Review of the 17 best ointments for hemorrhoids: advantages, applications and prices

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:

1. 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;
2. 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;
3. 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;
4. When the disease progresses rapidly, doctors typically prescribe nonsteroidal anti-inflammatory drugs (NSAIDs for short), such as Diclofenac, Piroxecam, and Ibuprofen;
5. 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.

Types and classification of drugs

Hemorrhoids are an inflammatory process of hemorrhoidal veins, accompanied by the formation of nodes around the rectum and a number of unpleasant symptoms:

• pain;
• burning;
• problems with bowel movements;
• nodes;
• thrombosis of nodes and more.

The disease progresses differently in patients. Depending on this, the specialist prescribes treatment. In 97% of cases, it is complex in nature, since only with this approach will the treatment be effective.

The remedy for hemorrhoids is selected primarily based on the typology of the disease:

• external hemorrhoids;
• interior;
• combined.

Each type is indicated for the drug in its own release form:

• pills;
• candles;
• ointments.

According to the principle of action, medications are divided into:

• anticoagulants;
• hemostatics;
• venotonics;
• antispasmodics;
• anesthetics.

Important! Prescribed medications do not always give the desired effect. Doctors often have to change the prescription several times for the patient to get better. In general, the treatment process takes from 2 weeks to six months.

review of inexpensive ointments

How to use it correctly?

Features of the use of ointments in the treatment of hemorrhoids:

1. Before using the product, you need to wash the area around the anus without soap and pat the skin dry with a napkin;
2. Apply the product around the anus and inside the anus, using special nozzles and applicators;
3. 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;
4. 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;
5. The course of treatment with ointments takes on average from 5 to 7 days, therapy with heparin ointment can last up to 2 weeks.

Degree of development of hemorrhoids

At the initial stage, the patient feels slight discomfort during bowel movements. Blood sometimes appears in the stool. At this time, it is enough to simply adjust your diet and devote time to light physical training. The initial stage is the best time to start treating hemorrhoids.

Further, the hemorrhoids enlarge and, in the case of external hemorrhoids, may fall out of the anus. This can happen with heavy lifting, bowel movements and physical activity. Since the size of the node is still small, after the end of the traumatic action it can be reduced on its own. Itching and burning increase, constipation and mucous discharge appear. The situation can still be corrected with conservative treatment.

At stage 3, hemorrhoids fall out even without physical exertion. Bleeding from the anus appears, the nodes become inflamed and acute pain occurs in the anus.

At the 4th stage of development of hemorrhoids, their size reaches 5 cm, they can fall out when moving, coughing, or passing gas. Bleeding is frequent and massive. Possible pinching and inflammation of the nodes.

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.

Treatment of hemorrhoids

The initial stage of the disease can be easily cured with the help of rectal suppositories and anti-inflammatory ointments. In consultation with your doctor, you can practice folk remedies and sitz baths.

At the second stage, the doctor prescribes vasoconstrictors, phlebotropic and painkillers. It is permissible to make lotions from medicinal herbs and microenemas. For bleeding, minimally invasive treatments are prescribed: installation of latex rings on hemorrhoids, photocoagulation and cryotherapy.

In the third stage, in addition to drug therapy, surgical intervention may be necessary: ​​ligation or removal of nodes, the use of sclerosing techniques. Treatment will necessarily be comprehensive, including a special diet, strengthening of the pelvic muscles, normalization of physical activity and vascular tone. According to indications and subject to monitoring the blood condition, the patient is prescribed antiplatelet agents and thrombolytics, anti-inflammatory non-steroidal and hormonal drugs.

If there is an associated infection, antibiotic therapy is necessary.

The fourth stage of the disease involves long-term treatment. Most often we are talking about removing inflamed nodes or laser coagulation. Among the methods of surgical intervention:

• hemorrhoidectomy using the Milligan-Morgan method;
• thrombectomy;
• Longo's operation.

Reliable remission is possible only when the patient begins to lead a healthy lifestyle, provides himself with sufficient physical activity and revises his diet in favor of healthy, minimally processed foods.

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.

Which brand of hemorrhoid remedy is better to choose?

To begin with, we studied reviews from specialists and patients about which pharmaceutical companies produce truly safe, effective, high-quality medicines. As a result of the analysis, the following leading brands were identified:

• Instituto De Angeli (Relief) is an Italian manufacturer that develops high-quality medicines of various profiles. Founded in 1972, in 2009 it became a subsidiary of Fareva SA. Great emphasis is placed on the safety of drugs along with high efficiency.
• Laboratoires Bouchara Recordati (Procto-glivenol) - a pharmaceutical company from France was founded in 2000 after the merger of two Recordati manufacturers with Bouchara. Under this name, ready-made medicines for gastroenterology, cardiology, urology, antimicrobial and painkillers are produced.
• Kade Pharma (Posterizan Forte) is a German company that has been run by several generations of the same family for over 125 years. Specializes in the production of medicines for gynecology, proctology, rheumatism, pain. According to most experts, it is the leader in antihemorrhoidal products.
• Nizhpharm (Nigepan, Sea buckthorn oil, Glycerin) is one of the largest Russian manufacturers of medicines, operating since 1919. Since 2004, it has been part of the German group of pharmaceutical companies Stada. The product portfolio includes more than 100 names, 30 groups of drugs.
• Lekhim (Anestezol) is a group of pharmaceutical companies offering more than 160 types of drugs. Every year the portfolio is replenished with 10 new products made using advanced developments and technologies.
• Sanofi (Proctosedyl M) is a pharmaceutical company founded in 1973 in France. Today it occupies the top positions in the world rankings of pharmaceutical corporations. It is also a leader in the production of vaccines for the treatment and prevention of more than 20 bacterial and viral diseases.
• Altaivitamins (Olesthesin) is one of the pioneers of domestic pharmaceuticals, offering natural, safe, high-quality drugs. Engaged in the development and production of various dosage forms, including herbal remedies.
• Altpharm (Gepazolone) is a Russian company that produces high-quality generics of well-known drugs. Founded in 2002. Most of the medications are suppositories with a quick effect and a minimum of contraindications.

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.

The best hemorrhoid remedies for children

It is extremely rare that hemorrhoids are observed in children, but drugs for this age group still exist. Local treatment is predominantly practiced with safe medications that eliminate unpleasant symptoms and the inflammatory process. The expert rating included only those ointments and suppositories for hemorrhoids for children that meet 3 criteria - minimal risks of side effects, effectiveness, ease of use.

Proctosedyl M

These suppositories or ointments can be used according to the instructions for patients over 3 years of age. The main substances in the composition are a hormonal substance with a pronounced anti-inflammatory effect hydrocortisone, as well as the plant component esculoside with angioprotective properties, the bactericidal antibiotic framycetin, butamben for itching, and the anesthetic benzocaine. Therapy helps to cope with the unpleasant manifestations of the disease, prevents the risks of tissue infection and the formation of blood clots. According to the instructions, the children's course of treatment lasts a week. In the future, relapses are prevented by strengthening the condition of blood vessels.

Advantages

• Quick help;
• Comprehensive impact;
• Short course of treatment;
• Admissibility from 3 years;
• Various release forms.

Flaws

• Risks of allergic reactions;
• Pregnancy is contraindicated.

Doctors recommend using Proctosedyl M for patients with severe clinical symptoms during an exacerbation. We are talking about a hormonal medication, which means self-medication is inappropriate here. The downside is the inadmissibility of treatment for pregnant women, the likelihood of allergic reactions to additional components.

The best drugs for the liver

Olestesin

We are talking about a drug with a healing, analgesic effect. The main component here is of plant origin – sea buckthorn oil. To enhance the effectiveness of the suppositories, the manufacturer also included the antibiotic sulfaethidol to prevent tissue infection. And to eliminate pain, benzocaine is prescribed. Correct use will help prevent bleeding, start tissue regeneration, destroy pathogenic flora, and eliminate discomfort. Quick help is also noted for the formation of rectal fissures.

Advantages

• Fast pain relief;
• Long-term therapeutic effect;
• Admissibility during pregnancy, lactation;
• No age restrictions;
• Combined composition;
• Inexpensive price tag.

Flaws

• Candles can stain the fabric of underwear;
• Unpleasant symptoms are possible.

Low toxicity, minimal contraindications, combined medicinal properties, as well as an inexpensive price tag make Olestezin in demand. But you need to take into account that the sea buckthorn in the composition has a bright orange color, which, if it gets on the fabric, is difficult to wash off. Some patients experience cramping and burning of the intestines after rectal administration.

Hepazolon

Another effective topical drug with a multicomponent composition. First aid is provided by the hormone prednisolone; it stops the inflammatory process and the consequences arising from it. Heparin works to prevent the formation of blood clots and blockage of blood vessels. And lidocaine eliminates pain. Age limit – from 12 years. If used incorrectly, symptoms of intoxication may occur. To prevent this, you need to adjust the dosage by your doctor. Suppositories or ointment are not used in case of pregnancy or lactation.

Advantages

• Combined composition, properties;
• Several release forms;
• Ease of use;
• Fast, long-lasting results;
• Elimination of pain of any intensity.

Flaws

• Contraindication: pregnancy;
• Side effects.

Unlike its predecessors in this category, Gepazolon is only permissible from 12 years of age, but is prohibited for pregnant women.

It is extremely important to follow the instructions, since the composition contains a hormone, a substance that affects blood flow.

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.

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:

1. The analgesic effect of the drug is provided by the local anesthetic present in the ointment - benzocaine.
2. 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);
3. Due to the vasodilating properties of benzonicotinic acid, which is part of the heparin ointment, heparin is absorbed more quickly to its destination;
4. 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).

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.

Pros and cons of ointments

The main advantages of ointments are:

1. Thanks to the medicinal components included in the ointment, pain, itching, burning in the anal area are quickly relieved, bleeding stops, and the regeneration of anal fissures is also accelerated.
2. Most ointments for hemorrhoids are made with petroleum jelly and lanolin. There can be several active substances, which expands their spectrum of action.
3. When treating hemorrhoids, ointments differ from other medications in their simplicity and ease of use.
4. In addition, ointments have a local effect, and not a systemic effect, as in the case of treatment with tablets, which means that there will be significantly fewer side effects from use. For this reason, ointments are most often chosen when treating hemorrhoids in women during pregnancy or breastfeeding.

The disadvantages include:

1. The most common drawback of all ointments is their high fat content, due to which the ointment takes a long time to be absorbed into the anal tissue and leaves greasy stains on clothes.
2. Please note that treatment with ointments alone will only eliminate the symptoms and not the cause of hemorrhoids. Therefore, treatment must be comprehensive!

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.

Reasons why hemorrhoids form

Hemorrhoids are a very common disease. Its manifestations can be found in every second person of middle and older age. However, there are special risk groups here too.

The main reasons why hemorrhoids form:

• weakening of the muscles and ligaments that keep the hemorrhoidal veins stable;
• tissue destruction as a result of vascular pathology;
• venous congestion. They are a consequence of sedentary work and a sedentary lifestyle, when intra-abdominal pressure and on the rectal area increases;
• work involving heavy physical activity. In this case, generalized varicose veins occur and blood vessels expand literally throughout the body. But the veins in the legs and rectal area are especially affected;
• frequent constipation and intense diarrhea. In both cases, the walls of the intestinal blood vessels become tense. And when you strain, intra-abdominal pressure increases. As a result of unstable stool, old hemorrhoidal cones may become inflamed and even fall out and new ones may form;
• anal sex, frequent enemas, douching and excessive anal hygiene. All this irritates the intestinal mucosa and forms nodes;
• unbalanced diet. Eating excesses disrupts stool cycles, creates an imbalance in the body and irritates the intestines. Provocative foods in this case are sweets, salty, spicy and heavy foods;
• smoking and alcoholism. Nicotine and alcohol cause a sharp narrowing of the blood vessels of the pelvis. As soon as the blood rushes to the spasmodic areas, it overflows and stretches them, forming nodes on the blood vessels;
• pregnancy and childbirth. An increase in intra-abdominal pressure provokes the fetus forming in the mother’s womb;
• heredity. This concerns the characteristics of metabolism, the structure of the circulatory system and blood vessels.

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.

1. 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.
2. 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:

1. Ichthyol ointment is a sulfur-based medicine that has an analgesic, anti-inflammatory, drying, and wound-healing effect on hemorrhoids;
2. Troxerutin - has a similar effect to Troxevain, eliminates swelling, prevents congestion, and restores blood flow.
3. 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.

What ointment is allowed during pregnancy and after childbirth?

Pregnancy is an absolute contraindication for the use of most remedies for hemorrhoids. You can read more about this in the annotation to the drug. However, there are medications for topical use that are approved during pregnancy and after childbirth; they are listed in the table. These drugs should be selected together with a proctologist. A brief description of medicines and features of use are provided.