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Hemorrhoid suppositories

Medical expert of the article

Proctologist, colorectal surgeon
, medical expert
Last reviewed: 03.07.2025

In the fight against this disease, in addition to surgery, conservative treatment is also used: the most common therapeutic means are hemorrhoid suppositories.

Hemorrhoids are an extremely unpleasant disease that is associated with an inflammatory process and varicose veins of the hemorrhoidal vascular node.

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Indications for the use of hemorrhoid suppositories

Hemorrhoidal rectal medications can have a wide range of effects and are used in proctological practice:

  • at different stages of hemorrhoid treatment;
  • for bleeding from the anus and rectum;
  • for inflammatory processes of the rectum;
  • for cracks and discomfort in the anal area.

If suppositories are used for bleeding from the anus, it is extremely important to first clarify whether the bleeding is associated with the development of neoplasms in the rectum.

Pharmacodynamics

How do hemorrhoid suppositories work? In order to understand this, it is necessary to understand what causes hemorrhoids to appear. Unpleasant sensations in the anus are only external signs of the disease. The reason lies in the development of vascular wall disorders, deterioration of blood circulation in the hemorrhoidal veins. The venous walls lose elasticity, become flabby, and stretch under the influence of blood pressure.

Medicinal suppositories act on the mechanisms of the disease in a complex manner: they strengthen the venous walls, tone the vessels, and facilitate blood flow. When using Suppositoria rectalia, capillary permeability improves, the inflammatory reaction subsides, the blood becomes thinner, and blood clots dissolve.

Thus, almost all known hemorrhoidal suppositories have anti-inflammatory, antibacterial, analgesic and angioprotective effects, as well as stimulating regenerative processes in tissues. Suppositories improve blood circulation, have local anesthetic and antipruritic properties.

Pharmacokinetics

Rectal suppositories can have both local and general effects on the body's vascular system. The active substances of these dosage forms are partially absorbed in the rectum. The half-life is about one and a half hours.

Signs of the drug's effect appear within minutes after administration. The duration of the therapeutic effect depends on the time the active substances remain in the rectum, so it is recommended to transfer the use of Suppositoria rectalia to the evening, using them immediately before bedtime.

Instructions for use of hemorrhoid suppositories

Hemorrhoidal suppositories are the most popular among other means of treating this disease, although there are quite a lot of them in the pharmacy network: these are creams and gel forms, tablets and capsules. The variety of medicinal assortment for the treatment of hemorrhoids is impressive - after all, the disease is widespread, therefore, there are many means for its treatment. However, today we will focus on the most popular and effective medicinal form - rectal suppositories (Suppositoria rectalia).

Which suppositories to prescribe is, of course, decided by a specialist, based on an examination and the necessary tests. You should not independently choose and buy suppositories at a pharmacy, even if the commercial guarantees a 100% cure for the disease: despite the most positive reviews, it may simply not suit you. Medicines are selected individually, taking into account the patient's condition and age, the neglect and stage of the process, the body's sensitivity to drugs of this pharmacological group and many other parameters. After all, hemorrhoids have four stages of development, and sometimes the use of supposedly very effective drugs may not bring any result. A doctor's consultation will help you choose the right drug. And we will only tell you the necessary information on this topic.

How to insert hemorrhoid suppositories?

Hemorrhoidal suppositories are used as prescribed by a proctologist from 1 to 4 times a day. Before use, you should carry out hygienic procedures in the perineum area; the rectal suppository must be removed from the package and used immediately, since the product has a natural oil base and with the slightest delay it can simply melt in your hands.

The suppositories are inserted with clean hands (medical gloves can be used) deep into the rectum, with the rounded end forward. After the procedure, hands should be washed with soap. It is recommended to lie still for half an hour after the introduction of suppositoria rectalia. Unpleasant sensations that arose during the procedure should completely disappear within a few minutes.

After the drug is administered into the rectum, the suppository melts and the drug is absorbed into the blood. The active substances in the suppository coat the affected vessel walls and surrounding tissues and alleviate the unpleasant symptoms of the disease.

Suppositories for internal hemorrhoids

Internal hemorrhoids are a stage of the disease in which the internal veins of the anus become enlarged and bulge. If treatment is undertaken immediately after the symptoms appear, the effect can be achieved without surgery.

Among the popular suppositories that are used to treat internal hemorrhoids, the following can be named:

  • Proctosedyl – contains cinchocaine and hydrocortisone, has an anti-inflammatory, analgesic effect;
  • Procto-Glivenol is a venotonic agent with an anesthetic effect, it helps to visually reduce venous nodes, tighten cracks, and relieve pain;
  • Posterisan is a tonic drug that activates the restoration of damaged tissues;
  • Relief – anti-inflammatory, anti-edematous effect, reduces symptoms of pain and itching;
  • Adrenaline suppositoria rectalia – reduces bleeding, pain; contraindicated in hypertension;
  • Natalsid is a natural rectal remedy that can be used during pregnancy and lactation.

Suppositories for external hemorrhoids

With external hemorrhoids, the enlarged veins protrude outward: they become visible. Rectal suppositories can also be used with this course of the disease.

  • Gepatrombin G - universal suppositories for all forms of hemorrhoids. Acts as a preventive measure against bleeding, accelerates recovery and increases tissue tone;
  • Relief – also used for all types of hemorrhoids, stops bleeding, heals anal fissures;
  • Anestezol is an analgesic rectal drug. Requires caution when used: causes an increase in blood pressure;
  • Doloproct – relieves symptoms of pain, burning, swelling;
  • Procto-Glivenol – reduces the permeability of the capillary wall, has a local anesthetic effect;
  • Phytoreous suppositoria rectalia – eliminate constipation, pain and bleeding of hemorrhoidal veins;
  • Aurobin – eliminates negative symptoms of the disease, heals wounds, relieves inflammation;
  • Witch hazel – strengthens vascular walls.

Suppositories for hemorrhoids after childbirth

Rectal medications after childbirth, as well as suppositories for hemorrhoids during lactation are a pressing issue for many women who are concerned about the disease of the veins of the rectum. Hemorrhoids can also form as a result of a difficult labor. Prolonged labor can provoke the appearance of hemorrhoids in the woman in labor. Many women develop hemorrhoids even before childbirth, and during childbirth the course of the disease worsens.

When pushing during labor, the woman strains, which increases intra-abdominal pressure and the vessels become overfilled with blood. This contributes to the expansion of weak vessel walls, which manifests itself in the form of nodes and bulging veins.

After the birth of the child, the period of breastfeeding begins. At this time, the baby, along with milk, receives all the useful and harmful substances that entered the mother's body with food or with the medications she takes. This can negatively affect the health and condition of the child.

That is why it is important to use only natural preparations based on natural ingredients during these periods of a woman's life. The choice and use of rectal suppositories after childbirth and during breastfeeding should be discussed with a doctor who will prescribe a more suitable option.

Hemorrhoid suppositories for men

Hemorrhoids are quite common in men. This is due to poor bowel function, drinking alcohol, lifting and carrying heavy loads, and sedentary office work.

Most men go to the doctor only when things are "really bad", not realizing that the disease is much harder to treat in the later stages. And an advanced course, moreover, can only be treated surgically.

Effective treatment of male hemorrhoids is possible, it should be determined by the stage of development of the disease and the individual characteristics of the body.

A specialist can prescribe antihemorrhoidal suppositories at his/her discretion, at the same time it is recommended to change the lifestyle, give up bad habits, monitor nutrition and avoid prolonged sitting. If such recommendations are not followed, suppositoria rectalia will bring only a temporary effect, since the cause of the pathology will remain.

Among men, the most popular are Relief, Gepatrombin G, Proctoglivenol suppositories. They reduce pain, relieve swelling and inflammation, and liquefy blood clots.

Hemorrhoid suppositories for children

Hemorrhoids in childhood are not very common. Therefore, there are no special children's suppositories in medical practice. In the treatment of hemorrhoids in children, ordinary rectal suppositories for adults are used, dividing them into parts to reduce the dosage of the active substances of the drug.

Antihemorrhoidal suppositories for children should be at least safe for the child. The annotation for the use of suppositoria rectalia always indicates whether it is possible to use them for treating children. Do not use Suppositoria rectalia on your own under any circumstances: the dosage and type of drug for a child can only be prescribed by a specialist - a pediatrician or proctologist.

In childhood, suppositoria rectalia based on homeopathic remedies containing natural plant components are permitted for use. Contraindications to the use of such drugs can only be allergic reactions and reactions to the components of the suppositories.

Many suppositories have not been tested for their suitability for use in children, so the question of their use should be decided by a doctor.

Names of suppositories for hemorrhoids and their brief description

There are quite a few varieties of rectal antihemorrhoidal suppositories. In order to at least understand a little about these drugs, let's look at the most popular ones.

  • Methyluracil suppositories (Posterisan)

Such suppositoria rectalia perfectly heal anal fissures, dissolve inflammatory infiltrates, promote restoration of damaged tissue areas, and reduce painful phenomena.

  • Anti-inflammatory suppositories

These are suppositories containing substances that inhibit the growth and development of pathogenic flora. Such substances may be natural antiseptics (propolis preparation, scawlamine), artificial antiseptics (ichthyol, phenol, bismuth preparations), non-steroidal agents (indomethacin, voltaren preparations) and steroidal agents (adrenal cortex hormones).

  • Pain Relieving Suppositories

They relieve one of the main symptoms of hemorrhoids – pain in the anal area. Almost all antihemorrhoidal suppositories have this ability.

  • Glycerin suppositories

They soften the skin, accelerate the healing of microcracks, prevent stagnation of feces in the rectum, and facilitate bowel movements.

  • Homeopathic suppositories

Special suppositoria rectalia, consisting exclusively of plant components, in certain doses possessing all the necessary properties for the treatment of hemorrhoid symptoms. Gently restore tissue damage, suitable even for pregnant women and children.

  • Hemostatic suppositories

Contain special substances that increase blood clotting. In particular, suppositories containing adrenaline have this ability.

  • Herbal suppositories

Herbal suppositories include homeopathic suppositoria rectalia, preparations with belladonna, sea buckthorn, calendula, and seaweed. These rectal remedies are made on the basis of plants: they have virtually no side effects or contraindications.

  • Novocaine suppositories

They are used in cases of significant pain in the anal area, as they contain the local anesthetic novocaine, which effectively and long-term relieves pain.

  • Suppositories with antibiotic

Used in the treatment of hemorrhoids complicated by infection. Such suppositories suppress pathogenic microflora, facilitating and accelerating the healing process.

  • Sea buckthorn suppositories

A natural preparation, used as an analgesic and antipruritic agent, relieves irritation of the mucous membranes, and provides tissue regeneration.

  • Suppositories with propolis

Propolis is a natural source of biologically active elements. It has antiviral, antimicrobial, antifungal effects, stimulates immunity, relieves pain.

  • Ichthyol suppositories

Ichthyol is produced from resinous substances that form during the coking of oil shale. Ichthyol-based preparations have a beneficial effect on affected tissues, relieve signs of swelling and inflammation, and have an antiseptic effect.

  • Suppositories with calendula

Belong to homeopathic suppositories. Natural remedy, has no contraindications.

  • Potato suppositories

A folk method of treating the disease. An improvised candle is cut out of raw potatoes and inserted into the anus at night for 15-20 days. Potatoes have enveloping properties, reduce signs of irritation of the mucous membranes, and strengthen the walls of blood vessels.

  • Suppositories with aloe

Aloe is a well-known resolving and immunostimulating, regenerating folk remedy. It is used in the form of a homemade "candle" from the plant, when part of the leaf is cut off from the thorns and inserted into the anus, like a standard candle. Use at night every other day for a month.

  • Suppositories with menthol

Such suppositories include suppositoria rectalia "Ichthyol", "Anestezol". Menthol has a cooling and calming effect, which significantly improves the patient's condition.

  • Indian suppositories

The product "Antihemorrhoids", produced by the Indian company Elegant India, has proven itself to be quite good. It is a relatively inexpensive drug that effectively relieves all known symptoms of hemorrhoids.

  • Suppositories with chamomile

This is a folk method of treating hemorrhoids. Pour 1 tbsp. of dry raw material into 200 ml of boiling water, leave for 30 minutes, filter. Pour the infusion into a rubber fingertip or medical glove and put it in the freezer. Use the resulting finger-shaped candle at night, inserting it into the anus. Use the remedy every other day for a month. The recipe is folk, so you should consult a doctor before using it.

  • Relief

Anti-inflammatory, hemostatic and wound-healing drug. Reduces exudate secretion, reduces swelling. Used for both external and internal hemorrhoids.

  • Natalsid

Contains sodium alginate, which is produced from seaweed. This substance reduces bleeding and heals even chronic anal fissures.

  • Proctozan

A preparation of bismuth, titanium and lidocaine. It has analgesic, astringent and anti-inflammatory effects.

  • Anusol

The components of the preparation are belladonna extract, bismuth and zinc sulfate. The suppositories have a disinfectant, antispasmodic, drying effect, and increase the tone of the sphincter.

  • Posterisan

Stimulates the regeneration of skin and mucous membranes, works as a preventative measure against the onset of pathogenic infection.

  • Nizhpharm

Nizhpharm is a well-known pharmaceutical company that produces such antihemorrhoidal suppositories as Ichthyol, Anestezol, Analgin, Proctozan, Posterizan, Anuzol, etc.

  • Hepatrombin

They have a prednisolone, heparin and polidocanol base. They prevent thrombus formation, relieve signs of inflammation, promote sclerosis of varicose veins, causing their narrowing and reduction of protrusions.

  • Advance

Belong to the Relief series, produced on the basis of cocoa butter. Provide a pronounced immunomodulatory, hemostatic effect, contain vitamins and anti-inflammatory substances.

  • Anestezol

Contains bismuth, benzocaine, zinc and menthol. Provides local anesthetic, astringent effect, facilitates the act of defecation.

  • Proktonis

Natural suppositories contain extracts of yarrow, coriander, licorice, and senna. They act as an antispasmodic, anti-inflammatory, and laxative.

  • Suppositories with adrenaline

They have an analgesic and hemostatic effect. They are not prescribed to hypertensive patients and people prone to high blood pressure.

  • Proctosedyl

Reduces vascular fragility, provides analgesia, relieves inflammation and itching, and prevents blood clotting.

  • Belladonna suppositories

Belladonna extract helps with anal fissures, is a good pain reliever and relieves burning sensation.

  • Ultraproct

They contain glucocorticosteroids, fluocortolone derivatives and cinchocaine, which is what explains the analgesic and anti-inflammatory effects of the suppositories.

  • Suppositories with papaverine

Papaverine is a well-known antispasmodic. It relieves spasms of blood vessels and smooth muscles, produces an analgesic effect, and helps to accelerate blood flow due to the expansion of the vascular lumen.

  • Diclofenac

They relieve swelling and pain, relax smooth muscles, and eliminate inflammation. They are rarely used for hemorrhoids, as they can provoke a burning sensation in the anus, as well as the development of rectal bleeding.

  • Synthomycin suppositories

This is a levomycetin antibacterial drug used mainly in gynecology. However, the drug's pronounced anti-inflammatory effect allows it to be used in the treatment of hemorrhoids.

  • Suppositories with indomethacin

Indomethacin is a non-steroidal anti-inflammatory drug used for arthritis, neuralgia, and prostatitis. Hemorrhoids are a contraindication for the use of the drug due to its aggressive effect on irritated mucous membranes.

  • Suppositories with lidocaine

Procto-Glivenol is one of such suppositories; they have good therapeutic activity and quickly and permanently relieve pain.

  • Ketonal

Ketonal has a good pain-relieving effect due to the substance ketoprofen. For hemorrhoids, it is used mainly after rectal surgery as an analgesic.

  • Betiol

Suppositories made from belladonna and ichthyol extract are used for bulging and inflamed veins and painful anal fissures.

  • Viferon

Viferon is an antiviral drug, and its use for hemorrhoids is somewhat inappropriate. However, its anti-inflammatory and immunomodulatory properties allow the use of the drug for healing wounds and cracks in the anus.

  • Kyzyl May

The suppositories contain polyphytic oil, which softens the nodes and has a positive effect on the course of the disease.

  • Hemorrhoids

Contains horse chestnut, chamomile, belladonna, cinquefoil and the anesthetic benzocaine, which together provide a bactericidal, anti-inflammatory and analgesic effect.

  • Witch hazel

Extract from the witch hazel plant, a homeopathic remedy on a natural basis. Strengthens the walls of blood vessels, helps to relieve symptoms of the disease.

  • Buscopan

Buscopan is used for spasmodic pains of the digestive system, as a means of relaxing the smooth muscles of internal organs. The use of the drug in hemorrhoids has not been studied.

  • Voltaren

Anti-inflammatory suppositories, which, however, are not recommended for use in cases of rectal inflammation and anal fissures. Such suppositories can aggravate irritation of the mucous membranes.

  • Bezornil

Bezornil consists of many useful substances that have astringent, restorative, analgesic, and hemostatic effects.

  • Salofalk

Mesalazine (salofalk) has a powerful anti-inflammatory effect, so it can be used to treat the inflammatory process in hemorrhoids, as well as quickly relieve symptoms.

Among the huge variety of drugs, it is quite difficult to choose one. Therefore, remember that the best suppositories for hemorrhoids are those that are right for you. Any local drugs are selected individually, and it is not a fact that the drug that helped your brother, neighbor or friend will help you. Reviews of suppositoria rectalia for hemorrhoids can be different, since everyone's organism is different, and the stages and course of the disease have their own individual characteristics. Consult a doctor, experiment, and you will find "your" drug that will help get rid of the disease.

Hemorrhoid suppositories for the face

Antihemorrhoidal suppositories for the face – sounds strange, doesn’t it? However, many women who love experiments actively use suppositories and ointments for hemorrhoids as a cosmetic product for the face.

Medical suppositories Relief with shark fat are especially popular among the fair sex. According to users, the substances included in this drug prevent the appearance of wrinkles and also smooth out existing ones. This drug is able to restore aging tissues and perfectly relieves swelling on the face.

How do women use antihemorrhoidal suppositories as a means of facial skin care? It's very simple: suppositoria rectalia is softened using a water bath or microwave oven to a creamy consistency, after which it is applied to the skin around the eyes or to other problem areas of the face.

The manufacturer of the suppositories, Health Life, does not indicate in the instructions any other use of suppositories except for rectal administration. Therefore, it is up to you to decide whether to use this folk method.

Suppositories for hemorrhoids during pregnancy

The first rule during pregnancy is not to self-medicate. For any reason, including hemorrhoids, you should consult a doctor, because not all medications can be used during this period.

Rectal suppositories can be used during pregnancy, but only those made from natural, plant-based ingredients. Such preparations have fewer contraindications, have a softer and more gentle effect, and do not exhibit side effects.

The use of methyluracil suppositories during pregnancy provides an anti-inflammatory effect and accelerates the healing of cracks. Rectal preparations containing sea buckthorn also have a remarkable effect: the substances included in the suppositoria rectalia relieve inflammation, tighten wounds, and reduce pain. Glycerin suppositories help soften and resolve nodes, and eliminate problems with defecation.

The use of any suppositories must be combined with proper nutrition, trying to prevent constipation and stagnation of feces.

Contraindications to the use of hemorrhoid suppositories

Contraindications to the use of rectal suppositories are:

  • infectious inflammatory reactions and development of neoplasms in the rectum;
  • active form of tuberculosis;
  • stable hypertension;
  • diabetes mellitus complicated by trophic disorders of the lower extremities and immune disorders;
  • osteoporosis (lack of calcium in the skeletal system);
  • pronounced total edema;
  • erosions and ulcers of the rectum;
  • allergic hypersensitivity of the body to the components of rectal agents.

Suppositoria rectalia should be used with caution during pregnancy and breastfeeding. Use of the drug in such situations should be agreed upon with a specialist.

Side effects of hemorrhoid suppositories

Side effects when using rectal suppositories are rare, mainly their manifestation is likely with frequent and long-term use. Among them, the main effects can be distinguished:

  • burning sensation, pain in the rectum;
  • activation of intestinal peristalsis, dyspeptic phenomena;
  • inhibition of regenerative processes;
  • allergic manifestations in the form of dermatoses, rashes, anaphylactic reactions.

When used correctly and in the dosage prescribed by your doctor, Suppositoria rectalia usually acts gently and does not cause any adverse effects.

Overdose

In case of overdose of rectal agents, itching and painful sensations may occur in the area of drug administration. Hyperemia and bleeding from the anus may also be observed.

These phenomena completely disappear after discontinuing rectal suppositories.

Storage conditions for hemorrhoid suppositories

Rectal suppositories are stored in a dry, dark place, out of reach of children, at a temperature of about +8C, in the refrigerator. Suppositories cannot be frozen!

The shelf life of suppositories is up to 2 years.

Hemorrhoids are an insidious disease that is often encountered in the modern world. It is not only possible to treat this disease, but it is also necessary. Methods of folk and traditional medicine, and, in particular, suppositories for hemorrhoids, will help you with this.

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Price of hemorrhoid suppositories

Before choosing one or another suppository, the consumer, first of all, looks at both the quality and effectiveness of the drug, and its price. Given the wide variety of antihemorrhoidal drugs, their cost is also quite varied. Let's consider the average price of the most popular drugs.

  • Methyluracil, rectal suppositories No. 10 – $1-1.5
  • Glycerin, suppositories - NizhPharm - 2.5-4$
  • Romania Antibiotic - 6-7 $
  • Farmina - $2.5
  • Relief (Ultra, Advance) – 6-8 $
  • Sea buckthorn suppositories No. 10 – $0.8-1
  • Propolis suppositories Lekhim No. 5 – $2
  • Candles with ichthyol - $1
  • Proctosan, Proctosan Neo – $6-8
  • Anuzol suppositories - $1
  • Posterisan, Posterisan Forte – $10
  • Hepatrombin Hemofarm – 7-8 $
  • Anestezol Lekhim – $1.2-1.5
  • Proctosedyl (India) No. 20 – $3.3-4.3
  • Ultraproct (Italy) No. 10 – $9-11
  • Betiol Lekhim No. 10 – $1
  • Hemorol (Poland) No. 12 – 7-9 $
  • Salofalk suppositories 500 mg No. 10 (Germany) – $19-25


Attention!

To simplify the perception of information, this instruction for use of the drug "Hemorrhoid suppositories" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.

Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.

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