The best and most effective suppositories for hemorrhoids: TOP 6 best with prices, as well as a review of other popular suppositories

Hemorrhoids, if they suddenly happen, make life very difficult - the nodes hurt, irritate, interfere with bowel movements, and bleed. This disease, of course, is unpleasant, but completely curable if the problem is not neglected.

At the moment, a very large selection of medications is offered to treat this unpleasant disease at home. The most popular are local remedies presented in the form of ointments and suppositories; very often one drug is available in these two forms.

It is more convenient to apply ointments to external hemorrhoids, and suppositories will help alleviate the condition in the presence of internal hemorrhoids. Most medications for hemorrhoids contain natural ingredients that are practically not absorbed into the blood. Therefore, the use of some suppositories and ointments for the treatment of this disease is permitted during pregnancy and breastfeeding.

In this article we will try to choose the best suppositories for hemorrhoids, which are the most effective, but at the same time inexpensive. Leave your reviews about the drugs in the comments.

The use of suppositories for hemorrhoids

Medicinal suppositories for hemorrhoids, offered in pharmacies, are quite effective and can significantly reduce acute pain, itching and burning. The mechanism of action of suppositories is their ability to melt at temperatures above 31°C and transform into a liquid state.

This achieves the following effects:

• rapid absorption of drugs;
• local effect of the drug on the affected areas;
• ease of administration;
• painless use;
• no load on the digestive tract.

In order for suppositories for hemorrhoids to be administered smoothly, it is best to lie on your side. You can stand, leaning forward a little, but this complicates the procedure. You don't need to hold the product in your hands for a long time because it melts. With your free hand, you need to spread the buttocks and insert the suppository so that it passes into the ampulla of the rectum, passing the sphincter. For a less painful insertion, you can lubricate the end of the candle with Vaseline or baby cream.

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Types of suppositories for the treatment of hemorrhoids

It is very difficult to unequivocally answer the question which suppositories are best for hemorrhoids. The choice depends on the symptoms and course of the disease. To make it more convenient to determine an effective drug, they were divided into groups:

1. Anesthetic suppositories - their action is aimed at relieving pain, itching, burning. The main active ingredients in their composition are analgesic drugs - novocaine, anesthesin. Most often used in the first stages of the disease. This is Procto-Glyvenol, Ketonal.
2. Anti-inflammatory suppositories are indicated for almost all patients, because they contain only natural substances. These are sea buckthorn oil, propolis, St. John's wort extract, tea tree oil. They should not be used only by those patients who have had cases of allergies to any natural substance. In addition to suppositories with oils and plant extracts, Anuzol, Neo-Anuzol, Relief, Proctosan and Posterisan also help well.
3. Hemostatic suppositories are designed to stop bleeding, which can cause anemia and, if left untreated, lead to death. The hemostatic suppositories contain calcium, vikasol, and dicinone. The effect of using such suppositories is an increase in the rate of blood clotting. They are usually used at the last stage of hemorrhoids.
4. Candles with adrenaline. This remedy has an excellent hemostatic and analgesic effect. However, adrenaline increases blood pressure, so this method is mainly used by young patients.
5. Candles with belladonna. They have analgesic and anti-inflammatory effects. They contain natural ingredients. The instructions for the drug recommend using it for hemorrhoids of varying severity, as well as anal fissures. Despite the naturalness of the drug, it has a number of contraindications, so you should not use them yourself.
6. Suppositories with propolis. A common, affordable and effective drug for the treatment of hemorrhoids, which relieves inflammation, reduces the size of hemorrhoids, and has an analgesic and antimicrobial effect.
7. Candles of combined properties. These effective suppositories for hemorrhoids contain several substances with different properties. For example, combination drugs can have both analgesic and hemostatic effects. This group includes suppositories for hemorrhoids and fissures “Relief Advance”, “Procto-glivenol”, “Proctosedil” and others. All these drugs have analgesic, anti-inflammatory and decongestant properties.

As you can see, the choice of effective suppositories and ointments for hemorrhoids depends on the predominant symptom - bleeding, pain, itching or inflammation of the skin around the anus.

What is better for hemorrhoids: suppositories or ointment?

Hemorrhoids are pathologically dilated venous plexuses of the rectum. Dilated, thickened veins form hemorrhoidal lumps of different sizes. The nodes can be located inside the intestine, or they can fall out of the anus. Depending on the location of the cones, hemorrhoids can be external or internal. Reactive inflammation occurs and anal fissures appear.

Haemorrhoids

Clinical stages

Clinical symptoms of hemorrhoids have varying degrees of severity. Cones come in different sizes, differ in reducibility and degree of impact on the patient. According to these criteria, 4 stages are distinguished:

• The nodes are detected only during examination; the patient sometimes feels discomfort, slight soreness in the rectum,
• When defecating, there is a prolapse of cones that retract on their own, there is pain, sometimes bleeding,
• Prolapsed hemorrhoid nodes can be reduced only with the help of hands, the nodes bother, hurt, there is a sensation of a foreign body in the anus, bleeding,
• The cones cannot be reduced on their own, there is a persistent cosmetic defect in the anus, and the patient is bothered by all the symptoms of hemorrhoids.

With a digital examination, the proctologist will more accurately determine the stage of the disease. Sometimes the symptoms that bother the patient do not correspond to the objective opinion of the doctor. The stage determined by him more accurately reflects the stage of the disease.


Stages of hemorrhoids

Important! To examine the mucous membrane and exclude malignant pathology, rectal endoscopy is required. A slightly unpleasant study will make it possible to prevent and detect a dangerous disease in the early stages.

Treatment of hemorrhoids

Determining the stage is important for deciding on the choice of treatment method. In the initial stages, drug therapy is used, in the later stages - surgical intervention. Nowadays, minor surgery methods have begun to be used: sclerosis of veins, “freezing”, applying ligatures to nodes. After them, local drugs are still added. There are three types of rectal administration of drugs:

• microenemas,
• candles,
• ointments.

Ligation
Microenemas are inconvenient due to the difficulty of administering the drug. It is difficult to keep 30 ml of liquid in the rectum. Therefore, rectal suppositories and ointments are the optimal method of delivering medicine to the site of inflammation. You need to understand their differences in order to decide which is more practical and convenient to use.

Ointments and suppositories

To administer medicine for hemorrhoids and fissures into the rectum, drugs are produced in the form of rectal suppositories or ointments under different trade names. Both forms consist of active ingredients and formative components: glycerin, fats, petroleum jelly, paraffin. The latter have virtually no effect on the body.

Rectal suppositories

Candles are produced solid. When a suppository is introduced into the rectal cavity, the drug heats up from body temperature, the structural components melt, and the medicine envelops the site of inflammation. Before use, the candle can be slightly warmed in your hands or moistened with water.

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The ointment has a different principle of administration. It is available in tubes equipped with applicators. These are silicone or plastic tips through which the medicine enters the rectal cavity. The applicator is attached to the tube, inserted into the anus and by pressing on the tube, the medicine is released in doses. After each use, rinse the applicator with warm water.

The soft dosage form has its advantages. The ointment is indispensable for external hemorrhoids and fissures. Drugs with a healing effect are necessary to cure complications such as diaper rash and skin irritation of the perianal area. If the body is highly allergenic, it would be better to use an ointment or cream. They are applied topically without an applicator. The degree of absorption of the ointment into the blood when applied externally is minimal, therefore, with external treatment there is no systemic effect on the body.

The components of ointments are represented by different groups of drugs. They influence individual links of pathogenesis and are selected individually. Active ingredients for the treatment of hemorrhoids are divided into:

• reparants (healing),
• venotonics,
• antithrombotic.

Any substances can be combined in an ointment. This is due to the need to act on several causes of hemorrhoids at once. They are different for everyone. The prevailing symptoms also differ: pain, itching, bleeding, spasm. Therefore, combinations are selected aimed at eliminating these particular symptoms.

Advice! At the beginning of treatment for hemorrhoids and fissures, it is better to choose drugs with one active ingredient. This will help identify medications to which you are allergic or intolerant, so as not to use such an ingredient in the future.

Reparants have a healing effect on the mucous membrane, promote the fusion of the edges of superficial cracks, and protect ulcerative defects of the rectal mucosa from the action of feces. Venotonics penetrate the vascular wall of hemorrhoids and strengthen it. This helps to increase its tone and tighten bulging venous nodes. Antithrombotic components prevent blood clotting in hemorrhoids. They prevent blood clots from forming or destroy existing ones. Homeopathic ingredients have a tonic effect on damaged tissues, improve microcirculation in them, and soothe inflammation of the hemorrhoid area.

Effective and inexpensive suppositories for hemorrhoids: list

Among the best suppositories that are used to treat hemorrhoids at home are the following TOP drugs:

• Proctosan. A complex drug that has analgesic, anti-inflammatory, antipruritic and bactericidal effects. Price: 220-270 rub.
• Ultraproct. Has antipruritic, analgesic, anti-inflammatory effects. Price: 400-470 rub.
• Procto-glivenol. It contains two active substances - lidocaine and tribenoside. These rectal suppositories have anti-inflammatory, venotonic and local anesthetic properties. Price: 350-400 rub.
• Relief Advance. The shark liver oil included in the composition has an anti-inflammatory and hemostatic effect, promotes rapid wound healing. The anesthetic benzocaine is used as a pain reliever. Used to relieve inflammation and pain. Price 350 rub.
• Relief Ultra. The drug has anti-inflammatory, drying, wound-healing and astringent properties. Price 330-380 rub.
• Gepatrombin G. Has anticoagulant, antiallergic and antiexudative effects. The substances included in the drug accelerate tissue regeneration, stimulating metabolic processes. Price 170 rub.
• Proctosedyl. They have local anesthetic, antipruritic and anti-inflammatory properties. The drug contains substances that block pain. Price 300-350 rub.
• Suppositories with propolis. They have analgesic properties. To prepare them, you need to mix an aqueous solution of propolis with an ointment base. This could be petroleum jelly, butter or lanolin. Price 160-200 rub.
• Candles with sea buckthorn. Used in complex therapy or when other suppositories are contraindicated (during pregnancy), sea buckthorn oil promotes rapid healing of damaged tissues, stimulates reparative processes in the mucous membranes and on the skin. Price: 100 rub.

Each type of rectal suppository for hemorrhoids is designed to eliminate the causes and symptoms of a certain type of disease thanks to the substances contained in the composition, so the medicine is prescribed individually.

The principle of action of suppositories for hemorrhoids. Healing suppositories for hemorrhoids

Features of the use of suppositories are:

• Local action The active components of the suppositories have a targeted effect on the location of the disease

• Rapid absorption The consistency of the suppository, which is solid at normal storage temperatures and enters the human body, quickly changes to a liquid form, which increases the rate of absorption. In addition, there are hemorrhoidal veins and arteries in close proximity, thanks to which the medicine is instantly absorbed into the blood

IMPORTANT: The speed of feeling the effect of rectal suppositories is comparable to the speed of action of drugs administered by injection

• High percentage of entry into the blood Rectal administration of the drug avoids a significant amount of the drug entering the liver (up to 50%), where the substances undergo transformation and do not have any therapeutic effect. In other words, when using a suppository, medicinal substances will enter the bloodstream in greater concentration, which means they will act more effectively

• Fewer side effects, contraindications and allergic reactions A certain number of rectal suppositories for hemorrhoids have an exclusively natural composition, act locally and are practically not absorbed into the blood, which makes it possible to prescribe suppositories to children, pregnant women and mothers during lactation

• Possibility of combining with other medications If you have other diseases and are taking a course of appropriate medications, simultaneous use of suppositories is possible

The action of suppositories for hemorrhoids is focused on getting rid of the main symptoms of the disease:

• pain relief
• healing of cracks and wounds
• antimicrobial effect
• increased blood clotting (during bleeding)
• blood clot liquefaction
• relief of bowel movements
• reduction of itching and burning

Healing suppositories promote the regeneration of anal tissue and are aimed at getting rid of anal fissures, relieving swelling and inflammatory processes. Almost all suppositories produced for the treatment of any stage of hemorrhoids have a healing effect.

Suppositories for hemorrhoids during pregnancy

The first rule during pregnancy is not to self-medicate. For any reason, including hemorrhoids, you should consult your doctor, because not all medications can be used during this period.

Under the supervision of medical personnel, the following suppositories may be recommended:

• Natalsid;
• Olestesin;
• Betiol;
• Belladonna extract;
• Nigepan;
• Neo-Anuzol;
• Posterisan;
• Candles with sea buckthorn oil;
• Glycerin suppositories.

As for other drugs, there are certain restrictions:

• Hepatrombin G - from the second trimester;
• Relief - with extreme caution;
• Advance relief - not applicable;
• Relief ultra - from the fourth month;
• Procto-Glyvenol - from the second trimester, as prescribed by a doctor;
• Aurobin: according to instructions, can be used from the second trimester;
• Proctosedyl - not allowed;
• Ultraproct is only possible as a last resort.

In general, rectal suppositories can be used during pregnancy, but preferably only those made from natural, plant-based bases. Such drugs have fewer contraindications, have a milder and more gentle effect, and do not exhibit side effects.

What are the most effective suppositories for hemorrhoids? Types of suppositories for hemorrhoids

Pharmaceutical companies offer a huge variety of anti-hemorrhoidal suppositories. Depending on the predominant symptom, which the action of suppositories is aimed at eliminating, we can distinguish:

• Painkillers The composition contains anesthetics: lidocaine, anesthesin, benzocaine, cinchocaine, neomycin, beladonna, etc. Suppositories: proctoglivenol, proctosedyl m, ultraproct, relief advance, olesthesin, proctosan, hepazolone, nigepan, anestezol, anusol

• Hemostatics Phenylephrine hydrochloride, seaweed, tribenoside, adrenaline have a hemostatic, venotonic and vasoconstrictor effect. Suppositories: relief, natalsid, proctoglivenol, methyluracil suppositories.

• Anti-inflammatory The bactericidal effect is provided by such components of hemorrhoidal suppositories as bufexamak, tribenoside, ichthyol, calendula, shark liver oil, propolis, sea buckthorn, hormones: prednisolone, hydrocortisone, fluocortolone, etc. Suppositories: proctoglivenol, relief, olesthesin, betiol , proctosan, hepasolone, hemo -pro, prostopin, hepatrombin g, proctosedyl m, ultraproct, natalsid

• With an antithrombotic effect To get rid of formed blood clots, anticoagulants are used, in particular heparin. Suppositories: nigepan, hepatrombin g, hepasolone

• With an astringent effect. Bismuth nitrate and zinc have a protective, enveloping and drying effect. Suppositories: proctosan, neo-anuzole, anusole

IMPORTANT: Gepatrombin g, proctosedyl m, ultraproct, gepazolone, relief ultra contain hormonal components.

Certain suppositories are prescribed depending on the severity of symptoms, stage of the disease, and existing contraindications. Therefore, hemorrhoidal suppositories that are effective in one case may not bring the desired result to another person suffering from this disease.

However, the most common treatments for hemorrhoids are:

Proctosan

• Active ingredients: bufexamac + lidocaine hydrochloride + bismuth subgallate + titanium oxide
• Action: antipruritic, analgesic, regenerating, proto-inflammatory
• Prescribed for stages 1 and 2 of hemorrhoids
• Cannot be used in case of individual intolerance, tuberculosis and syphilis

Relief

• Active substance: phenylephrine hydrochloride; additional: shark liver oil
• Action: local anti-inflammatory, hemostatic, healing
• Used for external and internal hemorrhoids
• Main warning: excessive sensitivity to the components of the drug

• Pregnant and lactating women, as well as small children (under 12 years old), suppositories are prescribed only at the discretion of the doctor.
• The following varieties are also available: relief advance and relief ultra. The first contains benzocaine as the main component, i.e. has a pronounced analgesic effect, the second is hydrocortisone acetate + zinc sulfate and helps healing, relieving inflammation, eliminating itching.

Natalsid

• Main component: sodium alginate (derived from seaweed)
• Action: hemostatic (stopping bleeding), anti-inflammatory, regenerating
• Effective for bleeding hemorrhoids, the presence of cracks Contraindications: allergy to the component, age under 14 years (for them there is an analogue of Alginatol)
• Can be used during pregnancy and breastfeeding

The standard dosage of natalsid and proctosan is 1 suppository twice a day, relief - 4 times a day.

IMPORTANT: You should not self-medicate. To make a correct diagnosis, as well as select an effective treatment method, it is recommended to consult a proctologist.

When not to use rectal suppositories

Contraindications to the introduction of suppositories for hemorrhoids:

• stable hypertension;
• active form of tuberculosis;
• osteoporosis;
• ulcers and erosions of the rectum;
• severe general swelling;
• allergy to the components of candles;
• infectious inflammatory diseases and the development of tumors in the rectum;
• diabetes mellitus, complicated by immune disorders and trophic disorders of the legs.

Remember that treatment of hemorrhoids should not be limited only to the use of suppositories. The set of measures to combat the disease includes lifestyle changes, increased physical activity, proper nutrition, and giving up bad habits.

Sea buckthorn suppositories for hemorrhoids

This plant-based drug has not lost its popularity for many years. The traditional version of suppositories, which contain only sea buckthorn oil, or the drug Olestesin, additionally enriched with analgesic and antimicrobial components.

Sea buckthorn suppositories have a positive effect on the inflamed intestinal mucosa, significantly speed up regeneration processes, thanks to which they successfully cope with cracks and other damage.

Ichthyol suppositories for hemorrhoids

In the early stages of hemorrhoids, rectal ichthyol suppositories are widely used for rapid pain relief and effective elimination of inflammation, which is based on the active antimicrobial effect of the drug.

Suppositories with ichthyol for hemorrhoids are prescribed quite often. They have pronounced anti-edematous, anti-inflammatory and disinfectant properties, reducing pain due to these effects, and promote rapid healing of anal fissures.

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Suppositories for hemorrhoids with herbs

Homeopathic suppositories are popular due to their natural ingredients of plant origin. This is a good alternative to potent medications, which for various reasons cannot be used to treat hemorrhoids (allergies, incompatibility with other drugs taken, pregnancy, lactation, etc.).

In fairness, it should be noted that most herbal-based suppositories are effective in the early stages of the disease, and in any case must be approved by a doctor, since they also have contraindications.

Among the herbs and plants used in the production of suppositories for the treatment of hemorrhoids are:

• sagebrush
• aloe
• ginseng
• sea ​​​​buckthorn
• nettle
• fir
• calendula
• thuja
• tea tree
• St. John's wort
• yarrow

Examples of homeopathic suppositories: Nova Vita, Anti-K, Adonis, Immuntil.

Herbal suppositories are used once a day before bedtime. The duration of treatment is from 10 days to a month, depending on the severity.