Heparin ointment during pregnancy, use, contraindications. Oxolinic ointment: prevention of influenza and ARVI during pregnancy Contraindications and possible side effects

The pregnancy period is not only the most wonderful time in the life of a future mother, but also a rather difficult test, since the body must accept and withstand a double load. The happy life of an expectant mother is very often overshadowed by such an unpleasant phenomenon as. Today, pharmaceuticals produce a large number of drugs for this disease, including creams for hemorrhoids during pregnancy.

Many pregnant women know about the disease firsthand and they know that hemorrhoids are inflammation of the hemorrhoids of the rectum.

Haemorrhoids

In addition to pregnancy and childbirth, the disease can be triggered by:

Inactive lifestyle.
Chronic.
Poor nutrition.
Bad habits.
Anal sex.

During pregnancy, the disease often occurs due to hormonal changes in a woman, enlargement of the child and uterus, putting pressure on the pelvic organs, thereby disrupting their work.

Often pregnant women suffer from constipation, which also leads to the onset of the disease.

You can guess that you have this particular disease by the following symptoms:

Pain during bowel movements.
Feeling of heaviness in the stomach.
Blood and mucus in the stool.
External hemorrhoids.
Itching and burning in the anus.

Usually, Pregnant women most often suffer from the external form of the disease, and not internal. In any form, a pregnant woman must visit a specialist who will help you choose an ointment for external hemorrhoids during pregnancy. The treatment of this disease is

The effectiveness of ointments for hemorrhoids during pregnancy

Many people believe that this form of disease cannot be cured with drugs alone, since complex therapy is required. Pregnant women are not recommended to take certain medications in the form of tablets or capsules, but they can use ointments, since they most often have only a local effect, which does not affect the development of the child.

Very often the question arises, what ointment is suitable for hemorrhoids during pregnancy. A proctologist who, in addition to this ailment, specializes in the treatment of diseases such as anal fissures and several types of ointments.

Despite the fact that medications in the form of gels and creams are one of the safest drugs for treating the disease in pregnant women, You cannot assign them to yourself, since now the fair sex must take care not only of herself, but also of the unborn baby.

Ointments during pregnancy

A doctor may prescribe treatment for a disease in a pregnant woman. Heparin ointment. The main active ingredient of this drug is heparin, it actively fights inflammation, heals wounds and microcracks. Also with this tool can be used after childbirth, if you cannot get rid of the disease during pregnancy.

Heparin ointment during pregnancy for hemorrhoids is one of the most commonly prescribed drugs.

Less often, proctologists prescribe it to treat the disease in pregnant women. Although the drug is not narrowly targeted, it is also actively used for the treatment of hemorrhoids. The product has anti-inflammatory and antiseptic properties. When treating a disease using it, small compresses are made at night.

Essential The disadvantage of this drug is its very pungent and specific odor.

Fleming's ointment classified as homeopathic medicines, it can also be used during pregnancy. The drug has a bactericidal and drying effect and is actively used in the treatment of skin diseases. But, it is worth considering that when treating hemorrhoids with it, it is necessary to apply it to the sore spot at least three times a day.

Fleming's ointment

When asking a proctologist a question about how to smear hemorrhoids during pregnancy, you can hear the answer that gel. The product is famous for its venotonic effect, perfectly relieves swelling, strengthens the walls of blood vessels, and helps reduce discharge from the anus during illness.

Posterisan Positions itself as an immunostimulating agent, capable of healing wounds and cracks, quickly restores the mucous membranes of the rectum, and provides good pain relief.

Preparation Proctosan prescribed to pregnant women suffering from hemorrhoids, both first and second degrees. The product anesthetizes, eliminates bleeding, relieves inflammation, itching and burning.

It is widely popular in the treatment of diseases in pregnant women. drug Relief, which is available not only in the form of a suppository, but also as an ointment. The medication consists only of natural substances, relieves swelling, fights inflammation, eliminates itching and heals wounds.

Some proctologists prescribe Hepatrombin, which relieves pain, prevents the formation of thrombosis and promotes healing of the rectal mucosa.

Bezornil product It is most often used in pregnant women as a prophylaxis, that is, in those who have encountered the disease before pregnancy. The main effect of the drug is to strengthen the walls of blood vessels.

Aurobin contains a large amount of vitamins, perfectly heals damage, fights inflammation, relieves pain, relieves itching. It can also be used after childbirth.

Also quite often prescribed to a pregnant woman is Proctosedyl, which contains the hormone hydrocortisone. The product treats inflammation, eliminates swelling, relieves pain and strengthens the walls of blood vessels.

Whatever drug the doctor prescribes, you should remember that it must be applied to a well-washed sore spot at least twice a day, including at night.
Before applying the products, it is necessary to cleanse the intestines.

Despite the fact that gels and creams are topical preparations and they are the safest for pregnant women, they must be prescribed by a proctologist. Because in order for the treatment to be effective, the drug must be chosen correctly, and only a doctor can do this.

In addition to treatment with creams and gels, the proctologist will most likely recommend that a pregnant woman change your lifestyle, that is, lead a more active lifestyle, for example, take daily walks or join the pool. The doctor may also advise you to reconsider your diet and include vegetables, fruits, cereals, and dairy products.

Proctosedyl

A pregnant woman should understand that in order for the disease to recede She urgently needs to start treatment as soon as possible. Therapy with ointments can last up to two weeks or more, until the doctor confirms the diagnosis at one of the examinations.

It is imperative to treat the disease, since hemorrhoids can lead to many complications, the worst of which is rectal cancer.

Conclusion

If the disease affects a woman at the initial stage of pregnancy, then this information should under no circumstances be hidden from the proctologist, since some drugs can harm not only the health of the expectant mother, but also the unborn child.

Today, in order to prevent complications during pregnancy, heparin is often used intravenously. During this period, the use of Heparin ointment is also important.

Mechanism of action of Heparin ointment.
Heparin ointment is a combination drug used for external and local treatment. It contains active substances, in particular the anticoagulant heparin, which prevents platelet aggregation and has anti-edematous and anti-inflammatory effects. This substance also inhibits the formation of fibrin in the blood, a protein from which blood clots are formed. Thanks to heparin, the processes of reproduction of tissue cells, in particular connective tissue, are inhibited.

The ointment also contains two more active components - the vasodilator benzyl nicotinate, which improves the absorption of heparin, and benzocaine (analgesic), which has a local analgesic effect.

Cases of use of Heparin ointment during pregnancy.
During pregnancy, due to the increased load on the cardiovascular system, women's veins often suffer, which can lead to the development of varicose veins. Against the background of stagnation of blood in the veins, the risk of blood clots increases, which poses a danger for pregnancy, because blood clots can clog the main blood vessels, which is fraught with serious complications, or, even worse, break off (the risk of pulmonary embolism, which rarely happens during pregnancy). Heparin ointment is prescribed in case of dilation of superficial veins during pregnancy. It is recommended to apply it two to three times a day to the area of varicose veins or thrombophlebitis with light rubbing movements (without pressing or strong rubbing). The ointment significantly improves the condition, relieves swelling, reduces pain, burning in the area of damaged veins, preventing further development of the disease.

Another problem that plagues many pregnant women is hemorrhoids. During gestation, the activity of progesterone causes constipation, against the background of which, with a gradual increase in pressure, the veins of the rectum expand, forming hemorrhoids. Infringement of these nodes and blood clots in the veins of the rectum cause manifestations of acute hemorrhoids. This painful condition is very difficult for pregnant women to endure. Heparin ointment helps to alleviate this condition and reduce pain. It is used as a preventive measure for the formation of blood clots in hemorrhoidal veins and as an aid for the resorption of existing ones. The ointment must be distributed onto a special tampon and inserted into the rectum; the procedure should be done at night (leave for 12 hours during the day and lie down) every day. The treatment course includes ten to fourteen procedures.

During pregnancy, almost every woman, due to stretching of the skin on the thighs and abdomen, develops stretch marks (striae) - red or purple stripes that lighten over time, but do not disappear, thereby giving the skin an unattractive appearance. Stretching the skin causes the elastin and collagen fibers to tear, accompanied by slight bleeding (hence the red tint). Gradually, the blood particles are absorbed, and the rupture site is replaced by dense connective tissue (hence the white color). Since Heparin ointment can suppress the growth of connective tissue cells, it is effectively used to prevent stretch marks. If, however, stretch marks have formed, the use of this remedy will make them less noticeable and thinner.

It is not recommended to use Heparin ointment on your own without consulting a doctor, since the drug is still a medicine and, accordingly, has contraindications.

Contraindications to the use of Heparin ointment.

The presence of erosions and ulcers on the skin.
The presence of blood diseases, in particular impaired clotting ability.
Reduced level of platelets in the blood.
Excessive sensitivity to the composition of the drug.
The presence of necrosis in tissues in the area of altered blood vessels.

Side effects from the use of Heparin ointment.
The ointment can cause allergic reactions on the skin (urticaria), itching, redness, swelling. Therefore, before using it, test your skin for an allergic reaction (a little on the inside of your wrist). If there are no negative manifestations, the drug can be used for its intended purpose.

During pregnancy, allergies may not make themselves felt (especially in the later stages), or they may worsen, manifesting themselves as rhinitis, cough, swelling and skin rashes of various types.

In especially severe cases of dermatitis, the doctor prescribes potent (hormonal) agents. But such antiallergic ointments during pregnancy pose a threat to the unborn child, especially in the first trimester. Therefore, it is better to avoid their use.

Allergy ointments during pregnancy may contain:

herbal extracts (calendula, chamomile, nettle, celandine);
lanolin;
panthenol;
retinol;
zinc.

All of the funds listed may be personal tolerance. Therefore, carefully read the instructions for the drug you plan to take during pregnancy.

Safe ointments for allergies during pregnancy

External remedies for allergies during pregnancy can be anti-inflammatory or moisturizing. Ointments with other effects (hormonal drugs) should be completely excluded.

Safe medications are described in the table below.

Ointments for allergies during pregnancy	Peculiarities
	The cream has no contraindications and can be used during pregnancy and for the treatment of newborns. Promotes skin regeneration and moisturizes.
"Radevit"	During pregnancy, use only as directed by a doctor. There are contraindications, especially for people with hypervitaminosis. Does not combine with some medications.
"Emolium"	Has a natural composition. Has the following effects on the skin: · moisturizing; · restorative; · softening; · anti-inflammatory, etc.
"La-cree"	The ointment is made on the basis of extracts of medicinal herbs (chamomile, chamomile, licorice, etc.). The drug belongs to children's cosmetics and is approved for the treatment of pregnant women.
"D-panthenol"	The ointment is used for the treatment of dermatitis in children. It has no contraindications or side effects. The only condition: it cannot be used to treat “wet” surfaces.
"We see"	When carrying a child, the use of ointment is allowed only after a doctor's prescription. It contains retinoids (vitamin A derivatives). The medicine cannot be combined with some drugs.
"Heppiderm"	Many compare the ointment with Bepanten. The drug can be considered an analogue of the latter in composition. But the price of the medicine is much lower.
"Fenistil-gel"	Prescribed only in cases of severe allergic reaction. It is not recommended to use the drug in the first trimester of pregnancy. There are serious contraindications.
"Psilo-balm"	Use with caution and only with a doctor's prescription.
"Desitin"	Used to treat pregnant women and children in the first year of life. An effective remedy for.
"Zinc paste"	It is considered an effective and safe remedy. Individual intolerance is possible.
"Skin-cap"	Consult your doctor before use. There are conflicting reviews about the drug due to the discovery of the hormone clobetasol in it.
"Epidel"	A burning sensation may occur upon application. No effects on the fetus were detected when using the product during pregnancy.

External remedies according to traditional medicine recipes

compresses from a decoction of rose hips, oak bark, string, chamomile, calendula, nettle;
lotions with apple cider vinegar, birch and cabbage sap;
compress of Kalanchoe juice diluted with water;
lotions with saline solution.

It is very important to follow preventive measures during the treatment of the disease, then attacks will be less frequent and less intense:

stop contact with the allergen substance;
avoid stress;
maintain hygiene;
Healthy food;
spend a lot of time outdoors.

You should not self-medicate for allergies, especially during pregnancy. The choice of therapy should be left to the attending physician. He will select a medicine that is safe for both the mother and the unborn child.

A woman spends a lot of energy carrying a baby, and the immune system weakens during pregnancy so that the female body cannot reject the fetus. All this leads to increased vulnerability of the expectant mother to numerous viral diseases, which can negatively affect the health of the child in the womb. Many modern medications for the prevention of colds and flu are undesirable to take during pregnancy, so therapists prescribe oxolinic ointment, a “Soviet” remedy that has been tested for decades. But is it as effective as we used to think?

Composition and effect of the drug

Oxolinic ointment is a medical preparation, the active component of which is the chemical compound naphthalene-1,2,3,4-tetron, which is complex in structure. The more well-known name of this substance - oxolin - gave its name to the popular remedy.

The therapeutic effect of the drug is due to the ability of the active substance to block the binding sites of viral particles with the membrane of healthy skin cells and mucous membranes. As a result, viruses lose activity and, after a while, die altogether.

Oxolin demonstrates high effectiveness against the following pathogens:

influenza pathogen;
adenoviruses;
herpes pathogen;
pathogens of human papilloma and molluscum contagiosum.

In its pure form, the active component is a whitish powder that dissolves well in liquids and quickly decomposes. That is why the drug is produced only in the form of an ointment, the auxiliary (and binding) substances of which are petroleum jelly and petroleum jelly.

On pharmacy counters you can find two versions of oxolinic ointment, which differ only in the concentration of the active substance:

0.25 percent ointment for nasal use;
3% ointment for external use.

Is the drug effective?

The medical community has still not reached a consensus on the antiviral effectiveness of oxolinic ointment. If doctors of the “old school” are confident in the benefits of the drug, modern specialists are increasingly expressing doubts about the need to prescribe Oksolin, considering it a dummy.

For the first time, the probable ineffectiveness of oxolinic ointment was announced back in 1998 by Doctor of Medical Sciences Leonid Strachunsky, who argued that any popular drugs supposedly preventing infectious diseases of a viral nature do not have any real therapeutic effect.

The effectiveness of such popular drugs as oxolinic ointment, Arbidol, and numerous immunomodulators has not been proven in randomized comparative trials.

L. S. Strachunsky, Doctor of Medical Sciences
http://www.rmj.ru/articles/otorinolaringologiya/ANTIBAKTERIALYNAYa_TERAPIYa_INFEKCIY_V_OTORINOLARINGOLOGII/#ixzz4JfnYPrpP

A similar position regarding Oxolin and immunomodulatory drugs is currently taken by the widely known pediatrician E. O. Komarovsky.

But there is also the exact opposite point of view, which is held by many doctors and scientists. According to their observations, the drug acts with average effectiveness, reducing the incidence of acute respiratory viral infections and influenza during epidemics.

Thus, there really are no randomized clinical trials (involving a control group that receives a placebo) proving the antiviral activity of oxolinic ointment. But therapists who prescribe this drug believe that its effectiveness has been confirmed by more than 40 years of practice and positive reviews from grateful patients.

Video: Dr. Komarovsky about oxolinic ointment

Is Oksolin allowed for expectant mothers, including in the early stages?

An attentive expectant mother, when studying the medical manual for oxolinic ointment, may be alerted to several controversial issues regarding the use of this antiviral medication during pregnancy.

Table: controversial points regarding the use of oxolinic ointment

Controversial point	Explanation
The instructions contain an ambiguous phrase indicating that the use of the medication is possible if the potential benefit outweighs the likely harm to the child.	The standard phrase about the balance of benefit and harm is indicated in the annotation for all medicines for which serious clinical trials have not been conducted. This is a common precaution.
Despite the local effect, the components of the drug are absorbed into the blood: when applied to the skin, 5% of the active ingredient penetrates into the body, when used nasally - up to 20%.	The active component does not accumulate in the body, but is excreted by the kidneys within 24 hours. Therefore, you should not be afraid of long-term negative consequences for the child.
The American Food and Drug Administration has not assigned Oxolin a category of action on the fetus.	This fact is easily explained by the fact that the ointment is used exclusively in the countries of the former USSR and does not enter Western pharmaceutical markets.

More than forty years of observations have not found any negative effects when using Oxolin by pregnant women. That is why doctors, without any fear, prescribe this medication during epidemics of colds and flu, including in the first trimester of pregnancy.

Viral attacks pose a greater danger to a child’s health than Oxolin.

Indications for use

It is important to understand that medications with different concentrations of the active ingredient have completely different indications. Thus, 3 percent oxolinic ointment is intended for the treatment of the following skin diseases caused by viral infections:

various types of lichen;
herpes simplex;
Dühring's dermatitis;
warts that are caused by the human papilloma virus;
molluscum contagiosum.

Today, Oksolin is rarely prescribed for the treatment of lichen, as manufacturers have developed more advanced antilichen drugs. If, for various reasons, they are not available, oxolinic ointment will help cope with this viral skin lesion.

Oxolin at a concentration of 0.25% is used for the treatment and prevention of diseases and conditions of viral origin such as:

runny nose (with a cold, ARVI);
diseases of the eye mucosa (conjunctivitis, keratitis);
herpetic stomatitis;
prevention of influenza and respiratory viral infections.

Important! Oxolin is not able to help prevent infections caused by bacteria (sore throat, pneumonia). If the expectant mother is forced to contact patients who have been diagnosed with these diseases, she needs to take care of her health, for example, by using a gauze bandage.

Contraindications and possible harmful effects

Oxolinic ointment is a fairly safe medicine. This is confirmed, among other things, by a short list of restrictions on its use. Thus, the medication is prohibited for use by pregnant women who are found to have:

tendency to allergic reactions;
intolerance to oxoline or other components of the drug.

Oxolinic ointment can increase the manifestations of allergies. This is especially dangerous at the beginning of pregnancy, since the severity of the reaction cannot be predicted, and to relieve symptoms you will have to resort to strong antihistamines, which can harm the fetus.

When using Oksolin, undesirable consequences are observed very rarely. The main adverse reactions include:

slight burning and discomfort at the site of application;
lacrimation;
dermatitis;
significant discharge of mucous fluid from the nose;
slight coloration of the skin in a blue tint.

Most side effects do not pose a danger to the woman and child and do not require discontinuation of the drug.

Important! The use of a medication with a high concentration of the active substance for application to the nasal mucosa can cause or intensify undesirable effects and provoke acute allergic reactions.

Instructions for use

Before using oxolinic ointment, especially in the early stages of pregnancy, you should consult with your doctor, who will determine the duration, frequency of use and amount of the drug required for application to the skin or mucous membranes.

Table: features of the drug during pregnancy

Indications	Features of application	Duration of therapeutic or preventive measures
Lichen, molluscum contagiosum	3 percent ointment is applied 2-3 times a day to the affected area	From 4 weeks to 2 months
Warts caused by the human papillomavirus	3 percent ointment is applied to the affected skin several times a day	Before cure
Prevention of skin lesions	3 percent ointment should be applied to the area of intended contact with the patient (most often the palms)	3–5 days
Viral conjunctivitis, keratitis	0.25 percent ointment is applied behind the eyelid 1–3 times a day	14 days
Herpetic stomatitis	It is necessary to clean the affected area from crusts, lubricating them with sea buckthorn oil; you can rinse your mouth with a decoction of calendula or chamomile; A 0.25 percent ointment is applied to the affected area 2-4 times a day.	Usually 5–7 days
Viral rhinitis (as part of complex therapy)	First, the nose should be rinsed with saline solutions or vasoconstrictor drops approved by the doctor should be instilled; 0.25 percent ointment is applied last so as not to wash off the fatty base; apply 2-3 times a day.	Usually does not exceed 7 days
Prevention of influenza and ARVI	Lubricate the nasal passages with 0.25 percent ointment 2-3 times a day using cotton swabs; The product must be washed off every time after returning home from the street to remove possible viral particles.	Up to 25–30 days

Oxolinic ointment is used to treat skin diseases and acute respiratory infections of viral origin. However, the main area of use of Oxolin at present is the prevention of influenza and colds.

How can I replace oxolinic ointment?

If a pregnant woman is found to be intolerant to the components of oxolinic ointment, the attending physician may prescribe another antiviral drug intended for the treatment and prevention of diseases caused by viruses.

Table: medications for herpes and respiratory viral infections prescribed for pregnant women

Name	Dosage forms	Active ingredients	Indications	Contraindications	Features of use during pregnancy
Viferon	Ointment; gel; rectal suppositories.		Prevention and treatment of ARVI, influenza; herpetic infections.		Ointment and gel are allowed at all stages of pregnancy; suppositories can only be used from the 14th week
Arbidol	Capsules	Umifenovir	Prevention and therapy of ARVI, influenza; Chronical bronchitis; pneumonia; rotavirus infections.	Intolerance to active and auxiliary components	Prescribed with caution, since there is no reliable clinical data on the safety of the drug during gestation
Interferon	Lyophilisate	Leukocyte human interferon	Hepatitis in acute or chronic form; prevention and therapy of ARVI and influenza.	Severe liver and kidney diseases; heart failure; epilepsy; thyroid diseases; intolerance to components.	Prescribed if the benefit to the mother outweighs the potential harm to the fetus
Ergoferon	Pills	Antibodies to human interferon gamma; antibodies to histamine; antibodies to CD4.	Prevention and treatment of influenza; herpetic infections; acute intestinal infections; viral meningitis	Drug intolerance	Prescribed with caution, since the use of the drug during gestation has not been studied
Grippferon	Drops	Interferon alpha-2b human	Prevention and treatment of flu and colds	Intolerance to the components of the medication; severe forms of allergies.	Allowed during the entire gestation period
Oscillococcinum	Granules	Muscovy duck liver extract; sugar; lactose.	Flu; ARVI.	Lactose intolerance; intolerance to the components of the drug.	The drug is approved in all trimesters of pregnancy as prescribed by the treating doctor.

This form of drugs acts locally, which significantly reduces the risk of negative effects on the developing fetus. Modern proctology offers several safe and effective ointments for the treatment of hemorrhoids in pregnant women.

Why do hemorrhoids occur during pregnancy?

Experts count several factors that provoke the appearance of proctological diseases in expectant mothers, and they affect the female body sequentially - depending on the trimester of pregnancy.

First trimester. In the first weeks, the threat of developing a pathological process increases due to the hormonal substance progesterone. After fertilization of the egg, it is produced in large quantities and affects muscle tone, relaxing both the uterine walls and the smooth muscles of the intestines. As a result, the expectant mother suffers from constipation.
Second trimester. From about 13-14 weeks, for quite objective reasons, the mobility of the expectant mother is limited. Swelling, toxicosis, dyspeptic symptoms, headache, high blood pressure - all this limits a woman’s activity and leads to frequent lying or sitting. As a result, stagnant processes begin in the pelvic veins, which causes expansion of the existing cavernous formations.
Third trimester. Towards the end of pregnancy, the uterus, which has increased in size, begins to compress the venous vessels in the rectal canal, which disrupts blood flow in the pelvic and rectal zone. Also, by this time, the frequency of constipation increases significantly due to low mobility.

At any stage of pregnancy, the development of hemorrhoidal disease is facilitated by congenital venous insufficiency.

Hereditary weakness of vascular walls, coupled with predisposing factors, increases the risk of a pathological process several times.

Symptoms of hemorrhoids in pregnant women

The appearance of pronounced symptoms usually begins in the second half of pregnancy. The consequence of congestion is the expansion and protrusion of varicose hemorrhoidal veins.

In addition, the muscle structures that support the cavernous “sacs” change pathologically, stretching and weakening. By the end of the third trimester, blood vessels and muscles significantly lose tone, which leads to protrusion and even prolapse of nodes.

At the onset of the disease, hemorrhoids can be identified by burning and itching sensations in the rectal canal. The pain is usually mild. When defecating, you may find blood on toilet paper.

As the disease worsens, the symptoms increase. The previous symptoms include the presence of a foreign object in the rectum, bleeding, pain during and after bowel movements.

If hemorrhoids are not treated, then soon an enlarged hemorrhoid will begin to emerge from the anus. At first, it still returns to the rectum on its own, but then it will be possible to straighten it only with some effort.

Such nodules are painful, inflamed, and dark red in color. Their protrusion leads to discomfort and pain when visiting the restroom, moving, resting and working.

In the final stages of the disease, the nodes can no longer be reduced, significantly worsening the quality of life, well-being and health of the expectant mother. In such cases, emergency measures are required, since labor can only worsen the situation.

At an early stage of the pathological process, hemorrhoids during pregnancy can be slowed down with the help of ointments.

They effectively combat the manifestations of the disease, allowing the expectant mother to think not about pain, but about upcoming motherhood.

Ointments against inflammation and infection

Ichthyol ointment

This drug is made from processed peat containing fish remains. The active ingredient is ichthammol, a substance containing sulfur.

The active component gives ichthyol ointment multiple beneficial functions, including pain relief, inflammation relief, disinfection, tissue drying and suppuration prevention, and improvement of local blood circulation.

Ichthyol ointment prescribed at any stage of gestation helps:

from external hemorrhoids;
from rectal fissures;
from ulcers in the rectum.

Contraindications. The medication is prohibited for use only if a pregnant woman has intolerance to the active or auxiliary ingredients.

Application. A small amount of ointment is applied to the skin of the anus before going to sleep for 2 weeks. In the morning, excess drug can be removed with a napkin and the perineum can be washed with water. Before lubrication, hygiene procedures should be carried out.

It relieves inflammation and accelerates healing, but is not able to cure the disease, so it is used as part of a complex treatment of hemorrhoids with other medications.

Price. You can purchase the product at any pharmacy for 70-90 rubles.

Heparin ointment

The main ingredient responsible for the effect of the drug is the anticoagulant heparin. It is thanks to this substance that it effectively and quickly relieves inflammation, prevents the formation of blood clots and resolves existing blood clots.

Other active components - benzocaine and benzyl nicotinate - additionally anesthetize hemorrhoids and increase the penetration of heparin into tissues.

Heparin ointment for hemorrhoids is indicated for:

inflammatory processes;
enlarged external nodules;
high risk of thrombosis formation.

Contraindications. Heparin ointment is prohibited for use if a pregnant woman has:

increased bleeding (the drug reduces blood clotting, which leads to bleeding);
rectal fissures;
erosive damage to the anus;
risk of spontaneous abortion.

Application. Since the medication has limitations and side effects, expectant mothers are allowed to use it only after consulting with their doctor. And in the first trimester it is better to avoid using it altogether.

The dosage and duration of treatment is determined by a specialist; usually the product is applied to the external nodules twice a day for 10-14 days. For internal hemorrhoids, the drug is applied to a bath tampon, which is inserted into the rectum.

Price. The average cost of a medicine in Russian pharmacies is 50 rubles.

Gepatrombin G

This is a combination drug that, in addition to heparin, also contains prednisolone and lauromacrogol 600. The combination of these ingredients allows you to dissolve and prevent the formation of blood clots in the veins, relieve swelling and stop inflammation.

In addition, the drug relieves pain, glues blood vessels together, which promotes the collapse and reduction of cavernous dilated veins.

In addition to external hemorrhoids during pregnancy, Hepatrombin G is indicated for the diagnosis of:

internal hemorrhoids;
thrombophlebitis of the anal veins;
itchy sensations;
eczematous lesions of the anus;
anal fissures.

Contraindications. The drug is prohibited for use if the main or additional ingredients are intolerant.

You should also stop using the product if the skin or mucous membrane of the anorectal area is affected by bacteria, viruses or fungal organisms.

Due to the presence of heparin, the ointment is prohibited if there is a predisposition to bleeding and tumor formation of the skin.

Application. Hepatrombin G during pregnancy can be used only from the second trimester due to the content of a hormonal substance. Using the product is very simple - you need to apply it to the affected area 2-4 times a day. For internal hemorrhoids, the drug is administered into the intestine using an applicator.

Price. The ointment can be purchased without a prescription for about 170-190 rubles in any pharmacy chain.

Vishnevsky ointment

The composition of the ointment, or rather balsamic liniment, includes 3 main ingredients: xeroform, birch tar and castor oil.

It is their combination that determines the unique properties of the drug.

Disinfects, relieves inflammation, kills pathogens, and also strengthens local immunity.

In addition, the ointment has an irritating effect on tissue, activating blood circulation in damaged areas and thereby accelerating regeneration.

Balsamic liniment is a universal remedy against many pathologies of the skin, purulent processes in the deep layers of tissue.

It can be prescribed to pregnant women when:

acute external hemorrhoids;
inflammation of the anorectal area;
anal fissures.

Contraindications. The drug has a very short list of contraindications - it cannot be used only if you are hypersensitive to one or more ingredients.

Application. Expectant mothers can use the drug in any trimester; it is also allowed during breastfeeding. The product should be applied to the nodules and surrounding tissues in a thin layer, the procedure is carried out 2-3 times a day.

Price. Another advantage of balsamic liniment is its low cost. The ointment is sold in pharmacies for 30-40 rubles per package.

Levomekol

This is a combination drug, which is also called “the surgeon’s favorite drug.”

It received this name for its pronounced antibacterial, anti-inflammatory and wound-healing qualities.

The combination of active substances (chloramphenicol and methyluracil) ensures rapid penetration of the product into the affected tissues and acceleration of recovery processes in the deep layers.

The drug is indicated for use when detecting:

rectal fissures;
external hemorrhoids;
erosive and ulcerative damage to the anorectal area;
inflammation of the anus.

Contraindications. Levomekol has a minimum of contraindications. The product is prohibited for use only in case of hypersensitivity to its ingredients.

Application. During the period of bearing a child, the drug is allowed, but it must be agreed with the gynecologist, since the ointment contains a local antibacterial ingredient.

For hemorrhoids, apply a small amount of ointment to the affected areas in the evening after hygiene procedures.

Price . You can buy Levomekol at any pharmacy at a very reasonable price - 100-110 rubles.

Fleming's ointment

This is a homeopathic medicine that contains extracts of medicinal plants such as calendula, witch hazel, and horse chestnut. The drug also contains zinc compounds and menthol.

The natural components of Fleming's ointment can quickly and effectively relieve inflammation, destroy pathogenic bacteria, relieve pain, dry damaged areas, and strengthen the walls of blood vessels.

The drug is used for mild external hemorrhoids, which are accompanied by inflammatory processes and the release of venous exudate (the so-called weeping hemorrhoids).

Contraindications. Due to its naturalness, the drug has virtually no contraindications, with the exception of hypersensitivity to the components of the drug. Expectant mothers are prescribed this ointment in any trimester of pregnancy.

Application. The product is used in a short course – up to 7 days.

If symptoms do not go away, the doctor may extend treatment or prescribe a different drug. Apply the ointment 1-3 times a day, applying a thin layer to the inflamed areas.

Price. The price for a 25-gram tube is approximately 300-320 rubles. The drug is available without a prescription.

Posterisan

The drug, which is based on inactivated bacterial cells, has pronounced anti-inflammatory properties. Its use allows you to remove swelling, restore damaged tissue, accelerate the healing of cracks, and increase local immunity.

In addition, the ointment has a positive effect on the condition of veins and capillaries, increasing their tone, eliminating congestion, as a result of which itching and burning sensations in the perianal area disappear.

Hemorrhoid cream can also be used for problems such as:

eczematous lesions of the anus;
rectal fissures;
itching in the anal area;
perianal dermatitis.

Contraindications. The main contraindication for use is intolerance to the phenolic compound present in the composition. In other situations, the drug is approved for all categories of patients, including pregnant women.

Application. The drug should be applied to the affected area of the skin or mucous membrane in a thin layer in the morning or in the evening. For internal hemorrhoids, the product is injected into the rectal canal using the applicator included in the package.

Price. Prices for the drug vary, but the average cost of a 25-gram tube is 480 rubles.

Ointments with vasoconstrictor and venotonic properties

Prescribed to improve blood circulation in cavernous formations. Venotonic drugs are designed to restore the elasticity of the walls of blood vessels and improve venous blood flow.

Also used are agents with a vasoconstrictor effect, which are intended to stop bleeding and relieve swelling of hemorrhoids.

Troxevasin

The drug, classified as a venotonic and angioprotector, increases the tone of the venous walls, increases their elasticity and reduces fragility, relieves inflammation and swelling.

In addition, Troxevasin reduces the severity of pain and prevents the formation of blood clots in the venous ducts. At the initial stages, the gel is able to completely restore blood circulation in the veins.

The drug not only relieves hemorrhoids during pregnancy, but also effectively fights such conditions as:

venous insufficiency;
varicose veins;
spasms of the rectal valve.

Contraindications. The gel is prohibited for use if you are intolerant of the active or additional ingredients. Also, the product should not be applied to deep wounds and infectious processes in the anorectal area.

Application. Venotonic can be used at any stage of gestation with the permission of the treating doctor. The drug is applied to the damaged area or a compress soaked in the product is applied to the external hemorrhoids.

Price. The drug can be purchased without a prescription for 180-210 rubles.

Troxerutin

The drug acts similarly to Troxevasin, since it contains the same active ingredients. This venotonic helps normalize blood circulation, prevent the formation of blood clots, eliminate congestion in the anal veins and relieve inflammation and swelling.

Among the indications of the medicine are:

external hemorrhoids;
swelling of the anorectal area after hemorrhoidectomy;
venous insufficiency.

Contraindications. The list of contraindications coincides with the restrictions that the previous venotonic agent has.

Application. But on this point there are some discrepancies. Troxerutin is prohibited in the first 12 weeks of gestation; its use can only be started from the third trimester. Apply the gel to the damaged external nodules in the morning and evening.

Price. The expectant mother may be pleasantly surprised by the price of the medicine. In pharmacy chains it costs approximately 35-40 rubles for a 40-gram tube.

Relief

The product contains a unique ingredient - shark liver oil, which helps stop bleeding, accelerate tissue regeneration, relieve inflammation and itching.

The second active component, phenylephrine, is a pronounced vasoconstrictor that prevents bleeding and relieves swelling of tissues.

In addition to external hemorrhoids, the drug is used to treat:

internal hemorrhoids;
rectal fissures;
itching in the anus.

Contraindications. The ointment is prohibited for use in cases of intolerance to the constituent elements of the product, blockage of blood vessels with blood clots, or a blood disease in which the number of granulocytes is reduced. Due to the vasoconstrictor effect, the drug is prescribed with caution to hypertensive patients.

Application. The product is approved for use during pregnancy, but only under strict indications. Apply the ointment twice a day to the affected areas or inject it into the rectum using an applicator.

Price. The medicine can be purchased for 390 rubles per tube.

Ointments with anesthetic effect

Ointments for hemorrhoids during pregnancy with an analgesic effect are usually prescribed in case of exacerbation of hemorrhoidal disease or severe pain that accompanies bowel movements.

Bezornil

A combined medicine produced according to the recipes of healers from China. The ointment fights almost all the main symptoms of hemorrhoids, but most often it is prescribed for pain in the last stages of the disease.

Pearls and bezoar contained in the ointment have a pronounced analgesic effect.

Other components provide relief from inflammation and healing of damaged areas.

The drug is used for complex treatment of hemorrhoidal disease, anal fissures and eczematous lesions of the anorectal area.

Contraindications. Women with intolerance to one or more ingredients should avoid Bezornil. In addition, some pregnant patients find it difficult to tolerate the not entirely pleasant smell of the drug.

Application. The drug is prescribed during pregnancy after balancing the risk and benefit for the fetus. The drug is applied twice a day and after each bowel movement.

For rectal nodes, the ointment is administered using a tip.

Price. The ointment is sold in pharmacy chains without a prescription at a price of 350 rubles per 10-gram tube.

Procto-Glyvenol

The drug acts comprehensively, relieving pain, relieving inflammation and reducing bleeding. In addition, the cream has a venotonic effect, that is, it allows you to restore blood circulation in the affected areas and restore the elasticity of blood vessels.

The cream is intended for the treatment of chronic and acute varicose hemorrhoidal veins of external or internal form.

Contraindications. The medication is prohibited if there is intolerance to the ingredients, as well as with severe liver failure.

Application. Procto-Glivenol is allowed to be used only from the 2nd trimester for strict medical reasons. Apply the cream in a thin layer to the external nodules; for rectal hemorrhoids, the drug is injected into the rectal canal using a tip.

Price. The drug can be purchased at any pharmacy for 370-390 rubles.

Relief Advance

The drug, in addition to shark liver oil, contains the anesthetic benzocaine, which provides analgesic properties. The ointment will also help get rid of itching, inflammation, bleeding, and also speed up the healing of affected tissues.

The drug for hemorrhoids can also be used for therapy:

erosive damage to the anus;
anal itching;
ulcerative lesions of the rectal mucosa.

The ointment is used as an anesthetic during diagnostic procedures - for example, during sigmoidoscopy.

Contraindications. Relief Advance is prohibited for use if the patient is hypersensitive to its components. The drug is also avoided in thromboembolic conditions.

Application. The drug is prescribed to expectant mothers with caution and only according to strict indications. For severe pain, the ointment is applied up to 4 times a day; if necessary, you can use a special applicator.

Price. The drug is not cheap - the price for a small tube starts at 400 rubles.

Table of antihemorrhoidal ointments allowed during pregnancy

For the convenience of pregnant women, all the ointments presented above are summarized in a table that will help you understand in which trimester of pregnancy this or that medication is allowed.

Means	Trimesters
Means	I	II	III
Ichthyol ointment	+	+	+
Heparin ointment	-	+	+/-
Gepatrombin G	-	+	+
Vishnevsky ointment	+	+	+
Levomekol	+	+	+
Fleming's ointment	+	+	+
Posterisan	+	+	+
Troxevasin	+	+	+
Troxerutin	-	+	+
Relief	In consultation with the doctor
Bezornil	According to strict indications
Procto-Glyvenol	-	+	+
Relief Advance	In consultation with the doctor

Homemade ointments for hemorrhoids for pregnant women

If a pregnant woman is afraid to use pharmaceuticals or wants to enhance the effect of medications, the doctor may suggest homemade anti-hemorrhoidal ointments.

Most often, homemade preparations contain active ingredients such as:

tincture of calendula;
propolis;
vegetable raw materials.

Preparing the products is quite simple, it is only important to find the necessary components. Butter or vegetable oil and interior fat are used as a base. Traditional healers offer the following ointment recipes.

With calendula. The product fights inflammatory processes and pathogenic bacteria, and also promotes rapid healing of wound surfaces. To prepare the drug, 5 parts of butter are mixed with 1 part of calendula tincture. After cooling, apply to the external nodules.
With propolis. The waste product of bees promotes rapid regeneration and relieves swelling. The crushed product is mixed with vegetable oil in a ratio of 1 to 10 and placed in a water bath until dissolved. The ointment is applied to the affected areas; suppositories can also be made from propolis for hemorrhoids during pregnancy.
With herbs. Take equal parts of crushed powder of St. John's wort, kidney grass, toadflax and oak bark. Vegetable raw materials are added to the interior fat and melted in a water bath. After a few hours, the drug will be ready for application to the inflamed areas.
With onion. The peeled vegetable is boiled with vegetable oil, then the onion is removed, and beeswax and potato pulp are added to the broth. After thorough mixing and cooling, the product is ready for application to external hemorrhoids.

The listed non-traditional treatment methods have proven their effectiveness. However, using only them for the treatment of hemorrhoids is the wrong decision.

Expectant mothers should consult a doctor who will prescribe pharmaceuticals for local or systemic action and tell them about important hygiene procedures and proper diet.

Despite their local use, their independent use by expectant mothers is excluded. Only with a reasonable approach to therapy can you eliminate risks for yourself and your child.