Proctosan suppositories: instructions for use and reviews

Composition and description of the components of the drug

Proctosan ointment is a multicomponent antihemorrhoidal drug with combined action.

This medication is a yellow mass without a distinct odor, which is packaged in twenty-gram aluminum tubes. The tube of ointment comes with a rectal nozzle, which is designed for convenient administration of the drug into the anal canal.

Proctosan ointment consists of bufexamac, lidocaine, titanium dioxide and bismuth subgallate, which are the active ingredients and determine the therapeutic effects of this drug.

The auxiliary composition of the ointment includes lanolin, paraffin, wax, sorbitol, sesquioleate, isopropyl palmate and purified water. The listed components maintain the form of the drug, enhance the therapeutic effect of the active ingredients and facilitate the absorption of the drug into the tissue.

Differences between Proctosan and Proctosan NEO

• Proctosan differs from Proctosan NEO in some respects.
• Both drugs are used against hemorrhoids, however, Proctosan NEO has a different composition and contains heparin, prednidazone and polidocanol.
• Proctosan NEO is used for more complex cases of hemorrhoids, since the action of the active components is aimed at resolving inflammatory formations.
• While the action of Proctosan is aimed at quickly eliminating symptoms of pain and relieving inflammation.

Therapeutic effect of ointment for hemorrhoids Proctosan

Thanks to successfully selected active ingredients, Proctosan ointment has the following therapeutic properties:

• anti-inflammatory;
• pain reliever;
• antipruritic;
• astringent;
• drying;
• healing;
• antiseptic;
• hemostatic.

Let us consider in more detail the active ingredients of Proctosan ointment, since the therapeutic effects of the drug are due to their individual pharmacological properties.

Bufexamak. This substance has a strong anti-inflammatory effect, which is carried out due to the inactivation of cyclooxygenase, an enzyme that forms the inflammatory response. As a result of relieving inflammation in the tissues of the anus, swelling, in particular, hemorrhoids, is eliminated, pain and itching disappear.

Lidocaine. This drug is an immediate local anesthetic that increases the pain sensitivity threshold of the anal receptors and blocks the conduction of nerve impulses to the brain. Thanks to lidocaine, it is possible to quickly relieve symptoms of hemorrhoids such as pain, burning and itching.

Titanium dioxide and bismuth subgallate are responsible for the astringent, hemostatic, antiseptic and healing properties of Proctosan ointment. The mechanism of action of these minerals is that they form a protective film on the surface of the skin of the anus by coagulating proteins.

Such a film stops bleeding, stops inflammation, dries out weeping ulcers and tears, accelerating their healing, and also protects tissues from the penetration of pathogens.

Thus, Proctosan ointment is a universal remedy for hemorrhoids, which can affect almost all known symptoms of this disease.

Analogs

If necessary, you can use drugs that are analogues of Proctosan and have a similar effect on the body.

Analogues include:

1. Hepatrombin - produced in the form of suppositories and ointments to reduce inflammatory formation in the rectum. Reduces unpleasant symptoms and restores damaged areas. Price 320 rubles .
2. Anuzol - is prescribed to eliminate internal and external hemorrhoids, has a rapid analgesic effect and reduces swelling. Before starting treatment, you should consult your doctor. Price 90 rubles .
3. Bisacodyl - has a quick effect on the problem area. Can be used to enhance bowel cleansing prior to a rectal medical examination procedure. Cost 150 rubles .
4. Papaverine - a drug in the form of suppositories has a mild effect on the problem area. Eliminates inflammation and swelling of the skin. Can be used for patients with increased sensitivity levels. Cost 70 rubles .
5. Relief - the substance is based on the components of their shark liver, which activate the properties of regeneration of damaged areas and promote the rapid healing of cracks. The product quickly eliminates inflammation and unpleasant symptoms. Price 450 rubles .

Gepatrombin G

Anuzol

Bisacodyl

Papaverine

Relief
Each type of drug that is classified as an analogue has its own unique side symptoms, which can affect the course of the disease to varying degrees.

Indications for use of Proctosan ointment for hemorrhoids

Proctosan ointment is prescribed to patients with the initial stages of external and rectal hemorrhoids as part of complex therapy. The drug is also used in the treatment of acute anal tears, anal eczema, inflammation of the mucous membrane of the anal canal.

In addition to the listed conditions, Proctosan ointment is used during the recovery period after operations on the anus.

Proctosan ointment has a number of contraindications, so the decision to prescribe this drug should be made only by a professional proctologist. Self-medication can cause irreversible harm to your health.

Side effects

Therapy using Proctosan may cause the following side effects:

• swelling;
• itching;
• burning;
• redness and inflammation;
• allergic reactions.

Most often, these symptoms go away on their own.

If the administration of suppositories is accompanied by symptoms of acute pain, the use of Proctosan should be discontinued.

Use during pregnancy

The medicinal substance Proctosan has the ability to penetrate into soft tissues and affect the development of the fetus, therefore the substance is not prescribed during pregnancy.

During breastfeeding, Proctosan may pass into breast milk, so it is recommended to use special formulas for feeding the baby during the period of therapy.

Prescription in pediatrics

Proctosan is not used in pediatrics. The drug can be used from the age of at least 14 years in cases of urgent need.

Instructions for use of the drug

Depending on the location of the hemorrhoids (inside or outside the anus), Proctosan hemorrhoid ointment is prescribed externally or rectally.

Before using the medication, you must do the following:

• empty your bowels;
• wash with warm water without soap and a weak solution of potassium permanganate;
• dry the skin with a soft, lint-free towel;
• Wash the hands;
• wear sterile gloves or treat your hands with antiseptic;
• take a comfortable position - lying on your left side or standing with your legs slightly apart;
• carefully read the instructions for the drug;
• check the expiration date of the ointment.

Features of use for external hemorrhoids

For external hemorrhoids, a small amount of ointment is applied to the skin around the anus and rubbed in with light massage movements. The procedure is performed twice a day - morning and evening throughout the entire period of exacerbation of the disease, but no more than one week.

Features of use for internal hemorrhoids

For rectal localization of nodules, anal tears and proctitis, the drug is used rectally. To do this, attach a rectal nozzle to the tube, insert it into the anal ring and squeeze out a little ointment. The drug is used twice a day for 5 - 7 days.

After the procedure, you need to lie down for half an hour so that the drug is absorbed.

Long-term treatment (more than seven days) with Proctosan ointment increases the risk of adverse reactions. If acute symptoms of hemorrhoids persist after one week of using this medication, you should contact your doctor to prescribe another antihemorrhoid drug that does not contain local anesthetics.

Side effects

If the prescribed doses and frequency of use for hemorrhoids are followed, Proctosan only rarely causes adverse reactions in patients.

Most often, patients experience the following adverse reactions to the drug:

• allergy to the medication and its components (redness, itching, swelling of the skin of the anus, urticaria, dermatitis, Quincke's edema);
• methemoglobinemia (with long-term use);
• diarrhea.

If adverse reactions occur, you must stop using the drug and contact your doctor to adjust the therapy.

How to use candles correctly?

In order to use suppositories, you must perform the following steps:

• Wash the hands;
• cleanse the intestines;
• clean the anus with cool water;
• blot with a napkin or soft towel;
• hold the suppository in your palms for a few minutes;
• lie vertically on your side and raise one knee to the chest area;
• remove the protective shell from the Proctosan suppository;
• carefully insert the suppository with the sharp end into the rectum, while the drug should not be injected too deeply;
• be in a lying position for 20–30 minutes for the candle to begin its effect;
• blot the remaining suppository with a napkin and wash your hands with soap.

When using Proctosan suppositories, it is recommended to cleanse the intestines naturally; it is not recommended to use enemas, as this can contribute to the formation of new lesions.

Restrictions on the use of the drug

As we have already said, Proctosan ointment has a number of contraindications, which include the following:

• individual intolerance to the medication and its components;
• a history of allergy episodes to local anesthetics belonging to the amide class;
• history of atopic and contact dermatitis;
• damage to the tissues of the anus by pathogens of specific infections (syphilis, tuberculosis, gonorrhea);
• childhood and adolescence;
• breast-feeding;
• gestation period.

Proctosan: what it contains

The German manufacturer made sure that each component in the composition of the drug Proctosan acted effectively and helped relieve various symptoms of the disease, both with internal and external hemorrhoids. So, what components provide the main therapeutic effect:

1. Bismuth subgallate. The main property it has is astringent and slightly drying. By thus acting on inflamed and irritated skin, bismuth subgallate helps restore the permeability of the integument and thereby prevents not only the penetration of infection deep into the cellular tissue, but also relieves visible irritation. This component is also capable of coagulating the protein components of tissues, which not only stops bleeding, but also creates an invisible protective film.
2. Bufexamak. This is an NSAID - a non-steroidal anti-inflammatory drug. If applied topically, it relieves inflammation and eliminates severe pain. The attenuation of the inflammatory process occurs through inhibition of the metabolism of arachidonic acid, which is the main mediator of its initiation. Bufexamak also gently blocks nerve impulses, thereby reducing the symptoms of the disease.
3. Titanium dioxide. The properties of this component are somewhat similar to bismuth subgallate. Titanium dioxide also gently dries the skin and helps stop bleeding on irritated skin. Cracks heal faster.
4. Lidocaine hydrochloride. This is a well-known local anesthetic, one of the strongest and fastest-acting. Lidocaine eliminates pain literally in the first minutes, allowing the patient to feel healthy again. The distinctive features of lidocaine include the absence of resistance to it.

The instructions for Proctosan candles also inform you about additional components - isopropyl palmitate, wool wax, sorbitol, liquid paraffin, sorbitan sesquioleate. They are necessary to give the suppository its shape and preserve the healing components in proper condition.

Release forms: candles and cream.

Rules for dispensing from a pharmacy and the cost of the drug

To purchase Proctosan ointment, you do not need a prescription from your doctor, but this should not encourage you to self-medicate.

Proctosan ointment for hemorrhoids is a German product, which is considered a sign of high quality, so its cost is higher than analogues from other manufacturers.

The average price for medicine in pharmacies in our country is 370 rubles.

Does Proctosan have any contraindications?

In addition to the above prohibition on the use of the drug during pregnancy and lactation, there are other situations when Proctosan has contraindications:

1. Age up to 18 years. The components of the drug can negatively affect the growing body of a young boy or girl.
2. Syphilis or tuberculosis in a patient, especially with local skin manifestations of these diseases in the anal sphincter area;
3. Individual intolerance to any component of the drug.

Proctosan ointment: real reviews for hemorrhoids

Ivan, 42 years old: “Proctosan is always present in my first aid kit. As soon as painful nodes appear, I lubricate them with this drug: the pain subsides instantly, and after a week there is no trace of the sore. I have never had any side effects. Quite a reasonable price for such quality. Excellent product, I recommend it!”

Marianna, 29 years old: “After giving birth, I developed hemorrhoids, or rather, I had them during pregnancy, I just hoped that it would go away without treatment. After breastfeeding, I went to a proctologist in a good private clinic, who diagnosed me with stage 2 internal hemorrhoids, acute anal fissure. My treatment consisted of a diet, Venarus tablets and Proctosan rectal ointment. After introducing the ointment into the anus for five minutes, I felt discomfort in the rectum, but, nevertheless, the pain and itching disappeared instantly. I used Proctosan morning and evening for seven days. After a course of therapy, rectal bleeding stopped, the nodules stopped falling out, and the fissure healed. Proctosan ointment is an effective remedy. But it cannot be used without a doctor’s prescription.”

Evgeniy, 38 years old: “I have been suffering from hemorrhoids for the last ten years. A long time ago, my doctor prescribed me Proctosan suppositories, which I use to effectively eliminate the symptoms of the disease. Once, during an exacerbation of the disease, I went to the pharmacy, but there were no Proctosan suppositories there, so they offered me ointment. In my opinion, the ointment is even more convenient to use, since it can be used for external and internal hemorrhoids, and it lasts for a longer period than packs of suppositories.”

As you can see, reviews of Proctosan ointment confirm its effectiveness in the treatment of hemorrhoids.

pharmachologic effect

The substance is used for the formation of hemorrhoids and fissures in the rectum. It has rapid penetrating properties into the inflammatory area and reduces the inflammation process.

The constituent components accelerate the regeneration of damaged cells and accelerate wound healing. The drug has an analgesic effect and reduces swelling of the skin.

Pharmacokinetics and pharmacodynamics

Proctosan is used for anti-inflammatory and analgesic effects on the problem area. The drug has a complex effect, so data on the pharmacokinetic effects on the body have not been fully studied.

Negative reactions of the body

Negative side effects in the treatment of hemorrhoids using Proctosan are rare. Some patients may experience allergic manifestations in the form of rash, itching, and urticaria, but usually patients tolerate the effects of the drug well.

If there is hypersensitivity to individual components, it is possible that the affected area will swell or peel. Redness is also possible.

Attention! When treating hemorrhoids with Proctosan ointment, it is undesirable to use individual barrier-type contraceptives, since contact with the drug reduces their strength and may rupture.

Composition of suppositories

Proctosan rectal suppositories contain 4 active ingredients:

• bufexamac is a non-steroidal anti-inflammatory substance that is a derivative of acrylic acetic acid;
• bismuth subgallate is an amorphous lemon-yellow powder, tasteless and odorless, which has a pronounced anti-inflammatory effect in cases of increased exudation;
• titanium dioxide – white food coloring;
• lidocaine (in the form of hydrochloride) is a local anesthetic.

To give the required consistency and shape, a solid fat base is used as an auxiliary component.

Can these drugs be taken at the same time?

The combined use of Proctosan and Hepatrombin is not prohibited, since their components can enhance the anti-inflammatory, analgesic and decongestant effects of each other. There are no antagonist substances with opposite effects in the drugs.

When using Proctosan and Hepatrombin simultaneously, it is necessary to strictly adhere to the established dosages and exclude contraindications to the use of both drugs.

Each of these drugs can be combined with drugs that have similar indications, but a different composition. For example, with Relief candles. In this case, you can speed up the healing and quickly eliminate the discomfort.

When fighting any disease, it is important to remember the basic principle “do no harm.” Therefore, before treatment, it is important to consult a doctor and establish the correct diagnosis. Taking into account all the symptoms, condition, and other diseases, it is necessary to select the optimal treatment and monitor its effectiveness. When purchasing a drug, you need to carefully study the instructions, composition, and also check the expiration date of the drug.

Treatment during pregnancy and lactation

Proctosan can be used without restrictions during lactation, you just need to wash your hands very thoroughly after each use or accidental contact with the medicine. Underwear or bed linen should be changed at least 2 times a day during treatment.

Regarding pregnancy, doctors have different opinions. Some prescribe Proctosan during pregnancy if the use of other medications does not produce significant results, others try to find alternative methods of treatment. Several medications can help a pregnant woman cope with hemorrhoids

Fissures and hemorrhoids that appear as a result of constipation can be treated not only with Proctosan, but also with Duphalac syrup as part of complex therapy.

The medicine softens the stool and makes defecation easier, thus eliminating the cause of hemorrhoids. To heal injured areas, topical medications must be used.

Levomekol ointment is recommended for use in combination with suppositories . It is not contraindicated for pregnant and lactating women, but in some cases it does not have an effect.

Ultraproct is prescribed to pregnant women extremely rarely, and only in the second or third trimester. The doctor must compare the expected benefits with possible negative consequences. Available data indicate a high risk for the condition of the fetus.

There are known cases where treatment with Ultraproct ointment caused infant underdevelopment and congenital malformation cheiloschisis. Ultraproct should not be used during lactation.

Pregnant patients suffering from hemorrhoids are prescribed Papaverine in suppositories, tablets and injections. The medicine has an analgesic and antispasmodic effect, relaxes the smooth muscles of the uterus, intestinal walls and blood vessel walls. Suppositories are most convenient, since a woman can administer them herself, but injections are more effective and work faster.

Suppositories have a drawback: in many women they cause low blood pressure, bloating and constipation.

Important! The injections should be administered by a specialist, since rapid or inept administration of the drug increases the likelihood of side effects.

Indications, contraindications and adverse reactions

The instructions for Proctosan ointment detail the indications and contraindications for the use of the drug, so you should study the description before starting use.

Note! Thanks to its complex composition, Proctosan effectively helps with stage I II hemorrhoids, the medicine acts quickly, the maximum concentration of active substances in tissues is achieved 2 hours after application.

Indications for use:

• violation of the integrity of the walls of the anus, anal bleeding fissures;
• chronic and acute forms of eczema in the anal area;
• dermatological diseases of the skin of the anus
• proctitis and other inflammatory diseases of the rectum of various etiologies.

The drug is usually well tolerated by patients; in isolated cases, the development of allergic reactions in the form of skin itching, rash and urticaria is possible.
Proctosan has virtually no contraindications - the drug is not prescribed during pregnancy and breastfeeding, individual intolerance to the components of the drug, in the presence of syphilis, tuberculosis and some other specific inflammatory pathologies.

Note! The medicine in any form is not used in pediatrics, since there is no reliable clinical data on the safety of the drug for this group of patients.

When Proctosan ointment is used correctly, there are no side effects, since the active components of the drug do not penetrate into the blood and act locally directly on the affected areas. Sometimes patients complain of rash, peeling, itching and rashes in the anus after applying the ointment, but usually such reactions are associated with increased sensitivity to the components of the drug in allergy sufferers and people prone to dermatitis.

Note! Treatment with Proctosan will be ineffective if you do not follow your doctor’s recommendations. The proctologist will definitely prescribe a diet, a set of physical exercises, physiotherapy - only a reasonable combination of all these methods will allow you to quickly get rid of hemorrhoids.

Wound healing and anti-inflammatory suppositories

1. To treat anal fissures, suppositories with methyluracil are used.
2. Candles based on sea buckthorn oil. Used during pregnancy, after childbirth and lactation.
3. Nigepan contains direct anticoagulants and anesthetic components. Prescribed for thrombosis, thrombophlebitis of hemorrhoidal veins. The course of treatment with Nigepan is 2 weeks.
4. Relief, a group of analogue medications, is based on oil produced from shark liver. The composition contains corticosteroids and local anesthetics. You should not use the medicine for more than a week.
5. Neo-Anuzol and Anuzol. The composition includes antiseptics and aniline dyes. Suppositories relieve pain, inflammation, and dry out the mucous membrane. Eliminates spasms of the rectal muscles. The patient will quickly feel relief.

Which is better - ointment or suppositories for hemorrhoids - depends on the form of the disease. The active ingredients are available in different forms to treat specific clinical symptoms.

Pharmacodynamics

Thanks to the combination of active ingredients, Proctosan ointment begins to act almost immediately after application.

The bleeding stops, and the damaged area of ​​tissue is covered with a thin film, protecting the wound from getting wet and suppurating.

Lidocaine comes into contact with mucous tissues and begins to be absorbed almost immediately after application. As a result, the pain syndrome completely disappears.

The highest concentration is observed 2 hours after application.

Important! Bismuth helps dry wounds and protects tissues from re-infection. Titanium dioxide accelerates regeneration, stops bleeding, relieves itching and burning.

Similar offers from pharmacies

Modern developments make it possible to choose a medicine against hemorrhoids among the offers of pharmacists. Proctosan analogues have a similar effect, but each composition differs in active ingredients. You should not decide based on what is cheaper.

It is important to consult a doctor about the causes of the disease in order to eliminate the factor of its manifestation.

Most nominated:

• Papaverine hydrochloride. Safest for pregnant women. Suppositories and injections do not affect the fetus. They reduce blood pressure, relieve constipation, weakening the intestinal walls, and improve bowel movements.
• Hepatrombin helps in the early stages of pathology. Gepatrombin G is prohibited during pregnancy. The danger of the components in the premature termination of gestation - miscarriage. Another option, the classic one, does not pose a danger to the baby; it is used from the first days of pregnancy.
• Ultraproct is a drug with highly active ingredients. It relieves symptoms almost immediately. The course of treatment is drawn up by a doctor. The medicine is not suitable for self-treatment. Only a specialist should supervise its use. There is a complete ban for pregnant women. Taking it will lead to the development of a cleft palate and abnormal formation of the fetus.
• Duphalac is a complex remedy. Its components soften stool and remove feces without consequences. Allowed for expectant mothers.
• Aloe juice heals cracks and wounds of the anus and anal area. The solution can be purchased at a pharmacy, and there are recipes for preparing it at home. The juice is added to food products, mixed with vegetable oil and used as a base for lotions. They take baths with the healing plant. Some cosmetic products are created on the basis of aloe vera; they are preventive methods against pathology.
• Celandine is one of the most popular plants included in most recipes against illness. Celandine is a poisonous herb, so you cannot believe in treatment with drinks containing or based on the plant. Procedures that have an effect: baths, lotions, lubrication, cauterization.

Instructions for using Proctosan, where the suppository is used, suggests studying all the effects in order to correctly find a similar medicine if necessary.

Posterisan Forte ointment is the most popular Proctosan analogue. The active substance of the medicine is an extract of intestinal Escherichia coli bacilli, containing the cells of the membranes of intestinal bacteria. Release form of the drug: suppositories and ointment composition. Posterisan Forte cream has a water base (suspension) containing hydrocortisone.

Forte is prescribed for three diagnoses:

1. Exacerbation of the disease (intensification of the main symptoms);
2. After completing the main complex (to better consolidate the result);
3. Prevention of the development of hemorrhoidal manifestations.

The constituent substances of Forte (lanolin, phenol and petroleum jelly) together become a stimulus for the immune system. Products formed during the metabolism of E. coli activate leukocytes. The acquired type of immunity becomes immune to infections and eliminates the possibility of developing relapses

Another important property is its reparative effect. The condition of blood vessels is normalized.

In the anal area, regenerative processes are optimized.

Hydrocortisone in Posterisan Forte quickly relieves the unpleasant signs of hemorrhoids:

• Pain from itching and burning in the anorectal area.
• Eliminates inflammation.
• Restores damage to the skin.
• Delivers positive flora to the intestines;
• Strengthening the body's resistance against microbial penetration.

Indications for prescription are conditions for monotherapy, combinations of various drugs against one pathology.

Should be used in acute forms of the disease.

Pathologies for which the drug is prescribed:

• Eczema of the anal passage.
• Recovery period after surgery.
• Fistula in the pararectal area.
• Cracks and wounds of the anus and rectum.
• Sawing the anus.
• Unclear etiology.
• Dermatitis of the buttock area.

The gel is applied in a thin layer and left to absorb. The procedure is carried out in the morning and evening. The doctor will set the dosage and choose the duration of the course.

Description

Proctosan is a topical anti-inflammatory ointment intended for the treatment of hemorrhoids and fissures. Shows good results in the treatment of bleeding, acute and chronic hemorrhoids. Manufacturer: German company Amcapharm Pharmaceutical.

Proctosan - instructions for use

The therapeutic effect of Proctosan ointment is manifested as follows:

• bleeding is eliminated;
• itching goes away;
• swelling decreases;
• the inflammatory process stops;
• tissues regenerate and heal faster;
• pain sensations decrease.

Proctosan is affordable, but the main thing is that during the treatment period it does not have a negative effect on other systems and organs.

This is interesting! Treating hemorrhoids: Natalsid suppositories - instructions for use

Reviews

We have selected some reviews from people who have used Proctosan suppositories:

1. Gennady. The candles helped me. The pain was completely relieved immediately. Then only the healing process took place. It seems to me that it also quickly relieves inflammation and does not irritate the intestines.
2. Milana. I constantly sit at work, leaving the computer only on rare occasions, as a result I now suffer from hemorrhoids. On days when it gets worse, I can’t do my job productively, I only think about the discomfort. I started using Proctosan suppositories as prescribed by the doctor, after the first administration I was able to sleep peacefully all night and was rested in the morning. During the day I didn’t even think about hemorrhoids. On the fifth day of treatment with them, all the symptoms of the disease went away, but I used suppositories for two more days to consolidate the result.
3. Marina. For many, such a delicate problem causes horror. My husband is one of them. Hemorrhoids have been bothering him for a long time; they have tried a lot of remedies. Lately, a lot of things just haven't worked. I persuaded him to try Proctosan suppositories, but he didn’t like the idea of ​​suppositories. In the end, I took mine and tried it - it helped, but not as much as I would like. The pain has become less and that's all. During my next attack, the pharmacy recommended Proctosan ointment, supposedly the reviews about it are better than about the suppositories. Indeed, the ointment is much better than suppositories. Although maybe everything is just individual? But the ointment turned out to be simply miraculous; his pain went away almost immediately after application. Then other symptoms began to disappear. Now we have it in all our first aid kits, both at home and in the car.

"Proctosan" or "Relief"?

Some patients faced with hemorrhoids are faced with a choice: which is better - Relief or Proctosan suppositories? The answer to this question is obvious: you need to purchase the drug that was prescribed by your doctor, since both drugs have various contraindications and side effects. The main difference between these medications is that Proctosan has a wider spectrum of effects and is suitable for the treatment of advanced forms of hemorrhoids. You can achieve the same effect using Relief only if you use it in combination with other drugs.