Complete removal of hemorrhoids can only be achieved through surgery. When treated with conservative methods alone, hemorrhoids will not go away. However, rectal tablets and ointments cope well with the unpleasant symptoms of hemorrhoids.
To achieve a greater therapeutic effect, proctologists usually recommend complex therapy, including the simultaneous use of several drugs. This approach is not always justified, especially in cases where the patient has poor health and a bunch of other diseases. After all, the use of even the most harmless medication does not leave its mark on the body.
Experts prefer to adhere to monotherapy in order to reduce the number and total volume of side effects on other organs of the patient.
One of the most effective medicines is Proctosan ointment, which serves to quickly eliminate the symptoms of hemorrhoids, which is especially important during periods of exacerbation. The drug reliably eliminates the main painful manifestations of hemorrhoids and helps strengthen the venous walls.
Compound
Proctosan suppositories contain 250 mg of bufexamac of titanium dioxide and bismuth subgallate each, of lidocaine in the form of monohydrate hydrochloride.
For 1 g of ointment there are 50 mg of bismuth subgallate and bufexamac , lidocaine - 5 mg, titanium dioxide - 50 mg.
Additional substances: liquid paraffin , wax, sorbitan , isopropyl palmitate , polycos , water, sorbitol - in ointments and solid fat in candles.
Composition of the drug "Proctosan"
The most unpleasant stage of hemorrhoids is when the hemorrhoids become inflamed and cause severe pain. The condition can be complicated by bleeding, high fever, swelling and the inability to have a normal bowel movement. The active ingredients that make up Proctosan can eliminate unpleasant symptoms in a matter of days, as they are characterized by the following indicators:
- Lidocaine, a widely used painkiller in medicine, can quickly relieve even the most severe pain. Relief will come almost immediately after using Proctosan ointment. Lidocaine will also help get rid of burning and itching.
- Another effective component of Proctosan is bufexamak. Its main task is to fight the inflammatory process. Bufexamac is not inherently a steroid hormone, so Proctosan can be used by significantly larger groups of patients compared to hormone-containing medications.
- Bismuth subgalate and titanium dioxide are used as auxiliary components that enhance the effects of lidocaine and bufexamac.
Instructions for use of Proctosan (Method and dosage)
The instructions for Proctosan ointment recommend applying it to the affected area twice a day, after washing the anus area with warm water.
Proctosan ointment for hemorrhoids can be used in the rectum, administered using an applicator.
If you use Proctosan suppositories, the instructions for use advise you to empty your intestines before administration. Administer up to two times a day.
The general course of treatment is continued for another 10 days after the onset of relief.
Contraindications
Before starting to use the drug, you must carefully read the attached instructions. Proctosan suppositories have the following contraindications for use:
- history of allergic reactions to lidocaine or novocaine;
- individual intolerance to the components of the drug;
- pregnancy and breastfeeding;
- syphilis and tuberculosis;
- bleeding from the anus of unknown etiology;
- age under 18 years - due to lack of clinical experience in use.
By
Analogs
Level 4 ATC code matches: Betiol
Olestezin
Proctosedyl
Gepatrombin G
Relief
Anuzol
Posterisan Forte
Posterisan
Bezornil
Procto-Glyvenol
Glivenol
Fitoval
Hepazolon
Proctozol , Hemoproct , Relief Advance , Hemorol , Proctosedyl , Ultraproct .
Analogues of the drug Proctosan
Analogs are prescribed for the treatment of hemorrhoids:
- Aescusan.
- Edas.
- Avenok.
- Aescin.
- Proctosan.
- Nigepan.
- Fiberlex.
- Pyolysin.
- Weak.
- Venocomfort.
- Venarus.
- Butadion.
- Tykveol.
- Detralex.
- Senna.
- Rutin.
- Aethoxysclerol.
- Normaze.
- Novocaine.
- Doloproct.
- Regulax Picosulfate.
- Posterized.
- Vasocket.
- Natalsid.
- Proctosedyl.
- Heparoid Lechiva.
- Troxerutin.
- Mil Par.
- Procto Glivenol.
- Gepatrombin G.
- Papaverine.
- Mucofalk.
- Metrogil.
- Diovenor 600.
- Prostopin.
- Posterisan forte.
- Glaxenna.
- Senade.
- Phlebodia 600.
- Romazulan.
- Symetrid.
- Romphalac.
- Ultraproct.
- Parembal.
- Bisacodyl.
- Relief Ultra.
- Nefluan.
- Guttasil.
- Laxatin.
- Guttalax.
- Derinat.
- Sulgan.
- Dulcolax.
- Olestesin.
Reviews about Proctosan
Available reviews of Proctosan ointment indicate a good effect in the treatment of external hemorrhoids and anal fissures . The ointment heals wounds well and relieves pain.
The same positive reviews about Proctosan suppositories. The drug brings relief to many after the first use, and after 5 days a significant improvement is noted. Suppositories are used both independently and sometimes doctors prescribe them in combination with other remedies for hemorrhoids (for example, one drug in the morning and another in the evening).
Some people call the disadvantage that the medicine stains laundry and is difficult to wash off plumbing fixtures. There are isolated reviews about the insignificant effect and complaints about the high price.
The effectiveness of Proctosan ointment
The product "Proctosan" is successfully used in the fight against any type of hemorrhoids. The result was noted for symptoms of internal and external, acute and thrombosed disease. Special studies have been conducted on the effectiveness of the drug. According to the results:
- The greatest effect was observed among patients with hemorrhoids in the acute period. We are talking about treatment using exclusively Proctosan. Thus, out of one hundred and twenty-five subjects, one hundred and eight noted a significant improvement associated with the use of the ointment. Ninety subjects reported rapid cessation of bleeding during Proctosan therapy. In addition, painful symptoms, burning and itching decreased. None of the subjects reported any adverse events.
- Starting therapy in the early stages of any disease is always more effective than in advanced forms. The use of Proctosan in the early stages of hemorrhoids made it possible to completely get rid of the manifestations of the disease in ninety-eight out of a hundred people. The average course of treatment with Proctosan ointment was fourteen days. By initial we meant the first and second stages of hemorrhoids.
Thus, the drug “Proctosan” is recognized by many experts as one of the best drugs for relieving the clinical manifestations of acute hemorrhoids.
An additional advantage of Proctosan ointment is its strong anesthetic effect. When using the drug, the patient does not need to take painkillers orally. Thus, “Proctosan” as an anesthetic for hemorrhoids is optimally suited for pregnant women, nursing mothers, patients with gastrointestinal disorders and a number of other categories. The level of systemic exposure of the drug components to the body is minimal.
Proctosan price, where to buy
The price of Proctosan suppositories in Russia is about 285 rubles. for 10 pcs. In Moscow you can buy the drug for 236 rubles.
The price of Proctosan ointment with an applicator is on average about 271 rubles.
In Ukraine, ointment for hemorrhoids sells for about 78 UAH, and suppositories cost 83 UAH. per package.
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Proctosan rectal suppositories 10 pcs. Amkapharm GmbH/Stada Arzneimittel AG
RUB 405 order
Pharmacy Dialogue
- Proctosan suppositories No. 10Amcapharm
RUR 414 order
Europharm* 4% discount using promo code medside11
- Proctosan rectal suppositories N10Stada Arznaimittel AG/Amkapharm
RUB 463 order
show more
Pharmacy24
- Proctosan N10 suppositories Stada Artsnaimittel AG, Nimmechina
170 UAH order - Proctosan Neo 20 g No. 1 ointment Hemofarm AD, Serbia
133 UAH order
- Proctosan 20 g ointment Stada Artsnaimittel AG, Nimmechina
160 UAH order
- Proctosan Neo No. 10 suppositories Hemofarm AD, Serbia
142 UAH order
PaniPharmacy
- Proctosan ointment Proctosan ointment 20g Germany, Stada
184 UAH order
- Proctosan suppository Supp. proctosan No. 10 Germany, Stada
206 UAH order
- Proctosan neo ointment Proctosan neo ointment 20g Serbia, Hemofarm
149 UAH order
- Proctosan neo suppository Proctosan neo supp. No. 10 Serbia, Hemofarm
152 UAH order
show more
special instructions
While using Proctosan suppositories, patients experience increased discharge from the anus. For hygiene purposes, during the treatment period, the patient is recommended to place cotton pads or napkins in his linen to avoid soiling of clothes.
The components and fat included in the suppository reduce the strength of condoms, which may result in damage to the latter.
After inserting a suppository into the anus for 15-20 minutes, the patient may experience local unpleasant symptoms - itching, burning, tingling, the urge to defecate. This goes away on its own and does not require discontinuation of drug therapy.
Mode of application
The ointment is used after performing a hygienic toilet. Apply externally in a moderate amount to the anus or, using a dispenser cap, insert it rectally with slight pressure, dispensing the required amount of product.
The duration of use of the medicine is designed for 4 doses within 7 days. In the absence of positive dynamics or worsening of the condition, further use of the ointment is inappropriate. A doctor's consultation is required.
Mechanism of action of the ointment
Proctosan cream, which is used in the treatment of internal hemorrhoids using a special applicator, causes protein coagulation. Thanks to this, a film is formed in the area of the inflammatory process, protecting it from pathogenic bacteria. In addition, the substance quickly dries the wound, the crack becomes smaller and stops bleeding. After some time, the affected area begins to heal.
The protective effect of Proctosan is characterized by a fairly long period, so the patient does not have to worry about the likelihood of developing complications due to bowel movements, even 5-6 hours after applying the drug.
Proctosan is effective in the treatment of internal and external hemorrhoids. Already a week after using this remedy, patients note the disappearance of all unpleasant sensations - pain, burning, itching. The main effect of the drug is analgesic. Thanks to this, the patient will not need a painkiller pill. Since the ointment is applied topically, and its active components practically do not penetrate into the systemic bloodstream, it does not harm the body. Reviews from patients indicate the effectiveness of the drug and the almost complete absence of adverse reactions.
Price and analogues
How much does Proctosan cost? The average price of ointment in Russia is 360–410 rubles , the price of Proctosan in the form of rectal suppositories is about 450 rubles . In Ukraine, the drug can be purchased for 130–145 UAH.
The main analogues of Proctosan ointment are given in the table:
| Drug name | Short description | Cost, rub.) |
| Hemorrhoids | A modern drug for the treatment of internal and external hemorrhoids, it contains only natural ingredients. Helps quickly get rid of itching, promotes rapid healing of cracks, eliminates pain and spasms | 990 |
| Proctozol | Ukrainian analogue of Proctosan, has a similar composition, therapeutic effect, indications | 150–170 |
| Nigepan | Prevents the formation of blood clots, restores damaged tissue, eliminates inflammatory processes. Used to treat internal and external hemorrhoids | 220–230 |
| Hemoproct | Complex drug for the treatment of hemorrhoids, has anti-inflammatory and analgesic effects | 150–160 |
Note! Despite the large number of analogues of Proctosan ointment and suppositories, only a doctor can make a decision on the advisability of replacing the drug. Any self-medication can cause serious consequences.
Indications, contraindications and adverse reactions
The instructions for Proctosan ointment detail the indications and contraindications for the use of the drug, so you should study the description before starting use.
Note! Thanks to its complex composition, Proctosan effectively helps with stage I II hemorrhoids, the medicine acts quickly, the maximum concentration of active substances in tissues is achieved 2 hours after application.
Indications for the use of Proctosan® ointment and suppositories:
- violation of the integrity of the walls of the anus, anal bleeding fissures;
- chronic and acute forms of eczema in the anal area;
- dermatological diseases of the skin of the anus
- proctitis and other inflammatory diseases of the rectum of various etiologies.
The drug in the form of suppositories and ointments is usually well tolerated by patients; in isolated cases, allergic reactions may develop in the form of skin itching, rash and urticaria.
Proctosan has virtually no contraindications - the drug is not prescribed during pregnancy and breastfeeding, individual intolerance to the components of the drug, in the presence of syphilis, tuberculosis and some other specific inflammatory pathologies.
Note! In any form (suppositories or ointment), the medicine is not used in pediatrics, since there is no reliable clinical data on the safety of the drug for this group of patients.
When Proctosan ointment or suppositories are used correctly, there are no side effects, since the active components of the drug do not penetrate into the blood and act locally directly on the affected areas. Sometimes patients complain of rash, peeling, itching and rashes in the anus after applying the ointment, but usually such reactions are associated with increased sensitivity to the components of the drug in allergy sufferers and people prone to dermatitis.
Note! Treatment with Proctosan will be ineffective if you do not follow your doctor’s recommendations. The proctologist will definitely prescribe a diet, a set of physical exercises, physiotherapy - only a reasonable combination of all these methods will allow you to quickly get rid of hemorrhoids.
Reviews
The instructions for Proctosan suppositories indicate that this combined drug is effective in the treatment of acute and chronic hemorrhoids. It is well tolerated by the body, according to patients. The suppositories and ointments do not contain hormones, which means that the medicine does not have a negative effect on the body with long-term use, and healing of the mucous membranes occurs faster. Patients note that the release of Proctosan in the form of an ointment facilitates the treatment process. The advantages of this drug include: rapid elimination of unpleasant symptoms, a long period of remission of the disease, and the absence of complications. According to the study, about 80% of patients note an improvement in their condition after two weeks of using suppositories. Itching, swelling, pain disappear, bleeding and inflammation stop, cracks heal.
General information about the drug
Hemorrhoids develop against the background of irregular bowel movements, heavy physical exertion, a sedentary lifestyle, alcohol abuse; the pathology is often diagnosed in women during pregnancy or after the birth of a child. The disease is accompanied by a number of unpleasant symptoms - bleeding, pain, itching, inflammation. Previously, single-component drugs were used for treatment, the administration of which was alternated with traditional methods of therapy. But now there are more effective drugs.
Proctosan® ointment is a German-made anti-inflammatory drug, intended for external use, helps get rid of anal fissures, helps reduce hemorrhoids. The medicine is produced in the form of ointments and rectal suppositories.
Note! Treatment of hemorrhoids with ointments has a number of advantages; such drugs are better tolerated by people than rectal suppositories, as evidenced by numerous reviews from patients. During use there is no itching, burning, or other unpleasant sensations in the anus and rectum.
Ointment for hemorrhoids Proctosan is a multicomponent drug that contains 4 active components - they complement and enhance the therapeutic effect of each other. The drug effectively helps with hemorrhoids, has a bactericidal and anti-inflammatory effect, quickly eliminates pain and itching, accelerates the regeneration process in damaged tissues, and reduces the likelihood of bleeding. Proctosan suppositories have identical composition and action.
The drug Proctosan has anti-inflammatory, analgesic and antipruritic effects, helps accelerate the regeneration of the mucous membrane. The photo shows the 4 stages of hemorrhoids.
Let's take a closer look at what is included in Proctosan ointment or suppositories:
- Bufexamac is an anti-inflammatory substance from the non-steroidal group. Eliminates swelling, hyperemia and inflammatory processes in the rectum and anus.
- Lidocaine is a powerful but safe pain reliever that begins to act within a few minutes after applying the ointment.
- Bismuth, titanium dioxide - have an astringent, hemostatic, bactericidal effect. They form a film on damaged tissues that protects the mucous membrane and hemorrhoids from the penetration of pathogenic microorganisms.
Ointment for hemorrhoids is produced in tubes of 20 g, which are packaged in cardboard boxes. You can buy Proctosan in a pharmacy without a prescription, but before use you should first consult with a proctologist.
Indications for use
Various problems with the rectum require a quick solution
Proctosan ointment for hemorrhoids is prescribed to patients with a whole range of delicate problems:
- Hemorrhoids at different stages;
- Anal eczema;
- Fissures in the anal area with and without bleeding;
- Inflammation of the rectum and its mucous membrane;
- Proctitis.
Once applied, the ointment:
- Stops bleeding, if present;
- Launches the healing processes of damaged tissues and their regeneration;
- Relieves pain, eliminates burning, relieves swelling and annoying itching, and has an anti-inflammatory effect.
pharmachologic effect
Considering all the functions that the components that make up Proctosan have, this ointment for hemorrhoids has the following therapeutic effects:
- eliminates itching in affected areas;
- relieves the inflammatory process;
- has an analgesic effect;
- accelerates the resorption of bruises;
- improves blood circulation;
- reduces swelling;
- narrows the lumens of veins;
- prevents the development of venous inflammation;
- improves the nutritional capacity of tissues at the site of use.
Proctosan Neo, in addition to the above pharmacological actions, also has antiallergic properties due to the glucocorticoid prednisolone acetate, which is included in the composition.
