Diclofenac ointment is used for hemorrhoids due to its anti-inflammatory effect. In addition, the drug is also prescribed for the treatment of a number of other diseases. The medication is available in several dosage forms, which, like the ointment, are prescribed to combat hemorrhoids. The medicine is effective, and after the first use it relieves the patient of pain and discomfort.
Diclofenac ointment and suppositories for hemorrhoids
The main active ingredient is diclofenac, which is an anti-inflammatory and analgesic. The medicine is used not only to treat hemorrhoids, but also to relieve pain in other diseases. It relieves fever well.
Constipation and difficulty in emptying, discomfort in the anus, sensation of a foreign body in the rectal area, bleeding...
Hemorrhoids happen:
- outer. Hemorrhoids prolapse from the rectum, forming lumps around the anus. They can bleed and become inflamed;
- interior. The bumps swell a little, become inflamed, and can be felt with your hands. If they fall out, they can be easily put back in.
The disease can be acute or chronic. The attack begins with itching, burning and discomfort in the anus. Next, the patient is bothered by pain when moving, and if hemorrhoids are not treated, then even in a state of calm. Patients often observe blood on toilet paper. It can arise from cracks and ulcers on the surface of the mucosa.
Treatment with Diclofenac ointment or suppositories gives positive effects:
- anesthetic. The action develops both locally and systemically. This allows the patient to temporarily forget about pain;
- antiplatelet. The drug is able to some extent relieve platelet aggregation in the vessels of the rectum. This reduces the risk of blood clots;
- antipyretic. Acute hemorrhoids can cause increased body temperature. This drug effectively reduces it;
- anti-inflammatory. During therapy with Diclofenac, swelling and inflammation in the anus and perineum go away.
Indications for use
Due to its pharmacological properties, Diclofenac is used for:
- Pain of various etiologies. The drug relieves acute migraine pain, headaches, dental pain, lumbar pain and pain in any other part of the spine, muscle and joint pain. Eliminates pain caused by cancer, as well as inflammation in the postoperative or post-traumatic period.
- Pathological changes in the skeletal system, accompanied by inflammation and destruction. Including psoriatic and ankylosing arthritis, rheumatism, bursitis, arthrosis, tendon inflammation.
- With painful menstruation and inflammation in the pelvic organs.
- For local inflammation caused by injuries and bruises of joints, muscles, soft tissues and tendons.
- For diseases of organs related to the ear-nose-throat ligament (laryngitis, tonsillitis, otitis media).
In what cases is it advisable to use Diclofenac?
A peculiarity of use is that Diclofenac ointment and suppositories for hemorrhoids can only be applied to intact tissue. The mucous membranes and skin should be free of wounds, cracks and defects.
The main active substance is NSAID (non-steroidal anti-inflammatory drug), it is used for various diseases and pathologies.
Doctors prescribe Diclofenac in the following cases:
- acute and chronic diseases of the musculoskeletal system, accompanied by inflammation and pain;
- sprains, bruises, fractures;
- postoperative pain, accompanied by increased body temperature and tissue swelling;
- otitis, pharyngitis, laryngitis, tonsillitis;
- gynecological inflammation, pain during menstruation.
For hemorrhoids, suppositories and Diclofenac ointment can be prescribed for various inflammatory processes in the rectum and anus to relieve pain. They are used at various stages of hemorrhoid therapy as part of complex treatment. Doctors prescribe them in the early stages, in the postoperative period.
Diclofenac is able to relieve pain of various origins, therefore it is widely used in surgical, therapeutic, and rheumatological practice.
Side effects
The drug is active and effective, but it also has side effects on the body. The following pathologies must be taken into account when treating with Diclofenac suppositories:
- irritation of the skin and mucous membranes, bloody discharge;
- pain during bowel movements;
- allergy;
- abdominal pain, nausea, vomiting, diarrhea, flatulence;
- gastritis, anorexia, bleeding in the gastrointestinal tract, ulcers, jaundice;
- aphthous stomatitis, hepatitis, colitis, Crohn's disease, constipation, pancreatitis;
- exacerbation of hemorrhoids, proctitis;
- headaches, drowsiness, sensory disturbances;
- memory disorders, tremor, convulsions, anxiety, insomnia;
- depression, nightmares during sleep, blurred vision and hearing, tinnitus;
- urticaria, erythema, erythroderma, itching, photosensitivity;
- nephritis, renal failure, leukopenia;
- rapid heartbeat, chest pain, hypertension, myocardial infarction;
- bronchial asthma, shortness of breath, pneumonitis, lungs may swell.
In case of drug overdose, symptomatic treatment is required. When the concentration of the active substance in the blood is exceeded, diuresis and hemodialysis are ineffective due to the connection with proteins and the intensity of metabolism. An overdose of the drug is characterized by symptoms:
- headaches, dizziness;
- tinnitus cramps;
- stomach pain, nausea, vomiting, diarrhea, stomach bleeding;
- increased blood pressure, respiratory depression;
- coma, lethargy.
Candles affect driving and operating machinery, so at the time of treatment you should avoid work that requires increased concentration and speed of psychomotor reactions. It is important to know how Diclofenac interacts with other drugs:
- increases the concentration of lithium and digoxin in the blood plasma;
- weakens the effect of diuretics, together with potassium-sparing drugs increases the risk of hyperkalemia;
- increases the risk of bleeding in combination with anticoagulants and thrombolytics;
- aspirin reduces the concentration of diclofenac in plasma;
- combined use with glucocorticoids, serotonin inhibitors, colchicine, corticotropin or prednisolone increases the likelihood of gastric bleeding;
- reduces the effect of hypnotics, hypoglycemic and antihypertensive drugs;
- paracetamol, cyclosporine and gold enhance the development of nephrotoxic effect;
- antibacterial drugs, quinolone derivatives increase the likelihood of seizures;
- drugs that block tubular secretion increase the effectiveness and toxicity of the drug.
Advantages of the drug Diclofenac
The benefits of treatment with suppositories and Diclofenac ointment were appreciated by many patients:
- Unlike tablet forms of NSAIDs, suppositories or ointments act only locally. They are absorbed into the systemic circulation slightly and do not have a negative effect on the liver, kidneys and gastrointestinal tract.
- The analgesic effect occurs very quickly; within 5-15 minutes after using the medicine, the patient notices a decrease in pain.
- Another advantage of Diclofenac therapy is a short course of treatment. In just 5-10 days, the patient gets rid of inflammation, swelling, and pain.
- Convenient release form; suppositories can be taken with you to work or on the road. There is no need to look for water to wash down your medicine or a measuring spoon for liquid medicine.
Patient reviews
- A few years ago I developed hemorrhoids. She was treated with folk remedies, using suppositories and ointments prescribed by the doctor. I learned about the healing properties of Diclofenac from a friend who has the same problem. I bought myself some candles just in case, and he quickly introduced himself. The knot hurt so much that it also hurt my back. Almost immediately after I inserted the suppository, the pain subsided, which I was pleasantly surprised by. But since this is a potent drug, I don’t use it too often, only in extreme cases when the pain is not relieved by other means. Maryana is 42 years old.
- I have been suffering from hemorrhoids for 15 years now and have tried almost all the rectal suppositories that are available for this sore. Some medications were not suitable for me, and without others I could not survive periods of exacerbation. Diclofenac is a good suppository that I always keep in my medicine cabinet, since exacerbations have been happening more and more often lately. Doctors recommend having an operation, but I haven’t saved enough money yet. Therefore, we have to use such means. Igor Sergeevich, 54 years old.
- After giving birth, I was diagnosed with hemorrhoids. She was treated with beetroot and potato lotions while she was breastfeeding. Then the nodes stopped hurting, and everything seemed to return to normal. But a few years later we went to the sea. Maybe the climate change had an effect, or sitting on a bus for 8 hours while moving, but upon arrival at the place, pain pierced the anal area. I noticed a small inflamed node. On the advice of the pharmacist, I purchased Diclofenac ointment. After applying the product, I felt relief within a couple of minutes. Almost the entire vacation I used only this ointment, and upon returning home I went to the proctologist, who prescribed treatment and approved my choice of painkiller. Natalya, 27 years old.
Rectal suppositories and Diclofenac ointment are indicated for use for hemorrhoids. But they can only be used when there are no open cracks or wounds on the mucous membrane. Long-term use of the drug is undesirable. It should be noted that it only helps eliminate painful symptoms and does not eliminate the true cause of the disease. This means that when a person’s hemorrhoids worsen and he begins to regularly use Diclofenac, the disease is not treated, but is hidden. To cure it, it is also necessary to take other medications under the strict supervision of a specialist.
Features and method of application
Suppositories are available in dosages of 50 and 100 mg. According to the instructions for use, the permissible daily dose is 500 mg, i.e. 5 suppositories of 100 mg each. However, according to reviews and studies, 2-3 times a day is enough to relieve pain and inflammation.
Before using it, you must empty the suppository from its original packaging and then insert it into the anal canal as far as possible
The suppository is inserted into the rectum with dry, clean hands. The doctor prescribes the number of appointments per day and the course of treatment on an individual basis. The ointment is applied only externally.
The drug is not prescribed to pregnant women, since the effect of Diclofenac on the fetus has not been studied. It is possible to use Diclofenac suppositories during lactation, but only as prescribed by the attending physician and in a reduced dosage.
Suppositories and ointment are taken externally only! Oral consumption is unacceptable.
A course of treatment
Diclofenac ointment and gel are intended for external use. The gel is absorbed faster, contributing to the rapid onset of the therapeutic effect. The ointment has a heavier structure, penetrates into tissues longer, but provides a long-lasting effect.
The product is applied in a thin layer to the inflamed areas 2-4 times a day.
A single dose for 1% ointment or gel is 2-4 grams, for 5% gel – no more than 2 grams. For children 6-12 years old, a single dose of the drug should not exceed 2 grams for a 1% concentration and 1 gram for a 5% gel, the frequency of application is 2 times a day. The maximum duration of treatment is 14 days. Important! Treatment is carried out on intact skin surfaces; contact of the product with mucous membranes should be avoided. After the procedure, you must wash your hands thoroughly.
Contraindications and side effects
The drug is not used for cracks and ulcers on the skin and mucous membrane. Take it with caution if you have a history of allergic reactions.
Contraindications are:
- liver, kidney and heart failure;
- gastrointestinal diseases in the acute phase;
- pregnancy;
- children under 12 years of age;
- hemorrhoidal bleeding;
- blood clotting disorders.
Diclofenac suppositories, both for hemorrhoids and for the treatment of other diseases, are contraindicated in: the first months of pregnancy.
Since when applied externally, the main active substance is absorbed into the blood slightly, side effects rarely make themselves felt. But it is possible that:
- dizziness, headaches;
- bleeding from the anus;
- redness of the skin at the site of application;
- nausea and vomiting.
Instructions for use
The absorption capacity of suppositories when used externally is low; the occurrence of negative effects when doses are exceeded is low.
Symptoms of overdose
In rare cases, the following may occur:
- head pain;
- nauseating sensations;
- gag reflexes;
- severe pain in the abdominal area;
- cloudy consciousness.
Treatment consists of relieving symptoms.
Features of use
The suppository contains 25, 50 or 100 mg of medication. The drug is administered after defecation, after washing your hands. Hemorrhoid suppositories are quickly removed from the packaging material and inserted deeply into the anus. Hands are thoroughly cleaned of the drug.
It is allowed to use up to 150 mg of the substance per day; in practice, a smaller amount of the drug is required to eliminate pain. Treatment terms are minimal - a few days.
Combination with other drugs and contraindications
When treating hemorrhoids, careful use of the drug in combination with antibiotics and medications intended for the treatment of epilepsy is recommended. Self-medication is unacceptable. Seek advice from a doctor in the field of proctology.
Contraindications to the use of Diclofenac for hemorrhoids:
- rectal fissures;
- erosive and ulcerative proctitis;
- allergies and intolerance to the medication;
- peptic ulcers of the gastrointestinal tract;
- the period of bearing a child and breastfeeding;
- insufficient function of the heart, liver, kidneys;
- age up to 12 years;
- bronchial asthma.
Side effects
The use of the drug in rare cases provokes side effects.
The functioning of the gastrointestinal tract is disrupted by abnormalities: consolidation of fecal matter, colic, nausea, gag reflexes, excessive gas formation, diarrhea, stomatitis, loss of appetite, bloating, and spotting.
Allergies are represented by: anaphylactic shock, tongue, lip swelling.
On the skin side, the following is recorded: baldness, itching, rashes, eczema, increased sensitivity to radiation.
The central nervous system experiences: tendency to sleep, reluctance to go to sleep, weakening of the body, depressive states, dizziness, anxiety, convulsions.
From the sensory organs: deterioration of auditory functions, the appearance of blind spots in visual characteristics, blurred vision, noise effect in the ears, changes in taste.
The genitourinary system is susceptible to kidney diseases and swelling as a result of poor fluid drainage from the body.
In the hematopoietic organs, the following occur: a decrease in platelets, a decrease in hemoglobin, an increase in eosinophils, and a tendency to bleeding.
From the respiratory system: swelling of the larynx, cough, bronchial spasms.
Analogs and price
Diclofenac suppositories for hemorrhoids have a low price. The cost of the medication is affordable for everyone. There are domestic and imported analogues - Olfen, Dikloberl, Diklobene. They are also available in the form of suppositories and ointments, with different dosages.
Treatment of such a delicate problem as hemorrhoids cannot be postponed until later. The disease can develop into more dangerous pathologies that cannot be solved with medication. The doctor will prescribe you a comprehensive examination and medications to relieve the symptoms of hemorrhoids.
Composition and release form
You can buy Diclofenac at a pharmacy kiosk in different forms. The active ingredient of any type of medication is a derivative of phenylacetic acid. It is supplemented with various substances depending on the type produced.
The following forms of release and composition contained in each of the medications are distinguished:
- Injection for injections in the form of a solution - looks like a colorless liquid, transparent structure, in a volume of 3 ml. The aroma is vaguely reminiscent of benzyl alcohol.
- Gel for local external use - sold in volumes of 1.2 and 5.2%. When squeezed out, the mass has a yellow tint, a dense structure and a specific amber. Available in aluminum or plastic tubes of 30 and 50 mg. Additionally, the composition includes ethylene glycol, lavender oil, rectified alcohol and trolamine.
- Candles are suppositories for rectal use in the form of a torpedo, presented in a soft yellow tone. The main component contains solid fats.
- Substance for topical use - available in a tube weighing 30 mg. The composition includes, in addition to the active component, propanediol, dimethyl sulfoxide and polyether of simple consistency.
- Capsules – used for oral administration to reach the digestive organs. The tablets have a specific shell, round in shape, easily dissolved inside the digestive organs. In appearance it has a bright yellow tint. In addition to the active substance, the dragee contains a carbohydrate from the group of disaccharides, octadecanoic acid and potato starch.
Depending on the form of hemorrhoids and the severity of the disease, the attending physician can prescribe any remedy from pharmaceutical companies to eliminate the painful symptoms.