Свечи от геморроя Релиф сегодня по праву можно назвать одними из самых эффективных противогеморроидальных средств, которые комплексно воздействуют на проблему. Ректальные суппозитории линейки Релиф обладают противовоспалительным, болеутоляющим, кровеостанавливающим и заживляющим свойствами, а также улучшают работу кишечника.
Состав и спектр действия препарата
Ректальные суппозитории линейки Релиф на отечественном фармацевтическом рынке сегодня представлены тремя препаратами, а именно:
- Релиф;
- Релиф Адванс;
- Релиф Ультра.
Рассмотрим состав и спектр противогеморроидального действия каждого препарата из данной линейки.
Релиф
Основным компонентов свечей Релиф является фенилэфрина гидрохлорид (мезатон) – альфа-адреномиметик, который сужает сосуды и нормализует, таким образом, кровообращение в области прямой кишки. Благодаря этому восстанавливается баланс между притоком и оттоком крови от кавернозных вен, что способствует купированию венозного застоя и отека тканей.
Также препарат содержит следующие вспомогательные ингредиенты:
- масло какао-бобов;
- кукурузный крахмал;
- метилпарагидроксибензоат;
- пропилпарагидроксибензоат.
Вспомогательные вещества поддерживают форму препарата, а также положительно влияют на слизистую прямой кишки, ускоряя ее восстановление.
Релиф Адванс
Основной ингредиент свечей Релиф Адванс – бензокаин.
Вспомогательный состав препарата ничем отличается от предыдущего, а именно:
- масло какао;
- кукурузный крахмал;
- метилпарагидроксибензоат;
- пропилпарагидроксибензоат.
Бензокаин принадлежит к местным анестетикам. Препарат моментально устраняет боль, жжение и зуд за счет блокады проведения нервных болевых импульсов.
Таким образом, действие препарата направлено на борьбу с болевым синдромом в заднем проходе при геморрое.
Релиф Ультра
Ректальные суппозитории Релиф Ультра являются многокомпонентным препаратом, поскольку в их составе присутствуют два действующих компонента – гидрокортизон и сульфат цинка.
Гидрокортизон – это гормон коры надпочечников, который обладает выраженным противовоспалительным и противозудным действиями
Сульфат цинка покрывает протекторной пленкой слизистую прямой кишки, трещины и эрозии, защищая их от раздражения калом и едкой слизью, за счет чего ускоряется заживление повреждений.
Среди вспомогательных ингредиентов следует отметить такие, как:
- масло какао-бобов;
- стеарат магния;
- безводный раствор кальция гидрофосфата;
- метилпарагидроксибензоат;
- пропилпарагидроксибензоат.
Когда назначают свечи линейки Релиф?
Показаниями к назначению свечей Релиф могут быть следующие:
- геморрой наружной и внутренней локализации;
- надрывы анального кольца;
- эрозии и язвы заднего прохода;
- зуд в заднем проходе;
- кровотечение из геморроидальных узлов;
- воспаление слизистой ректального канала.
Кроме того, ректальные суппозитории Релиф могут применяться для уменьшения болей и ускорения восстановления тканей после операций на прямой кишке.
Также нужно отметить то, что выбор препарата зависит от ведущего симптома заболевания. Например, при геморроидальном кровотечении наиболее эффективными будут суппозитории Релиф, при сильных болях и зуде – Релиф Адванс, а при выраженном воспалении в заднем проходе – Релиф Ультра.
Побочное действие препарата
Несмотря на высокую эффективность противогеморроидального действия, ректальные суппозитории Релиф, как и любой другой препарат, могут провоцировать появление у пациентов нежелательных эффектов. Хотя как указывают производители, появление побочных реакций наблюдается крайне редко.
Самой распространенной побочной реакцией на применение свечей Релиф является аллергия, в виде таких местных проявлений, как гиперемия, зуд, дерматит, отек и крапивница. Системных аллергических реакций не отмечалось.
Ограничения к применению
Лечение свечами Релиф и Релиф Адванс противопоказано в таких случаях, как:
- аллергия в анамнезе на компоненты препарата;
- возраст младше 12 лет;
- склонность к образованию тромбов;
- снижение уровня гранулоцитов в крови.
Поскольку в состав свечей Релиф Ультра входит гидрокортизон, который частично проникает в общий круг кровообращения, то к списку противопоказаний добавляются следующие:
- инфекции заднего прохода бактериальной, вирусной или грибковой природы;
- поражение аноректальной зоны специфическими инфекциями (туберкулез, сифилис);
- опухоли заднего прохода;
- синдром Иценко-Кушинга;
- декомпенсированный сахарный диабет;
- повышенный уровень натрия в крови;
- период гестации;
- грудное вскармливание;
- детский возраст.
Инструкция по применению свечей Релиф при геморрое
Перед применением свечей Релиф обязательно необходимо провести ряд подготовительных процедур, а именно:
- опорожнить кишечник путем дефекации или постановки очистительной клизмы;
- обмыть задний проход и половые органы теплой водой без мыла, после чего просушить кожные покровы мягким полотенцем;
- тщательно вымыть руки.
После указанных процедур свечу освобождают от упаковки и вводят в задний проход. Наиболее удобная поза для введения препарата – лежа на боку с согнутой верхней ногой в коленном и бедренном суставе.
При внутренних геморройных шишках суппозиторий рекомендуется вводить глубоко в прямую кишку.
При наружной форме геморроя или трещинах заднего прохода свечу необходимо подержать пальцами в анальном отверстии до полного рассасывания.
В период острых симптомов заболевания рекомендуется вводить по одной свече четыре раза в день, а после утихания заболевания – по одному суппозиторию дважды в сутки.
Длительность терапии определяется лечащим доктором, но в среднем курс лечения занимает 10 дней. Но при использовании свечей Релиф Ультра продолжительность курса не должна превышать семи дней.
Особенности применения свечей Релиф у беременных и детей
Ректальные суппозитории Релиф и Релиф Адванс можно использовать беременным и кормящим женщинам, если ожидаемый эффект от их применения выше всех рисков, и, конечно, только по назначению лечащего доктора. Но сегодня фарминдустрия предлагает более безопасные свечи для лечения геморроидальной болезни, такие как Натальсид, Гепатромбин Г, Постеризан и свечи с облепиховым маслом.
Свечи линейки Релиф разрешено применять у детей старше 12 лет с особой осторожностью и также по назначению специалиста.
Релиф Ультра и Релиф Адванс — 2 лекарственных средства, относящиеся к группе препаратов против геморроя. Перед тем как выбрать наиболее подходящий медикамент, желательно познакомиться с их терапевтическими свойствами.
Релиф Ультра и Релиф Адванс — 2 лекарственных средства, относящиеся к группе препаратов против геморроя.
Характеристика препаратов
Оба медикамента относятся к линейке фармакологических препаратов Релиф.
Релиф Ультра
Препарат имеет единственную форму выпуска — суппозитории для ректального применения. В состав свечей входят 2 активных компонента — гидрокортизон и моногидрат сульфата. Дополнительными веществами являются акулье масло, масло какао-бобов и др.
Лекарственное средство относится к медикаментам, оказывающим комбинированное действие при заболеваниях аноректальной области. Медикамент эффективно справляется с зудом, устраняет воспаление, заживляет раны, обладает сосудосуживающим действием.
Суппозитории показаны при геморрое, проктите, перианальных дерматитах, эрозии тканей заднего прохода, анальных трещинах и зуде, в т. ч. при болезни Крона.
Релиф с гидрокортизоном не рекомендуется применять во время беременности и грудного вскармливания. Противопоказаниями являются и следующие состояния:
- гипернатриемия;
- патологии прямой кишки, вызванные вирусами, бактериями и грибковыми микроорганизмами;
- синдром Иценко-Кушинга;
- сахарный диабет;
- непереносимость веществ, находящихся в составе медикамента.
Релиф Ультра эффективно справляется с зудом, устраняет воспаление, заживляет раны, обладает сосудосуживающим действием.
Противогеморроидальные свечи редко дают побочные эффекты. Но все-таки иногда пациенты жалуются на развитие аллергической реакции и гиперемию.
Релиф Адванс
Препарат имеет 2 лекарственные формы — ректальные свечи и мазь. Действующим веществом медикаментов является бензокаин. Дополнительно в состав суппозиториев входят масло печени акулы, масло какао-бобов и др.
Релиф Адванс оказывает противовоспалительное действие, эффективно заживляет раны, образовавшиеся в области ануса, обладают анестезирующим действием в месте нанесения или введения.
Свечи и мазь показаны в лечении геморроя. Применяются они при анальных трещинах и зуде. Препараты с печенью акулы используются для обезболивания при проктологических операциях и манипуляциях, связанных с диагностическими процедурами.
Противопоказаний у препарата немного: непереносимость компонентов, тромбоэмболия, гранулоцитопения. При несоблюдении рекомендаций врача могут возникнуть побочные эффекты, выражающиеся зудом, гиперемией и прочими симптомами аллергии.
Как использовать свечи Анузол при геморрое? Читайте здесь.
Сравнение Релифа Ультра и Релифа Адванс
У препаратов есть сходства и отличия.
Сходства составов
Оба медикаментозных средства схожи тем, что в их состав входят 2 вида масла — акулье и какао-бобов. Это сказывается на том, что лекарства обладают иммуномодулирующим, гемостатическим и смягчающим свойствами.
Условия отпуска из аптек
Оба лекарственных средства отпускаются без рецепта врача, но перед применением желательно посоветоваться с доктором.
Стоимость препаратов примерно одинакова:
- Релиф Ультра — около 500 руб. за упаковку с 12 свечами;
- Релиф Адванс свечи — около 450 руб. за 12 шт., мазь — около 470 руб.
Чем отличаются?
Разница между препаратами заключается в механизме обезболивания. Бензокаин, являясь местным анестетиком, действует на болевой импульс, блокируя его. Гидрокортизон купирует причину боли — процесс воспаления.
Отличаются лекарства и формами выпуска: Ультра только суппозитории, а Адванс свечи и мазь.
Еще одно отличие — большее количество противопоказаний у Ультра, чем у Адванса. Но и тот, и другой препарат нельзя использовать беременным и кормящим женщинам.
Что лучше: Релиф Ультра или Релиф Адванс?
Нельзя ответить на вопрос, какой из препаратов лучше. Что лучше применять, зависит от клинической картины болезни.
Ультра предпочтительнее использовать при геморрое, протекающем в хронической форме и сопровождающемся болевыми симптомами, кровотечениями из области ануса, зудом. Это лекарство эффективно при воспалениях, развивающихся в прямой кишке, эрозиях анальной области и экземах. Медикамент хорошо снимает отеки, устраняет экссудат, избавляет надолго от болевого синдрома.
Релиф Адванс справляется с болью, мучающей больных после операций и различных диагностических процедур.
С острой болью лучше справляется Адванс. Такой симптом характерен для тромбоза геморроидального узла и трещин аноректальной области. Это лекарство справляется с болью, мучающей больных после операций и различных диагностических процедур.
Можно ли принимать одновременно?
Одновременное применение лекарств возможно. Но перед лечением рекомендуется посоветоваться с врачом.
Как принимать?
Лекарства применяются 3-4 раза в сутки.
При наличии наружных узлов рекомендуется использовать мазь, в ином случае свечи.
Перед тем как приступить к использованию мази или суппозиториев, надо опорожнить кишечник, воспользовавшись клизмой, и выполнить гигиенические процедуры ануса. Мазь наносится тонким слоем на больные участки. В комплект входит специальный аппликатор, с помощью которого лекарственный состав при необходимости вводится в задний проход.
Свечи вводятся в задний проход. Перед применением суппозитории можно погреть в ладонях, чтобы они не травмировали больное место.
Отзывы о Релифе Ультра и Релифе Адванс
Артем, 42 года, врач-флеболог, Краснодар: «Свечи от геморроя Ультра из серии Релиф хорошо помогают при повреждениях слизистой. Адванс из этой же серии назначаю после проктологических операций, т. к. эти суппозитории хорошо обезболивают».
Михаил, 51 год, врач-проктолог, Воронеж: «Если сравнивать Релиф Адванс с классическим Релифом, то первый намного эффективнее из-за своей способности избавлять от боли. В течение 15-20 минут после применения пациент испытывает облегчение. А Ультра советую использовать при кровоточащем геморрое».
Алла, 31 год, Томск: «Запоры мучили на протяжении всей беременности. Это и привело к геморрою. Боль была сильная. Она мешала ходить, сидеть, стоять. После родов начала пользоваться Релифом с бензокаином. Стоимость не маленькая, но терапевтический эффект хороший».
Михаил, 65 лет, Екатеринбург: «Физическая работа привела к развитию геморроя. Доктор назначил Релиф Ультра. Суппозитории помогли снять отек и устранить воспаление за небольшой период времени. Лекарство хорошее, рекомендую всем».
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