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Hemorrhoids — what to take?

Hemorrhoids are dilated veins in the rectum/anus. Internal (above the dentate line — bleeding) or external (painful, thrombosed). They affect 30-50% of adults.

Also known as: internal hemorrhoids external hemorrhoids anal fistulas
5 recommended OTC drugs
8,296 pharmacies available

In short: Hemorrhoids are swollen veins in the rectum and anus, affecting 30-50% of adults; internal ones often cause bleeding, while external ones cause pain. For mild discomfort there are OTC options such as venotonics (Diosmin + Hesperidin, Ruscus, Proctoglyvenol), hydrocortisone suppositories and psyllium fibre, whose prices you can compare on HartaFarmacii across Dr. Max, Tei, Catena and HelpNet, with values updated daily. This information is for guidance only and does not replace medical advice; see a doctor if bleeding is heavy or persistent.

Data verified on from public sources (OpenStreetMap, chain websites, ANM/MS) — updated daily.

OTC — no prescription

What you can take for hemorrhoids

Informational only — HartaFarmacii is not an approved medical site. Talk to your doctor or pharmacist before taking any medicine. Don't self-medicate. Emergencies: 112.

When to see a doctor

If any of these signs appear, consult a doctor — OTC treatment is not enough:

  • Heavy or persistent bleeding
  • Hemorrhoidal thrombosis (acute severe pain)
  • Blood in the stool + weight loss + change in bowel habits
  • Over 50 years old — colonoscopy mandatory
  • Irreducible hemorrhoidal prolapse

Causes

Chronic constipation, straining at stool, pregnancy, obesity, sedentary lifestyle, a low-fiber diet, excessive alcohol consumption, spicy foods.

OTC treatment

Creams and suppositories:

  • Proctolog, Proctoglyvenol — with rutoside + local analgesic.
  • Ruscus (Ruscoven, Procto Venosan).
  • Hemorex, Hemapro.
  • Hydrocortisone — reduces inflammation, maximum 7-10 days.

Diosmin, hesperidin (Detralex, Daflon) — oral, for venous insufficiency. Courses of 2-3 months.

Bulk-forming laxatives (psyllium) and osmotic laxatives (lactulose) — prevent constipation.

Warm sitz baths with Epsom salt or chamomile — 10-15 min.

Essential measures

  • A fiber-rich diet (25-30 g/day).
  • Hydration 2 L/day.
  • Do not delay bowel movements, do not strain.
  • Local hygiene with water, not rough paper.
  • Daily exercise.
  • Avoid prolonged sitting on the toilet (reading on the phone).

Interventional treatments

Rubber band ligation, sclerotherapy, hemorrhoidectomy — for grade III-IV or refractory hemorrhoids. Modern procedures: HAL-RAR, laser, THD — less painful.

When it's an emergency

Heavy bleeding, hemorrhoidal thrombosis (acute severe pain, a hard, bluish-black lump — may require surgical evacuation within 48-72h). Blood + weight loss + change in bowel habits — rule out colorectal cancer.

Medical disclaimer: the information in this guide is for informational purposes and does not replace the advice of a doctor or pharmacist. For diagnosis and treatment, consult a healthcare professional.

Medicines compared

Medicines used for hemorrhoids

This list is for guidance only, generated automatically from the DCI/category match. It is not a medical recommendation — consult your doctor before starting any treatment.

This list is not a medical recommendation. Consult your doctor or pharmacist.

Search the pharmacy

Medicines for hemorrhoids

Step by step

How to find a pharmacy fast for hemorrhoids

Open the interactive map and grant location permission — you'll immediately see pharmacies sorted by distance, each with its opening hours and a one-tap route in Google Maps. If it's night or a weekend, switch on the 24/7 filter to keep only the on-call ones. For hemorrhoids most of the listed remedies are over the counter, so you can walk in without a prescription, but check stock and prices on the comparator page first to avoid wasted trips.

If you have a preferred active ingredient (paracetamol, ibuprofen, etc.), search it in the comparator before you leave — you'll see which chain has it cheapest near you and whether it's in stock. For chronic prescriptions, save your favourite pharmacy in the app and turn on hours notifications — it saves unnecessary trips, especially when treatment for hemorrhoids runs over weeks.

See also

Related symptoms and conditions

Symptom

Constipație

Constipația = sub 3 scaune pe săptămână, scaune dure, efort de evacuare. Afectează 15-20% din populație, mai ales femei, vârstnici, sedentari.

 Condition

Varice și insuficiență venoasă

Varicele sunt vene dilatate, tortuoase la membrele inferioare. Insuficiența venoasă cronică include varice, edeme, modificări trofice. Afectează 25-30% adulți.

Frequently asked

What else do you want to know?

Do hemorrhoids go away on their own?
Mild ones do, with dietary measures and avoiding constipation. Advanced ones (III-IV) or thrombosed ones require intervention.
Does Detralex really work?
Yes, for acute episodes — it reduces symptoms within 72h. For long-term prevention — a maintenance dose. Combined with hygiene and diet.
Blood in the stool — always hemorrhoids?
Often yes. But over 50 years old, with weight loss or a change in bowel habits — colonoscopy is mandatory to rule out cancer.
During pregnancy — what can I take?
Topical Proctoglyvenol is okay. Lactulose is safe. Diosmin — after consultation. Detralex — not in the first trimester.

See also

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