Ointments for hemorrhoids

In most cases, patients suffering from hemorrhoids want to cure it in a conservative way, that is, without surgery. There are many medicines (LS) that can cope with this disease. The most convenient and popular means are ointments that are used topically. Ointments from hemorrhoids supplement the treatment complex, thereby increasing its effectiveness. Ointments are often used to eliminate the external type of hemorrhoids.

[1], [2], [3], [4]

Indications of the ointments from hemorrhoids

Among the indications for the use of ointment: internal, external, chronic hemorrhoids, cracks in the anus, dropping hemorrhoids, bleeding from the anus, thrombosis, hemorrhoids in neglected form, irritation of the mucosa of the anus.

[5]

Release form

[6]

Chinese musk ointment from hemorrhoids

Chinese musk ointment is an effective remedy for hemorrhoids. This drug was developed by Chinese doctors, using exclusively plant substances. The medicine is highly effective, and besides it helps to quickly eliminate the manifestations of hemorrhoids, as well as the causes of the disease. This remedy is considered completely safe for the body.

[7]

Heparin ointment

The main active component of the ointment is heparin. It reduces the rate of clotting of blood, which allows the drug to improve blood circulation and prevent the occurrence of blood clots. As a result, the inflammatory process is stopped in the hemorrhoidal nodes.

Relief

The Relief ointment contains oil from the shark liver, which activates the internal reserves in the body. The drug is most effective in treating the initial stages of hemorrhoids.

Relief Advance

Relief Advance has anti-inflammatory and local anesthetic properties. This ointment is often used to treat various forms of hemorrhoids, and in addition, in case of damage to the rectum or anal opening, having a different nature.

Vishnevsky ointment from hemorrhoids

Thanks to compresses with Vishnevsky ointment (the medicine is made on the basis of natural substances) inflammatory processes developing with hemorrhoids disappear rather quickly.

Fleming ointment

Fleming's ointment is a homeopathic remedy, which contains exclusively natural elements. The drug is designed specifically to eliminate hemorrhoids. It can be used even for children and the elderly, since it is safe for the body.

[8], [9], [10]

Troxevasin

The greatest efficacy of troksevazin in the treatment of external hemorrhoids in a chronic form. This ointment has a positive effect on the vessels, strengthening their walls. It removes swelling and eliminates bleeding from the anus.

Levomexol

Levomekol is a combined external medicine. Among its properties are anti-inflammatory, bactericidal and restorative. Often, exacerbations of hemorrhoids are accompanied by an infection (since the intestine contains various microbes that can penetrate into the inflamed hemorrhoids, as well as traumatized tissues during 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 healing and repair of the mucosa.

Ichthyol ointment from hemorrhoids

Ichthyol ointment effectively fights hemorrhoids. It has disinfecting properties, and besides it has a healing and anti-inflammatory effect on damaged tissues.

Among the distinguishing features of this ointment is that its active substances do not pass into the blood, so they can not harm the body. The drug refuses rapid and effective local effects, improving the patient's condition and preventing the development of complications of the disease.

Bezornil

Bezornil is a multifunctional drug based on natural substances (artificial musk, pearls, artificial bezoar, amber, borneol, zinc carbonate), which provides treatment for hemorrhoids, which occurs with complications, has astringent, bactericidal and drying effects. For example, it is often used in the case of pronounced proctitis.

[11]

Hepatrombin G

Gepatotrombin G contains allantoin and heparin, which provides it with analgesic and thrombolytic properties that help in the treatment of hemorrhoid symptoms.

Proctosedil

In the proctosedil ointment contains the substance hydrocortisone and cinchocaine hydrochloride, which have potent anti-inflammatory properties, as a result of which this drug is often used to eliminate the pronounced inflammatory process in hemorrhoids.

Posterizan

Posterizan based on lanolin, vaseline and paraffin, containing killed E. Coli microbial cells, increases local immunity, and also has a pronounced restoring effect. This ointment is prescribed to patients after serious operations or in the presence of complications resulting from hemorrhoids.

Aurobin

Ouro Aurobine based on the corticosteroid prednisolone capronate, lidocaine hydrochloride anesthetic and dexpanthenol are usually prescribed for anal fissures.

[12]

Zinc ointment from hemorrhoids

Zinc ointment is a soft astringent, which contains zinc oxide. The drug has pronounced disinfecting and drying properties, so it is used to eliminate or prevent hemorrhoids.

Emulsion-gel Nifedipine

According to numerous reviews on the Internet, the properties of Nifedipine allow it to effectively cope with burning and severe itching in the anus. It also has analgesic properties. Since the emulsion-gel has an easy structure, it quickly absorbs into the mucous membrane. In addition, in its composition, in addition to the anesthetic of lidocaine, the blocker of calcium channels of nifedipine and isosorbinate dinitrate, there are no different fats, so that it can dry painful damp anal fissures, and also have a bactericidal effect on the damaged mucosa.

[13], [14], [15]

Methyluracil ointment

Methyluracil ointment is one of the most effective drugs that can activate the process of restoring inflamed tissues. The drug has a very high anti-catabolic activity. The active substance methyluracil eliminates inflammation, and activates the immune system almost immediately after the start of use of this drug (this is very important, because of the hemorrhoids, immunity usually decreases).

This ointment is used to eliminate hemorrhoidal cones, inflammatory processes in the anus, as well as to heal anal fissures. 

Tetracycline ointment

In tetracycline ointment vivid anti-inflammatory and antibacterial properties, due to which it quickly copes with irritation and mucosal edema and removes itching. Since it is an antibiotic, it is very effective in combating pathogens. Ointment quickly heals cracks, purulent foci and inflammation of the mucosa.

Ointment with propolis from hemorrhoids

To prepare anti-hemorrhoidal ointment based on propolis, you need ingredients: finely chopped propolis (10 g), natural honey (1 tbsp), beeswax and vegetable oil (50 g each).

Next, you need to take a small container and put propolis with honey in it, then crush them until a homogeneous mass is obtained. Take another container, and pour oil into it with wax, and then put it on the fire and boil it over a small fire. After this, the liquid must be cooled to room temperature and the contents of both containers are mixed. The resulting ointment can be used to eliminate hemorrhoids.

Sea-buckthorn ointment

The main ingredient of sea-buckthorn ointment is sea buckthorn oil, which has strong regenerating properties. Due to the high concentration of β-carotene in it, which is combined with bio-antioxidants, this ointment effectively fights mucosal lesions, incl. Hemorrhoids. Highly effective is also the immunomodulating and fortifying effect of sea buckthorn.

This ointment is used for hemorrhoids, as it helps to restore and heal damaged and inflamed tissues, and also has antibacterial properties.

The consistency of the drug allows its active components to quickly enter the body and begin its action. The results usually appear immediately on the first day of using the ointment: the edema of the hemorrhoids subsides, and the pain wanes. Longer use of drugs can quickly heal the existing in the anal passage of microcracks. 

Proctos

Thanks to the natural active ingredients of the Proctonis ointment, the manifestations of hemorrhoids disappear, and the overall well-being and tone of the patient improves. In addition, the drug can prevent the possibility of further development of the disease.

Among the elements of the medicine: extracts of sage, spring cleaner and aloe, witch hazel, squalene from shark liver, and also cocoa butter.

Proctogliolin

Proctogliolol is a combined remedy that helps with local treatment of hemorrhoids. This ointment contains 2 substances - an anesthetic lidocaine, as well as tribenozide, due to which it provides local anesthetic, as well as venotonic and anti-inflammatory effect. In addition, it helps to ease pain, improve microcirculation, and reduce the strength of inflammation.

Synthomycin ointment

Contained in the universal synthomycin ointment, levomycetin helps to remove inflammation, and also has an antibacterial effect. The peculiarity of levomycetin is that it is able to cope with bacteria that have immunity to penicillin.

Also in sintomycin is castor oil, which has disinfecting and anti-inflammatory properties. This ointment can be used immediately after the appearance of inflammation in the hemorrhoids. The medicine effectively copes with redness and pain. It easily passes under the skin and quickly eliminates inflammation. Ointment is very effective in the case of long-term non-healing hemorrhoids. The novocaine contained in it weakens the strength of the symptoms of the disease.

Troxerutin

Troxerutin based on flavonoid (semisynthetic derivative of routine) goes to the group of venotonic angioprotectors, and also has anti-inflammatory and antioxidant properties. The use of this ointment can reduce the permeability of the capillaries and increase the tone of the venous walls. In addition, metabolic processes in the wall of blood vessels improve (blockage of hyaluronate in cell membranes occurs). As a result, the walls of the vessels become stronger, which favors the elimination of hemorrhoids.

Sulfur ointment from hemorrhoids

Sulfur ointment can eliminate the following manifestations of hemorrhoids:

• Discomfortable sensations in the anus;
• Burning and itching in the anus;
• Pain sensations in the perineum and anus.

The pain goes away gradually, as the process of arresting the inflammation in the affected area is carried out.

Ultraproject

Ultraproject is a combined drug, which has antihistamine, antiallergic, antipruritic, anti-inflammatory properties, and also has a local anesthetic effect. All these characteristics are due to the presence in the ointment of the corticosteroid fluocortolone, cinchocaine and castor oil. The effect of the drug begins immediately after its application.

Indian ointment from hemorrhoids

Indian ointment Pileks Himalaya contains natural ingredients (extracts of mimosa, bryngaraji, nirgundi, medicinal calendula, camphor, borax), which allow it to provide anesthetic, disinfecting, and hemostatic effect. This drug has a calming effect on the inflamed skin around the anus.

Lifeguard ointment

Ointment The rescuer combines various natural elements that have analgesic, restoring, anti-inflammatory and soothing properties. This allows her to improve blood circulation, thus eliminating blood stagnation in the anus. Together with this, it restores the elasticity and elasticity of the walls of the vessels, as well as the musculature in the perineum, thereby preventing the formation of hemorrhoids.

Hydrocortisone ointment

Hydrocortisone ointment has anti-inflammatory and anti-allergic properties and has antipruritic effect - that's why it is often used to treat hemorrhoids. The immunostimulating effect of the ointment can eliminate the risk of re-infection in this area. In addition to eliminating itching and inflammation in the hemorrhoids, this drug helps to reduce swelling.

HAPPINESS Hemorrhoids Ointment

Ointment from Happiness removes edema and has analgesic properties. Due to this, it helps to ease and eliminate the pain that occurs with various forms of hemorrhoids (external, complex or internal). It can be used not only for treatment, but also as a preventative.

Actovegin ointment

Actovegin helps to restore blood flow, which is an important element in the treatment of the acute stage of hemorrhoids. Ointment stabilizes the process of supplying tissues with blood even in conditions of their edema or in the case of a severe stage of vascular insufficiency. As an integral part of complex therapy, it contributes to the acceleration of the wound healing process, which is very important in the presence of anal fissures.

[16]

Ointment Escus from hemorrhoids

Homeopathic ointment Escolus is made on the basis of tincture of horse chestnut, and also Vaseline. It has painkillers and venotonic properties, which allows the capillaries to tone up, reducing their fragility and permeability. The drug has an anti-inflammatory effect and inhibits the accumulation of fluid. It is used to treat hemorrhoids 1 st or 2 nd stage, as well as other proctologic pathologies, which are accompanied by thrombophlebitis and hematomas.

Diclofenac

Ointment, made on the basis of the substance diclofenac sodium, has high-quality anti-inflammatory properties. This drug is included in the NSAID group, it can penetrate into the blood, thereby affecting not only the affected area of the body, but also the entire body. Since the ointment is quickly absorbed, it can immediately suppress the pain that occurs with hemorrhoids. In addition, it has antipyretic, disinfecting and anti-edema effects.

[17], [18]

Bepantin ointment

The main active component of the Bepanten ointment is dexpanthenol, which has the following properties: healing (both healing of the skin and mucous membranes), disinfecting, and anti-inflammatory. Also, this ointment has a cooling effect, which is very helpful for severe burning and itching, which often accompanies hemorrhoids. In addition, the medicine moisturizes and softens the skin.

[19]

Levosin ointment from hemorrhoids

Active components of the ointment effectively cope with the causes that trigger the development of inflammation. Due to the water-soluble basis, the effectiveness of the drug is enhanced, so that it can penetrate deeply into inflamed tissues. In addition, the drug contains trimecaine - an effective anesthetic, almost completely eliminating pain with hemorrhoids. Levosin removes puffiness and prevents the development of purulent inflammation after 2-3 days of its use.

Stellanin

Stellanin based on diethylbenzimidazolium triiodide helps to quickly eliminate vascular disorders - it strengthens the walls of the vessels, and also makes them more elastic. As a result, they develop resistance to stretching, and they stop bursting. Also, the drug stops bleeding.

The ointment helps to restore ligaments that support the hemorrhoids, and besides it quickly copes with such unpleasant symptoms as itching, pain and inflammation.

Traumeel C

Traumeel C has a positive effect on external tissues affected by inflammation. This multicomponent homeopathic ointment has a wound healing effect, and also quickly eliminates varicose formations. The most effective it will be in the treatment of thrombosed hemorrhoids of the external form. Its main functions are resorption of blood clots, improvement of the process of blood outflow from the inflamed area, as well as the tone of the venous-vascular system.

Calendula ointment from hemorrhoids

To prepare an antihemorrhoidal ointment based on marigold, you will need to finely chop her dried herb and pour vodka in the proportion of 1 to 5. Next, this mixture must be poured into a bottle, tightly clogged with a stopper, and keep for about 1.5 weeks. In a warm, dark place. Then the resulting tincture should be mixed with butter, again in the proportion of 1 to 5 (for 1 part of the tincture you need 5 parts of oil). After that, put the mixture on a water bath, and hold for 1 hour, constantly stirring with a wooden spatula. The finished medicine should be cooled and filtered (use a gauze folded 3 layers).

[20], [21], [22]

Ointment Ketonal

Ketonal is an NSAID with strong anti-inflammatory and analgesic properties. These characteristics are due to the presence of ketoprofen in the formulation. With hemorrhoids, the drug can quickly reduce or completely remove pain in the anus, hemorrhoidal cones, and the process of inflammation.

Ointment 999

Ointment 999 on the basis of acetic acid, camphor, menthol is used as a remedy for external and internal hemorrhoids, and besides this bleeding and inflammation of the tissues, as well as burning with itching. Ointment, due to the leading to it, has an antibacterial effect on the E. Coli and hemolytic streptococcus, and also acts as an anesthetic.

With internal hemorrhoids, the drug helps at the 1 st or 2 nd stage of the disease, and also if there are such manifestations as swelling of the hemorrhoids, the presence of blood in the feces. If external hemorrhoids are used for inflammation or loss of nodes, pain, discomfort in the rectum, and swelling.

Monastic ointment for hemorrhoids

As part of the ointment - oil extracts of plants such as chamomile, horse chestnut, sea-buckthorn, Crimean rose and field horsetail, as well as beeswax. It is used to eliminate and prevent hemorrhoids (as part of complex therapy). Ointment on the affected area is applied with a tampon, partially injecting it into the anal opening. The treated area needs to be isolated by applying a patch (or some other way).

Pochechuinaya ointment

Ointment from pochekuynoy grass is effective in case of bleeding hemorrhoids, as it is able to prevent bleeding, preventing their reappearance. Such properties are ensured by the presence in this plant of interior fat, string extract, linseed, oak bark, water pepper and vitamins of groups K and C, which contribute to the strengthening of the vessel walls. Together with this pochechuyny highlander helps to increase the viscosity of the blood, which also affects the stopping of bleeding. But it must be taken into account that this property does not allow the use of pochechuyu ointment for the treatment of thrombosed hemorrhoids.

Ointments for external hemorrhoids

In the case of external hemorrhoids, ointments are usually used, because they are easier to apply to external hemorrhoids, and they achieve a therapeutic effect much faster than with rectal suppositories. The most popular are such ointments: Proctosedil, Relief Advance and Ultra, Aurobin, Posterizan, Heparin Ointment and Gepatrombin G.

Ointments from internal hemorrhoids

Antihemorrhoids for the internal type of the disease have components that can increase blood microcirculation, which prevents the possibility of thrombosis of the nodes of hemorrhoids. These drugs also have analgesic, anti-inflammatory and antipruritic properties, and some ointments have healing, hemostatic and anti-edema effects. To eliminate internal hemorrhoids, most often apply Relief, Fleming's or Vishnevsky's ointment, Levomecol and Troxevasin.

Ointments for itching with hemorrhoids

Celestoderm B is a drug that effectively removes itching in the anus with hemorrhoids. In addition, the ointment has anti-inflammatory and anti-allergenic properties. Another ointment that prevents hemorrhoids is Belogent. In addition to the above properties, it also has an antibacterial effect.

Haemostatic ointment for hemorrhoids

To get rid of bleeding with hemorrhoids, you should use combined agents that have analgesic, vasoconstrictive, anti-inflammatory, and venotonic properties. Among such drugs, the most popular is Proctoglivenol ointment.

Properties of ointments from hemorrhoids are examined using the example of Levomekol.

Pharmacodynamics

Among the main active components of the ointment are methyluracil and levomycetin. The second substance is a topical antibiotic capable of effectively combating a wide range of bacterial agents, incl. With those that are the causative agents of infection. Levomycetin eliminates various types of pathogenic bacteria - staphylo- and streptococci, chlamydia, E. Coli. Therefore, it is able to reduce the force of inflammation, as well as prevent the development of an infectious process in the rectum.

Methyluracil helps to speed up tissue repair, so that the wound heals faster. In addition, it stimulates the activity of local immunity. These properties allow the ointment to quickly heal small erosions on the mucosa and heal anal fissures. Also, this component removes edema, itching and pain.

The basis of the ointment is polyethylene oxide - it is an auxiliary component that simplifies its application, as well as the penetration of therapeutic elements into tissues, promoting their uniform placement. Polyethylene oxide also has drying properties, due to which the restoration of damaged areas is much faster.

[23], [24], [25], [26]

Pharmacokinetics

The ointment passes deeply into the tissue without damaging the biological membranes. In the process, it stimulates the regenerative processes in the damaged areas.

Use of ointments from hemorrhoids during pregnancy and lactation

During pregnancy, as well as lactation to the use of any medical device should be treated with extreme caution. This also applies to antihemorrhoid ointments.

One of the ointments allowed in this position is heparin. Its general and local properties are rather gentle, so it gently eliminates inflammation and formed bruises. It is allowed to be used in the lactation period, since it does not enter the bloodstream.

Ointment Vishnevsky also allowed to use in such cases. Thus it is necessary to consider, that before the beginning of treatment of a hemorrhoids with the help of ointment it is necessary preliminary to take baths in 3 days in which manganese is added. They help to dry and disinfect the inflamed areas. The temperature of such trays should not be high, since a hot liquid can cause burns. Only after a three-day procedure using baths with potassium permanganate is allowed to start using Vishnevsky's ointment - it is under this condition that the necessary effect will be achieved.

Homeopathic medicine - Fleming's ointment - is also allowed to be used during pregnancy and lactation. The basis of the ointment is plant elements - such as yarrow, sea buckthorn, as well as St. John's Wort, etc.

Another antihemorrhoids ointment, which is authorized for use in lactation and pregnancy, is Posterizan. This ointment has good restorative properties, so its use will speed up the healing process of wounds and cracks in the anal passage. In addition, the drug also increases immunity, which is weakened by the development of hemorrhoids.

[27], [28]

Dosing and administration

The application of ointments from hemorrhoids is performed under the guise of appliqués after emptying the bowels and performing the necessary hygienic procedures (wash the anus with cool water, then gently drain with a towel). Apply it better before going to bed, and after performing the procedure, cover the treated area with a napkin. Sometimes lubricating the anal passage from the inside is done by inserting a finger or a tampon impregnated with ointment.

[31], [32]

Contraindications

Among the contraindications to the use of ointments from hemorrhoids - hypersensitivity to the elements of medications, as well as ulcerative-necrotic skin lesions or a violation of its integrity.

In addition, the cause of the ban on the use of the drug may be increased bleeding and poor blood clotting, as well as hypertension, menstruation, cirrhosis and stomach ulcer (for heparin ointment).

Among the contraindications to the use of Proctosan are various inflammations, as well as diseases such as tuberculosis or syphilis. In addition, it should not be used in patients who are prone to allergies or allergic dermatitis. In addition, it is not recommended for children and adolescents under 18 years of age.

Side effects of the ointments from hemorrhoids

Observed allergic skin reactions - urticaria, eczema, dermatitis. Also, rashes, burning and itching at the site of application. These symptoms can spread not only to the place of application, but also to surrounding tissues.

[29], [30]

Interactions with other drugs

Antihemorrhoidal ointments can not be combined with other drugs used rectally. If it is necessary to carry out combined treatment with the use of several rectal medicines, it is required to take a break (at least for 1 hour) between the use of these drugs.

The Posterizan ointment contains yellow paraffin, among which is the reduction in the strength of latex. Therefore, in case of using latex condoms during the period of using this ointment, it must be taken into account that it reduces the reliability of this contraceptive.

When combined with vitamin C, the properties of Troxevasin are enhanced.

[33]

Storage conditions

Ointments from hemorrhoids should be kept in a place closed from light, dry place, which is inaccessible to small children, at a temperature within 15-30 degrees.

[34], [35], [36], [37], [38], [39]

Shelf life

Ointment from hemorrhoids can be used for 2-5 years from the date of manufacture.

[40], [41], [42]

Effective ointments from hemorrhoids

Effective in the case of hemorrhoids can be a variety of ointments, but you can choose a suitable one for a certain person, only based on some important data that can be obtained only in practice. In some cases, the patient is forced to try different ointments, comparing the effect, and only then determine the most appropriate drug.

[43], [44]