Tablets - 1 tab .: Active substance: ambroxol hydrochloride 30 mg ....
Hemorrhoids are treated with conservative methods; only in the advanced stage of pathology, patients are offered surgical assistance. One of the prescribed drugs is Posterisan. Before using the suppositories, you should read the manual attached to the medication. The tool is available in two forms: Posterisan candles instructions for use describe in detail all the advantages and positive aspects of using a suppository for hemorrhoids.
Posterizan candle ointment instructions for use describe the composition, contraindications, features of the use of drugs, the recommended dosage, the use of the medicine for patients when carrying a child, breastfeeding and other useful information.
Content
Composition and release form of the drug
About the drug The drug Posterisan, produced in the form of suppositories and ointments, has different constituent components, or rather their quantity. For example, the Candle-shaped Posterisan forte contains 660,000,000 E.coli cell compounds along with phenol, solid amulsifying fat, hydrosteorate, glycerin. The medicinal compound in the candles does not have the exact number of inactivated microbial cells, the data are given in an approximate ratio (the difference is within 25 percent).
Posterisan forte form ointment, also contains inactivated microbial cells. One gram of the ointment contains 330,000,000 E. coli cell compounds with phenol and auxiliary components in the form of petroleum jelly, lanolin and paraffin.
Pharmacodynamics and pharmacokinetics
Doctor proctologist The constituent components in ointment and suppository form in the form of inactivated microbes in suspension with metabolic products have a positive effect on the immune system. Active substances of the drug Posterisan for hemorrhoids increase the activity of leukocytes and reticuloendothelial cells (RES).
The drug has a distinctive ability to stimulate nonspecific immunity using humoral factors. The drug is prescribed by proctologists for the treatment of pathological processes in the anorectal zone. After the interaction of the rectum with metabolites of Escherichia coli and antigens of mucous tissues, the resistance of the local mucosa increases in relation to the unfavorable conditions of the pathogenic flora.
After using the drug, patients note a decrease in inflammation processes with vascular exudation, an increase in tone with restoration of permeability. Posterisan also improves regenerative properties in the mucous tissues of the rectal organ injured by anorectal pathology.
Indications for use
Hemorrhoid ointment is Posterisan. The medication is recommended for patients with the following pathological courses:
Discomfort in the anus - A protracted disease with the formation of internal and external bumps that are difficult to treat with other medications.
- With perianal dermatitis - inflammation of the skin, which has arisen under the influence of various factors.
- To eliminate anal itching, which does not go away after using other medicinal formulations.
- In inflammatory hypertrophy (anopapillitis) - papillary proliferation on the mucous tissues of the rectal organ.
- To eliminate cracks and wounds on the tissues of the rectum.
Contraindications for use
be careful Ointment candles Posterisan forte, in addition to indications, have a number of contraindications. For example, among the contraindications, an allergic reaction of the body to phenol was noted, and the prohibition also applies to patients with skin lesions in the place where it is necessary to use the ointment.
Contraindications also include allergic reactions that do not extend to the anorectal region. For example, mycosis, dermatomycosis, inflammation of the epidermis of the face, dermatitis, rosacea.
Skin and mucous membranes can be damaged of various nature:
- viral - the effects of herpes, chickenpox;
- bacterial - manifestations of syphilis, tuberculosis, gonorrhea;
- fungal - against the background of candidiasis, multi-colored lichen, various mycoses;
- physical and mechanical - due to wounds, abrasions, scratches.
In the period after the vaccination injection, it is also forbidden to use the Pasteurisan Forte candle ointment.
Dosage and method of administration
When there was no individual medical appointment, candles from the formed hemorrhoids Posterisan are used according to the standard scheme. The duration of therapy is calculated for 7 days, despite the form of release of the drug. In the absence of a positive therapeutic result after three days of using the drug, the patient should consult with the attending proctologist. It may be necessary to adjust the treatment regimen.
According to the standard scheme, the ointment composition is applied in the morning and evening and after each emptying. Before applying the medicinal composition, mandatory hygienic measures are recommended. Liniment is applied to the cleansed and dry surface of the skin of the anal canal. In some embodiments, rectal ointment is administered. The ointment is injected through a special applicator.
When disturbing symptoms disappear, the composition is applied for another 3 days in a single application per day. After a seven-day course, the proctologist prescribes another medicinal composition without a hormonal component for use over the next 14 days. Basically, such a course of therapy is designed for diagnosing chronic dermatitis pathology.
Suppositories Posterisan are intended for rectal administration with three use in 24 hours, one suppository each. Suppositories are kept on the empty intestines after a hygienic procedure. Suppositories are administered in a supine position; after the session, the patient must lie on his side for 40 minutes.
For sick children, women during the period of bearing a child and breastfeeding, the use of Posterisan is not prohibited, but its use is possible only with the permission of the attending physician. This is due to the glucocorticosteroid composition, which has a teratogenic effect on children and the formation of the fetus. When breastfeeding, doctors do not advise using the composition in the form of suppositories or ointments, if there is still a need to use Posterisan in the treatment of hemorrhoids, feeding is interrupted for a while. For children, the drug is often allowed to be prescribed from the first day of life, if the baby, of course, does not have an allergic manifestation to phenol.
During pregnancy
Posterisan during pregnancy is prescribed according to medical indications. There are no confirmed data on the penetration of hydrocortisone through the placenta or breast milk. However, the medicine is used under strict medical supervision, taking into account the condition of the mother and the course of pregnancy. Self-sustaining therapy is prohibited.
Side effects
Say no to hemorrhoids With hemorrhoidal disease, Posterisan Forte suppositories are often prescribed, the attached instructions for use indicate the undesirable manifestations after using the drug.
Based on patient reviews, the remedy is well tolerated even for a long time using the drug for medicinal purposes. However, the drug contains phenol in its composition, and if the patient has a negative reaction to this component associated with personal intolerance, then the manifestation of undesirable phenomena in the form of:
- burning sensation;
- itchy symptoms;
- hyperemia of the mucous tissue of the anus.
In practice, adverse events are not dangerous and do not require additional treatment (they disappear on their own).
special instructions
Doctor's recommendations In order for therapeutic therapy to give positive results, it is recommended to undergo a medical examination, diagnosis and consultation before selecting the dosage form of Posterisan. Based on the degree of hemorrhoidal pathology, personal characteristics of the body, gender and age of the patient, the doctor selects an effective treatment regimen.
When prescribing the medicinal composition Posterisan forte in the form of an ointment / suppository, the agent should be used based on the recommendations specified in the manual attached to the drug.
Especially doctors insist to take into account the special instructions for the use of the product, namely:
Specialist - if the drug is used in combination with other medicinal formulations that contain a glucocorticoseroid component, the effectiveness of the active substance may increase, which negatively affects the body;
- an auxiliary component of Posterisan is phenol, which can provoke skin irritation or cause an allergic reaction on the mucous tissues of the rectum at the site of application of the ointment;
- there are no confirmed data of Posterisan forte on intrauterine development of the fetus during the period of gestation, there is only non-affirmative information. Doctors are also not sure about the negative effect of the medication on the baby if a nursing woman uses an ointment composition for treatment. There is no data on the penetration of active ingredients into breast milk;
Suppositories and Pasteurisan forte ointment are sold without a prescription in the network of pharmacies, but this does not mean that the medicine can be used by everyone without the permission of the doctor. Any treatment regimen must be approved by the attending proctologist, especially if a pregnant or lactating woman needs treatment. Each organism has its own characteristics, all the more so for the perception of drug formulations, even if they are not considered dangerous. Anything that will benefit one person's treatment may negatively affect the health of another patient.
Overdose
Based on patient reviews, no cases of drug overdose have been identified, so an overdose is unlikely. However, when Posterisan forte is used in a long-term treatment regimen for hemorrhoids, adrenal glands may malfunction, this is due to the glucocorticosteroid component that is part of the medication.
Headaches with increased blood pressure, heart rhythm disturbances, and increased intracranial pressure may occur. If such negative changes in the general condition of a person take place, the drug Posterisan forte is discontinued.
Candle analogs Posterisan
Active agent Similar drugs Posterisan forte include drugs with a similar effect, since no drug has an identical structure of the drug, therefore, doctors note one analogue of the drug Posterisan forte - this is Posterisan, other drugs are close in therapeutic effect.
An analogue of antihemorrhoidal ointment Posterisan forte Posterisan differs in its chemical components. The additional word forte to the name of the drug means that this medicine contains more active substances than just Posterisan. Another difference is that Posterisan Fort contains hydrocortisone.
Posterisan forte other analogues with hormonal components:
- Proctosed.
- Aurobin.
- Hepatrombin g.
Similar medications with shark liver oil in the composition:
- Hemorrhoids.
- Shark liver oil.
- Relief.
- Vitol.
- Katranol.
Other effective drugs with antihemorrhoidal efficacy:
Proctosan - Nigepan.
- Proctoglivenol.
- Anestezol.
- Proctosan.
- Proctosed.
The main difference between Posterisan forte and its counterparts is the price. Similar drugs with similar effects are more affordable (cheaper). However, the overestimated cost of Posterisan forte is justified by the absence of undesirable phenomena and contraindications. This is due to the fact that a small amount of such an active substance as hydrocortisone is noted in Posterisan Forte. Due to the moderate amount of the hormone, patients have no negative consequences against the background of glucocorticosteroid activity.
Proctologists warn that when using a long-term treatment regimen, the body develops addiction, which reduces the effect of Posterisan Forte. If any adverse reactions or lack of therapeutic effect appear, it is necessary to stop using the drug and seek medical advice. It may be necessary to adjust the treatment regimen for hemorrhoids.
Posterisan is forbidden to be used for oncological processes on the skin. All appointments, dosage, regimen and duration of therapy are recommended by a narrow-profile specialist (proctologist). The doctor prescribes therapy based on the patient's condition, disturbing symptoms, the severity of the pathology and the personal characteristics of the patient's body.
Storage conditions and periods
Correct storage Before using the antihemorrhoidal composition Posterisan forte or Posterisan in any form of release, you should make sure that the medicine is expiration date, its storage conditions, and the integrity of the package.
The medication should be stored at a temperature not exceeding 23 degrees, in a place protected from children, without penetration of light. The ointment can be stored in the refrigerator for up to three years. Suppositories have a shorter shelf life - 2 years. The products are not allowed to be put in the freezer. Before using for medicinal purposes, it is required to verify the release date with the final sale date, an expired drug is prohibited to use.
Any hormonal agent can not be used on its own, appointments should be made by the attending proctologist after examination and diagnostic measures of the patient. During the course of medical manipulations, it is recommended to regularly see a doctor in order to monitor the effectiveness of the treatment regimen. If necessary, the doctor can change or adjust the dosage and the therapy regimen itself.
Posterisan Forte is one of the most popular and effective drugs for the treatment of rectal diseases. This tool requires careful adherence to instructions for use and doctor's recommendations, which will help to achieve the desired therapeutic effect.
Structure
The preparation contains microbial cells of the bacteria Escherichia coli (Escherichia coli) killed by phenol, a glucocorticosteroid component - hydrocortisone. In the manufacture of a medicinal product, other components with an auxiliary effect are also used. These are lanolin, petrolatum, solid fat, paraffin, acetylcysteine. Features of the composition of the drug depend on the form of release.
Release form
The drug is produced in 2 forms - in the form of an ointment and rectal suppositories. The ointment is placed in an aluminum tube equipped with a tip for more convenient administration of the drug into the rectum.
Torpedo-shaped candles are sold in blisters of 5 pcs., Placed in a cardboard box (2 blisters in 1 package).
pharmachologic effect
The agent has an anti-inflammatory, regenerating, antihistamine effect, relieves itching, and increases local immunity.
Pharmacodynamics and pharmacokinetics
Inactivated E. coli cells, present in the preparation, increase the resistance of tissues to the effects of pathogenic microflora in the area of \u200b\u200bdrug action and accelerate the regeneration processes due to increased local immunity. The action of this component enhances hydrocortisone, which has a symptomatic effect, helps to eliminate puffiness, itching, redness in the affected area, normalize vascular tone, and reduce the production of exudate.
Indications for use of Posterisan Forte
The tool is indicated for use in the treatment of the following proctological pathologies:
- acute hemorrhoids of external and internal forms;
- eczema in the anal area;
- anal itching;
- rectal fissures;
- dermatoses and dermatitis in the perianal zone;
- inflammation of the anal papillae;
- allergic reactions to the skin in the anus.
The ointment can be used as a wound-healing agent during the rehabilitation period after surgery in the perianal zone.
Contraindications
The drug is contraindicated for use in the presence of hypersensitivity to the components of the drug and specific diseases of the anogenital zone, which are fungal, viral and bacterial in nature (mycoses, tuberculosis, syphilis, etc.).
Method of using Posterisan Forte
The method of administration of the drug depends on the form of release of the drug.
Ointment
The ointment is applied in a uniform thin layer to the affected areas 2 times a day and after each act of defecation. In the treatment of hemorrhoids, if there are internal hemorrhoids, the cream is injected using the supplied applicator, which is screwed onto the opening of the tube.
Candles
In case of exacerbation of the symptoms of hemorrhoids and in acute periods of other diseases of the rectal area, it is recommended to use 2-3 suppositories. per day until the disappearance of pronounced symptoms. After getting rid of unpleasant sensations in the anus, continue to inject 1 suppository per day for 3-4 days.
In the chronic form of dermatitis, treatment with suppositories is recommended to be extended for 1-2 weeks after the disappearance of the skin manifestations of the disease.
Overdose when using Posterisan Forte
There are no data on cases of overdose.
Side effects
In rare cases, the use of local remedies may be accompanied by the development of allergic reactions in the anus, which is most often due to the content of phenol in the preparation.
With prolonged use of ointments and suppositories, the occurrence of systemic side reactions associated with the effects of hydrocortisone on the body (increased nervous irritability, insomnia, bleeding in the gastrointestinal tract, increased blood pressure, muscle wasting, etc.) is not excluded.
Interaction
Alcohol compatibility studies have not been conducted. However, experts strongly recommend excluding the use of alcohol during treatment with Posterisan Forte, since ethyl alcohol can reduce the effectiveness of the drug and increase the likelihood of side effects.
Terms of sale
Dispensed in pharmacies without a specialist prescription.
Storage conditions and shelf life
The ointment is suitable for use within 3 years from the date of manufacture, suppositories - within 2 years from the date of manufacture.
special instructions
The total duration of therapy using any form of the drug should not exceed 3 weeks.
The drug does not reduce the speed of psychomotor reactions and does not have a negative effect on driving.
For children
As prescribed by a pediatrician, the drug can be used in the treatment of proctological diseases in children.
During pregnancy and lactation
It is permissible to use the drug during the period of gestation and breastfeeding if the expected benefit to the mother outweighs the potential risk of developing adverse reactions from the child's body. In the first months of pregnancy, the drug is prescribed with caution, the treatment takes place under the strict supervision of a specialist.
Analogs
The following drugs are analogs of the drug:
- Anusole;
- Hepazolone;
- Proctosedil;
- Ultraproject.
What is the difference between Posterisan and Posterisan Forte?
Ointment and suppositories Posterisan, in contrast to Posterisan Forte, do not contain hydrocortisone, which enhances the effect of the drug, and therefore have a less pronounced therapeutic effect.
Posterisan Forte is a drug for topical use in proctology with anti-inflammatory and immunostimulating effects. The creator of the drug is the German pharmaceutical company "Dr. Kade", whose history began just the same with the creation of posterisan (it was in 1922). The composition of posterisan forte includes inactivated microbial cells of Escherichia coli and hydrocortisone (by the way, it is the presence of the latter that the drug differs from posterisan without the prefix “forte”). The drug is available in two dosage forms: ointment for external and rectal use and rectal suppositories. Both dosage forms have absolutely identical indications: refractory hemorrhoids, anal itching, anal fissure, anopapillitis and perianal dermatitis. However, posterisan forte won worldwide fame as an anti-hemorrhoidal agent. The biological component of posterisan forte - the antigens of the cell wall of Escherichia coli and the products of its metabolism - coming into direct contact with the rectal mucosa in the anus, increase the local tissue resistance to pathogenic microorganisms. The drug brings the T-system of immunity to a state of full combat readiness, mobilizes the phagocytic abilities of leukocytes and cells of the reticuloendothelial system, and turns on nonspecific factors of immunity at full power. The result of the action of posterisan forte is a decrease in exudation in the area of \u200b\u200binflammation, normalization of tone and a decrease in the permeability of the walls of blood vessels, and restoration of damaged tissues. Against all this background, hydrocortisone does not look like an outside observer, making its highly relevant anti-inflammatory and anti-allergic contribution to the general therapeutic “piggy bank”. When applied to the affected areas of the skin and mucous membranes, this glucocorticosteroid hormone relieves swelling, reduces itching and hyperemia.
The algorithm for using ointments and suppositories is almost identical.
It is recommended to apply the ointment to the affected area in the morning and evening, before bedtime, and also after each act of bowel movement. It's the same story with candles. If the ointment needs to be “delivered” deep into the rectum, then you can use a special plastic applicator that is included in each package with the drug. Joint use of ointment and suppositories is allowed. On average, the course of treatment lasts 2-3 weeks. Posterisan forte has practically no clinically significant side effects (do not count as such rare allergic reactions). He also does not have a lot of contraindications, which cannot but rejoice. It is important that pregnancy and lactation are not direct contraindications to the use of the drug. To date, no evidence has been found that posterisan forte has any negative effect on the fetus. At the same time, in any case, pregnant women and nursing mothers should use the drug exclusively with the knowledge and prescription of a doctor. For reference: phenol is included in posterisan forte as an auxiliary preservative, which must be borne in mind by persons with hypersensitivity to this substance. For all the years of using the drug in the medical literature and periodicals, there have been no reports of cases of overdose with posterisan forte (please take this as information for thought, but not a guide to action). It should be borne in mind that the drug contains hydrocortisone, therefore, its joint use with drugs containing glucocorticosteroids (tablets, injection solutions, drops) can lead to mutual potentiation of the pharmacological action and side effects. In conclusion, it should be noted that posterisan forte belongs to non-prescription drugs, which significantly increases its availability for the population.
Pharmacology
A drug with anti-inflammatory and immunostimulating action for local use.
Cell wall antigens and metabolic products of Escherichia coli, upon contact with the rectal mucosa and the skin of the anogenital area, increase the local tissue resistance to the effects of pathogenic microflora. The drug stimulates the T-system of immunity, phagocytic activity of leukocytes and cells of the reticuloendothelial system, nonspecific factors of immunity, reduces exudation during inflammation, normalizes the permeability and tone of blood vessels, and stimulates the regeneration of damaged tissues.
Hydrocortisone, when applied topically, has anti-inflammatory and anti-allergic effects. When applied to the affected surface, it reduces swelling, hyperemia, itching.
Pharmacokinetics
Data on the pharmacokinetics of the drug are not provided.Release form
Rectal suppositories from white to yellowish color, torpedo-shaped, with a characteristic smell of phenol.
Excipients: acetylcysteine, α-tocopherol, disodium edetate, macrogol glyceryl hydroxystearate (macrogolglycerol hydroxystearate), solid fat, phenol (preservative).
5 pieces. - blisters (2) - cardboard packs.
Dosage
The ointment is applied in a thin layer to the affected area of \u200b\u200bthe skin and mucous membrane in the morning and evening, as well as after each act of defecation. For a deeper injection of the ointment into the anal canal, you can use the screw-on applicator supplied with the kit.
Rectal suppositories are used in the morning and in the evening, as well as after each act of defecation.
The combined use of ointments and suppositories is possible. The course of treatment lasts 2-3 weeks.
Overdose
Currently, no cases of an overdose of Posterisan® forte have been reported.Interaction
With simultaneous use with other drugs containing GCS (tablets, drops or solutions for injection), actions or side effects may mutually intensify.
Side effects
Possibly: allergic reactions in patients with hypersensitivity to phenol.
Indications
Ointment is prescribed for adults with the following diseases:
- persistent course of hemorrhoids;
- perianal dermatitis;
- anopapillitis;
- anal fissure.
Suppositories are prescribed for adults with the following diseases:
- persistent course of hemorrhoids;
- anal itching, especially resistant to other drugs;
- anopapillitis;
- anal fissure.
Contraindications
- bacterial infections in the area of \u200b\u200btreatment (eg tuberculosis, syphilis, gonorrhea);
- fungal infections in the treatment area;
- hypersensitivity to hydrocortisone or other components of the drug.
Application features
Application during pregnancy and lactation
There is no evidence that when using Posterisan® forte hydrocortisone penetrates the placental barrier or is excreted in breast milk. So far, no information has been found that indicates the damaging effect of the drug on the fetus.
At the same time, Posterisan® forte, like all medicinal products, should be used during pregnancy and lactation only as directed by a doctor.
special instructions
Phenol is used as a preservative in the preparation.Composition and form of release
in aluminum tubes (with an applicator) of 25 g, complete with an applicator; in a box 1 tube.
in a blister 5 pcs .; in a box 2 blisters.
pharmachologic effect
pharmachologic effect - regenerating, antipruritic, anti-allergic, anti-inflammatory, immunostimulating.Forms specific and stimulates non-specific immunity.
Pharmacodynamics
Combined preparation, which contains two active components - a suspension of bacteria culture containing inactivated bacteria and products of their metabolism, and hydrocortisone. It stimulates the T-system of immunity, increases the phagocytic activity of leukocytes and cells of the reticuloendothelial system, increases the role of a number of humoral factors of nonspecific immunity (induces the formation of cytokines), enhances the formation of antibodies at the site of exposure. Concentrated lipopolysaccharides of cell walls and metabolites of Escherichia coli of various strains, incl. resistant to antibiotics and other antibacterial agents, lead to an increase in local tissue resistance to pathogenic microflora. Hydrocortisone (contained in a small dose) complements the effect of bacterial culture suspension due to anti-inflammatory, anti-allergic and antipruritic action, which manifests itself in reducing exudation, normalizing the permeability and tone of blood vessels, reducing edema, hyperemia, itching, stimulating the regeneration of damaged tissues.
Indications for Posterisan® forte
Hemorrhoids (mainly suppositories); dermatitis and eczema in the anal area (ointment); anal and genital itching; allergic skin lesions (ointment); anopapillitis, anal fissures, incl. painful (ointment), conditions after operations on the anorectal region (to stimulate wound healing). Recommended mainly in acute cases.
Contraindications
Hypersensitivity to phenol, specific lesions of the anogenital region (including tuberculosis, syphilis, gonorrhea, mycoses, viral diseases).
Application during pregnancy and lactation
Use with caution in the first trimester of pregnancy.
Side effects
Rarely - allergic reactions (associated with the use of phenol as a preservative). With prolonged use in high doses, the development of systemic effects characteristic of GCS cannot be ruled out.
Method of administration and dosage
Outwardly, rectally. Apply a thin layer to the affected area in the morning and evening, as well as after each bowel movement. For a deeper introduction of the ointment into the anal canal, you can use a screw-on applicator. Rectal suppositories in the acute period of the disease are used in 2-3 pieces. per day. After the elimination of the subjective symptoms of the disease, the affected area continues to be lubricated 1 time per day or 1 supp is injected. 1 time per day for several days. If the drug is used to treat chronic dermatitis, then after the disappearance of skin manifestations, it is recommended to extend the therapy for another 1-2 weeks. The combined use of ointments and suppositories is possible. After the completion of the course of treatment, to consolidate the therapeutic effect, it is advisable to use the drug (ointment or suppositories), which does not contain hydrocortisone, for another 2-3 weeks.
Manufacturer
Dr. Kade, Germany.
Storage conditions of the drug Posterisan ® forte
In a dry, dark place at a temperature of 0-25 ° C.Keep out of the reach of children.
Shelf life of the drug Posterisan® forte
ointment for rectal and external use - 3 years.
rectal suppositories - 2 years.
Synonyms of nosological groups
| ICD-10 heading | Synonyms for ICD-10 diseases |
|---|---|
| I84 Hemorrhoids | Painful hemorrhoids |
| Internal hemorrhoids | |
| Inflammation of hemorrhoids | |
| External hemorrhoids | |
| Exacerbation of hemorrhoids | |
| Acute hemorrhoidal attack | |
| Chronic bleeding hemorrhoids | |
| K60 Fissure and fistula of anal and rectal region | Anal fissure |
| Sharp anal fissure | |
| Chronic paraproctitis | |
| Perianal fissure | |
| Superficial anal fissure | |
| Rectal fistulas | |
| Sentinel tubercle | |
| Fissure of the rectum | |
| Anal fissures | |
| Cracked anus | |
| Rectal fissures | |
| Chronic anal fissures | |
| Chronic periproctitis | |
| K62.8.0 * Anus papillitis | Anopapillitis |
| L29.0 Itching of anus | Anal eczema |
| Anal itching | |
| Anogenital itching | |
| Anal itching | |
| Anogenital itching | |
| Anorectal itching | |
| Itching in the anus | |
| Perianal dermatitis | |
| Eczema of the anal area | |
| L29.3 Anogenital pruritus, unspecified | Anal itching |
| Anogenital itching | |
| Genital itching | |
| Dermatitis of the perianal region | |
| Anogenital itching | |
| Anorectal itching | |
| Itching in the genitals and anus | |
| Itching of the external genital organs | |
| Genital itching | |
| L30.9 Dermatitis, unspecified | Allergodermatoses complicated by secondary bacterial infection |
| Anal eczema | |
| Bacterial diaper rash | |
| Varicose eczema | |
| Venous dermatitis | |
| Inflammation of the skin | |
| Skin inflammation on contact with plants | |
| Inflammatory skin disease | |
| Inflammatory skin diseases | |
| Inflammatory diseases of the skin | |
| Inflammatory skin reactions | |
| Inflammatory processes of the skin | |
| Hypostatic dermatitis | |
| Fungal eczema | |
| Fungal dermatoses | |
| Dermatitis | |
| Dermatitis stagnant | |
| Dermatitis and eczema in the anal area | |
| Acute contact dermatitis | |
| Dermatitis of the perianal region | |
| Dermatosis | |
| Dermatosis of the scalp | |
| Dermatosis psoriasoform | |
| Dermatosis with persistent itching | |
| Dermatoses | |
| Dermatoses itchy | |
| Other itchy dermatoses | |
| Significant eczematous manifestations | |
| Itching with dermatoses | |
| Itchy eczema | |
| Itchy dermatoses | |
| Itchy dermatitis | |
| Itchy dermatosis | |
| True eczema | |
| Skin reaction to insect bites | |
| Itching with dermatosis | |
| Constitutional eczema | |
| Weeping eczema | |
| Weeping inflammatory skin disease | |
| Weeping infectious and inflammatory skin disease | |
| Non-allergic dermatitis | |
| Nummular eczema | |
| Limited pruritic dermatitis | |
| Acute contact eczema | |
| Acute inflammatory skin disease | |
| Acute dermatosis | |
| Acute severe dermatosis | |
| Perianal dermatitis | |
| Superficial dermatosis | |
| Subacute contact eczema | |
| Simple dermatitis | |
| Occupational dermatitis | |
| Psychogenic dermatosis | |
| Vesicular dermatitis of the newborn | |
| Pustular eruptions | |
| Irritation and redness of the skin | |
| Weak eczema | |
| Dry atrophic eczema | |
| Dry eczema | |
| Toxic dermatitis | |
| Auricular eczema dermatitis | |
| Chronic eczema | |
| Chronic dermatoses | |
| Chronic dermatosis | |
| Chronic advanced dermatosis | |
| Scaly papular dermatoses | |
| Eczema | |
| Eczema of the anal area | |
| Eczema of the hands | |
| Eczema contact | |
| Eczema lichenized | |
| Eczema nummular | |
| Eczema acute | |
| Eczema acute contact | |
| Eczema subacute | |
| Eczematous dermatitis | |
| Eczema eruptions | |
| Ekeema exogenous | |
| Endogenous eczema | |
| Gluteal dermatitis |
Posterisan refers to immunostimulating agents used in the treatment of pathologies of the anorectal region. It is sold without a prescription but requires but requires careful use. It is better if the drug is prescribed by a specialist who will take into account all the features of the course of the pathology, but if this is not possible, then you should familiarize yourself with the detailed description of the remedy presented below.
The drug belongs to the group of immunostimulating drugs, it is indicated only for topical use in the complex therapy of hemorrhoids, as well as some other pathologies of the anorectal zone. Has no INN (International Nonproprietary Name).
Components
The composition of preparations in the form of ointments and suppositories differs only in additional components:
Pharmacodynamic and pharmacokinetic properties
Due to its composition, the drug acts as:
In addition, Posterisan actively relieves inflammation, restores damaged tissues. The drug helps to accelerate the healing of wounds and cracks. Prevents the occurrence of superinfection and reinfection. The active component of the drug acts as an antigen due to transcytosis or sorption, causing a protective response of the immune system.
Forms of production and prices for the drug, average for Russia
It goes on sale in the form of suppositories and ointments. Average prices for the drug in Russia are presented in the table (Table 1). It is sold in pharmacies without a specialist's prescription.
Table 1 - Cost
| Forms | Dosage | Approximate cost, rub. | |
|---|---|---|---|
| Posterisan | Candles | 10 pieces. | 450 |
| Ointment | 25 g | 520 | |
| Posterisana Forte | Ointment | Tube 25 g | 610 |
| Suppositories | 10 candles | 480 | |
When is the reception indicated and what are the restrictions?
A remedy is prescribed for almost any lesions of the anorectal zone:
- any form of hemorrhoids;
- eczema;
- perianal dermatitis;
- allergic manifestations;
- cracks;
- anopapillitis;
- after surgical procedures (for faster recovery, wound healing, scars).
The drug is contraindicated:
- with individual immunity of the organism to the components of the composition. It is important to note that many patients have phenol intolerance;
- for the treatment of children and adolescents up to 18 years of age.
Rules for using the drug (full instructions)
The tool can be applied externally or rectally. A detailed description of the method of use, depending on the form of release, is presented below.
Ointment
Before using the ointment, you need to hygienically treat the anal area. The agent is applied in a small amount to the mucous membranes and the affected area of \u200b\u200bthe skin twice a day (morning and evening). It is allowed to carry out the procedure after each bowel movement. It is also permissible to inject the agent into the anal canal and rectum; for this, the applicator included in the kit is used.
The duration of treatment is determined individually for each patient. The optimal period of therapy is from 5 to 7 days. To increase the therapeutic effect, complex treatment is possible with the simultaneous use of ointments and suppositories.
Candles
Before the rectal administration of the suppository, a thorough hygienic treatment of the anal area is carried out. One suppository is administered in the morning and in the evening. For some patients, suppositories are allowed after each bowel movement (at the discretion of the doctor).
The main course of treatment lasts up to six days. During this period, relief of the symptoms of the disease is carried out. To stabilize the obtained therapeutic effect and prevent relapse of the disease, it is allowed to continue therapy for another week. The dosage is reduced to one rectal suppository per day.
Therapy during periods of childbearing and hepatitis B
Posterisan can be used for both pregnant and lactating women. However, the use of the drug is permissible only after consultation with specialists (proctologist, therapist, obstetrician-gynecologist and pediatrician).
The medicine is well tolerated, but during these periods, the sensitivity of the woman's body to any drugs increases, so the risk of phenol intolerance is high.
The dosage and method of using the drug during pregnancy and hepatitis B is standard. Suppositories are injected twice a day, the anal area is treated with ointment in the morning and evening. If any negative reactions occur, you must stop using the drug and consult a specialist.
Possible negative reactions and special instructions
Even short-term use of Posterisan can lead to itching, burning, redness, and rashes. In rare cases, it causes contact dermatitis. Any negative consequences against the background of the use of Posterisan are associated with the content of phenol in its composition. It is this substance that can cause local irritation of the mucous membranes and skin.
At the moment, there are no reports of drug overdose cases. However, it is forbidden to independently increase the dosage approved by the doctor!
The drug is used only externally! If the ointment gets inside, there is a high probability of a disorder in the work of the digestive tract (in the form of nausea, vomiting, abdominal pain). In this case, it is required to wash the stomach and start a course intake of enterosorbents.
Posterisan does not in any way affect the decrease in the speed of psychomotor reactions and does not reduce concentration. It can be used in the therapy of patients working at hazardous facilities and drivers. The drug is not addictive and can be used in long-term therapy.
Do not combine Posterisan with other rectal medications. If the therapeutic course requires the use of a complex of drugs, it is necessary to take a break between their use for at least an hour.
The composition of the product contains yellow paraffin, which has the ability to reduce the barrier properties of external contraceptives made of latex, that is, the reliability of protection with a condom in this case is questionable.
Posterisan Forte form: are there any differences, which is better?
In pharmacies, you can find a drug with the additional designation Forte. What does it mean? How is it different? Both varieties have identical action and similar indications for appointment. However, there are some differences:
In fact, Posterisan Forte is a more powerful form of Posterisan. Therefore, its cost is higher. It is an over-the-counter drug, but it is recommended that you consult with your doctor before purchasing it.
Posterisan Forte is used in the treatment of more advanced pathologies of the anorectal region. According to experts, it should not be used at the initial stage of hemorrhoids; for this it is better to purchase Posterisan.
Method of using the drug at the initial stage of treatment:
After the subjective symptoms are eliminated, the affected anal area must continue to be lubricated with ointment once a day. Or, one candle is introduced daily, for a week. Perhaps the appointment of a combined treatment - suppositories + Posterisan Forte ointment.
The composition of Posterisan Forte is enhanced in comparison with Posterisan. For this reason, it is not recommended to combine it with other drugs containing glucocorticoids. There is a high risk of developing negative reactions or increasing the effect of drugs, which can lead to overdose and drug allergies.
Similar drugs
The best drug substitutes include:
All presented analogs have identical indications with Posterisan and are applied in a similar way.
Reviews of doctors and patients about the treatment of hemorrhoids
Does the Posterisan drug actually cure hemorrhoids? Will help determine the reviews of doctors and their patients:
Kurakin A.A., proctologist: “According to my observations, Posterisan is the most qualitative remedy for ailments of the anorectal region. Many of my patients complain about the high cost of both suppositories and ointments. However, the quality of the drug is fully justified by the overpriced. In addition, it practically does not cause side reactions and can be used in the treatment of pregnant and lactating women. "
Barbashinov N.A., proctologist: “A good medicine, effective both in the early stages and in chronic forms of hemorrhoids. It can also be used after surgical interventions due to hemorrhoidal disease and anal fissures, as it speeds up the healing and recovery process. "
Anastasia, 35 years old, Chelyabinsk: “I used Posterisan as directed by a doctor. He prescribed me both candles and ointment. After three or four days, I noticed changes - I was able to go to the toilet normally and the clothes were clean. I told the doctor about this, he said that it was necessary to continue using Posterisan to consolidate the effect and prevent relapse. Only the dosage was halved. I am very pleased with the drug, although it is quite expensive. I haven't noticed any side reactions when using it. "
Anton, 42 years old, St. Petersburg: “I used Posterisan ointment to treat hemorrhoids. A very high quality remedy, it really helped, unlike other drugs that I used before. One course of therapy was enough for me to completely get rid of my delicate problem. "
Christina, 26 years old, Vladivostok: “At the 35th week of pregnancy, I faced the problem of hemorrhoids. I delayed the treatment, as I was afraid to use medications. As a result, the pain became so severe that I cried. I ran to my gynecologist, he prescribed Relief for me. Expensive, but no effect from it!
I complained to a friend, and she advised me Posterisan. I was so worried that I decided not to wait any longer and began to use candles, and then ointment. I was very surprised when I felt relief after the first application. A week later I completely forgot about hemorrhoids! There were no side effects, Posterisan had no effect on my pregnancy. "
Posterisan is an effective immunostimulating drug used in the treatment of diseases of the anorectal region. The action of Posterisan has been clinically proven; the drug is highly trusted by doctors. Despite the high safety of the drug, it is recommended to use it only after consulting a specialist, especially when used during pregnancy and hepatitis B.
