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Top 10 best hemorrhoids ointments: advantages, instructions for use and prices

Hemorrhoids is a rather unpleasant problem, which is shy to speak out loud. This disease causes a lot of inconvenience, which is sometimes difficult to get rid of. The following is a summary of the disease, its symptoms, the causes of hemorrhoids and the best ointments and creams used to combat hemorrhoids.

Reasons for the appearance

Doctors have proven that hemorrhoids develop under the influence of a combination of several factors, including:

  • lack of exercise
  • prolonged sitting
  • constipation
  • increased physical activity,
  • frequent consumption of spicy food and alcohol,
  • pregnancy and childbirth.

Symptoms of hemorrhoids

There are two main symptoms due to which hemorrhoids can be detected almost unmistakably. It:

  • Bleeding from the anus before, during, or immediately after defecation. The reason for this is stagnation of blood in hemorrhoids, which is why their venous walls are worse fed by oxygen, atrophy, and cracks and tears appear on them. If these walls are damaged by passing feces, blood begins to flow from them. Sometimes hemorrhoidal bleeding can be quite massive and lead to the development of anemia.
    At the heart of this symptom is a violation of the influx and outflow of blood to the hemorrhoidal nodes, in connection with which they are overflowed with blood. Sometimes an admixture of blood in the feces does not indicate hemorrhoids, but a malignant formation in the large intestine. Therefore, an immediate visit to a proctologist to make an accurate diagnosis after detecting this alarming symptom is strongly recommended.
  • The loss of hemorrhoidal nodes, which is a consequence of a violation of their connective tissue skeleton, with which they are attached to the anal canal. Due to the thinning of the fibrous tissue, the nodes are poorly fixed and, when exerted and defecated, fall into the perianal region.
    The cause of this symptom is connective tissue dysfunction, which becomes unable to hold the nodes in place. This violation can be either acquired (due to old age, sprains, tears), or genetically determined.

The remaining symptoms are a consequence of the two previous ones:

  • foreign body sensation due to swollen hemorrhoidal veins,
  • burning and itching, indicating erosion of the venous walls and the release of blood, which irritates the mucous membrane of the colon,
  • severe pain that occurs during bowel movements in a standing and sitting position due to the presence in the anus of a large number of receptors that are irritated by the fallen nodes,
  • humidity and swelling, which are the result of the joining of the inflammatory process (75-80% of cases).

Forms of the disease

Hemorrhoids have an acute and chronic form of the course.

Acute is characterized by pronounced clinical signs, appears suddenly or is an exacerbation of a chronic form.

The chronic form of hemorrhoids is an alternation of periods of exacerbation and remission. The latter can be quite long. Despite this, the disease progresses, and without treatment will eventually pass into more severe stages.

How to treat hemorrhoids?

Treatment for hemorrhoids can be conservative and surgical.

Surgical intervention involves an invasive method of getting rid of unpleasant symptoms at the extreme stages of the disease. Often during surgery, the affected, necrotic hemorrhoidal nodes and, in some cases, adjacent tissues are removed.

A conservative approach is preferred in the early stages of the development of the disease. Therapy consists of general and local treatment.

General treatment consists in the use of drugs that increase venous tone, improve blood flow, reduce the likelihood of thrombosis and normalize microcirculation.

Important! Local drugs are often combined and able to simultaneously neutralize several symptoms of the disease. When used correctly, they have a local effect and lead to a significant improvement in the well-being of patients.

The most convenient means are precisely ointments and creams, since their application does not cause severe pain.

Corticosteroid preparations

1. Ointment "Aurobin"

Ointment for hemorrhoids "Aurobin" is a combination drug based on corticosteroids - hormones of the adrenal cortex, which are distinguished by their immunosuppressive effect. Thanks to this, the drug has its anti-allergic and anti-inflammatory effect.

It also contains lidocaine, which has a local analgesic (analgesic) effect, relieves itching and burning sensations in the perineum.

Triclosan, which is part of Aurobin, is a broad-spectrum antiseptic and protects the affected perianal region from fungi and bacteria, and dexpanthenol promotes the regeneration of the affected epithelium and rectal mucosa.

The components of the drug effectively complement each other, which helps to successfully deal with the unpleasant symptoms of hemorrhoids.

It is worth noting that the drug has a number of contraindications, among which:

  • age up to 1 year
  • taking lidocaine for other purposes (its 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! Because of the corticosteroids that make up Aurobin, prolonged use of the drug by children of any age is prohibited because of the possibility of adrenal insufficiency.

2. Posterisan ointment against hemorrhoids

Unlike the previous drug, Posterisan hemorrhoid ointment has a pronounced immunostimulating effect due to its antigenic properties.

Local application. Promotes rapid healing and regeneration of damaged areas of the skin and mucosa, and also has anti-inflammatory activity.

In addition, Posterisan has a mediated analgesic effect, prevents the development of secondary infection and superinfection.

3. Ointment for hemorrhoids "Proctosedyl"

Combined preparation for local use. One of the most effective ointments for hemorrhoids.

Combines anti-inflammatory, angioprotective, antipruritic, local anesthetic and antibacterial effect.

It successfully fights against itching, burning, serous secretions, inflammation and prevents thrombotic lesions of hemorrhoids due to the heparin included in its composition.

Important! Hemorrhoids ointment “Proctosedil” contains hydrocortisone corticosteroid, which is why the drug is not prescribed for children under 12 years old, pregnant and lactating.

For children over 12 years of age, the drug is prescribed with caution due to possible complications in the form of impaired water-electrolyte balance, adrenal insufficiency as a type of withdrawal syndrome, and the appearance of Itsenko-Cushing's syndrome.

The low price and effectiveness make it very popular among patients with hemorrhoids.

4. Ointment "Relief"

Very high-quality ointment for the treatment of hemorrhoids. It is unique in composition due to shark liver oil.

This component has a local hemostatic, anti-inflammatory, wound healing and immunomodulating effect on precipitated and inflamed hemorrhoidal nodes.

The ointment is suitable for the treatment of both external and internal hemorrhoids. Relief also includes phenylethylamine, which has a vasoconstrictor effect.

Thanks to this, a balance is established between the blood supply to the hemorrhoidal nodes and the outflow of blood from them, resulting in a decrease in swelling, itching and serous secretions in the perinatal region.

The ointment also includes additional emollient ingredients (vitamin E, glycerin, corn oil, thyme oil). It is usually well tolerated by patients, but is not recommended for use by pregnant and breastfeeding.

Side effects have not been identified, but there are contraindications, among which hypersensitivity to certain components of the drug.

5. Ointment for hemorrhoids "Ultraproct"

Ultraproct is a complex drug that has anti-inflammatory, antipruritic and analgesic effects. The composition of this ointment for hemorrhoids includes a corticosteroid fluocortonolone, which has properties that are standard for its group of hormones.

It reduces inflammation due to the inhibition of hyaluronidase, pepdidase and other enzymes that destroy the connective tissue, inhibits the synthesis of prostaglandins and leukotrienes, which act as mediators of inflammation, inhibits lipid peroxidation, which has an antioxidant effect on the tissue, reduces the permeability of blood vessels and fluid white blood cells, has antipruritic and anti-allergic effect due to the stabilization of mast cell membranes, which prevents the release of the latest histamine.

The second active ingredient of the drug is zincoquine, which has a local analgesic effect by stabilizing the membranes of nerve endings, which inhibits the generation and conduction of a nerve impulse.

The great advantage of treating hemorrhoids with Ultraproct ointment is that it not only is not absorbed by the blood and does not have the systemic effect of the corticosteroids included in its composition, but also successfully fights both external and internal hemorrhoids both with and without hemorrhoidal vein thrombosis. .

It is not recommended to take the drug for more than a month. Overdose is not possible.

6. Rectal cream "Doloprokt"

A topical preparation that alleviates the symptoms of hemorrhoids, proctitis, eczema of the anus zone. It contains the glucocorticosteroid fluocortolone, which, due to the immunosuppressive effect, relieves swelling, tissue infiltration, itching, burning and pain in the perianal region. Doloproct hemorrhoids ointment also includes lidocaine, which is a local analgesic.

Preparations containing local anesthetics

1. Ointment "Anestezol"
Anestezol is a complex antihemorrhoidal drug. It is also successfully used to treat anal fissures. It consists of 4 active substances, which in combination provide anti-inflammatory, local analgesic and astringent effects on precipitated hemorrhoidal nodes. In addition, the drug facilitates the act of defecation.

Anestezole is usually well tolerated by patients, but with prolonged use, it may cause disturbances in the blood system, including methemoglobinemia.

2. Hemorrhoid ointment for hemorrhoids

A complex preparation based on horse chestnut, which has a bactericidal, astringent and antispasmodic effect, which distinguishes it from the previous ones.

Relieving spasm in the area of ​​the external and internal anal sphincter, facilitates bowel movements and relieves discomfort. Hemorrhoid ointment “Hemorrhole” has an anti-inflammatory effect, quickly relieves itching and burning in the perineum.

It includes such anesthetics as benzocaine, chamomile, beladonna and cinquefoil extract, which partially eliminates the pain syndrome. Aimed at the symptomatic treatment of hemorrhoids.

Many patients report hemorrhoid as a very good ointment for hemorrhoids.

3. Ointment for hemorrhoids "Anuzol"

Integrated topical preparation. It has a number of positive effects, including anti-inflammatory, antispasmodic, astringent, antiseptic and antipruritic.

The composition of the drug includes extract of beladonna, so patients who are sensitive to it, the use of the drug is prohibited. This component relaxes the muscles of the distal gastrointestinal tract and tones the anal sphincters.

4. Ointment for hemorrhoids "Betiol".

It has a pronounced antihemorrhoidal effect. It has anti-inflammatory and antispasmodic effects. It is a local anesthetic. It contains belladonna extract, which contributes to the rapid healing of damaged tissues. Treatment of hemorrhoids with Betiol ointment is available to many because of its low price.

5. Ointment for hemorrhoids "Hemorron."

A Canadian combination drug that can dissolve hemorrhoids, quickly eliminating burning and itching in the perianal region.

It contains shark liver oil, which has a hemostatic, anti-inflammatory and reparative effect (healing of wounds and microcracks). Phenylephrine locally narrows blood vessels, relieves swelling of tissues and balances the flow and outflow of blood in the cavernous bodies of the rectum. The action of the drug occurs very quickly and lasts from 30 minutes to 4 hours.

It is one of the best ointments for hemorrhoids.

Interesting! In a special group of hemorrhoid ointments, Fleming ointment should be distinguished, which does not contain substances that can adversely affect the mother and child, therefore its use is allowed during pregnancy.


This disease is quite serious, but there are a number of effective ointments for hemorrhoids that can significantly improve the patient's quality of life. You should understand this and not start the process, since inaction is fraught with such complications:

  • paraproctitis
  • proctitis
  • anemia,
  • phlegmon of the pelvis,
  • stool incontinence, etc.

If symptoms of hemorrhoids are identified, you must visit a proctologist who will conduct an examination and prescribe the appropriate treatment. Be healthy!

Hemorrhoids ointment: advantages and disadvantages

An ointment against hemorrhoids is a mild dosage form that is intended for both external and rectal use.

Almost all ointment preparations are made on the basis of petroleum jelly and lanolin. The composition of these agents may contain one or more active ingredients, which significantly expands the spectrum of antihemorrhoidal action.

In the treatment of hemorrhoids, ointments differ from other drugs in their simplicity and ease of use. In addition, when using them, there is no systemic effect on the body, which helps to significantly reduce the list of side effects of the drug. Due to this, antihemorrhoidal ointments are the drugs of choice in the treatment of hemorrhoids in women during pregnancy and breastfeeding.

In addition, the active substances of the ointment penetrate directly into the varicose veins of the anus, which makes it possible to instantly eliminate the painful symptoms of hemorrhoids.

Unfortunately, ointments for treatment also have negative sides, which is confirmed by patient reviews. The disadvantage of this dosage form is mainly due to the fact that due to the oily base, the drug is not completely absorbed into the skin of the anorectal region and leaves spots on underwear or even clothing.

Ointment for external hemorrhoids: instructions for use

  1. Before applying the ointment, it is necessary to empty the intestines. This can be done with bowel movements or enemas.
  2. After emptying the intestine, it is necessary to conduct a hygienic toilet of the anus and genitals, since not all ointments have an antimicrobial effect. To do this, wash the skin with warm water without detergents and dry it with a soft cotton towel or napkin. Some patients leave positive reviews about the use of laundry soap when washing the anus.But here you need to be careful, because this soap overdries the skin.
  3. After a hygienic toilet, wash your hands thoroughly with soap and take a comfortable pose - squatting or elbow-elbow.
  4. On the index finger, one gram of ointment should be squeezed out for the treatment of hemorrhoids (approximately a pea) and greased with external hemorrhoids and cracks, if any.
  5. After the procedure, you must also wash your hands thoroughly so that the ointment does not get into your eyes or mouth.

The frequency of use and the duration of treatment with hemorrhoidal ointment is also determined by the attending doctor. But on average, the drug is applied 2-3 times a day, and the average duration of the course of treatment is 5 days.

Ointment for internal hemorrhoids: instructions for use

Preparation for the use of ointments for internal hemorrhoids is no different from that for external. The difference only determines the application of the drug.

In the treatment of hemorrhoids of internal localization, the ointment is injected into the anal canal using a rectal nozzle. If there is no rectal applicator in the kit with the drug, then the ointment can be introduced into the rectum with a cotton swab or finger.

It is also important to properly store the ointment - in the refrigerator at a temperature of + 4-6 ° C and pay attention to the shelf life, which is mainly 2-3 years.

To allergics, in order to avoid an allergic reaction, it is recommended to conduct a sensitivity test before applying the ointment. To do this, we need to apply a little on the inner surface of the forearm. If itching, swelling, burning or redness appears in the area of ​​application after 15 minutes, this means that the drug is allergic and should not be used.

In addition, it is necessary to inform the attending doctor of all side effects of the ointment so that he adjusts the treatment.

What are the best hemorrhoid ointments: a list

We studied the opinions of specialists and patient reviews and compiled a rating that will help determine which hemorrhoid ointments are better to choose.

  1. Relief
  2. Procto-Glivenol.
  3. Ultraproct.
  4. Aurobin.
  5. Proctosed.
  6. Hepatrombin G.
  7. Heparin ointment.
  8. Proctosan.
  9. Posterized.
  10. Levomekol.

But to say reliably what the best ointment for hemorrhoids is impossible, since each drug has its advantages in a particular case. For example, Hepatrombin G ointment is effective for the treatment and prevention of thrombosis of hemorrhoids, Ultraproct ointment instantly relieves pain in the anus, Procto-Glivenol ointment - normalizes the tone of the veins and relieves inflammation, etc.

Which ointment is better for the treatment and prevention of thrombosed hemorrhoids?

For the treatment and prevention of thrombosis of hemorrhoids, the most effective ointments are those based on heparin, a direct anticoagulant. Heparin slows down blood coagulation and minimizes the risk of blood clot formation in hemorrhoidal veins.

  • Heparin ointment. This drug belongs to inexpensive and effective ointments for hemorrhoids. Heparin ointment has a hemorrhaging and analgesic effect, since it contains, in addition to heparin, anestezin. Heparin ointment can not be used for necrosis of the hemorrhoids, congestion disorder and in the first trimester of pregnancy. Undesirable effects in the drug are extremely rare in the form of an allergic reaction or bleeding from the anus. The price of the drug is in the range from 40 to 100 rubles.
  • Hepatrombin G. This medicine also effectively copes with blood clots in the hemorrhoidal veins and relieves inflammation in the anus, so contain prednisone. In addition, the composition of the ointment contains polydocanol - a sclerosant, from which the hemorrhoid cone sticks together and decreases in size. In addition to a wide spectrum of action, Hepatrombin G has a lot of contraindications for use, namely:
  • active infection of the skin of the anal area,
  • bleeding disorder,
  • specific lesion of the anal area (tuberculosis, syphilis, gonorrhea, etc.),
  • neoplasms of the rectum and anal region,
  • allergic to the components of the drug,
  • the first 12 weeks of gestation.

The most common adverse reaction to a drug is allergy.

Hepatrombin G is also an inexpensive hemorrhoid ointment, since its price does not exceed 200 rubles per tube.

Aurobin Ointment

Aurobin ointment belongs to anti-inflammatory drugs, as it consists of the prednisolone glucocorticosteroid, which has a complex effect - relieves inflammation, relieves itching and swelling.

Also in the composition of the ointment there is lidocaine, which instantly anesthetizes anorectal tissues. The third component of the drug is D-panthenol, which helps to heal anal tears and erosion.

Aurobin can be successfully treated with external hemorrhoids both in the initial stages and advanced forms of the disease, especially when there are anal tears.

Aurobin ointment is not recommended for use in the following cases:

  • allergic to the components of the drug,
  • active infection of the tissues of the anus,
  • neoplasms of the anorectal region,
  • the first 12 weeks of pregnancy
  • lactation.

The average price of the drug is 312 rubles.

Ointment Ultraproct

This drug is a combined action, as it consists of two hormones - fluocortolone caproate and pivolate, as well as an anesthetic - chinchocaine.

Due to the presence of two hormones, the drug has a pronounced anti-inflammatory effect, and also stops swelling and itching. In addition, the drug normalizes microcirculation, which explains its healing effect.

Contraindications to the use of Ultraproct ointment are as follows:

  • specific infection of the anorectal region,
  • viral damage to the tissues of the anus,
  • the first 12 weeks of pregnancy
  • allergy to the components of the drug.

But patient reviews prove that adverse reactions are very rare. Most often, allergies are observed in the form of itching and urticaria.

Since the drug contains hormones, it can not be used for longer than 7 days.

The drug is currently being re-registered.

Ointment Proctosedyl

Proctosedil also belongs to multicomponent ointments, so it consists of a hormone - hydrocortisone, an antibiotic - framycetin, an anticoagulant - heparin, venotonic - esculoside and two anesthetics - butamben and benzocaine. Such a composition significantly expands the spectrum of action of the drug.

Ointment Proctosedil relieves inflammation, relieves pain and itching, destroys microbes, normalizes the tone of the cavernous veins, improves microcirculation in tissues and accelerates regenerative processes.

Proctosedil ointment is contraindicated in the following conditions:

  • specific infection of the anorectal region,
  • viral damage to the tissues of the anus,
  • the first 12 weeks of pregnancy
  • lactation,
  • childhood,
  • bleeding disorder,
  • allergy to the components of the drug.

Like any other hormonal ointment, Proctosedil should not be used for longer than one week.

The cost of the drug is from 350 to 410 rubles.

Ointment Proctosan

Proctosan ointment is a non-hormonal anti-hemorrhoid drug that works due to the non-steroidal anti-inflammatory component - bufexamak.

Also, Proctosan effectively helps with bleeding hemorrhoids, as it contains bismuth compounds that have an astringent effect, and titanium compounds dry and shorten the healing of cracks, ulcers and erosion.

Local anesthetic lidocaine instantly quenches pain, itching and burning in the tissues of the anus.

Use of the drug is limited in the following cases:

  • specific infections of the tissues of the anus (syphilis, tuberculosis),
  • gestation period
  • lactation,
  • childish age
  • allergy to the components of the ointment.

The average cost of Proctosan ointment is 400 rubles.

Cream Procto-Glivenol

Procto-Glivenol ointment consists of tribenoside and lidocaine. Tribenoside is a venotonic and angioprotector, which increases tone, strengthens the walls of blood vessels, reduces their permeability and fragility.

Lidocaine allows you to instantly stop the pain, itching and burning in the anorectal region.

The drug has a small number of contraindications - the first 12 weeks of gestation and an allergy to the components of the ointment. If necessary, it can be prescribed to nursing mothers.

The average cost of Procto-Glivenol cream is 420 rubles.

Ointment Relief

The drug consists of phenylephrine and cocoa butter. Phenylephrine constricts blood vessels, stopping bleeding, reduces swelling and itching. Cocoa butter softens the tissues of the anus and prevents the formation of anal fissures.

The drug is contraindicated for thrombosis of hemorrhoids, allergies to its components ointments and granulocytopenia. Relief ointment can be used with caution in pregnant and breast-feeding women.

The average cost of Relief ointment is 450 rubles.


The only representative of this group is Posterisan ointment - a drug consisting of inactivated Escherichia coli. The drug increases local immunity and thereby reduces inflammation, accelerates the restoration of affected tissues.

The drug has a minimal amount of undesirable effects and contraindications - an allergy to a history of ointment components.

The drug is highly effective in preventing infection of hemorrhoids cones to a rather expensive - 620 rubles per tube.


Most often, specialists prescribe Levomekol to patients, since this hemorrhoid ointment is inexpensive and effective. In addition, it can be prescribed to pregnant and breastfeeding mothers.

This cheap ointment consists of components such as chloramphenicol and methyluracil. The first ingredient is an antimicrobial, and the second is a reparant. Due to this composition, Levomekol is widely used for infectious complications of hemorrhoids and anal tears.

Levomekol is contraindicated only in the presence of an allergy to its components.

The average cost of Levomekol ointment in Russia is 110 rubles.

As a result, I would like to emphasize once again that ointments are suitable only for symptomatic treatment and cannot independently cure hemorrhoids. It should also be remembered that the use of any ointment should be only as directed by a specialist.

If you ever had to deal with hemorrhoids, share with us what ointment helped you and how the treatment went, leaving feedback in the comments under this topic.

Watch the video: Herbal Remedies : Herbal Treatment for External Hemorrhoids (February 2020).

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