17 best remedies for hemorrhoids – suppositories, tablets, ointments

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Hemorrhoids are a widespread and unpleasant disease, predominantly of middle age, in which the veins surrounding the rectum become inflamed, injured, and pathologically dilated. This all leads to a feeling of a foreign body and itching in the anus, and then pain, bleeding, and prolapse of hemorrhoids appear. All this significantly impairs the quality of life. Fortunately, modern medicine has a large arsenal of various drugs for hemorrhoids, both for local and internal use.

Rating of the best remedies for hemorrhoids

Nomination	a place	Name of product	price
The best remedies for hemorrhoids in women	1	Relief Pro	417 RUB
	2	Trombless	310 RUB
	3	Procto-glivenol	427 r
	4	Troxerutin	RUB 71
	5	Proctosan	383 r
The best remedies for hemorrhoids in men	1	Detralex	RUB 1,445
	2	Relief Advance	420 RUB
	3	Nigepan	245 RUB
	4	Aescusan	224 r
	5	Natalsid	410 RUB
The best candles for hemorrhoids	1	Relief Ultra	521 RUB
	2	Proctosedil	433 r
	3	Neo – Anusol	RUB 87
	4	Hepazolone	RUB 298
The best pills for hemorrhoids	1	Mukofalk	RUB 533
	2	Guttalax	432 RUB
	3	Phlebodia 600	990 RUB

The best remedies for hemorrhoids in women

In the female body, nature itself has laid down a predisposition to vascular disorders. This is due to pregnancy and childbirth. The increased synthesis of progesterone contributes to the deterioration of the elasticity of the walls of blood vessels, and the sedentary lifestyle of a pregnant woman and the high pressure of the fetus, which it exerts on the vessels and tissues at the end of pregnancy, further aggravate the predisposition to vascular disorders.

In the mechanism of childbirth, high pressure develops, which also leads to a disorder of microcirculation. Additionally, you can name many professions typical for women, when they spend all their time standing on their feet, or, on the contrary, sit during the entire working time. All this as a result leads to venous congestion in the legs and pelvic area, the formation of varicose veins of the lower extremities and hemorrhoids. Here are some of the remedies that help women in the treatment of hemorrhoids.

Relief Pro

Rating: 4.9

This remedy is designed to quickly relieve symptoms of exacerbation of hemorrhoids and rectal fissures. The product contains a corticosteroid hormone based on fluocortolone, which has a pronounced anti-inflammatory effect. Additionally, the suppository contains lidocaine, which immediately produces a powerful analgesic effect. It is this combination that allows the drug to occupy high positions in the ratings of antihemorrhoids. The remedy is indicated for various types of proctitis, and in the form of a rectal cream – it can be applied with skin lesions in the anus.

Relief Pro should be inserted into the anus after bowel movements and hygiene measures. The use of suppositories is recommended twice a day, and in severe cases with vascular thrombosis and severe pain in the first two days – three times a day. The product is produced by the German concern Bayer, the package contains 12 rectal suppositories, which can be purchased at retail from 500 rubles, at prices in spring 2018.

Advantages and disadvantages

The advantages of the remedy include the rapid onset of the therapeutic effect. The disadvantages of the remedy include a fairly high price and possible symptoms of an overdose when using candles more than 3 times a day. The most pronounced effects are manifested on the part of the cardiovascular and nervous systems, therefore, a doctor should prescribe Relief Pro.

Trombless

Rating: 4.8

Trombless is a product that is produced in the form of a gel for external use, and it contains the substance heparin, which reduces blood clotting and prevents thrombosis, and also has anti-inflammatory and anti-edema effects. For hemorrhoids, the drug is indicated in complex therapy, in conjunction with other drugs, such as pain relievers and laxatives. It is necessary to apply the gel, easily rubbing into the perianal area, after appropriate hygiene measures.

The tool is used daily, the average course duration is 5-7 days. The product is produced by the domestic pharmaceutical manufacturer Nizhpharm, and the price of one package of gel weighing 50 grams starts at 260 rubles. A similar heparin-containing drug is marketed under the commercial names Lavenum, Lioton 1000, and Trombogel.

Advantages and disadvantages

The advantages of the remedy include its good tolerance, painless use (since at the beginning of therapy in the period of exacerbation, it is sometimes even painful to inject suppositories), and a democratic price. The medicine is used in the complex therapy of varicose veins of the legs, which makes it possible to use it in women with double effectiveness in the case of joint diagnoses. The disadvantages of the remedy include individual intolerance, in which there are various blood coagulation disorders.

Procto-glivenol

Rating: 4.8

This remedy has deservedly got into the rating of antihemorrhoid drugs, as it has a local analgesic effect, reduces the formation of varicose veins of the rectum, and protects blood vessels. The composition of the product includes tribenoside, which is able to reduce capillary permeability and vascular tone, it reduces the release of inflammatory and pain mediators.

Lidocaine, as in the case of Relief Pro, has a rapid analgesic effect when using suppositories. The agent is used only rectally, twice a day, in the morning and in the evening until acute symptoms are relieved, and then the agent must be used once. The duration of the general course of treatment is determined by the doctor. These candles are produced by the French company Dela Pharm, and it is represented in Russia by the Swiss concern Novartis Pharma. You can buy a package of rectal suppositories in the amount of 10 pieces starting at a price of 375 rubles.

Advantages and disadvantages

The positive qualities of this agent include an effective combination, the presence of a modern tribenoside component, and a quick action. The negative aspects of the drug include the presence of contraindications, among which, in addition to individual intolerance, is liver failure. A rare development of side effects is possible – angioedema and local reactions in the form of burning and itching.

Troxerutin

Rating: 4.7

Troxerutin got into the rating as a means for a complex effect on microcirculation; it can treat not only hemorrhoids. The list of indications includes about two dozen names of various diseases, including thrombophlebitis, varicose veins and chronic venous insufficiency. The active ingredient is a natural bioflavonoid, a rutin derivative.

The drug is able to reduce the permeability of the capillary walls, and increases the vascular tone of the microvasculature. This leads to a decrease in edema and inflammation of the vascular wall, the drug is indicated for use in both acute and chronic stages of hemorrhoids. The agent is used in the form of capsules, which contain 300 mg of active substance. Capsules are used after meals three times a day, the course of treatment is about a month. The medicine is produced by many domestic manufacturers, and is inexpensive. For a package of 50 capsules, it is enough to pay only 150 rubles.

Advantages and disadvantages

The advantages of Troxerutin include the availability and universal specificity, which allows the treatment of many vascular syndromes, and the disadvantages include the undesirability of its use in case of gastric ulcer, in the first trimester of pregnancy, as well as such registered side effects in the form of headaches and allergic reactions. With the simultaneous appointment of troxerutin and aspirin, it enhances the effect of the latter on the vascular wall.

Proctosan

Rating: 4.6

The tool is famous for its unique multicomponent, which allowed it to give one of the places in the rating. One of the active ingredients is bismuth compounds together with titanium dioxide. The drug contains bufexamak, which inhibits inflammation and acts on prostaglandins, and lidocaine.

All these substances are active, and as a result, suppositories have anti-inflammatory, wound-healing and analgesic effects. Due to the bismuth compound, the astringent and drying activity of the drug arises. These suppositories are shown, in addition to hemorrhoids, also with cracks, proctitis and itching of the anus. In addition to suppositories, Proctosan is available in the form of a rectal ointment, with which you can start treatment in the acute period, when the introduction of a suppository is still quite painful.

If suppositories are prescribed, then they are prescribed one candle two or three times a day, and after the acute pain drains off, the drug continues to be prescribed for one or two weeks. These candles are produced by the German company Stada, and you can buy a pack of 10 candles starting from 330 rubles. in spring 2018 prices.

Advantages and disadvantages

The advantages of this remedy, of course, include a multifaceted action; it quickly improves the local condition of the patient. Contraindications to the drug are standard, for example, pregnancy and the period of breastfeeding, hypersensitivity to individual components, no special contraindications are noted anymore. A curious and rare side effect when using this tool can be considered a decrease in the strength of condoms, but the instructions do not specify how exactly Proctosan and latex interact.

The best remedies for hemorrhoids in men

The causes of male hemorrhoids are much more mundane than those of women. Most often, it is caused by the use of alcohol, which causes plethora of venous vessels, smoking and the craving of men for spicy food. As a result of alcohol and nicotine abuse, thrombotic processes occur, vascular lumen decreases, and spicy food contributes to a sharp plethora of intestinal vessels, irritates the rectal wall and contributes to the occurrence of hemorrhoids. In addition, physical labor and carrying weights, and strength sports contribute to an increase in intra-abdominal pressure, and the progression of hemorrhoid symptoms. What drugs for the treatment of this unpleasant disease were included in the rating of male remedies?

Detralex

Rating: 4.9

Perhaps Detralex, or its analogs with the commercial names Venarus and Phlebodia, are the most active venotonics and venoprotectors. They are composed of natural remedies, diosmin and hesperidin. And these bioflavonoids are able to influence microcirculation and protect blood vessels. As a result of the course intake of Detralex, the extensibility of the veins and the stagnation of blood in them decrease, the permeability of capillaries and their fragility decreases. It is important that the high effect of Detralex is confirmed by numerous clinical studies. Detralex, in addition to hemorrhoids, is used for chronic venous insufficiency, when there are complaints of edema, fatigue and pain in the legs.

The remedy should be taken for acute hemorrhoids in a rather high dose, 6 tablets per day, 3 in the morning and three in the evening, this dosage lasts for 4 days, and then it is halved, and the medicine is taken for another 3 days. Detralex is produced by the well-known French company Servier, and for a package of 30 tablets, designed for 2 weeks of admission (for chronic hemorrhoids), you will have to pay 670 rubles. The drug is available in suspension for oral administration.

Advantages and disadvantages

The advantages of Detralex include the convenience and safety of use, no cases of overdose have been described. It is recommended to pay attention to side effects, among which nausea, diarrhea and dyspeptic disorders were most often noted. Of course, the positive effects include the absence of contraindications to taking the drug, except for individual intolerance – after all, it is made from plant components. The disadvantages include, perhaps, not too low price.

Relief Advance

Rating: 4.8

Relief Advance was included in the rating of drugs for the treatment of hemorrhoids due to its pronounced and very strong analgesic effect. Sometimes it is very important for men to relieve the symptom, since a proctologist will prescribe a complex therapy, and on the first day of an exacerbation, good anesthesia is very important. These suppositories contain benzocaine, which is many times higher in local anesthetic and analgesic activity of novocaine and lidocaine, which are part of most rectal suppositories.

Benzocaine is not absorbed into the bloodstream, and does not have a resorptive effect, and cocoa butter, which is part of the suppositories, softens and soothes the rectal mucosa. In addition to hemorrhoids, these suppositories are indicated for proctitis and rectal fissures, during various small diagnostic studies, and after surgery. You can buy Relief Advance rectal suppositories in the amount of 12 pieces per pack at a price of 415 rubles. It is necessary to use these products no more than 4 times a day, after carrying out hygiene procedures.

Advantages and disadvantages

The disadvantages of the remedy include minor symptoms of an overdose, if more than 3 suppositories are administered per day. Drowsiness or anxiety may disturb, this should be taken into account when prescribing drugs, which must be carried out by a doctor. It is possible to attribute to the negative aspects of prescribing the drug such side effects as hyperemia and itching in the anus, as well as allergic reactions such as rash and urticaria. The positive aspects include a very quick effect, complete anesthesia and a fairly low price of the drug.

Nigepan

Rating: 4.8

Another complex drug for the treatment of male hemorrhoids, which is produced in rectal suppositories, is Nigepan. These suppositories contain both a heparin derivative and the same benzocaine. This makes it possible to enhance the effect of suppositories, and in addition to pronounced local anesthesia, it becomes supplemented with anti-inflammatory and antithrombotic action, or anticoagulant. It is necessary to use Nigepan one candle twice a day for one or two weeks. This drug is produced by the domestic manufacturer Nizhpharm, OJSC, for one package of 10 suppositories you will have to pay from 220 rubles.

Advantages and disadvantages

The advantages of the remedy include its effectiveness in the development of thrombosis of hemorrhoids, both external and internal, and a low price. As for the negative qualities, in the first two to three days of use, patients may experience a slight increase in rectal bleeding (if any), which subsequently passes. In the event that the drug is prescribed in conjunction with other means to improve the rheological properties of blood, with anticoagulants, then careful monitoring of INR and specialist advice is required before prescribing the drug.

Aescusan

Rating: 4.7

This herbal preparation is a bioflavonoid derived from horse chestnut, the active ingredient is escin. Vitamin B1, or thiamine, has been added to further improve nervous trophism and conductivity. Aescusan has an angioprotective and decongestant effect; from herbal preparations, only Detralex can be compared with it, perhaps. The tool belongs to venotonics, and can be used, in addition to hemorrhoids and with varicose veins of the lower extremities, and chronic venous insufficiency.

Natalsid

Rating: 4.6

This drug, packaged in rectal suppositories for local use, has a complex hemostatic effect, is able to fight chronic inflammation, and has a reparative effect. Candles were ranked for their unique ingredient sodium alginate, which is a natural polysaccharide derived from kelp, or brown seaweed.

The main component of the active substance is hyaluronic acid, which improves the processes of cell division in the mucous membrane of the colon and the walls of hemorrhoidal vessels. After entering the rectum, this component of the suppositories swells greatly and turns into a gel. As a result, it also exhibits an enveloping effect. The drug is administered after hygiene procedures (one candle once or twice a day). The candles are produced by the domestic manufacturer OAO Nizhpharm, and costs from 405 rubles. for one pack of 10 candles, which is enough for 5 days at the maximum dosage.

Advantages and disadvantages

Since the active ingredient is a natural polysaccharide, an overdose is impossible. The medicine can be used as a symptomatic remedy to stop hemorrhoidal bleeding, which other suppositories cannot do. This also increases the rating of this drug. The negative features of this drug can be attributed only to individual hypersensitivity and various local allergic reactions to algae, in the form of itching, hives or rashes.

The best candles for hemorrhoids

Many of the above medicines for hemorrhoids are available in suppositories, or in suppositories. Their assortment is so large that it is difficult to find any particularly worthy effective remedies that are the best. However, the greatest effect is possessed by modern multicomponent drugs that are able to affect inflammation, edema, bleeding and pain. What funds are included in the rating of the best suppositories for hemorrhoids?

Relief Ultra

Rating: 4.9

Continues the line of drugs Relief suppositories Relief Ultra, which is used for many diseases of the rectum. The active ingredients include the corticosteroid hormone hydrocortisone, zinc sulfate and cocoa butter. These substances have anti-inflammatory, regenerative, vasoconstrictor, antipruritic and drying effects. At the same time, zinc sulfate promotes the healing of cracks and erosion. It is recommended to use this drug after washing and hygienic procedures, and it should be administered no more than up to 4 suppositories a day. This good medicine is produced by the German concern Bayer, and for one package of 12 rectal suppositories you should pay from 455 rubles.

Advantages and disadvantages

The unconditional positive aspects of this drug include high efficiency and complex action, affordable price and no cases of overdose. The disadvantages include those conditions in which the use of glucocorticosteroids is contraindicated: this is an infectious lesion of the anorectal zone, a severe course of diabetes mellitus, pregnancy and lactation. In the event that a patient has severe arterial hypertension, severe heart rhythm disorder, osteoporosis and endocrine disorders, then only a doctor should prescribe this drug, and the expected effect of treatment should exceed the potential risk of side effects.

Proctosedil

Rating: 4.9

This drug is perhaps one of the most multicomponent for the topical treatment of hemorrhoids. It contains a potent local analgesic substance – benzocaine, a small amount of hydrocortisone, which has a pronounced anti-inflammatory effect, the antibiotic framycetin, which is able to suppress microbial infection in the event of proctitis symptoms and infected anal fissures.

The drug also includes esculoside, which is similar in structure to vitamin P. It is able to reduce capillary fragility and restore their elasticity, and this reduces the risk of bleeding. Additionally, the analgesic effect of Proctosedil is enhanced by butamben, which is also a local anesthetic and is indicated for various dermatitis, wounds and burns. Additionally, the therapeutic formula is enhanced with heparin, which has an antithrombotic effect.

Such a universal composition allows the drug to actively fight various forms of hemorrhoids, and the therapeutic analgesic effect can be seen within a few minutes after administration. Apply the drug one candle twice a day, but not more than 7 days. There is a form of Proctosedil M, which is available as a rectal ointment. This drug is produced by Sanofi Aventis, and you can buy a pack of 10 rectal suppositories for 324 rubles.

Advantages and disadvantages

The disadvantages of the drug are a continuation of its advantages: the more the product contains components, the more often an allergic reaction can be expressed. In some cases, there is a side effect in the form of burning and dryness of the mucous membrane of the anus and rectum, and with prolonged use without a doctor's prescription, the development of effects characteristic of long-term use of steroid hormones is possible. The advantages of candles include speed of action, Proctosedil is able to replace several means alone, as well as a completely affordable price and good quality.

Neo – Anusol

Rating: 4.8

These candles for hemorrhoids can be called one of the most popular folk remedies, which is why they got into this rating. The main action of Neo-Anuzole is antiseptic and astringent. This is achieved due to the content of bismuth compounds, zinc oxide, tannin, resorcinol and iodine. Everyone knows that tea lotions can reduce redness and inflammation, and tea contains exactly tannin.

These suppositories are used rectally no more often than twice a day, and can be bought at almost any pharmacy. For a package of 10 candles, you need to pay only about 90 rubles. Additionally, this agent has anti-inflammatory, bactericidal and antispasmodic effects.

Advantages and disadvantages

The advantages of Neo-anusole include affordable prices and mild action, lack of interaction with other drugs and the rare development of side effects, which can be expressed in the form of slight skin irritation around the anus. Minor negative qualities include the dark blue color of the candles, which is due to the addition of methylene blue – this can get your hands dirty. The positive properties include almost exclusively local action, because all the drugs that are part of these rectal suppositories are not absorbed from the surface of the rectum into the blood. The drug is dispensed without a prescription.

Hepazolone

Rating: 4.7

Hepazolone antihemorrhoid suppositories are a multicomponent drug for topical use. It contains heparin in the form of sodium salt, which thins the blood and has an anticoagulant and anti-thrombotic effect, a local anesthetic lidocaine, which reduces the severity of pain, and the corticosteroid hormone prednisolone.

This drug is used to treat acute and chronic hemorrhoids and anal fissures. The drug is injected into the rectum no more than 2 times a day, the course of treatment is up to 7 days, but according to the prescription of the attending physician, it can be extended twice – up to two weeks. This drug is produced by the Russian pharmaceutical company Altpharm. You can buy it at the price of 255 rubles. for one pack of 10 candles.

Advantages and disadvantages

The advantages of the drug include its good tolerance, subject to the recommended dosage and when using the drug in short treatment courses. In the event that the drug is used for more than a month, then the appearance of systemic effects of corticosteroid hormones associated with the penetration of prednisolone into the bloodstream is possible. Therefore, such patients, especially the elderly, who use this remedy for a long time without permission, without a doctor's prescription, may experience osteoporosis, a violation of the gastrointestinal tract in the form of erosive gastritis, signs of diabetes mellitus, suppression of adrenal function and other manifestations of endocrine dysfunction. Therefore, you need to use these candles in a short course and on the recommendation of specialists, then the reception will be completely safe.

The best pills for hemorrhoids

Tablets and preparations for internal use for the treatment of hemorrhoids are mainly drugs that soften stool and facilitate bowel movements. This is a very important stage of pathogenetic treatment, since it allows all the above-described drugs to work effectively in suppositories, and to prevent the occurrence of an exacerbation associated with constipation and straining. What funds are considered the most worthy to take a place in the ranking?

Mukofalk

Rating: 4.8

This drug is a herbal remedy, it weakens due to the action of the psyllium seed shell. The medicinal effect of the psyllium seed shell is manifested due to the presence of a large amount of dietary fiber and plant mucus. The shell of one plantain seed is capable of absorbing 50 times more water than its own weight. It is this fact that contributes to significant moistening of the stool and the formation of normal feces. At the same time, the swollen mucous mass lubricates the intestinal wall and prevents repeated damage to the rectal mucosa during bowel movements.

Of course, the indications for the use of laxatives are much broader than hemorrhoids. These are various options for constipation, bowel cleansing before surgery and other indications. For ease of use, plantain seeds are prepared in the form of special granules with an orange flavor. A suspension is prepared from them. It is recommended to use this medicine by mouth, one sachet two or three times a day, after stirring it in one glass of water. Instead of water, you can use fruit juice or any other liquid. After consumption, you should additionally drink a glass of water. This product is produced by the German company Doctor Falk Pharma, and you can buy 20 single sachets at a price of 470 rubles, and a dry suspension in the amount of 300 grams in a can can be purchased for at least 1000 rubles.

Advantages and disadvantages

The advantages of this laxative include high efficiency and a mild effect on the intestines, which made it possible to get into the rating, and the disadvantages – the development of symptoms in case of an overdose in the form of flatulence and discomfort in the abdomen. There is a recommendation not to take a laxative before bedtime, and a water load is required during treatment, in which at least one and a half liters of fluid is used per day. The disadvantages include a fairly high price.

Guttalax

Rating: 4.7

The drug Guttalax, which is produced by Sanofi, is a medicine in tablets or drops for oral administration with a pronounced laxative effect that can stimulate intestinal motility. The active substance of both tablets and drops is sodium picosulfate. This agent is broken down by microbes in the human intestine and stimulates the colon mucosa. In addition to hemorrhoids, this medicine is indicated for habitual constipation, with intestinal dysbiosis, and inaccuracies in the diet. The tablets should be taken with plenty of fluids, and for regular morning stools, it is recommended to take a laxative at night. An adult patient is prescribed one or two 5 mg tablets daily. You can buy the drug starting from 450 rubles. per package of 50 tablets.

Advantages and disadvantages

The advantages of the drug include the fact that it begins to act only at the level of the large intestine, and does not affect the processes of digestion and absorption in the small intestine, and therefore can be prescribed to patients with digestive disorders in the duodenal region. The negative sides include possible side effects in the form of discomfort, nausea, hypersensitivity to the active ingredient, as well as a large list of contraindications for use, from obstructive bowel disease to lactase deficiency and dehydration. Therefore, a doctor's consultation before prescribing a remedy should be mandatory.

Phlebodia 600

Rating: 4.6

The drug Phlebodia 600, containing an active angioprotective agent – diosmin is widely used for various types of vascular dysfunction, from hemorrhoids and varicose veins to other chronic circulatory disorders. This medicine is the 'gold standard' in the treatment of chronic venous disease. It has a tonic effect on veins, improves the drainage function of the lymphatic system of the rectal nodes, reduces capillary permeability and has an anti-inflammatory effect, and also constricts blood vessels. This leads to a secondary decrease in bleeding. It is recommended to use this remedy for exacerbation of hemorrhoids, 2 or 3 tablets per day with meals, for a week, that is, one tablet 3 times a day. This drug is produced by the French pharmaceutical company InoTerra. One package, designed for 10 days out of 30 pieces, can be purchased at 2018 prices for 820 rubles.

Advantages and disadvantages

The obvious advantages of the drug include the absence of an overdose, since the active ingredient is a natural bioflavonoid, the absence of interaction with other drugs, and the rare development of side effects. However, in the treatment of acute hemorrhoids, it is imperative to include other local remedies that are used together, in the form of rectal suppositories. A rather high price can contribute to a patient making a negative decision on the use of the drug.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.