Medicines for external hemorrhoids

External manifestations of hemorrhoids are quite typical: itching, discomfort, vascular seals and nodules near the anus, and sometimes severe pain and swelling. How to cure such a delicate disease? Drug therapy usually includes painkillers, anti-inflammatory, thrombolytic, phlebotonic and hemostatic drugs for external hemorrhoids. Most often, medicines for oral administration are combined with ointments or gels that are applied directly to problem areas. If such treatment is started on time, then surgery can be avoided.

Troxerutin in the treatment of external hemorrhoids

Troxerutin is considered a complex drug and can be used not only for external hemorrhoids, but also in general for various diseases of the veins. Among the indications for the appointment of Troxerutin, there are almost twenty vascular pathologies - among them are varicose veins, thrombophlebitis, and a chronic form of venous insufficiency.

The active ingredient of the drug is a natural flavonoid with P-vitamin properties. It takes part in the mechanisms of oxidation and reduction, inhibits hyaluronidase, normalizes the structure of cell membranes and reduces the permeability and fragility of capillary vessels. Increases the degree of density of the venous walls, stops the development of inflammatory processes.

Persons suffering from hemorrhoids are advised to treat with Troxerutin, regardless of the stage of the pathology. Since the drug is available both in the form of capsules and as an external agent, it has an extensive therapeutic effect, it can be used as a monopreparation. This has a huge "plus": along with a pronounced therapeutic effect, the drug load on the patient's body is reduced.

Troxerutin is undesirable for oral use if the patient suffers from stomach ulcers. External use has no restrictions, except for the allergic sensitivity of the body.

Relief advance for external hemorrhoids

If external hemorrhoids are accompanied by severe pain, then Relief Advance is the best way to eliminate them. The analgesic effect of this drug is really strong: it contains benzocaine, which is many times more powerful than lidocaine or novocaine, which are usually part of anti-hemorrhoid topical remedies.

When applied topically, benzocaine is not absorbed into the circulatory system and does not have a general effect. The effect is complemented by the presence of cocoa butter in the suppositories, which softens and relieves irritation from the inflamed tissue of the rectum.

External hemorrhoids are not the only indication for the use of Relief Advance. The drug is actively prescribed for rectal fissures, proctitis, etc. The standard scheme of application is the introduction of a suppository in the morning and evening, until the condition is permanently relieved.

Side effects during treatment: redness, mild itching near the anus, allergies.

Natalsid

Natalsid is a safe hemostatic agent, therefore it is most recommended for use in hemorrhoids, which is accompanied by bleeding. Can be used by pregnant and lactating women.

The hemostatic effect is complemented by a regenerating effect: the composition of the suppositories includes sodium alginate, a natural polysaccharide that is obtained from brown algae (kelp). The basic component is hyaluronic acid, a substance that stimulates cell division processes in damaged tissues, including vascular walls. After entering the intestinal lumen, hyaluronic acid is converted and passes into a gel-like state, therefore it also has an astringent effect.

Natalsid is administered rectally 1-2 times a day, depending on the phase of the inflammatory process. In general, the drug belongs to the safest means, and only occasionally causes a hypersensitive reaction in the form of itching, burning and redness of the skin.

Proctoglivenol

Proctoglivenol occupies a worthy place among many antihemorrhoid drugs. This medication has a local analgesic effect, inhibits the formation of nodular expansions of venous vessels, creates protection for the vascular walls. The composition of the drug is represented by tribenoside, a substance that reduces capillary permeability, stabilizes vascular tone, and reduces the amount of mediators of inflammation and pain.

An additional analgesic effect is provided by lidocaine, another active component of Proctoglivenol. The drug is used in the morning and at night: such a two-time administration allows you to quickly stop the acute course of hemorrhoids, stop unpleasant painful symptoms. After the acute process subsides, the suppository can be used already once a day, just before bedtime.

The duration of the treatment course is determined individually, but usually does not exceed 10 days.

Hepatrombin G

The drug belongs to the topical antihemorrhoids, so it is the best suited for the treatment of external hemorrhoids. Hepatrombin G is a combination drug, since it contains the anticoagulant heparin, the synthetic glucocorticoid substance prednisone, and the sclerosing component polidocanol. Thanks to this combination of active ingredients, inflammatory signs quickly disappear, pain and itching are relieved, hematomas resolve, and thrombophlebitis is prevented.

In addition to external hemorrhoids, the drug is often prescribed for anal thrombophlebitis, internal hemorrhoids, anus fissures.

In the acute period of the disease, the ointment is applied to the area of inflammation from two to four times a day, and after the painful symptoms subside, once a day. The treatment period is usually one week.

The treatment is usually well tolerated, and the likelihood of side effects with adequate use of the drug is minimal.

Proctosedyl for external hemorrhoids

When it comes to the complex treatment of external hemorrhoids, Proctosedil comes to the rescue - this is a multicomponent remedy that contains a powerful analgesic benzocaine, an anti-inflammatory hormonal substance hydrocortisone, an antibacterial component framycetin, which promotes the healing of infected wounds or cracks in the anus. Another important component is esculoside, a structural analogue of vitamin P. Its basic property is to prevent vascular fragility, restore their elasticity, and reduce the likelihood of bleeding.

The analgesic effect of Proctosedil is quite long due to the presence of butamben. And heparin, a well-known anticoagulant, provides the antithrombotic activity of the drug.

The composition of the drug is rich and multifunctional, so Proctosedyl is prescribed for any form of hemorrhoids, and the effect becomes noticeable within a quarter of an hour after application. With external hemorrhoids, the agent is used both in the form of suppositories and in ointment form. Frequency of application - twice a day, and duration - no more than a week.

Side effects during treatment: allergic reactions, the effect of addiction with prolonged treatment.

Posterisan

The ointment Posterizan is prescribed for external hemorrhoids and anal fissures. The main direction of action of the ointment is to stimulate local immunity, accelerate wound healing, stop the development of the inflammatory process, and prevent reinfection.

Posterisan is rubbed into the anus in the morning and at night. The duration of treatment can be 5-7 days.

In patients with hypersensitivity to phenol, Posterizan may provoke the development of contact dermatitis. However, in other cases, side effects practically do not occur.

Posterized forte

Posterisan forte is a combination drug. Unlike the standard Posterizan, it contains the anti-inflammatory hormonal component hydrocortisone, which enhances nonspecific and specific immune responses and stops the development of the inflammatory response.

Due to the presence of a corticosteroid, the drug should not be used for more than 5-7 days in a row, twice a day - in the morning and at night. Usually, treatment is completed as soon as the main symptoms of the disease disappear.

Possible side effects: itching and burning in the anus, pigmentation disorders, dry skin, dermatitis. With prolonged use, adrenocortical suppression, skin atrophy, and telangiectasias develop.

Detralex

The oral drug Detralex, as well as its analogues Normoven, Venarus or Avenue, are considered one of the most effective venotonics and venoprotectors. The composition of these medicines is represented by diosmin and hesperidin: these are natural flavonoids that have the ability to improve microcirculation and provide protection for blood vessels. A full course of treatment with Detralex allows you to reduce the degree of extensibility of the venous walls, reduce blood stasis and capillary permeability, and eliminate vascular fragility. It is also important that the effectiveness of the drug has been experimentally confirmed: it is recommended for use in internal and external hemorrhoids, in chronic insufficiency of venous vessels, as well as in constant fatigue and pain in the lower extremities.

In acute hemorrhoids, the daily dosage of the drug is 4 tablets: two pieces should be taken in the morning, and the same amount in the evening. After four days, the dose is reduced to two tablets per day. Treatment can be prolonged, up to several weeks.

Detralex is a safe remedy, the treatment of which is practically not accompanied by side effects. Only occasionally are individual hypersensitivity reactions observed.

Levomekol with external hemorrhoids

The preparation of chloramphenicol and methyluracil serves to accelerate the healing of wounds and cracks, including in the anus area. The antibiotic chloramphenicol is a well-known component with a wide spectrum of antibacterial activity. It potentiates cellular recovery, eliminates signs of inflammation.

Levomekol has a predominantly local effect, and its medicinal activity manifests itself within a day after application.

With external hemorrhoids, Levomekol is prescribed in the presence of cracks, sores, inflammatory changes, infected elements in the anus. But with fungal skin lesions, this drug is powerless.

Ointment is prescribed even in pediatrics - for the treatment of children from the age of three. However, its application has a number of features:

• ointment is used from the first day of exacerbation and for four days;
• the ointment is not suitable for longer use;
• on the fifth day, Levomekol should be replaced with another alternative remedy.

The drug can be applied directly to the skin and gradually rubbed into the tissues, or applied as a compress or dressing.

Among the possible adverse reactions are skin rashes, redness, dermatitis, as a manifestation of an allergic process.

Troxevasin

Troxevasin is a complete analogue of Troxerutin and is one of the most popular angioprotectors and capillary stabilizing agents.

The product is available in the form of an external gel or capsules and is a mixture of natural flavonoids that prevent damage to cell membranes. Troxevasin improves venous-arterial blood flow, lengthens the period of venous filling, optimizes microcirculation and small-vascular perfusion.

In addition to external hemorrhoids, the remedy is actively prescribed for vein insufficiency, pre-varicose and varicose syndrome, thrombophlebitis, etc.

Capsules are taken twice a day, in the morning and at night, after meals, one at a time. The gel is applied to the anus area also twice a day, always at night. In chronic hemorrhoids, during the period of exacerbation, it is preferable to use both dosage forms of Troxevasin for treatment - both the gel and the oral preparation.

An overdose of this medication is considered extremely unlikely. Rarely, allergic reactions occur in the form of skin manifestations, dermatitis, angioedema.

Dimexide

The external solution of dimethyl sulfoxide is Dimexide, which is actively used to achieve a local anti-inflammatory, analgesic, antiseptic effect.

Dimexide can not be used if external hemorrhoids are accompanied by the appearance of cracks, sores, wounds: damaged skin is considered a contraindication to the use of the solution.

In addition, the drug can provoke the development of an allergic reaction, therefore, before the first use, you should always conduct a test - the so-called test.

As a rule, Dimexide is used in the form of compresses or tampons. In pediatrics - namely, children under 12 years old - the remedy is not prescribed.

Possible side effects: dry skin in the area of use, erythema, dyspepsia, sleep disturbances, headaches.

Bezornil

Ointment for external use Bezornil refers to specific antihemorrhoidal agents of combined action. It has a pronounced astringent, decongestant, regenerating, analgesic and hemostatic effect, so it can be safely used for external hemorrhoids that occur with pain, itching, bloody discharge and cracks in the anus.

The ointment is applied in a small amount to the affected area twice a day and additionally after each bowel movement. You can treat the skin directly, or apply the drug on a cloth and apply to the anus. The duration of treatment is determined by the doctor.

Among the side effects, only rare allergic reactions are indicated: in general, the remedy is safe and quite effective.

Dolobene with external hemorrhoids

The gel preparation, which is based on heparin, dexpanthenol and dimethyl sulfoxide, is usually prescribed to eliminate muscle and joint pain. However, the possibility of using the drug for external hemorrhoids is also allowed, since it relieves pain, eliminates swelling, stops the development of an inflammatory reaction, and at the same time helps to heal wounds and speed up epithelization of tissues. But with bleeding wounds, Dolobene is better not to use, since this can only aggravate the problem.

As a rule, with external hemorrhoids, the gel is applied to the inflamed area two to four times a day. At night, you can apply tissue napkins with the drug.

If, after the start of treatment with Dolobene, itching, swelling, skin rashes appear in the area of application, this may indicate the development of an allergic process. In such a situation, it is better to replace the tool with another, more suitable one.

Ichthyol ointment for external hemorrhoids

Ichthyol is a well-known analgesic, anti-inflammatory and disinfectant. It is successfully used to treat burn wounds, eczema, neuralgia, arthrosis and arthritis, and erysipelas. Important: ichthyol ointment cannot be combined with any other external agent, since the consequences of such a combination cannot be predicted.

With external hemorrhoids, the ointment is applied in a small amount to the anal area, up to three times a day, preferably under a gauze napkin. The duration of therapy is determined individually.

During treatment, sometimes there are such unpleasant symptoms as allergies, irritation of the skin. In these cases, the agent should be replaced by another one with a different composition.

Olestezin

Suppositories based on etazol, concentrated sea buckthorn oil and anesthesin are an excellent local remedy for the treatment of external hemorrhoids. Olestezin is known for its healing, anti-inflammatory, general anti-hemorrhoidal properties. In the process of treatment with the drug, the tone of the vascular walls increases, cracks and small wounds heal, and dilated venous nodes decrease in volume. Olestezin is especially effective for men in whom external hemorrhoids are combined with inflammation of the prostate gland.

Suppositories are administered rectally, one piece twice a day (if necessary - three times a day). The standard duration of therapy is up to one week. Olestezin is not used for more than ten days in a row.

The remedy is well accepted by patients, allergic reactions are relatively rare.

Menovazin

The analgesic effect of Menovazin is due to the presence of menthol, procaine and benzocaine in the composition. The remedy eliminates itching, relieves pain and can be used as a symptomatic drug for external hemorrhoids, despite the fact that its usual scope is neuralgia, arthralgia and myalgia.

Menovazin can be applied to the skin near the anus up to three times a day, and the doctor should determine the duration of treatment. Side effects are limited to a possible allergic reaction to the components of the drug.

Aurobin

Ointment with a complex composition Aurobin is represented by the corticosteroid component prednisolone, local analgesic lidocaine and dexpanthenol. The corticosteroid substance has a local anti-inflammatory effect, increases vascular tone and reduces vascular permeability. The analgesic eliminates unpleasant painful and itchy sensations, and dexpanthenol restores damaged mucous and epithelial tissues.

Due to the nature of the composition of the drug, it should not be used for a long time. The ointment is applied up to 4 times a day, for up to seven days. It is better to reduce the frequency of use and duration of treatment to the minimum possible values.

Possible side effects: addiction to the drug with prolonged use, slowing down wound healing.

Nigepan

Less popular, but quite effective suppositories recommended for patients with external hemorrhoids are Nigepan. The drug is a combination of the anticoagulant heparin and the analgesic benzocaine. Thus, Nigepan has a local anesthetic, anti-inflammatory, antithrombotic effect.

Use suppositories one by one in the morning and at night, for 7-14 days.

Side effects when using Nigepan can be: slight bleeding from anal fissures, allergic reactions.

Vinylin for external hemorrhoids

Liquid based on polyvinyl butyl ether Vinilin is better known as Shostakovsky's balm. The agent is actively used for external treatment of carbuncles, boils, trophic and purulent wounds, burns, dermatitis and external hemorrhoids.

The balm is moistened with a tissue napkin, or applied immediately to the inflamed area. You can add the drug to ointments or other oils, including vegetable ones. It is optimal to treat the affected area 4 times a day, but the duration of treatment is determined individually.

Vinilin rarely causes allergic reactions, which are mainly limited to local manifestations in the form of itching, swelling and a small rash. However, with individual hypersensitivity of the body, the agent should not be used.

Panthenol suppositories for external hemorrhoids

Panthenol, Depantol are effective mild suppositories recommended for the treatment of gynecological diseases. However, the antimicrobial, healing and antiseptic property allows them to be used also in the treatment of external or internal hemorrhoids. The composition of the drug contains dexpanthenol (D-panthenol) - a component that stimulates the restoration of mucous tissues, normalizes cellular metabolism, and stops the inflammatory process.

Suppositories with dexpanthenol are prescribed for rectal administration, one piece twice a day, for 1-1.5 weeks. If necessary, treatment can be continued for up to three weeks.

Suppositories have a mild effect, so adverse reactions in the form of allergic symptoms are extremely rare.

Ointments for the treatment of external hemorrhoids

The most popular, simple and easy-to-use preparations for hemorrhoids are ointments and creams - external agents that can be purchased in a wide variety at any pharmacy. Ointments provide a local effect on the problem, which means the delivery of drugs directly to the site of inflammation.

Ointment or gel preparations for hemorrhoids are used equally often, however, experts note that ointments in most cases have a higher concentration of medicinal components, unlike gels, and their absorbency is an order of magnitude higher. Therefore, it is optimal to use all the same ointments, which are different depending on their action:

• anti-inflammatory with a non-steroidal component;
• anti-inflammatory with a steroid component;
• antimicrobial;
• hemostatic;
• with anticoagulant properties;
• analgesic;
• venotonic.

Most of the ointments have a combined composition and a more versatile action, which is always optimal. But the choice is still up to the doctor: he will prescribe the drug, taking into account all the nuances, such as contraindications, features of use, etc.

Vishnevsky ointment

The famous balsamic liniment, better known as Vishnevsky's ointment. The scope of application of the ointment is quite large-scale: these are abscesses, boils, lymphadenitis, burn wounds, frostbite, trophic ulcers and bedsores, anal fissures and external hemorrhoids.

How is ointment used to treat hemorrhoids? Two or three times a day, you should apply the product in a small layer on the inflamed area, or apply a bandage of five layers of gauze soaked in ointment. Treatment is continued until the symptoms of the disease subside completely: this period is usually 1-3 weeks.

Longer treatment may be accompanied by side effects in the form of allergic reactions (redness, itching, rash).

Treatment of external hemorrhoids with heparin ointment

The drug, whose effectiveness is based on the properties of heparin and benzocaine, is often used to treat patients with varicose veins. This ointment belongs to direct-acting anticoagulants, has anti-inflammatory and local analgesic activity, inhibits the formation of new and accelerates the resorption of existing blood clots.

Heparin ointment is successfully used both for thrombophlebitis, trophic ulcers, mastitis, lymphangitis, and for external hemorrhoids, postpartum inflammation of the hemorrhoidal veins.

The agent is applied topically. You can apply the ointment directly to the area of hemorrhoids, or treat it with a napkin or swab. The frequency of use of the drug is up to three times a day, for 4-14 days. An overdose is considered impossible, however, with prolonged use, the risk of developing hypersensitivity reactions increases.

Treatment with pills for external hemorrhoids

With external hemorrhoids, the doctor may prescribe tablets with the following range of action:

• phlebotonics, venotonic agents (Detralex, Rutozid, Aescusan) - prevent overstretching of the venous vessels, ensure the normal functioning of the veins;
• non-steroidal anti-inflammatory drugs (Acetylsalicylic acid, Ibuprofen, Voltaren) - reduce signs of inflammation, anesthetize;
• anticoagulants, antiplatelet agents (Dipyridamole, Pentoxifylline) - reduce blood viscosity, prevent blood elements from sticking together and prevent the formation of blood clots;
• laxatives (Duphalac, Guttalax, Mucofalk) - soften feces, improve bowel function, facilitate the process of defecation, thereby preventing the aggravation of the disease and exacerbations caused by constipation.

Suppositories for the treatment of external hemorrhoids

Suppositories are one of the most popular treatments for hemorrhoids. But with external manifestations of the disease, doctors still recommend using ointments. The fact is that suppositories act more on internal hemorrhoids, and ointments are applied directly to the inflamed focus in the anus area.

In addition, suppositories are used only after bowel movements: after defecation, rinse the anus area with running water, blot dry with a napkin and insert a candle.

The duration of treatment and the frequency of use of suppositories is determined by the doctor individually. In most cases, such products should be stored in the refrigerator.

With external hemorrhoids, the suppository should not be pushed deep: since the inflammatory process is external, the medicinal components should act not in the depths of the rectum, but directly behind the anus. After the procedure, it is desirable to refrain from visiting the toilet for 60 minutes if possible.

If within a few days from the start of treatment there is no relief, or even vice versa, the condition worsens, then you should definitely visit a doctor to correct the prescribed treatment.

Antibiotics for external hemorrhoids

External hemorrhoids are often accompanied by the formation of blood clots, the appearance of cracks and sores in the perianal region. Such pathological changes can give rise to the development of necrosis, as well as lead to infection of the wounds. To avoid dangerous consequences, doctors often resort to antibiotics. The purpose of their use is to prevent the development of purulent complications.

Antibiotics are prescribed already at the first signs of an active inflammatory process. This usually corresponds to stage II or III hemorrhoids. These signs become:

• severe swelling in the anus;
• the appearance of purulent discharge;
• severe redness and pain that worries even in a calm position;
• bleeding from the anus;
• the presence of blood in the stool.

A purulent process with external hemorrhoids is a strict reason for the mandatory prescription of antibiotic therapy, which usually lasts about ten days. Preparations for internal administration are not always used: antibiotics may be present in ointments, rectal suppositories, and also administered as injections.

The most popular antibiotic ointment that can be used for external hemorrhoids is Levomekol. Of the suppositories, Proctosedyl is more often chosen, which contains an antibacterial component with a wide spectrum of activity. Among the tablets and injection solutions, the doctor may advise Tetracycline or Levomycetin, Doxycycline, Gentamicin. Injections are used only in the most advanced cases, if there is severe inflammation with a high temperature.

There are a number of drugs - in particular, local effects - that are prescribed to treat various forms of hemorrhoids, from its initial stage to chronic relapsing disease. Preparations for external hemorrhoids can be different - these are ointments, suppositories, tablets, etc. Among them, agents such as Troxerutin, Hepatrombin, heparin ointment are most often prescribed. No less widely used drugs with antioxidant properties that improve energy and intracellular metabolic processes. As practice shows, in about 65-75% of cases it is possible to achieve a stable remission, especially in the early stages of hemorrhoids. However, success in treatment is likely if drug therapy is combined with lifestyle changes, elimination of bad habits, and normalization of nutrition.