Cheap and effective hemorrhoid suppositories

Cheap and effective hemorrhoid suppositories

One of the most popular remedies for treating hemorrhoids are rectal suppositories. And how not to love them? They are convenient to use, effective, act quickly and immediately bring relief to a person suffering from hemorrhoids. Properly selected hemorrhoids can be used by everyone, including pregnant women and nursing mothers. But the best effect is given by the combined treatment – the use of suppositories, ointments and medications taken orally by the doctor.

The principle of action of suppositories for hemorrhoids

The main (and very convenient) property of rectal suppositories is the ability of their carrier substance to remain in a solid state at room temperature and melt at body temperature. Most often, in the manufacture of suppositories, approved for use in medicine are fatty bases with the addition of wax or paraffin or gelatin gels – all of these substances are able to pass into a liquid state with a slight increase in temperature, thereby releasing medicinal substances and allowing them to be absorbed into the rectal walls.

There are many blood vessels in the rectum, and medicinal substances absorbed by them enter the blood directly, without passing through the barrier in the form of the liver and without undergoing metabolic changes. This is one of the main advantages of rectal medication.

Other useful qualities of suppositories – ease of use, the possibility of local effects without stress on the digestive system, the absence of pain and rapid absorption of the medicinal substances contained in them.

As a rule, rectal suppositories are small; they may look like a cone, cylinder or sphere, but always their thickness will not exceed 1.5 cm. The weight of one suppository is small – from 1 to 4 g.

How to use rectal suppositories for hemorrhoids

You should carefully study the instructions of the drug and strictly follow it. If any paragraphs cause difficulty, it is recommended to consult with your doctor.

Typically, suppositories are used up to four times a day — one in the morning, another for the night and after each bowel movement, if prescribed by a doctor.

Rectal suppositories are placed in the rectum only after a bowel movement that occurred naturally or, if this is difficult, with an enema, glycerin suppository, or a laxative with a light effect.

Before using suppositories, you need to clean the area of ​​application of the drug using baby soap and water and wipe it with a towel.

Immediately before the introduction of the suppository should be deployed, it is desirable to add a couple of drops of water on it to soften the surface a bit and facilitate the introduction. The patient needs to lie down, press his knees to his chest, push the buttocks apart with one hand, and with the index finger with the other finger, gently insert the suppository with the pointed end forward into the anus. Then roll over on your stomach, lie down for half an hour and you can continue to do your normal business.

Warning! Do not push the suppository deep – the medicinal substances contained in it must act on the rectal area immediately behind the anus.

If the hemorrhoids are external, it is not necessary to completely insert the suppository and hold it for a few minutes with a napkin until the drug is completely dissolved.

It is recommended to refrain from going to the toilet for one hour after inserting the suppository.

Oil or gel base of the drug can leak out of the anal orifice and soil the laundry, so you can use a tissue or a disposable pad to keep it safe.

The dose of the drug should be prescribed by the attending physician. You should not try to increase or decrease it yourself.

Warning! If the symptoms did not improve within a week or, on the contrary, only worsened, bleeding and pain began, you should consult a doctor and ask him to correct the treatment. You should also inform the doctor if the patient after burning began burning in the anus, he became inflamed and reddened, and these symptoms remain for a long time. Perhaps it is an allergy to one of the substances that make up the suppository; It is recommended to consult a doctor so that he can prescribe other rectal suppositories.

Storage conditions of suppositories for hemorrhoids

Suppositories must be stored in the refrigerator, especially in the hot season, otherwise they will melt and it will be impossible to introduce them.

Before using a suppository it is worth checking its shelf life and package integrity. From the use of the drug, the shelf life of which came out, should refrain.

Which hemorrhoid suppositories to choose?

As a rule, the doctor prescribes medications for hemorrhoids, depending on the symptoms of the disease, its severity, the presence of complications (other diseases or conditions – such as breastfeeding or pregnancy) and contraindications. The drug is selected based on the predominant symptom of the disease – this may be bleeding, pain, burning, inflammation, and so on. Now for each symptom can be picked up your type of suppositories from hemorrhoids.

Suppositories with analgesic and antispasmodic action.

Used if the patient feels severe pain caused by hemorrhagic nodes. In this case, the doctor may prescribe suppositories, which include painkillers – Relief Advance, Nigepan, Olestezin, Procto-Glevenol.

Suppositories with anti-inflammatory action.

In the presence of inflammation of hemorrhoids, it is recommended to use inflammation suppressing suppositories. The most commonly used among them are Ibuprofen (Nurafen), Diclofenac, and Ichthyol suppositories. If the inflammation has developed on the skin of the anus, you can use these drugs in the form of ointments.

Suppositories with hemostatic and vasoconstrictor effects.

When bleeding from hemorrhoids, it is recommended to use suppositories containing hemostatic and venotonic agents (adrenaline, tribenoside, phenylephrine hydrochloride). They are part of the rectal suppositories Procto-Glevenol and Relief.

Suppositories that reduce blood clots.

Often with internal hemorrhoids, blood clots occur, which can cause hemorrhoidal thrombosis. With such symptoms, the doctor may prescribe suppositories that can stop the process of blood clots and strengthen the walls of blood vessels. Typically, these rectal suppositories contain the substance anticoagulant heparin (Nigepan, Hepatotrombin).

Suppositories with severe itching and inflammation.

If the patient suffers from severe itching in the anus and at the same time he can take corticosteroids, the doctor may recommend the use of suppositories containing hormonal substances. They are part of Hepatotrombin G, Ultraprokt and Proktosedil. In addition, homonal substances reduce vascular permeability and reduce edema.

Suppositories that have a decongestant and drying effect.

The composition of these drugs include substances bismuth and zinc (Neoanuzol, Proktozan). They dry the inflamed tissue, relieve swelling and disinfect the damaged areas of the rectum.

Angioprotector suppositories.

One of the manifestations of hemorrhoids is the increased permeability of blood vessels in the rectum. The active substances of angioprotectant suppositories reduce vascular permeability and improve blood circulation in them (Methyluracil, Procto-Glevenol, Proctis-M).

Hemorrhoids suppositories with combined effects

These drugs can remove several symptoms from which a person with a hemorrhoid patient suffers.


The substances included in Anesthesol (bismuth, zinc, menthol) allow the drug to have anti-inflammatory, analgesic and vasoconstrictive effects.

Usage: one suppository twice a day.

Contraindications: high individual sensitivity.

Side effects: mild laxative effect.


The main medicinal substance of Anuzola is Belladonna extract. It has anesthetic, antispasmodic, anti-inflammatory, disinfecting and drying effect. Belladonna extract helps to increase the muscular activity of the anal valve.

Usage: one suppository 1-2 times a day.

Contraindications: Anuzol should not be used by persons suffering from diseases of the cardiovascular system (heart failure, tachyarrhythmia), with intestinal atony and myasthenia, as well as during pregnancy and breastfeeding.

Side effects: digestive disorders (constipation, diarrhea), drowsiness, insomnia, migraine, dizziness, dry mouth. With an overdose, seizures may begin.


This preparation contains belladonna extract and ichtiol, has anti-inflammatory and antispasmodic effect. Can be used during pregnancy and lactation.

Usage: 1 to 3 times a day.

Contraindications: the drug should not be used by persons suffering from prostate hypertrophy, increased eye pressure or with a high individual sensitivity to suppository substances. It is also not recommended to take suppositories with belladonna extract for those whose work requires a high degree of responsibility, for example, when driving a car or when working with dangerous machinery.

Side effects: tachycardia, diarrhea, dryness of the rectal mucosa.


Lidocaine in the composition of this drug is responsible for the anesthetic, prednisone – for anti-inflammatory, and heparin – for reducing the thrombosis and promoting the resorption of blood clots effect.

Usage: 1-2 times a day for two weeks.

Contraindications: skin infections of viral, bacterial and fungal nature, skin tumors, syphilis, tuberculosis, bleeding disorders, individual sensitivity to the substances contained in the preparation.

Hepatrombin G

One of the most popular hemorrhoid treatments, widely used to prepare for the surgical treatment of hemorrhoids and after during recovery after surgery. Hepatrombin G contains prednisone (relieves inflammation), heparin (an anticoagulant that prevents the formation of blood clots and the healing of connective tissue) and lauromacrogol (anesthetic and vasoconstrictive effect). Can be used during pregnancy, starting from the third trimester.

Usage: one suppository 1-2 times a day for no more than two weeks.

Contraindications: skin lesions, skin lesions with infections (viral, fungal, bacterial), high sensitivity, syphilis, tuberculosis.

Side effects: redness of the skin. With long-term use of the drug may develop systemic adverse effects.


The main medicinal substance of Natalside is sodium alginate, which is produced from brown seaweed and has anti-inflammatory and healing effects. Additionally contributes to the normalization of the bowel. Can be used during pregnancy and lactation.

Usage: one suppository twice a day for two weeks

Contraindications: you can not give to children under 14 years old; individual sensitivity to the substances contained in the preparation.


The substances that are part of this combined antihemorrhoidal agent (tannin, iodine, zinc oxide, bismuth subnitrate, etc.) have an anti-inflammatory, anesthetic, antispasmodic, astringent and disinfecting effect. Can be used during pregnancy and lactation.

Usage: for exacerbations of one suppository 2-3 times a day.

Contraindications: individual sensitivity to the substances contained in the preparation.


Usage: one suppository twice a day, the course of administration is no more than two weeks.

Contraindications: individual sensitivity to the substances contained in the preparation.


This is a combined anti-hemorrhoidal drug with anti-inflammatory, anti-bacterial and analgesic effects. Can be used during pregnancy and lactation.

Usage: one suppository twice a day, with strongly pronounced symptoms, two suppositories are used at once. The course of treatment lasts from 5 to 10 days.

Contraindications: allergic to the substances in the preparation.

Side effects: mild laxative effect.


It has anti-inflammatory, analgesic, venotonic action, improves blood circulation, relieves itching and inflammation.

Usage: one suppository in the morning and evening until the symptoms disappear. After improvement, you can go to one suppository per day.

Contraindications: first trimester of pregnancy, liver failure.

Side effects: burning, increased bowel activity, allergies.


The substances included in Proktozan have an anti-inflammatory (bufeksamak), anesthetic (lidocaine), a healing and a drying effect (bismuth subgallate and titanium dioxide).

Usage: 1-2 times a day for 8-10 days.

Contraindications: infections and skin diseases, tuberculosis, syphilis, pregnancy and breastfeeding.

Side effects: burning, itching, redness of the skin.

Proktosedil M

The hormone hydrocortisone (one of the active substances in the composition of “Proctosedil M”) anesthetizes and relieves swelling; Framycetin – an antimicrobial agent, and esculoside strengthens blood vessels.

Usage: one suppository twice a day for no more than one week. Since the hormone substance is part of the drug, if you cancel, the dose of the drug should be gradually reduced: if in the first days of the suppository it was possible to use 3-4 times a day, then by the end of the week this amount should be reduced to one suppository.

Contraindications: anorectal infections of the fungal and viral nature, tuberculosis, pregnancy and lactation. People suffering from hypertension and heart failure should use the drug very carefully.

Side effects: burning, dryness in the rectum.

Relief, Relief Advance, Relief Ultra

This drug has several varieties, but they all contain shark liver oil, which has anti-inflammatory, anti-healing and immunomodulatory effects. Depending on the variety and the additional active substance, it can contribute to vasoconstriction (simply Relief), anesthetize (Relief Advance), have antiallergic, antipruritic and wound healing effects (Relief Ultra). Relief and Relief Advance can be taken starting from the third trimester of pregnancy.

Usage: one suppository after each use of the toilet (no more than four times a day).

Contraindications: can not be used in children under 12 years old, persons suffering from thromboembolic disease and granulocytopenia, tuberculosis, various infections and having tumors in the rectum or on the skin around the anus. If the patient suffers from diabetes, hypertension or hyperthyroidism, the agent should be used with increased caution.


Ultraprokt contains hormone flucortolone from the group of corticosteroids, which effectively and quickly relieves even severe pain. It can be taken starting from the third trimester of pregnancy.

Usage: one suppository once a day. For exacerbations, you can use up to three suppositories on the first day of use.

Contraindications: tuberculosis, syphilis, infections of the anus (viral, bacterial, fungal), increased individual sensitivity to the components of the drug.

Table of hemorrhoid suppositories

Name Active substances Action Contraindications Can I use it during pregnancy and breastfeeding
Ihtiol suppositories Ihtammol Anti-inflammatory, antiseptic Individual sensitivity Yes
Anesthesol Bismuth, Zinc Anti-inflammatory, analgesic, vasoconstrictor Individual sensitivity No
Betiol Beauty, Ichthyol Anti-inflammatory, analgesic, antispasmodic Prostate hypertrophy, increased eye pressure, individual sensitivity Yes
Anuzol Belladonna Anesthetic, anti-inflammatory, disinfecting Diseases of the heart and blood vessels, intestinal atony, myasthenia No
Sea-buckthorn suppositories Sea-buckthorn oil Wound healing, increases vascular tone Individual sensitivity Yes
Methyluracil Methyluracil Hemopoietic, immunostimulating, anti-inflammatory Leukemia, lymphogranulomatosis, bone marrow diseases Yes
Calendula suppositories Calendula Anti-inflammatory Individual sensitivity Yes
Nurofen ibuprofen Anti-inflammatory, antipyretic Bronchial asthma, gastrointestinal bleeding, blood disorders, liver failure No
Olestezin Benzocaine, sea buckthorn oil Anesthetic Individual sensitivity Yes
Neoanzole Bismuth, Zinc Decongestant, drying, anesthetic Individual sensitivity Yes
Glycerin suppositories Glycerol Wound healing, laxative No Yes
Hepatotrombin G Heparin, Prednisolone, Laurea Macrogol Anesthetic, anti-inflammatory, anti-thrombotic Skin infections, syphilis, tuberculosis, bleeding disorders Yes (from the third trimester)
Diclofenac Diclofenac Anti-inflammatory Bronchial asthma, peptic ulcer and duodenal ulcer, bleeding No
Nigepan Heparin, benzocaine Anesthetic, anti-thrombotic Individual sensitivity Yes
Gepazolone Heparin, prednisone, lidocaine Anesthetic, anti-inflammatory, anti-thrombotic Skin infections, syphilis, tuberculosis, bleeding disorders No
Proktozan Bismuth, zinc, lidocaine Healing, drying, analgesic and anti-inflammatory Infections and skin diseases, tuberculosis, syphilis No
Posterized Inactivated E. coli microbial cells Immunomodulatory Individual phenol sensitivity Yes
Rel Shark liver oil + phenylephrine hydrochloride Anti-inflammatory, wound healing, immunomodulatory
+ haemostatic and venotonic
Granulocytopenia, tuberculosis, infectious diseases of the rectum, tumors in the rectum Yes (from the third trimester)
Procto-Glevenol Lidocaine, tribenoside Anti-inflammatory, analgesic, haemostatic, venotonic Hepatic insufficiency Yes (from the third trimester)
Proktosedil M Hydrocortisone, framycetin Anesthetic, anti-inflammatory, antimicrobial, anti-edema and vascular-strengthening Infections of the anorectal zone of the fungal and viral nature, tuberculosis No
Relief Advance Shark liver oil + benzocaine Anti-inflammatory, wound healing, immunomodulatory

+ pain killer

Granulocytopenia, tuberculosis, infectious diseases of the rectum, tumors in the rectum Yes (from the third trimester)
Relief Ultra Shark liver oil + hydrocortisone and zinc sulfate Anti-inflammatory, wound healing, immunomodulatory + antipruritic Granulocytopenia, tuberculosis, infectious diseases of the rectum, tumors in the rectum Yes (from the third trimester)
Prostopin Propolis Anti-inflammatory, analgesic, antimicrobial Individual sensitivity Yes
Natalsid Sodium Alginate Anti-inflammatory, wound-healing Individual sensitivity Yes
Ultraprokt Corticosteroid Strong painkiller, reduces itching, decongestant Tuberculosis, syphilis, infections of the anus Yes (from the third trimester)
Proctis M Hyaluronic acid, calendula extract Wound healing, vasotonic Individual intolerance No studies have been conducted

What kind of hemorrhoid suppositories can be used during pregnancy and lactation

The most difficult thing is to find a remedy for hemorrhoids during pregnancy in the first month. As a rule, at this time suppositories are used that contain natural substances and herbal extracts, for example, Betiol, Natalsid, Neoanzole, Nigepan, Olestezin, Posterizan and Prostopin. Some of these drugs have already been discussed in the section “Suppositories for hemorrhoids with a combined effect.”

Sea-buckthorn suppositories for hemorrhoids

Promote the healing of microcracks and wounds, improve the overall condition of the rectal mucosa and skin around the anus, and increase the tone of blood vessels. It is worth applying them twice a day, the course of reception lasts about two weeks. Possible contraindications: individual allergic reaction to the substances included in the preparation.

Calendula suppositories

Possess anti-inflammatory action. Apply 1 time per day, the course of admission lasts up to three weeks. Possible contraindications: not recommended for persons under the age of 18.

Glycerin suppositories

Wound healing remedy, softens stools, stimulates the intestines, good for constipation. Glycerin suppositories are used 1 time per day for no more than 2-3 days in a row.

Propolis suppositories

They have antibacterial, antifungal, anti-inflammatory and immunostimulating effects. Take suppositories with propolis once a day, one suppository for 15-30 days. After 2-3 months, as a rule, a second course. Contraindications: individual intolerance to bee products.


Increases resistance to pathogenic bacteria and pathogenic microbes of the mucous membrane of the rectum and the skin around the anus. Suppositories are applied twice a day, in the morning and in the evening, the treatment lasts up to three weeks.

When the pregnancy has reached the third trimester, the choice is already greater. A woman can start taking drugs such as Gepatrombin G, Relief, Relief Advance and Ultraprokt.

It is important that the doctor prescribes medications for hemorrhoids during pregnancy and breastfeeding. Independently, you can only use suppositories that contain natural substances to alleviate the symptoms associated with hemorrhoids – inflammation, burning, itching.

Contraindications to the use of suppositories in the treatment of hemorrhoids

First of all, the presence of contraindications depends on the drug used in the treatment of hemorrhoids and its active substances; for example, preparations with belladonna extract cannot be taken by persons suffering from cardiovascular diseases, and drugs with heparin are contraindicated for people with low blood clotting. Therefore, before taking hemorrhoid suppositories should consult with your doctor. However, in all cases it is not recommended to use suppositories in the presence of injuries and ulcers of the rectal mucosa (whether they are caused by syphilis, tuberculosis or infectious diseases).

Even drugs that are considered to be harmless by the people (as a rule, they contain herbal extracts) can be dangerous if there is an individual allergic reaction. Therefore, you should immediately seek medical help if after the use of a rectal suppository, a person has developed an allergic reaction: redness of the skin, urticaria and difficulty breathing.

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