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ANTIHEMORRHOID DRUGS
Definition
Antihemorrhoid drugs are medicines that reduce the swelling and
relieve the discomfort of hemorrhoids (swellings in the area around the
anus).
Purpose
Hemorrhoids are bulges in the veins that supply blood to the skin and
membranes of the area around the anus. They may form for various reasons.
Frequent heavy lifting, sitting for long periods, or straining to have bowel
movements may put stress on anal tissues, which can lead to hemorrhoids.
Some women develop hemorrhoids during pregnancy as the expanding uterus
puts pressure on the anal tissues. The strain of labor and delivery can also
cause hemorrhoids or make existing hemorrhoids worse. Hemorrhoids sometimes
result from certain medical problems, such as tumors pressing on the lower
bowel.
The main symptoms of hemorrhoids are bleeding from the rectum,
especially after a bowel movement, and itching, burning, pain, and
general discomfort in the anal area. Over-the-counter antihemorrhoid products
can relieve many of these symptoms. The products contain combinations of four
main types of ingredients:
· * Local anesthetics, such as benzocaine,
lidocaine and tetracaine, to temporarily relieve the pain. Vasoconstrictors, such as epinephrine
base, epinephrine hydrochloride, ephedrine sulfate and phenylephrine
hydrochloride that reduce swelling and relieve itching and discomfort by
tightening blood vessels.
·
* Astringents (drying agents), such as
witch hazel, calamine, and zinc oxide. These help shrink hemorrhoids by pulling
water out of the swollen tissue. This, in turn, helps relieve itching, burning,
and irritation.
·
* Protectants, such as cocoa butter,
lanolin, glycerin, mineral oil, and shark liver oil which soothe irritated
tissues and form a protective barrier to prevent further
irritation.
Description
Antihemorrhoid drugs are available as creams, ointments and
suppositories. Most can be bought without a physician's
prescription.
Recommended dosage
Follow package instructions for using these products. Do not use more
than the recommended amount of this medicine every day. For explanations or
further information about how to use antihemorrhoid drugs, check with a
physician or pharmacist.
Precautions
Do
not use antihemorrhoid drugs for more than seven days in a row. If the problem
gets worse or does not improve, check with a
physician.
If
rectal bleeding continues, check with a physician. This could be a sign of a
condition that needs medical attention.
Side effects
Side effects are rare, however, if a rash or any other sign of an
allergic reaction occurs, stop using the medicine.
Interactions
Some antihemorrhoid drugs should not be used by people who are taking
or have recently taken monoamine oxidase inhibitors (MAO inhibitors),
such as phenelzine (Nardil) or tranylcypromine (Parnate), used to treat
conditions including depression and Parkinson's disease. Anyone who is
not sure if he or she has taken this type of drug should check with a physician
or pharmacist before using an antihemorrhoid drug. People who are taking
antidepressants or medicine for high blood pressure also should not use certain
antihemorrhoid drugs. Check with a pharmacist for a list of drugs that may
interact with specific antihemorrhoid drugs.
Key Terms
Anus
The opening at the end of the intestine
through which solid waste (stool) passes as it leaves the body.
Rectum
The end of the intestine closest to the
anus.
Uterus
A hollow organ in a female in which a fetus develops until birth.
For more information: Please consult your physician on your next visit.
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