It is necessary to choose a drug for the treatment of hemorrhoids after a preliminary consultation with a doctor; this is the only way to count on a positive effect from the therapy. It is a mistake to think that self-medication will help in the initial stages; this can only aggravate the disease process and worsen varicose veins.
Recently, patients often wonder what is better: Natalsid or Relief, because both drugs are popular for treatment, but have a different spectrum of action. Let's look at the composition of suppositories, learn about the contraindications of suppositories and help patients obtain important information, which will make it possible to save on purchases and comply with the dosage. The final decision on prescribing medications is made by the doctor, but it is also a good idea for patients themselves to know basic information about suppositories.
Pharmacodynamics of Natalsid
Before answering the question of which suppositories are better, let’s consider the pharmacokinetics of the first drug.
The active substance in its composition is the natural polysaccharide sodium alginate, which when used has:
- Anti-inflammatory.
- Hemostatic.
- Reparative action.
As you can see, these are complex suppositories that simultaneously treat hemorrhoids and reduce the severity of symptoms. The analgesic effect is small, so in case of severe pain and exacerbation, it is necessary to add additional drugs to therapy.
Gepatrombin G: what is it, indications for use, its effect on the body
It is used in proctological medical practice in the form of suppositories or ointments. This drug contains several main active ingredients, through the combination of which antithrombotic, anti-inflammatory, venosclerotic and analgesic effects are achieved. This:
- Heparin sodium
- 120 IU. This is a direct anticoagulant, it blocks the conversion of prothrombin to thrombin, improves blood properties. Additionally, it helps to weaken inflammatory reactions and reduces vascular permeability. - Prednisolone
- 1.675 mg. Similar to the corticosteroid hormone of the human body. It helps reduce inflammation, stop allergic reactions, itching and irritation in the anal area, and slightly reduces the sensitivity of the mucous membrane. - Lauromacrogol 600
- 30 mg. It has several useful properties for hemorrhoids - it scleroses hemorrhoids and provides local anesthesia.
Excipients (paraffins and lanolin) do not have a specific effect and do not interact with active substances.
Most of the drug enters the blood, it undergoes hepatic metabolism, and Hepatrombin is excreted from the body by the kidneys.
Indications for use:
- external and internal hemorrhoids;
- thrombophlebitis of hemorrhoidal veins;
- inflammation, itching, pain in the rectal area;
- anal fissures or fistulas.
Contraindications:
- pregnancy before 13 weeks and after 36 weeks;
- allergic reactions to any components of the drug;
- bronchial asthma, exacerbation of pulmonary diseases;
- decreased blood clotting, bleeding;
- endo- and myocarditis;
- decompensated chronic heart failure;
- decompensated diabetes mellitus;
- syphilis, tuberculosis;
- oncological diseases of the skin or connective tissue;
- infectious processes of the skin of various origins.
You need to use suppositories 1-2 times a day after defecation and subsequent hygiene procedures.
Composition and description of Natalsid
The content of the active substance sodium alginate is 250 mg per suppository, auxiliary components are supposir and solid fat (vitepsol H15 and W35). Suppositories have a color from light gray to brown-gray and are torpedo-shaped.
The combination of drugs allows Natalsid to be used for bleeding hemorrhoids, as well as for the treatment of anal fissures and inflammatory processes in the rectum. Suppositories can be used before surgery at all stages and during the postoperative rehabilitation period.
Analogues of Proctosedil
There are no analogues in the composition of Proctosedyl ointment, as well as analogues of suppositories, which are more correctly called rectal capsules.
You can replace Proctosedyl ointment and rectal capsules with many drugs for hemorrhoids that contain one or more components.
- Preparations based on Heparin - Hepatrombin G, Hepazolon, Heparin ointment, Nigepan.
- Preparations based on glucocorticoids - Ultraproct, Relief Ultra and Relief Pro, Aurobin.
- A drug based on natural ingredients – Natalsid, Bezornil, Posterisan.
- Preparations containing Bismuth salts - Proctosan, Anuzol.
Among them, there are analogues that are cheaper than Proctosedil, and others that are more expensive. It all depends on the composition of the drugs and their manufacturer.
Prices for analogues of Proctosedyl ointment and Proctosedil M rectal capsules are presented in the table.
Analogue | Active substance | Average price, rub. | Country of origin |
Proctosedyl, ointment and rectal capsules | Benzocaine + Butamben + Hydrocortisone + Framycetin + Esculoside | 220 | India |
Procto-Glyvenol, suppositories and cream | Tribenoside + Lidocaine | 400 | Ireland/Switzerland |
Proctosan, suppositories | Bufexamac + Bismuth subgallate + Lidocaine hydrochloride | 350 | Germany |
Relief, suppositories and ointment | Phenylephrine hydrochloride | 350 | Italy/Greece |
Relief Advance, suppositories and ointment | Benzocaine | 450 | Italy/Greece |
Relief Ultra, candles | Zinc sulfate + Hydrocortisone acetate | 500 | Italy |
Relief Pro, candles and cream | Fluocortolone pivalate + Lidocaine hydrochloride | 400 | Italy |
Natalsid, candles | Sodium alginate | 400 | Russia |
Posterizan, suppositories and ointment | Microbial cells of Escherichia coli killed by phenol | 400 | Germany |
Hepatrombin G, suppositories and ointment | Heparin sodium + Prednisolone + Lauromacrogol 600 | 200 | Serbia |
Nigepan, candles | Heparin sodium + Benzocaine | 190 | Russia |
Anuzol, suppositories | Belladonna extract + bismuth compounds + Zinc sulfate | 80 | Russia |
Heparin ointment | Sodium heparin + Benzocaine + Benzyl nicotinate | 60 | Russia |
Aurobin, ointment | Prednisolone capronate + Lidocaine hydrochloride + Dexpanthenol | 350 | Hungary |
Bezornil, ointment | Zinc carbonate + Artificial musk and bezoar + pearl and amber | 450 | China |
Gepasolone, suppositories | Heparin + Prednisolone + Lidocaine | 350 | Russia |
Posterisan
Manufacturer: Dr.
Kade, Germany Release form: ointment and rectal suppositories
Active ingredient: Microbial cells of Escherichia coli killed by phenol
You can replace Proctosedyl with Posterisan suppositories, which contain inactivated bacteria and their metabolic products, due to which they have an anti-inflammatory and antipruritic effect.
Analogue Posterizan stimulates the immune system, increases capillary permeability and has a healing effect.
Gepatrombin G
Manufacturer: Hemofarm, Serbia
Release form: ointment for rectal and external use, rectal suppositories
Active ingredient: Heparin sodium + Prednisolone + Lauromacrogol 600
An analogue of the drug Proctosedyl, suppositories and Gepatrombin G ointment contain the anticoagulant Heparin, Prednisolone - an anti-inflammatory and decongestant, Lauromacrogol - an anesthetic and reduces hemorrhoids.
Together, all components of the Gepatrombin G analogue are highly effective in the treatment of hemorrhoids, fissures, fistulas, ulcers and other injuries of the rectum and anus.
Natalsid
Manufacturer: NizhFarm, Russia
Release form: rectal suppositories
Active ingredient: Sodium alginate
Proctosedyl analogue Natalsid contains a natural polysaccharide extracted from seaweed.
The analogue Natalsid has a hemostatic, anti-inflammatory and healing effect. Used for hemorrhoids and bleeding in the rectum.
Natalsid is one of the few similar drugs that can be used during pregnancy, which indicates the high safety of the drug.
Bezornil
Manufacturer: Mainlong, China
Release form: ointment for rectal and external use
Active ingredient: zinc carbonate + artificial musk and bezoar + pearls and amber
Ointment substitute Proctosedyl Chinese analogue Bezornil contains an original combination of artificial and natural minerals, which has anti-edematous, hemostatic, astringent, antiseptic and analgesic properties.
Bezornil is used for hemorrhoids, anal fissures and anal itching using a special tip, or a sterile napkin soaked in ointment is placed in the anus.
Treatment continues for two weeks.
Application of candles
The suppositories are used rectally, one suppository twice a day, and it is advisable to empty the intestines before the procedure. The maximum duration of therapy is 14 days; if it was not possible to get rid of problems with hemorrhoids, then treatment with sodium alginate can be continued after a therapeutic pause of 2 weeks.
Suppositories can be used during pregnancy and lactation, but it is necessary to reduce the duration of therapy to 7 days. Cases of overdose are unknown.
Next we will compare Relief Advance and Natalsid; it will not be superfluous for a patient with hemorrhoids to know this.
which suppositories are better: proctosedyl or relief for hemorrhoids
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After treating constipation with laxative tablets, exacerbation of hemorrhoids or damage to the integrity of the nodes may occur. This threatens bleeding or transition to chronic inflammation. Therefore, you need to carefully read the instructions and not abuse rectal suppositories.
Laxative for hemorrhoids
Natalsid. Homeopathic medicine based on brown algae extract. It acts very gently and is suitable for elderly, weakened patients.
Treats inflammation and swelling, improves blood circulation, relieves pain. 2-4 suppositories are used per day, no side effects have been recorded.
We hope that the above material helped you find the answer to the question: “A hemorrhoid has burst, what should I do?” And now we’ll talk about how to remove hemorrhoids at home, because few men would agree to see a doctor with this delicate disease, although it would be worth it!
Folk recipes
How to dissolve hemorrhoids using natural products? Traditional medicine offers many simple and effective recipes for relieving pain, reducing tension in hemorrhoids, relieving tumors and swelling.
Baths
One of the methods of additional treatment at home for hemorrhoids for women. You should make a solution in a basin of boiled water with one or another remedy (herbs, infusions) and sit in it for some time. Depending on how the bath is prepared, it will give an antiseptic, analgesic, and restorative effect:
- Hot. Relieves pain and inflammation. It is recommended to make such a bath with a decoction of chamomile, onion peels, calendula, calamus, burdock root, St. John's wort, sage, potassium permanganate, garlic, horse chestnut, and water pepper. You need to sit in the solution from a quarter of an hour to 25 minutes.
- Warm. Strengthens blood vessels, heals small cracks, relieves itching. Oak bark, chamomile, onion peels, manganese, milk, and garlic are suitable for bath treatment.
- Cool. Stops bleeding, relieves pain. The water temperature for treatment at home should be no more than 20 degrees. You need to start with a five-minute session, adding two minutes for each subsequent one. Chamomile, celandine, nettle, and plantain are suitable for the solution.
- Steam, smoke. They relieve pain quickly, but are not often used because they are the most difficult to do.
Petrolatum
A time-tested and very effective remedy for home treatment, which many experts now underestimate. Vaseline helps relieve swelling and relieve pain in about a week. Its action is aimed at:
- decreased sensitivity of the anorectal area;
- increasing skin elasticity;
- reduction of swelling of hemorrhoids;
- restoration of the integrity of the anal mucosa;
- improvement of local blood circulation.
How to use Vaseline for treatment at home:
- After emptying, wash the anus thoroughly with soap and pat dry with a cloth.
- You need to take a little Vaseline and apply it to the affected areas with massaging movements.
- Place a cotton swab on top to absorb any remaining ointment.
- Apply a compress with Vaseline several times a day and always the last time at night.
The rectum has several venous plexuses in its structure. One of them is located under the mucous membrane inside the intestine; it is its vessels that form internal hemorrhoids. The external plexus is located under the skin of the anal area, surrounding the anus. Varicose veins are the external veins that lead to the formation of lumps.
Both plexuses are connected to each other by venous vessels, so hemorrhoids are often combined - nodes appear both inside and outside. Manifestations of external hemorrhoids are rarely isolated; they are usually a reflection of varicose veins of the internal venous plexus.
Subcutaneous nodes do not bleed, since they do not communicate with the lumen of the rectum. However, they have an anatomical connection with the subcutaneous fatty tissue of the anus and exacerbation of hemorrhoids easily turns into paraproctitis (inflammation of the tissue). After inflammation, the bumps are replaced by connective tissue and a small dense tubercle remains under the skin.
What reasons lead to the appearance of bumps?
Hemorrhoids are varicose veins of the hemorrhoidal plexuses of the rectum. It occurs against the background of hereditary weakness of the venous wall due to connective tissue defects. All factors that lead to excessive blood supply to the veins of the rectum or interfere with the outflow of blood from them provoke the appearance of the disease. It could be:
- food rich in irritating substances (seasonings, acids, fats);
- alcohol;
- long-term smoking of tobacco;
- lack of physical activity;
- lifting weights;
- pregnancy and childbirth;
- cirrhosis of the liver;
- severe heart failure;
- constipation or difficulty urinating.
Most causes of external hemorrhoids cause a sudden or chronic increase in intra-abdominal pressure. Under such conditions, hemorrhoidal veins expand, blood stagnates in them and protrusions - nodes - form.
- Hydrocortisone ointment helps retain moisture in the skin, which explains the “wrinkle reduction” effect. In fact, wrinkles will not decrease - swelling is created on the skin, which “stretches” them. First, it is better to test your skin for an allergic reaction. If all is well, feel free to fight wrinkles. Hydrocortisine eye ointment is a hormonal treatment for treating allergies and relieving inflammation. Reviews from the Internet Liquid vitamins - beauty for pennies!
During acute hemorrhoids, both constipation and diarrhea are equally harmful. Hard stool injures the mucous membrane and enlarged nodes, provokes inflammation and the onset of blood loss. Too frequent liquid bowel movements irritate the entire anal area and aggravate the symptoms of an acute disease. If you do not establish the optimal frequency of bowel movements (1-2 times a day, maximum every other day), recovery may be delayed and the likelihood of complications will increase.
Correction of nutrition during exacerbation of hemorrhoids depends on the nature of stool disorders. If you have a tendency to constipation, it is important:
- increase the amount of fiber through vegetables, unsweetened fruits and bran;
- completely give up chocolate, sweets, pastries, white bread;
- reduce the consumption of high-protein foods - any meat, cottage cheese;
- Prefer buckwheat to rice and semolina;
- minimize gas formation by eliminating raw cabbage, grapes, melon, black bread, and cow's milk from the menu.
replace tea and coffee with plain still water or a decoction of dried fruits without sugar;
Active ingredient:
Sodium alginate.
Description:
Natural hemostatic agent with a wide spectrum of action.
Properties:
Natural polysaccharide - sodium alginate - a product of processing brown seaweed. It has powerful hemostatic, wound-healing, analgesic, and anti-inflammatory properties; regulates intestinal motility, normalizing stool.
Application:
Adults and children over 14 years of age use 1 suppository twice a day for 7-14 days.
The suppository is inserted into the rectum after spontaneous bowel cleansing or a cleansing enema. For easier administration, it is moistened with water.
Indications:
Treatment of chronic forms of bleeding hemorrhoids and anal fissures.
As an anti-inflammatory agent it is used for proctosigmoiditis and other inflammatory diseases of the rectum, in particular those occurring after surgical interventions.
Contraindications:
- hypersensitivity to sodium alginate or auxiliary components;
- age up to 14 years (for younger patients there is a pediatric form of the drug).
Side effects:
In rare cases, there is intolerance to sodium alginate and, as a result, urticaria, rash, itching, burning.
Price:
From 320 to 370 rub.
Relief (
83 votes, average rating: 4.96 out of 5)
I used the medicine Methyluracil in the treatment of exacerbation of hemorrhoids for a week. After three days, the pain disappeared, and the hemorrhoidal cones noticeably decreased in size. Complete relief and elimination of all symptoms of external hemorrhoids occurred after 9 days.
I used Methyluracil ointment in treatment. The effect of the drug is excellent, very effective medicine. I recommend it to anyone who wants to quickly and permanently get rid of the unpleasant pain of hemorrhoids. The ointment was prescribed by a doctor. I am very grateful to her for the effective medicine.
Ilona, 38 years old - Yekaterinburg
Review #2
Recently, hemorrhoids became severely aggravated due to a constant sedentary lifestyle. I work in an office. I turned to a proctologist at a local clinic for help. The doctor recommended using Methyluracil rectal suppositories. I purchased inexpensive and affordable suppositories.
I used them twice a day. The treatment was painless, I did not feel any discomfort when inserting the suppository. Great drug! The pain and hemorrhoids began to go away literally on the third day of using Methyluracil.
Georgy, 39 years old - Moscow
Review #3
In case of drug overdose, patients experience symptoms of general malaise
In addition to its positive qualities, Indomethacin can have a negative effect on the body, which is manifested by the following symptoms:
- Headache, dizziness, sleep disorder.
- Increased blood pressure, increased heart rate.
- Decreased appetite, heartburn, flatulence.
- Severe itching due to allergies.
Negative symptoms appear in a mild form and therefore do not cause severe discomfort to the patient. But if side effects become severe, it is necessary to reduce the dose of the drug and inform your doctor about this.
How to properly administer suppositories for hemorrhoids
To achieve a therapeutic effect from the action of suppositories, it is necessary to prepare the rectal canal. So that the active substance of the drug can be completely absorbed, it is recommended to do an enema, as well as carry out hygienic measures in the anus.
Troxevasin
Ointments for external hemorrhoids during breastfeeding and pregnancy
The process of bearing and giving birth to a child often causes hemorrhoids. Treatment of the disease requires especially careful treatment of the body and careful selection of safe drugs. Ointments containing hormones and harmful substances are contraindicated for pregnant and lactating women.
Fleming's ointment, Relief, Posterizan, Troxevasin and Heparin ointments do not contain harmful components or substances that cause allergies. They are prescribed for the treatment of women expecting or breastfeeding a child.
Reviews about the use of ointments
Marina, 32 years old: External hemorrhoids were treated with Bezornil ointment. I quickly got rid of bleeding and terrible pain. The ointment smells quite strongly, but not unpleasantly. A little like the Vietnamese star balm. Bezornil costs little, but its effectiveness is higher than that of many more expensive products.
Alexander, 58 years old: Proctosan ointment helped me with severe pain and protruding lumps. The nodes stopped hurting and became noticeably smaller. I completely forgot about the itching after the first use.
And a little about secrets...
Have you ever tried to get rid of hemorrhoids? Judging by the fact that you are reading this article, victory was not on your side. And of course you know firsthand what it is:
- once again seeing blood on paper
- wake up in the morning with the thought of how to reduce swollen, painful lumps
- suffer every trip to the toilet from discomfort, itching or an unpleasant burning sensation
- hope for success again and again, look forward to the results and be upset by a new ineffective drug
Now answer the question: are you satisfied with this? Can this be tolerated? How much money have you already wasted on ineffective treatment? That's right - it's time to end it! Do you agree? That is why we decided to publish an exclusive method based on traditional medicine that allows you to get rid of hemorrhoids forever.
Why do hemorrhoids appear in women after childbirth?
Published: July 22, 2020 at 07:49 Stage 1. Pain is present at the time of defecation or several minutes after it. Blood clots are not pronounced, but can already be felt upon palpation. The anal ring may feel discomfort, itching, and redness of the skin.
Chronic hemorrhoids do not show such significant intensity as acute ones. It develops when a woman has “overcome” the acute phase and has not received proper treatment. A typical manifestation of the disease in the chronic stage is bleeding: periodic in the form of a few drops on top of the stool or regular with a significant volume of blood with each bowel movement.
The longer the disease develops, the larger and denser the hemorrhoids become. And the more discomfort they cause.
Treatment of hemorrhoids
During breastfeeding, a woman refuses treatment for the disease for a number of reasons. There is not enough time, there is no opportunity to leave the baby to visit a doctor, there is no information about the possibility of using effective medications... At the same time, missing the disease at the first stage is dangerous and is fraught with the development of complications.
According to proctologist Tatyana Yarlykova, the method of treating hemorrhoids in a nursing mother includes several areas.
Drug therapy
To relieve the symptoms of hemorrhoids and normalize a woman’s condition, drugs of different spectrums of action are used.
- Newbie
The appearance of nodes inside the lumen of the rectum is one of the forms of varicose veins, which are located under its mucous membrane. This pathological process is also called internal hemorrhoids.The initial stage of the disease goes unnoticed by a person, since the changed vessels cannot be seen without special equipment. In this regard, some people do not even suspect the presence of the disease, so they often allow hemorrhoids to develop internally until later stages.
Signs of internal hemorrhoids (photos)
April 26, 2020, 09:39 Natalisid suppositories and Posterizan ointment directly onto the candle.
Twice a day. Another sea buckthorn candle before going to the toilet. This was prescribed to me by a good proctologist. Had the same problem last month. Pole move more, avoid constipation, use Multilax enemas. Two months after giving birth, go back to the doctor, take a look and decide what to do next. Prices for Posterisan ointment range from 460 to 650 rubles per tube (25 grams), depending on the region of the country.Posterizan is an effective and relatively safe ointment for hemorrhoids that removes inflammation in the anus.
The ointment also relieves pain and itching in the rectum, accelerates tissue regeneration and prevents bacterial complications of the disease.
The drug combines well with other antihemorrhoidal drugs without affecting their actions.
But do not forget that the use of Posterizan ointment for hemorrhoids must be agreed with the treating doctor, since self-medication can negatively affect health.
We would be grateful for your feedback on Pasteurizan ointment. Share with us how and when you used the described remedy, whether there were any side effects and what the result of the therapy was.
Belladonna suppositories for hemorrhoids: action and method of application
In addition, the drug is prohibited for erosive and ulcerative lesions of the gastrointestinal tract, aggravated gastric ulcers, and acute proctitis. In such situations, the antiplatelet effect will lead to severe bleeding, which is extremely dangerous for the body.
Other restrictions on the use of the medication include the following conditions:
- allergic;
- age under 12 years;
- pathology of the hematopoietic system of unknown origin.
heart, kidney or liver failure;
Important! The drug should be used with extreme caution in those patients in whom taking NSAIDs provokes attacks of bronchial asthma.
What are the possible adverse reactions?
Looking at the very impressive list of possible undesirable consequences indicated in the medical annotation for the drug causes caution and concern.
Good to know! However, most of the likely adverse reactions relate to systemic dosage forms, which include tablets and, to a certain extent, injection of solution.
Diclofenac ointment and suppositories for hemorrhoids are usually well tolerated, but in some cases they give the following local reactions:
- irritation of the mucous membrane;
- bloody discharge from the rectum;
- pain during bowel movements;
- itchy sensations;
- hyperemia and skin rashes.
If you use the drug for a long time or too often, systemic undesirable effects may develop due to the accumulation of diclofenac in the blood.
In such situations note:
- nausea and vomiting;
- insomnia;
- increased fatigue;
- urinary problems;
- anaphylactic shock, etc.
And yet, numerous reviews show that the drug is well tolerated, and the side effects listed above are extremely rare.
special instructions
To avoid negative consequences, NVPS are taken strictly on the recommendation and under the supervision of a specialist. If a person suffers from concomitant chronic pathologies, this information should be reported to the proctologist.
Particular caution should be exercised by people with diseases and conditions such as:
- high blood pressure;
- kidney diseases;
- allergic reactions;
- bronchial asthma and other diseases of the respiratory system;
- low body weight;
- old age or frailty.
In addition, you should tell your doctor about what additional medications you are taking when treating hemorrhoids.
Important! Diclofenac can reduce the effectiveness of diuretics and increase the effect of thrombolytics, which can lead to massive bleeding. The drug also enhances the effect of other non-steroidal anti-inflammatory drugs, and, therefore, their undesirable consequences.
That is why the question of combining Diclofenac with other drugs must be decided by a proctologist, focusing on the peculiarities of drug interactions.
How to properly use Diclofenac suppositories and ointment for hemorrhoids?
The dose and frequency of use of Diclofenac should be checked with your doctor.
Usually doctors prescribe the minimum allowable dose of the drug to monitor the body’s reaction, and only then proceed to treatment according to the instructions. bleeding hemorrhoids drug fissure hemorrhoids is it possible to give breast milk when treating hemorrhoids how can hemorrhoids be cured without illness without surgery
Composition and description of Relief Advance
Relief Advance suppositories include the active component benzocaine (206 mg per suppository) and excipients:
- Shark liver oil.
- Corn starch.
- Propyl parahydroxybenzoate (E216).
- Methyl parahydroxybenzoate (E218).
The drug belongs to the group of local anesthetics and has a strong anesthetic effect. This happens thanks to benzocaine, which does not harm the body if the dosage is observed. Before going to the doctor, read reviews about Natalsid and its partial analogue, Relief suppositories, and come to the clinic fully armed. This will help the doctor choose the optimal drug, because you will already know about the contraindications of suppositories and their effect on hemorrhoids.
Composition and release form of the drug
The release form of the drug "Ultraproct" is suppositories for rectal use and ointment for external use in the rectal area. Using these drugs together (both suppositories and ointment), it is possible to get rid of the unpleasant symptoms of hemorrhoids quite quickly, even at the second stage. Judging by the reviews of patients, thanks to the action of Ultraproct suppositories and ointment, they managed to avoid surgical intervention.
"Ultraproct" has antipruritic, antihistamine, local anesthetic and anti-inflammatory effects. The main active components of the ointment:
- Fluocortolone is a glucocorticosteroid, i.e. a substance of hormonal origin. When applied locally, it prevents the accumulation of neutrophils at the edges, as a result, inflammation decreases, the synthesis of lymphokines slows down, itching and inflammation go away, local blood circulation accelerates, the migration of macrophages is normalized, and swelling subsides.
- Cinchocaine is an anesthetic that is used for local external use. It blocks the sensory nerve endings that are located on the mucous membrane of the rectum and the outer rectal surface, as a result of which pain signals do not reach the brain and the patient does not experience pain.
As auxiliary components, Ultraproct ointment contains castor oil, 2-octyldodecanol; macrogol-400-monoricinoleate; lemon-pink scent.
Overdose Relief
If you do not follow the rules when using Relief Advans suppositories, there may be an overdose, which manifests itself in:
- Hypercoagulation.
- Drowsiness.
- Worried.
- Increased excitement.
Less often it comes to seizures, but they can also appear if you neglect the doctor’s recommendations and the instructions for the drug. In case of overdose, symptomatic treatment is carried out; if the dose is exceeded by 3 or more times, then immediately call an ambulance, as the consequences of an overdose of benzocaine can be sad.
Relief Advance is a means for quickly relieving painful symptoms; it is not used as a therapeutic drug, but it can improve the quality of life during exacerbation of hemorrhoids.
What to choose
For treatment to be effective, you need to choose the right medication.
If you are only concerned about cracks in the anus, then it is recommended to choose Relief ointment. If sitting causes pain, burning and itching, then Relief Pro cream is suitable, which will eliminate pain and reduce inflammation.
For diagnosed hemorrhoids, both drugs are good. But due to the fact that the first of them has a large number of varieties with additional content of active components, the doctor will be able to select the most suitable treatment form for each patient individually. If the disease is accompanied by severe inflammation and itching, then it is recommended to use Relief Ultra, and for severe pain in the anus, Relief Advance is more suitable.
Pregnant and lactating women are better off using Natalsid due to its greater safety. The same medication should be chosen by those who have granulocytopenia and thromboembolism, since the first remedy is contraindicated for use in these diseases.
Children 12-14 years old can use only the first medication, since the second is approved for use only from 14 years of age.
The price for both drugs is approximately the same - about 350-600 rubles , depending on the region, the form of release and the amount of the drug in the package.
If you experience any discomfort in the anus, you should consult a doctor to begin treatment of the disease in the first stages. If hemorrhoids develop, they will only have to be eliminated through surgery.
Application and dosage
To solve the medical problem of what is best for hemorrhoids, you need to look at the dosage of the drug under the Relief brand. Advance is used after bowel hygiene procedures up to 4 times a day, but this is the maximum dosage and cannot be exceeded.
As the pain threshold decreases, the dose of the drug is reduced first to 3, then to 2 doses per day.
Another analogue is Relief Ultra, which contains the active substances zinc sulfate monohydrate 11 mg and hydrocortisone acetate 10 mg. This is a more complex drug than Advance, as it additionally has anti-edematous, anti-allergic and anti-inflammatory properties. Only a doctor can tell you whether Relief Ultra or Natalsid is more effective, taking into account the specific course of the disease.
Proctosan or proctosedyl which is better
Non-steroidal anti-inflammatory drug. Treatment of anal fissures and hemorrhoids. Price from 413 rub.
Today we will talk about Proctosan ointment. When is it used? What are the possible side effects? Are there any contraindications and how does the active substance work? Available analogues.
general description
An effective ointment for hemorrhoids is Proctosan.
The combined product relieves inflammation, anesthetizes, and has an astringent effect.
Cures hemorrhoids at the initial stage and in the middle period without additional medications.
Proctosan ointment instructions for use describe the indications, contraindications and side effects of the drug.
Active substance
Its active ingredients:
- Bufexamac - NSAIDs - non-steroidal anti-inflammatory drugs. They have analgesic, antipyretic and anti-inflammatory effects. “> NSAID , a derivative of acrylacetic acid. The main effect is analgesic and relieves inflammation;
- bismuth subgallate - reduces bleeding, disinfects;
- titanium dioxide - potentiates the effect of bufexamac and bismuth subgallate, dries wounds and stops bleeding, promotes tissue restoration;
- lidocaine is a local anesthetic.
pharmachologic effect
The composition of Proctosan allows it to act in several directions.
Lidocaine quickly and effectively relieves pain, eliminates itching and burning in the sore spot.
Bismuth has an astringent effect, which stops bleeding. In addition, it coagulates with proteins, as a result of which a protective oil film is formed on the inflamed wounded surface.
Bufexamak blocks the inflammatory process and restores mucous surfaces.
Titanium dioxide enhances the properties of bufexamac and bismuth, and also helps restore damaged tissue and heal cracks and erosions.
Compound
1 gram contains:
- bufexamak - 0.05 g;
- bismuth subgallate - 0.05 g;
- titanium dioxide - 0.05 g;
- lidocaine hydrochloride hydrate - 0.005 g.
Package
Aluminum tube weighing 20 g, applicator, instructions for use, cardboard box.
Indications
Indications for treatment are:
- proctitis - an inflammatory process in the anus;
- hemorrhoids of the 1st and 2nd stages;
- anal fissures;
- acute and chronic eczema in the anal area.
Directions for use, dosage
After hygiene procedures, apply the ointment to the skin in the anus and gently massage. Two applications per day are enough.
Can be inserted into the anus using an applicator. This procedure is also carried out twice a day.
After the acute pain subsides, a few more days are used to consolidate the results, but the total duration of treatment should not exceed a week.
Contraindications
Not used in some cases:
- pregnancy;
- lactation;
- childhood age of the patient;
- history of atopic/contact dermatitis;
- manifestations of infectious diseases (syphilis, tuberculosis) in the area of application;
- hypersensitivity to the components of the drug.
Side effects
Allergic reactions in the area of application are possible: redness, itching, the appearance of blisters filled with liquid.
From the immune system, hypersensitivity reactions are possible:
May cause loose stools and a burning sensation in the anus.
From the gastrointestinal tract, heartburn may be observed.
During pregnancy and breastfeeding
Do not use during breastfeeding and pregnancy without a doctor's prescription.
Proctosan during pregnancy can be prescribed by a proctologist in the form of an ointment for a very short course.
Proctosan can be used during lactation after consultation with a proctologist and pediatrician.
special instructions
After using the ointment, wash your hands with warm water and soap.
It is quickly absorbed from the mucous membranes, so the likelihood of side effects is high.
If side effects occur, stop using the drug and consult a doctor.
Drug interactions
The doctor should be informed about all medications used in the past, even those sold without a prescription. In addition, it is necessary to notify the doctor about all drugs taken shortly before visiting a proctologist.
Lidocaine is not compatible with antiarrhythmic drugs.
Analogs
It has many analogues, both hormonal and non-hormonal. To figure out which drug to choose, for example, relief or proctosan, you need to study similar products in more detail.
Proctosan analogues hormonal:
- Proctosedyl. Contains several active components, one of which is hydrocortisone, a glucocorticosteroid hormone. It effectively helps with hemorrhoids, but it is wrong to compare which is better, Proctosedyl or Proctosan. Proctosedyl has more contraindications and side effects, but is usually well tolerated by patients and acts instantly. Both products belong to the same price category.
- Ultraproct. The drug contains 2 esters of the hormone fluocortolone. They act at different times, which ensures a quick effect and prolonged action.
- Posterisan forte. One of the components of the ointment is hydrocortisone in the form of free alcohol, eliminates swelling, inflammation, and allergic reactions. The drug is manufactured in Germany, the price is above average for drugs in this category.
Source: https://varikocele.com/proktozan-ili-proktosedil-chto-luchshe/
Differences between Natalsid and Relief
The drugs differ in their active substance and therapeutic effect. Relief Advance is used as a first-line drug; it effectively relieves pain and helps get rid of itching and burning. The product is produced in Germany, a plate of suppositories (12 pieces) costs up to 550 rubles.
Natalsid suppositories relieve swelling, eliminate exudation, burning and other unpleasant symptoms, while having a reparative (healing) effect. Suppositories are not a first-line drug, but are good for treating hemorrhoids. Suppositories are produced in Russia, the price of a plate (10 pieces) is up to 450 rubles.
As you can see, Relief and Natalsid have differences, so consult your doctor based on your knowledge. For acute pain, choose a first-line drug, and as symptoms relieve, use complex drugs, such as Natalsid. In some cases, this is what happens in practice, when pain is first relieved with Relief, and then deep therapy with Natalsid suppositories or their analogues begins.
Proctoglivenol: what it is, indications for use, its effect on the body
Proctoglivenol is a combination drug produced in the form of suppositories for use in proctological practice. It has anti-inflammatory, anti-edematous, angioprotective and local analgesic effects. It includes:
- Tribenoside 400 mg
- prevents the development of inflammatory processes in tissues, increases vascular tone and reduces the permeability of the vascular wall. It is responsible for the main long-term effect of treatment with Proctoglivenol. - Lidocaine 40 mg
- blocks the conduction of pain impulses from local nerve endings and eliminates symptoms such as pain, burning and the effect of tissue tension. - Excipient - Witepsol
, pharmacologically inactive, is a formative component.
Proctoglivenol partially enters the blood and undergoes metabolic reactions in the liver. It is excreted in the form of metabolites mainly in the urine.
Indications for use:
- external and internal hemorrhoids,
- pain syndrome with hemorrhoids.
Contraindications:
- allergy to any components of the drug;
- pregnancy up to 13 weeks (first trimester);
- liver failure.
Dosage: in the acute phase and the beginning of use, you can use two suppositories per day - morning and evening, with a decrease in symptoms and improvement of the condition, you can limit yourself to one suppository per day as maintenance therapy.
Description of the drug Natalsid
The drug Natalsid is one of the most famous and popular antihemorrhoidal drugs. It has virtually no contraindications and can be used by women during pregnancy and lactation. Sodium alginate, obtained from seaweed, has anti-inflammatory, wound healing and hemostatic effects.
Natalsid is produced in the form of small suppositories in the shape of a light gray torpedo, which are used rectally.
Indications for use:
- Bleeding hemorrhoids in the chronic stage.
- Anal fissures and nodes.
- Colitis.
- Inflammatory processes of the rectum.
- Intestinal diseases that cause damage to the wall of the colon.
Contraindications:
- children under 14 years of age;
- excessive sensitivity and intolerance to the components that make up the medicine.
In case of hypersensitivity to individual components, the drug is completely prohibited for use. Use for children under 14 years of age is possible in case of urgent need and under the strict supervision of a specialist.
As for side effects, the drug Natalsid can cause allergic reactions in the form of itching, rash or hives to the components of the drug.
Rectal suppositories Natalsid are used after bowel movements or a preliminary enema to empty the bowel. Before inserting suppositories, it is necessary to carry out hygienic procedures for the perianal area.
The duration of treatment is determined by the doctor and is usually 1-2 weeks. Children over 14 years of age and adults insert one suppository into the anus twice a day, and if the result is ineffective, the medication can be administered up to four times.
Due to the local effect of the drug on the human body, an overdose of the drug is excluded. If combination treatment is necessary, other agents may be taken to achieve a better effect.
It is recommended to store Natalsid candles in the refrigerator. Do not use medicine that has expired.