Ointments for fissures of the anus

The most common medications used to treat anal fissures are a variety of ointments, rectal suppositories and creams.

Indications anal fissure ointment

An ointment for anal fissures can be used from the very first moments of the appearance of unpleasant symptoms of this disease. The most common signs of anal fissures are:

1. Painful sensations – the deeper the crack, the more intense the pain will be. At first, these sensations appear only when defecation occurs, but over time they become permanent.
2. Itching - it gets worse over time and can cause a lot of discomfort.
3. Bloody discharge - it appears during defecation or straining.

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Release form

Many people believe that suppositories are a more convenient form of medication for anal fissures. But in any case, you should not self-medicate. Be sure to seek help from a specialist who will determine whether hemorrhoids are the cause of the fissure. If so, then doctors recommend using suppositories.

Ointments are used only if the crack appeared due to too hard or dry stool, as well as due to prolonged constipation. It should be remembered that various ointments cope better with the initial, unadvanced stage of this disease. At the same time, some of them are prescribed even during pregnancy (Levomekol).

The main advantage of such a form of release as ointment is that these drugs penetrate deep enough, quickly improving the patient's condition. In addition, they are indispensable if the crack appeared on the outer side of the anus.

Names of ointments for anal fissures

Today in pharmacies you can find a huge range of various ointments, thanks to which anal fissures are treated. Doctors, as a rule, recommend using the following medications:

1. Methyluracil ointment.
2. Solcoseryl ointment.
3. Synthomycin ointment.
4. Heparin ointment.
5. Vishnevsky ointment.

Next we will look at information about them in more detail.

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Methyluracil ointment

Methyluracil ointment helps stimulate the growth and regeneration of damaged tissues, so it is often prescribed for the treatment of anal fissures. Also, this medicine based on the active component methyluracil has anti-catabolic properties. With the help of this drug, the inflammatory process passes faster, and local immunity increases.

For better penetration of methyluracil into the anus, it is necessary to use tampons. A small amount of Methyluracil ointment is applied to a cotton swab. It must be inserted deep enough, especially if the cracks are deep.

It is worth paying attention to the fact that the use of this drug can cause allergic reactions, itching and burning (which go away after some time).

Solcoseryl ointment

Solcoseryl ointment has an anti-inflammatory and regenerating effect. The medicine based on deproteinized extract from calf blood helps improve the absorption and transportation of oxygen, as well as glucose, normalize energy metabolism in cells, accelerate tissue recovery, and improve re-epithelialization.

For effective treatment of anal fissures, it is recommended to use Solcoseryl ointment once or twice per 24 hours. For rapid healing of deep fissures, it is necessary to use a tampon.

The main advantage of Solcoseryl ointment is the fact that it can be used even during pregnancy and lactation. It has no contraindications, and its use very rarely leads to side effects (allergic reactions).

Synthomycin ointment

Syntomycin ointment based on the active component levomycetin helps to relieve inflammation in a short time. In addition, it has an antibacterial and antiseptic effect.

It is best to use this remedy immediately after you feel the burning sensation characteristic of an anal fissure during defecation. Thanks to this ointment, you can easily cope with pain and inflammation. The dosage and duration of treatment depend on the stage of the disease. Doctors recommend applying the ointment in the evening before going to bed, so that after using the medicine you can lie down quietly for a while. If the fissure is too deep, you can use a tampon.

Before using Syntomycin ointment to treat anal fissures, it is necessary to pay attention to who this remedy is contraindicated for:

1. For pregnant women.
2. For women during lactation.
3. For patients with allergies to chloramphenicol.
4. For patients with depressed hematopoiesis.
5. At an early age.
6. For patients with fungal skin diseases.
7. For eczema.

The use of Syntomycin ointment can lead to various side effects: allergies, thrombocytopenia, aplastic anemia, agranulocytosis, rashes, local irritations.

Heparin ointment

Heparin ointment based on the active component heparin helps to eliminate local inflammatory reaction, improve the healing process of small cracks, and accelerates the resorption of formed hematomas.

As a rule, Heparin ointment is recommended for use after childbirth, as they can provoke ruptures of the anal passage. To treat cracks in the anus, a tampon or linen cloth is soaked in ointment, which is then inserted as deeply as possible.

Patients who have been diagnosed with ulcerative necrotic processes, thrombocytopenia, or decreased blood clotting are prohibited from using Heparin Ointment.

Vishnevsky ointment

Vishnevsky ointment is often used to treat anal fissures, as it can reduce swelling, relieve inflammation, improve the patient's well-being and speed up tissue healing. The medicine is based on such active components as: xeroform, birch tar, castor oil and has an antiseptic effect.

To obtain a positive result, treatment with Vishnevsky ointment should be started immediately after the first unpleasant symptoms of the disease appear. To enhance its effect, you can use tampons soaked in the ointment.

The main advantage of this drug is its safety. Vishnevsky ointment can be used without fear even during pregnancy.

Ointments for chronic anal fissure

Ideally, ointments for chronic anal fissures should have a fatty base so as not to irritate the rectal mucosa. It is very important that the drug combines regenerative and anti-inflammatory properties. Most often, doctors recommend using the following ointments to treat chronic fissures.

Aurobin. A medicine based on the active components D-Panthenol, lidocaine hydrochloride and prednisolone capronate. It has anti-inflammatory, local anesthetic and antibacterial properties.

The ointment should be inserted in small amounts into the rectum. If necessary, a tampon can be used. It is used two to four times in 24 hours, depending on the patient's condition. As soon as the symptoms begin to disappear, the frequency of application can be reduced. As a rule, therapy lasts up to seven days.

Patients who have been diagnosed with fungal, bacterial or viral skin diseases, allergies to the components of Aurobin ointment are prohibited from using it. It is not recommended for use in children, pregnant women and women during lactation.

First of all, long-term use of this ointment leads to local irritation, allergic reactions, dry skin at the site of application, and increased sensitivity of the skin.

Proctozan. The medicine based on the active components of bufexamak, titanium dioxide, bismuth subgallate, lidocaine hydrochloride monohydrate has an astringent, anti-inflammatory, local anesthetic, drying effect.

The ointment is inserted as deeply as possible into the anus using a special applicator. The drug should be used once or twice every 24 hours. If possible, it is best to insert the ointment immediately after defecation. The therapy lasts up to ten days, but after the patient's condition improves, the frequency of use can be reduced.

Patients who have been diagnosed with allergic reactions to the active components of the drug are not recommended to use Proctozan ointment. It is also contraindicated during lactation, during pregnancy, for the treatment of children at an early age. The use of this drug may cause the development of allergies.

Nitroglycerin ointment. A medicine based on the active components lanolin and nitroglycerin. It has an anti-inflammatory and regenerating effect.

It is recommended to administer nitroglycerin ointment for anal fissures 2-4 times a day. To facilitate the administration, you can use a cotton swab. If necessary, you can use a cloth or tampon. Doctors recommend using this drug for up to a month to completely get rid of anal fissures. If necessary, the therapy can be extended.

Please note that the ointment is well absorbed, so it is not recommended to use it immediately after taking a bath. Patients who have been diagnosed with severe hypertension, allergy to nitroglycerin, heart pathologies, are prohibited from using Nitroglycerin ointment. For treatment of pregnant women, you must first consult a doctor.

If you use excessive doses of this drug, you may experience side effects: decreased blood pressure, dizziness, headaches.

Ointments for anal fissures in children

Anal fissures sometimes occur in children. They can also be treated with various ointments, but before starting therapy, be sure to consult your doctor. Very often, specialists recommend using such proven remedies as Vishnevsky ointment, Solcoseryl, Levomekol, Bezornil for treating children.

Bezornil. A medicine based on the active components of pearl, artificial musk, borneol, amber, artificial bezoar, zinc carbonate. It has a local anesthetic, astringent, antiseptic effect.

The ointment is administered two or three times a day, deep into the rectum, using a special tip. It is best to use the medication immediately after a bowel movement.

There are practically no contraindications to the product, although you should first make sure that the child is not allergic to the main components of the ointment.

Pharmacodynamics

Let us consider the pharmacodynamics and pharmacokinetics of ointments for anal fissures using the drug "Proctozan" as an example.

This ointment is used for local treatment of anorectal diseases. One of the active components of the drug (bufeksamak) is a derivative of arylacetic acid. It can quickly relieve inflammation by inhibiting the synthesis of prostaglandins.

Titanium dioxide and bismuth subgallate, which are also included in the ointment, have a drying and astringent effect. Thanks to them, wounds heal faster. Lidocaine - relieves pain.

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Pharmacokinetics

The pharmacokinetics of the drug have not been studied.

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Contraindications

1. Allergic reactions to the components of the drug.
2. Viral, bacterial or fungal skin diseases.
3. Pregnancy and lactation period (some products).
4. Early age (some means).
5. Ulcerative-necrotic processes.

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Side effects anal fissure ointment

1. Allergy.
2. Local irritations.
3. Burning and itching.
4. Redness.
5. Dizziness.
6. Headaches.
7. Lowering blood pressure.

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Storage conditions

It is very important to store the drug in a place inaccessible to small children. The air temperature should not exceed +25 degrees.

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Shelf life

Shelf life: two to three years.

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