Effective means for hemorrhoids - a review of suppositories, ointments, tablets

For local hemorrhoid therapy, men use anti-inflammatory, analgesic, healing agents and their combinations in the form of rectal suppositories, ointments and creams. In addition to local forms, tablets for oral administration are used to treat hemorrhoids.

The general rules for prescribing local therapy include:

• preliminary consultation with a doctor about the possible use of this drug, dosage and course of treatment;
• the introduction of candles and the application of ointments after defecation and thorough hygiene of the perineum;
• avoid simultaneous use of drugs with similar effects to avoid overdose the active substance and the development of undesirable side effects( e.g., administration of anesthetic ointments and suppositories with anestikom).

Candles from hemorrhoids

From suppositories for treatment of hemorrhoids most popular and effective are the following:

Procto-glivenol - containing two active ingredients:

• tribenozid reducing capillary permeability and helps strengthen the vascular walls, its inclusion provides anti-inflammatory effect and accelerates recovery processes;
• lidocaine is an anesthetic used to relieve pain syndrome.

In the acute phase of procto-gliwenol, 1 candle is prescribed 2 times a day, when the symptoms subsided, they switch to a single injection. Duration of treatment is 1 week, if necessary, you can repeat the course.

Ultraproct fluocortolone comprises a glucocorticosteroid( in two forms - as geksonata and pivalate) and anesthetic cinchocaine. Fluorocortolon provides a quick and powerful anti-inflammatory effect, relieves puffiness and reduces itching. Tsinghokain reduces the severity of pain. It is prescribed 1 candle per day( with a severe exacerbation during the first days of treatment, 2-3 candles per day is allowed) with a course of 1 to 4 weeks.

Relief

Three variants with the trade name Relief contain shark liver oil, which has anti-inflammatory and healing effect.

• Relief - it also contains phenylephrine - a vasoconstrictor, the inclusion of which allows you to reduce the severity of edema and itching, to prevent bleeding.
• Relief Advance includes an anesthetic of benzocaine. Relief
• Ultra further enriched glucocorticosteroid hydrocortisone( anti-inflammatory and antipruritic activity) and zinc sulfate( acceleration of healing).

Candles with trade multiplication Relief Pro , whose composition and action are similar to Ultraproject, are also produced.

Posterisan - candles with immunomodulating effect, containing inactivated( killed) bacteria( E. coli) and their metabolic products. It leads to activation of local immunity, which prevents secondary infection of hemorrhoids and promotes acceleration of reparative processes. Assign 3-4 times a day( in the morning, in the evening and after each defecation).The course of treatment is from 3 to 4-6 weeks.

Posterizan forte , in addition to the E. coli culture, contains the glucocorticoid hydrocortisone, which provides anti-inflammatory effect. Appoint a relatively short course( within 1 week), after which it is recommended to continue treatment with Peristaran candles without hydrocortisone.

Anusole - contains extract of belladonna leaves, bismuth and zinc sulfate. Belladonna has an antispasmodic effect, which allows you to reduce the intensity of pain and reduce the feeling of tension, pressure in the area of ​​the nodes. Bismuth and zinc have a drying, healing and moderately pronounced anti-inflammatory effect. Relatively inexpensive candles, however, have a number of undesirable side effects( including stool disorders - constipation or diarrhea, blurred vision, trouble sleeping, palpitations, dry mouth, local reactions in the form of burning).

Natalside - candles of natural origin, contain sodium alginate, obtained from brown seaweed. They have hemostatic( hemostatic) action and are recommended for hemorrhoids with frequent or severe bleeding. Also have anti-inflammatory and healing effect. Assign 2 times a day for 1 to 2 weeks.

Gepatrombin T - comprises heparin antithrombotic effect, prednisolone( glucocorticoid, providing anti-inflammatory action) and lauromacrogol( analgesia sclerosis).Assign a short course( no more than a week) - twice a day, then once a day.

Heparin is also found in the candles Gebazolone and Nigepan .

Proctosedil - combined candles with antimicrobial( due to the presence of antibiotic framicetin), analgesic( provided by cynchocaine) and anti-inflammatory( hydrocortisone) action.

Ointments and creams for hemorrhoids

Ultraproct, Proctosedyl, Gepatrombin F, Posterisan Fort ( ointment), Relief Pro ( cream) - their composition is different from the composition of the candles of the same name. Ointment and cream forms are recommended to use in the presence of severe inflammation and soreness in the hemorrhoids, when the introduction of candles is difficult. Appointed twice a day. After relief of acute symptoms, you can go to candles.

Heparin ointment has a pronounced antithrombotic effect. Prevents the development of complications of hemorrhoids( thrombosis of nodes), but has little effect on the severity of inflammation, virtually no analgesic effect.

Escolus - a homeopathic ointment, reduces the permeability of the vascular wall, contributing to the reduction of edema and pain.

Troxevasin contains troxerutin, has analgesic, anti-edematous and anti-inflammatory effect.

Levomekol - contains an antibiotic chloramphenicol, which prevents the secondary infection of bacterial nodules, and methyluracil, which has a wound healing effect.

Payleks heme and Proktozan - Combined means comprising bufexamac( nonsteroidal anti-inflammatory drug), bismuth, titanium, and lidocaine. They have a pronounced anti-inflammatory effect, dry out, reduce the intensity of itching and pain.

Neurolan is another combined ointment containing antibiotic( neomycin), anesthetic lidocaine and glucocorticosteroid fluocinolone.

Aurobin - kobinirovannaya ointment comprising an antimicrobial triclosan regeneration stimulator panthenol, anesthetic lidocaine and glucocorticosteroid with pronounced antiinflammatory activity( prednisolone).Tablets

hemorrhoids

tablet form for the treatment of hemorrhoids can be divided into three main groups:

1. Bioflavonoids providing venoprotektornoe and venotonicheskoe action, thereby improving the microcirculation, decreases swelling and reduced the severity of inflammation, reduction processes are activated. These include drugs such as Vasoket, Flebodia 600, Venarus, Norman, Detralex, Pentoxifylline( Vasonit).
2. Drugs that strengthen the vascular wall and improve microcirculation - Ascorutin, Troxevasin, Trental.
3. Herbal preparations, dietary supplements and homeopathic remedies - Ginkor Fort, Venoprotect, Venoruton, Antistaks, Pileks, Protconis.

In connection with the huge number of trade names for medicines for hemorrhoids, it is extremely difficult to choose the most suitable preparation independently. If you make a purchase without first consulting a doctor, be guided by the annotation of the drug, which will indicate the main active substances and their effects.

Note that in the acute phase of disease is preferable to use ointments, gels and creams with a pronounced anti-inflammatory and analgesic action, and should switch to candles with antiinflammatory and healing effect after relief or amelioration of symptoms leading.

Read on: Surgical treatment of hemorrhoids: types of operations, their pros and cons

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