancy to reduce uterine tone and prevent early labor and spontaneous abortion.

The medicinal properties of belladonna are similar to the pharmacological properties of atropine, a plant alkaloid from the group of m-anticholinergics. The drugs in this group have a pronounced analgesic, antispasmodic and anti-inflammatory effect, and their cost belongs to the middle price segment.

Candles with glycerin

Glycerin suppositories are an inexpensive remedy that can effectively treat rectal pain in the early stages of hemorrhoids. Glycerin promotes the healing of mucous membranes and eliminates the discomfort caused by trauma to the inflamed epithelium by advancing feces. Suppositories with glycerin also have a mild laxative effect and prevent constipation, which is one of the main factors in the development of hemorrhoids.

Note! Suppositories with glycerin are great for treating elderly patients, since they do not irritate the mucous membranes of the rectum and are very affordable.

"Betiol"

This is an inexpensive preparation in the form of rectal suppositories, which contains belladonna extract and ichthyol, which has antispasmodic and anti-inflammatory effects. The medicine acts mildly and has a prolonged effect, so it can be used up to 8-10 times a day. The standard therapeutic dosage is 1-3 suppositories per day.

"Anusol"

This is one of the available and effective drugs for relieving pain attacks with hemorrhoids. It contains glycerin, belladonna extract, bismuth and zinc. The suppositories also contain xeroform - a drug from the group of antiseptics with astringent and drying effect - therefore they are excellent for the treatment of weeping hemorrhoids, accompanied by irritation skin. Apply "Anuzol" 3 times a day. In clinically severe cases, with severe pain and severe skin irritation, it is possible to increase the daily dosage to 5-7 suppositories.

Sea buckthorn oil

Under this trade name oil for internal and external use and candles, better known as sea buckthorn candles, are produced. Sea buckthorn oil is the most effective folk remedy for the treatment of hemorrhoids. It has a stimulating, regenerating, wound healing effect, soothes irritated skin, and reduces inflammation. Sea buckthorn also helps to quickly get rid of anorectal pain of any intensity, while it has practically no contraindications and can be used in childhood and old age.

To achieve a stable result, it is recommended to use Sea Buckthorn Candles 2-3 times a day for 7-10 days.

"Olestezin"

"Olestezin" is one of the most affordable drugs for the treatment of hemorrhoids with a combined composition. It contains sea buckthorn oil, vitamins and a local anesthetic (anesthesin). The medicine quickly relieves pain, promotes healing of mucous membranes, stimulates regenerative functions of the epithelium, prevents the formation of erosive and ulcerative defects on the walls rectum. It is important that Olestezin contains components with a hemostatic effect, so it can be used for hemorrhoids accompanied by active anal bleeding.

Other pharmacological properties of the drug:

• destroys pathogenic bacteria and microbes, prevents secondary infection of inflamed tissues;
• increases the tone of hemorrhoidal veins;
• reduces inflammatory reactions;
• improves blood clotting;
• reduces the degree of exudation in the blood vessels of the rectum;
• reduces the size of hemorrhoids.

If you start using the drug in the early stages of hemorrhoids, you can stop the progression of the disease and avoid serious complications, which may require the help of a proctologist surgeon.

It is necessary to apply the medicine 1 to 3 times a day for 10 days.

Note! The drug has no contraindications, but in rare cases it can cause allergic skin reactions, which are the basis for discontinuation of therapy.

How much do pain relieving suppositories cost?

To make it easier for patients to navigate the cost of the listed drugs, the following is presented table with average prices for pain relievers for rectal hemorrhoids suppositories.

Table. The cost of anesthetic suppositories

Name	Cost (the minimum values ​​are indicated in Moscow pharmacies as of March 2018)
"Anestezol"	70 rubles
"Proctosedil"	360 rubles
"Nigepan"	190 rubles
"Proctosan"	340 rubles
"Procto-Glivenol"	390 rubles
"Aurobin"	290 rubles
"Relief Advance"	460 rubles
"Relief Pro"	600 rubles
Candles with belladonna	85 rubles
Candles with glycerin	45 rubles
"Betiol"	65 rubles
"Anusol"	60 rubles
Candles with sea buckthorn	60 rubles
"Olestezin"	110 rubles

Do-it-yourself pain relieving candles

You can make suppositories to relieve pain in the anal area at home using alternative medicine recipes. Many of them are not inferior in effectiveness to pharmaceutical drugs, but their cost is several times lower, and the number of side effects and contraindications is minimized. Homemade suppositories are also suitable for those who have a sudden onset of pain and the medicine they need is not in the medicine cabinet. In such cases, you can use any of the recipes below.

Candles with propolis

Propolis tincture is one of the most effective home remedies for uncomplicated hemorrhoids. It has a pronounced analgesic effect, destroys pathogenic flora, due to which it is possible to quickly stop inflammation and stop the progression of acute symptoms. To make candles with propolis yourself, you must:

• melt 100 g of butter in a water bath;

• add 2 tablespoons of propolis alcohol tincture and mix;

• pour the mixture into ice cube trays and refrigerate.

Such suppositories can be injected into the rectum up to 4 times a day. The first positive results become noticeable after 3-4 days of use. The full course of treatment is 4 weeks.

Potato candles with honey

Combining raw potatoes with honey can help with severe painful hemorrhoids, as well as with abundant exudative fluid (weeping hemorrhoids). Raw potato juice reduces swelling of inflamed tissues, while honey relieves inflammation and promotes healing of mucous membranes.

To make potato candles, you need:

• grate two large potatoes;

• without squeezing the juice, mix with a tablespoon of honey;

• mix everything and add a tablespoon of oil crumbs (grated butter);

• mix the ingredients again and form small cubes from the resulting mass;

• Place potato wedges on a baking sheet and refrigerate.

You can use such suppositories every 3-4 hours until pain and other unpleasant symptoms are eliminated.

Candles with aloe and iodine

Suppositories with aloe and iodine may be needed if the patient has high risks of introducing a purulent infection (for example, if it is impossible to fully perform hygiene measures). Preparing such candles is very simple, and the result is noticeable after the first use.

To independently prepare a medicine for pain with hemorrhoids of varying degrees, you need:

• grate half a pack of butter on a fine grater (about 100 g);
• add a tablespoon of aloe juice and 10 drops of iodine;
• knead the mass and form candles, then put them in the refrigerator to solidify.

Use the product up to 4 times a day for no longer than 7 days in a row.

Important! Patients with any diseases of the thyroid gland are contraindicated in this prescription.

Ice candles

In some cases, cold may be the only way to quickly manage pain and reduce inflammation in hemorrhoids. Despite the fact that ice candles help to quickly cope with painful sensations, this method cannot be abused, as this can lead to the development of complications and secondary inflammation.

To prepare ice suppositories, it is necessary to pour any decoction or infusion of medicinal plants with anesthetic and wound healing effect into ice molds and put it in the freezer. For medicinal purposes, decoctions of chamomile, St. John's wort or calendula are perfect - they quickly relieve pain and accelerate tissue healing. For severe anal bleeding, it is better to use a decoction of nettle - it has a hemostatic effect and helps to reduce blood loss. If pathogenic flora has become the cause of the inflammation, oak bark or yarrow will help to cope with it.

Suppositories for hemorrhoids are the most convenient dosage form that allows you to quickly achieve an analgesic effect. It is necessary to inject suppositories into the rectum after bowel movement (in some cases, mechanical cleansing with an enema may be required). Throughout the entire period of treatment, it is necessary to carefully monitor intimate hygiene, since a melted candle can flow out of the anus and be a source of infection.

Video - Suppositories from hemorrhoids painkillers