List of the best ointments for hemorrhoids: top 10 most effective. Reviews and prices
Hemorrhoids are varicose veins located in and around the anus. If irritated and swollen, it can lead to pain and even bleeding. The most common signs of the disease themselves disappear spontaneously after a week or two. However, frequent and painful relapses are possible.
Today's medicine offers many treatment strategies that have enormous potential - from home remedies to instrumental methods.
The assortment of pharmacies offers various proctological drugs, for example, ointments, gels, tablets, suppositories, creams. They fight burning, itching, act as an analgesic, decongestant, and anti-inflammatory agent.
Advantages and disadvantages
Products for external application in the form of ointments have both advantages and disadvantages. The positive side includes accessibility, ease of use, quick effect, elimination of harmful effects on the stomach and liver. Long-term use helps relieve symptoms of hemorrhoids, strengthen the walls of blood vessels, and reduce nodes. Many drugs are approved for use in pregnant women and during lactation. Ointments rarely cause addiction or withdrawal symptoms.
Disadvantages include greasy marks on clothing and bedding after using ointments, and the need to combine ointments with oral medications, since they are not always effective as independent therapy.
How to choose the right ointment?
To treat hemorrhoids, the following therapeutic regimens are used depending on the type and severity of the disease:
- To relieve pain, the following pain-relieving ointments for hemorrhoids, containing lidocaine and anesthesin, will be effective: Procto-Glivenol, Relief Advance, Proctazan, Emla, Irobin and others;
- You can overcome the relatively mild initial degree of hemorrhoids with the help of heparin ointments, as well as rectal suppositories containing benzocaine and heparin, for example, Nigepan;
- If the inflammatory process from hemorrhoids has spread to nearby tissues, antimicrobial and antibacterial agents are prescribed, such as Vishnevsky Ointment, Levomikol, Ichthyol (ichthyol ointment), Mafenide acetate;
- When the disease progresses rapidly, doctors typically prescribe nonsteroidal anti-inflammatory drugs (NSAIDs for short), such as Diclofenac, Piroxecam, and Ibuprofen;
- For rectal bleeding, combined medications (hemostatics) are used, which contain both anti-inflammatory and vasoconstrictor components, as well as anesthetic and venotonic substances, for example, Adroxon in the form of a solution, as well as Procto-Glivenol and Relief.
Below we will move on to a more detailed consideration of inexpensive and effective ointments for hemorrhoids.
Treatment with folk remedies
Folk remedies are becoming an alternative to medications. Homemade ointment for hemorrhoids may contain only natural ingredients:
- honey;
- cinnamon;
- medicinal herbs: calendula, oak bark, toadflax.
Beeswax, Vaseline and lard are usually used as a base.
How to use it correctly?
Features of the use of ointments in the treatment of hemorrhoids:
- Before using the product, you need to wash the area around the anus without soap and pat the skin dry with a napkin;
- Apply the product around the anus and inside the anus, using special nozzles and applicators;
- The usual frequency of use is 2-3 times a day and after each bowel movement; in the remission stage, a single application is possible;
- Ointments and gels with hormonal components are used with extreme caution, in minimal portions, and, if possible, for a short period, their withdrawal occurs gradually;
- The course of treatment with ointments takes on average from 5 to 7 days, therapy with heparin ointment can last up to 2 weeks.
List of ointments for the treatment of hemorrhoids
Currently, there are many medications that will help solve such a delicate problem as hemorrhoids. You just need to make the right choice in favor of the most appropriate comprehensive treatment for this disease. To do this, it is best to seek help from a proctologist, who will conduct a full examination and prescribe a therapy that is suitable for you.
According to reviews, the top 10 most common ointments for the treatment of hemorrhoids are presented below:
- Proctosan - 290 rubles
- Aurobin - 270 rubles
- Levomekol - 100 rubles
- Proctosedyl - 320 rubles
- Relief - 330 rubles
- Gepatrombin G - 220 rubles
- Posterizan - 340 rubles
- Heparin ointment - from 40 rubles.
- Troxevasin - 180 rubles.
- Fleming's ointment - 290 rubles
In addition to the ointments listed above (the best drugs according to reviews), other medications are also used in the treatment of hemorrhoids, for example, Glinkor Fort or Proctonis capsules, Venarus tablets, Adroxon hemostatic suppositories or Dexpanthenol healing ointment. The active compounds included in the drug Glinkor Fort strengthen blood vessels and thus relieve swelling of hemorrhoids and adjacent tissues.
What are hemorrhoidal cones?
Typically, this disease causes hemorrhoidal bumps. In the veins that are located in the lower part of the rectum, blood circulation is disrupted for various reasons, and as a result, hemorrhoids increase in size and become inflamed. They can remain inside or fall out. Such inflamed bumps bring a lot of suffering to the patient.
Hemorrhoids are a disease that brings a lot of unpleasant and often painful sensations
When treating pathology, the following local medications are most often used:
- suppositories and ointments for hemorrhoids;
- oral tablets and drops.
Troxevasin
Troxevasin ointment relieves the symptoms of hemorrhoids. In addition, it is a local anesthetic, astringent and anti-inflammatory agent. The drug combines troxerutin and magnesium stearate and is used externally:
- to relieve burning, itching around the anus;
- with inflammation of hemorrhoids;
- anal thrombophlebitis;
- inflammation of the rectum.
A local drug as an anti-inflammatory, decongestant. Troxerutin has a protective effect on veins, reduces the permeability of capillary walls, reduces swelling and exudation.
The gel should not be used if you have an individual intolerance to active substances or fillers, or an allergy to troxerutin. Like all medicines, Troxevasin ointment can cause side effects, such as hypersensitivity reactions and local skin irritation. Skin reactions may occur - rash, redness. However, the expected benefits are greater than the harm associated with the occurrence of undesirable effects.
Information on how to use the drug is in the instructions. The ointment is applied with uniform and gentle massage movements in a thin layer (approximately 2.5 g or half a teaspoon) twice a day (morning and evening) until completely absorbed. It is advisable to reapply to the affected area of skin after defecation.
Relief and Relief Advance
Relief ointment. Contains: shark liver oil, which has anti-inflammatory, immunomodulatory and wound-healing properties; Phenylephrine hydrochloride is a vasoconstrictor.
When applied topically, it reduces the lumen of blood vessels, reduces swelling, serous discharge and exudative phenomena in hemorrhoids and diseases of the anorectal area. Application: Using the supplied applicator, apply a small amount of ointment inside the anus or on the affected areas around it. Dosage: up to 4 times a day (morning, evening and after each bowel movement).
Contraindications: granulocytopenia, increased blood clotting, individual hypersensitivity to the components of the drug.
Relief Advance ointment will help relieve pain and discomfort due to the presence of an anesthetic in the composition. Use after hygiene procedures. Squeeze out a small amount to lubricate the applicator. Apply the ointment carefully through the applicator to the affected areas outside or inside the anus up to 4 times a day in the morning, evening and after each bowel movement.
Contraindications: allergic reactions to local anesthetics, hypersensitivity to the components of the drug.
Treatment methods for hemorrhoids and anal fissures
To eliminate the causes that caused the formation of hemorrhoids and anal fissures, an integrated approach is required. Of primary importance in this case is the normalization of nutrition and the prevention of constipation, which consists of enriching the diet with fiber, increasing the volume of fluid entering the body and improving intestinal motility. It is also recommended to start drug treatment starting from the first stage of the disease.
By taking drugs with local and systemic effects, it is possible to eliminate the causes of hemorrhoids and anal fissures, mitigate the consequences of their negative impact on the vessels and tissues of the rectum, and eliminate the symptoms of the disease.
Preparations for oral administration
Tablets for hemorrhoids and anal fissures are divided into several groups, each of which has a specific area of influence:
- drugs that strengthen vascular walls and make them less permeable - Detralex, Ginkor forte, Phlebodia 600, Venarus, Troxevasin;
- medications that stimulate mucosal regeneration - Litovit B;
- painkillers and anti-inflammatory drugs - Diclofenac, Ketoprofen, Indomethacin;
- drugs that stop bleeding (hemostatics) - Vikasol, Dicynon, Etamzilat;
- laxatives - Lactulose, Duphalac, Macrogol 4000 and others.
The main feature of drugs for oral administration is the complex restoration of processes occurring in the body and the possibility of adverse reactions. They are good for eliminating the underlying causes of the disease and relieve symptoms not very actively. Their use requires a doctor's approval.
Rectal suppositories
Rectal suppositories are topical preparations. Their use for hemorrhoids and anal fissures helps relieve symptoms of the disease, improve the condition of the hemorrhoidal plexuses, as well as reduce inflammation and accelerate tissue regeneration.
The following suppositories are considered the most popular and effective:
- Proctosan;
- Posterisan;
- Poctosedyl;
- Natalsid.
The main advantage of rectal suppositories is the absence of a systemic effect on the body. In most cases, they do not affect the condition of internal organs in any way. Another advantage of suppositories is ease of use. To improve the condition, they are used before bed once a day, rarely - twice a day.
Ointments for hemorrhoids and fissures
Using ointment for hemorrhoids and fissures is much more convenient than, for example, suppositories. In terms of the strength of their effect on the vessels and mucous membrane of the rectum and anus, they are not inferior to oral drugs, but differ from them in the absence of a systemic effect on the body.
Pharmaceutical companies produce several dozen ointments for hemorrhoids and fissures, among which the following drugs are considered the most effective:
| Name of ointment | Active ingredients | What does the ointment do? |
| Heparin ointment | Heparin | Promotes tissue regeneration, reduces pain and relieves itching, prevents the formation of blood clots or resolves them. |
| Vishnevsky ointment | Castor oil, xeroform powder, birch tar | Has an antiseptic effect, heals cracks, increases blood circulation. |
| Troxevasin | Troxerutin | It has a venotonic, venoprotective and anti-edematous effect. Relieves inflammation and prevents the formation of blood clots. |
| Hepatrombin | Heparin, prednisolone, lauromacrogol 600 | It has an anticoagulative, anti-inflammatory effect, prevents the formation of blood clots, reduces pain and itching. |
| Fleming's ointment | Extracts of witch hazel, calendula, horse chestnut, zinc oxide and menthol | It has anti-inflammatory, antiseptic, analgesic and calming effects. Reduces the permeability of vascular walls, improves microcirculation, promotes the formation of local immunity, and accelerates tissue regeneration. |
| Ichthyol ointment | Ichthyol | It has antiseptic, anti-inflammatory and antipruritic properties. |
| Ointment Relief | Phenylephrine, shark liver oil | Has anti-inflammatory, regenerating and analgesic effects. |
| Ointment Posterizan | Inactivated E. coli microorganisms | Stimulates tissue regeneration, restores vascular tone and reduces their permeability. |
| Ointment Bezornil | Synthetic musk and bezoar, zinc carbonate, amber, borneol, pearl | Has an anti-edematous and analgesic effect. Reduces itching, relieves inflammation, stops bleeding. |
| Aurobin ointment | Lidocaine, panthenol, prednisolone | Anesthetizes, reduces inflammation and itching, acts as an antiseptic, enhances tissue regeneration. |
| Proctosedyl ointment | Hydrocortisone, heparin, framycetin, benzocaine, butamben and esculoside | It has an analgesic, anti-inflammatory and antiseptic effect. Reduces the risk of blood clots. |
Any ointment for hemorrhoids and fissures is prescribed by a doctor, since the drugs listed in the table have contraindications and indications that must be taken into account when prescribing them to an individual patient.
Hepatrombin
Includes sodium heparin, which has an antithrombotic effect and the ability to relieve swelling and pain. The regenerative properties of the drug are ensured thanks to allontoin, a component that stimulates tissue healing and increases cellular metabolism. Prednisolone acetate allows you to treat inflammation, has an antiallergic effect, and reduces the release of fluid during inflammation (exudate).
Apply Hepatrombin to previously cleansed skin in a thin layer with light massaging movements. The course of therapy is from 7 to 10 days. It is prohibited to use the drug in patients who are allergic to the components of the product, in case of bleeding or during infection of wounds. The ointment is contraindicated for children under 5 years of age.
Diagnostics
Even with a single bleeding from the anus, the patient urgently needs to consult a proctologist! In addition to the initial digital examination of the rectum, the diagnostic appointment ideally includes colonoscopy - an endoscopic examination of the large intestine.
The main goal of medical procedures is to exclude cancer.
Remember that timely diagnosis is much more effective than any expensive treatment in the later, advanced stages of the disease. Don't forget to monitor your health and don't lose sight of even the smallest problems!
Heparin ointment
Heparin ointment has been on the pharmacological market for quite some time and is used not only for the treatment of varicose veins of the rectum. The effect of the medicine is much broader: varicose veins of the lower extremities with and without complications, thrombophlebitis, lymphangitis, trophic ulcers, etc. At the same time, heparin ointment has all the advantages of a medicinal product designed to reduce the severity of hemorrhoid symptoms:
- The analgesic effect of the drug is provided by the local anesthetic present in the ointment - benzocaine.
- Due to the main active ingredient - the direct anticoagulant heparin, an antithrombotic and anticoagulant effect is achieved (heparin prevents the formation of blood clots and promotes the resorption of existing ones);
- Due to the vasodilating properties of benzonicotinic acid, which is part of the heparin ointment, heparin is absorbed more quickly to its destination;
- The anti-inflammatory effect is also based on the action of heparin supplied to the site of inflammation.
Heparin ointment is used for external and internal uncomplicated and complicated hemorrhoids. It is also indicated in case of thrombosis of the hemorrhoidal plexus. However, damage to the integrity of the skin and bleeding are the main contraindications to the use of this medication. Heparin ointment is prescribed with extreme caution if the patient has a history of pathology of the hemostatic system, accompanied by a decrease in blood clotting and a tendency to bleeding, as well as during pregnancy and lactation (although data on the penetration of heparin into human milk have not yet been obtained).
Rectal suppositories
Absorbed into the blood, these drugs have a therapeutic, antipyretic and analgesic effect.
- Gepatrombin G
. The active ingredients are heparin and allantoin, which improve blood microcirculation and help reduce hemorrhoidal cones. It is prescribed both in the preoperative period and after surgery. - Relief
. Suppositories based on shark liver oil are effective at the early stage of the disease, are used for the formation of cracks in the anal canal, promote wound healing, and have an antimicrobial effect. - Proctosan
. The combined drug is effective for cracks and itching, is a good analgesic, and promotes rapid healing and tissue regeneration. Has a hemostatic effect. - Aurobin
. Hormonal antiseptic analgesic suppositories based on prednisolone, also containing lidocaine and triclosan. Before use, it is necessary to study the package insert, what contraindications there are and compatibility with other medications. - Suppositories with sea buckthorn
. One of the most inexpensive but effective medications. Fights bleeding, facilitates bowel movements, and relieves inflammation.
This list can be supplemented with such effective pharmaceuticals as Natalsid, Anuzol, Ultraproct, Nigepan, Methyluracil, Glycerin suppositories.
Aurobin
Ointment for hemorrhoids "Aurobin" is a combination preparation based on corticosteroids - hormones of the adrenal cortex, which are distinguished by their immunosuppressive effect. Thanks to this, the drug has its antiallergic and anti-inflammatory effect.
It also contains lidocaine, which has a local analgesic (pain-relieving) effect and relieves itching and burning sensation in the perineal area. Triclosan, which is part of Aurobin, is a broad-spectrum antiseptic and protects the affected perianal area from fungi and bacteria, and dexpanthenol promotes the regeneration of the affected epithelium and mucous membrane of the rectum. The components of the drug effectively complement each other, which helps to successfully combat the unpleasant symptoms of hemorrhoids.
It is worth noting that the drug has a number of contraindications, including:
- age up to 1 year;
- taking lidocaine for other purposes (excessive concentration in the body is fraught with bradycardia);
- skin infections (in this case, corticosteroids are not used);
- hypersensitivity to individual components of the drug.
It is important! Due to the corticosteroids contained in Aurobin, long-term use of the drug by children of any age is prohibited due to the possibility of adrenal insufficiency.
What are hemorrhoids and anal fissure
Hemorrhoids are varicose veins of the hemorrhoidal plexuses located under the mucous membrane of the rectum. The localization of nodes can be internal or external, depending on which vessels have undergone changes. Anal fissure is a common companion to hemorrhoids. Occurs on the mucous membrane of the rectum, mainly on the back of the anal sphincter.
Symptoms of the disease include acute pain during defecation, bleeding, itching and burning in the rectum (at the initial stage - after defecation, at stages 3-4 - at any time, including at rest).
An anal fissure is characterized by pain in the anus after defecation, which can persist for a long time - from a few minutes to 12 hours or longer. In addition, anal fissure is characterized by scanty bleeding during bowel movements and small traces of blood on toilet paper. Severe bleeding is extremely rare.
Externally, internal hemorrhoids look like protrusions of a red or bright pink color, external hemorrhoids look like round, elastic-soft formations near the anus, which become bluish in color when thrombosis occurs. An anal fissure is a rupture of the mucous membrane of the anal canal, in most cases it is located along the posterior surface, the rupture of the mucous membrane has the shape of a triangle with the base outward.
Levomekol
Levomekol is a combined drug for external use. Among its properties are anti-inflammatory, bactericidal and restorative. Often, exacerbations of hemorrhoids are accompanied by some kind of infection (since the intestines contain various microbes that can penetrate inflamed hemorrhoids, as well as injured tissues, during the process of defecation).
As a result, an infectious process develops, a complication of which can be purulent inflammation. The components contained in the ointment clean the damaged surface, and also accelerate the process of its healing and restoration of the mucous membrane.
Proctosan
The ointment is based on bismuth subgallate and titanium dioxide. Proctosan promotes the healing of cracks, has a local astringent effect and dries out weeping in the anal area. The analgesic function is assigned to lidocaine, and bufexamak relieves inflammation. The ointment is indicated for use for hemorrhoids of any location; for ease of administration, an applicator is provided. The cost of the ointment is 250–300 rubles.
Vishnevsky ointment
Vishnevsky ointment can be used to treat the external form of the disease. The presented medicine helps eliminate various ailments of the human body, but Vishnevsky must be used correctly, strictly following the instructions. Only then will the ointment have the necessary effect.
- First, you should put lotions on the external nodes with the addition of a solution of potassium permanganate. Such actions must be performed within three days.
- Then you are allowed to start using Vishnevsky’s composition. The ointment should be added to a compress and applied to the sore spot. Do not remove the compress from Vishnevsky for 12 hours.
Vishnevsky's drug is absolutely safe, so it can be used to treat the disease by pregnant women and nursing mothers. The only negative is its smell, but this is a temporary phenomenon.
Ointment for hemorrhoids during pregnancy
During pregnancy, as well as during lactation, women are prohibited from taking most medications. This is primarily due to the fact that the biologically active compounds included in the chemical composition of the drugs, not only of synthetic but also of natural origin, can harm the health of the child.
It is for this reason that during pregnancy, as well as during breastfeeding, a woman should not self-medicate without the knowledge of her doctor. This rule applies to all medicines without exception. However, the vast majority of pregnant and postpartum women face such an unpleasant problem as hemorrhoids.
Safe ointments are drugs that include natural ingredients that are not capable of causing harm to the body, especially during pregnancy and in young children.
Popular means:
- Ichthyol ointment is a sulfur-based medicine that has an analgesic, anti-inflammatory, drying, and wound-healing effect on hemorrhoids;
- Troxerutin - has a similar effect to Troxevain, eliminates swelling, prevents congestion, and restores blood flow.
- Fleming's ointment is a homeopathic preparation that includes extracts of calendula, witch hazel, and horse chestnut. Natural components in the composition of the medication allow you to quickly and safely eliminate the inflammatory process and pain.
Vishnevsky ointment, Heparin ointment, Levomekol, Troxevasin are allowed during pregnancy.
Cost of medicines against hemorrhoids
The pharmacy sells inexpensive but effective pharmaceuticals.
| Release form | Name of the pharmaceutical product | Price in rubles |
| Rectal suppositories | Gepatrombin G | 230 |
| Relief | 370 | |
| Proctosan | 330 | |
| Aurobin | 300 | |
| Anuzol | 80 | |
| With sea buckthorn | 80 | |
| Methyluracil | 80 — 90 | |
| Ointments | Heparin | 190 |
| Proctosan | 300 | |
| Traxevasin | 250 | |
| Levomekol | 100 | |
| Gels | Troxevasin | 180 |
| Lyoton | 450 | |
| Hepatrombin | 250 | |
| Pills | Chemoroidin | 500 |
| Detralex | 750 | |
| Pylex | 550 | |
| Litovit B | 500 | |
| Asklezan-A | 200 |
Proctologists are of the following opinion: the disease can be treated with inexpensive medications.
The main thing is to start the process immediately at the first symptoms and follow the recommendations for use.
