Guide
Haemorrhoids — topical remedies
Prepared by the LekCheck team · Last reviewed: 2026-07-25 · How we create our content
Haemorrhoids are swollen vascular cushions around the anus that often cause itching, discomfort, pain or slight bleeding. Many mild cases respond to lifestyle changes and topical over-the-counter remedies. Below we describe the ingredients commonly used to relieve symptoms; choose an ingredient to see available products and prices. If there is bleeding or persistent complaints, consult a doctor.
This guide was prepared by the LekCheck team and has not been reviewed by a doctor or pharmacist. This article is for general information only and is not medical advice, diagnosis, or treatment. Do not start, stop, or change any treatment without consulting a doctor or pharmacist.
What topical remedies are available
Over-the-counter haemorrhoid remedies are mainly creams, ointments and suppositories. Some contain a local anaesthetic (e.g. lidocaine) to ease pain and itching, others substances that support venous tone (e.g. troxerutin), and some an anti-inflammatory corticosteroid (e.g. hydrocortisone) for short-term use. Read the leaflet for how and how long to use them.
Venotonics and supporting measures
For venous complaints, oral venotonics (e.g. diosmin, troxerutin) are sometimes used and are considered to support venous tone. Alongside these, a fibre-rich diet, enough fluids, avoiding prolonged straining and sitting, and good hygiene of the area all help.
Caution and short-term use
Corticosteroid products are for short-term use and should not be used long-term without medical judgement. In pregnancy, breastfeeding or when taking other medicines, consult a pharmacist before use. Local anaesthetics rarely cause irritation — if a new skin reaction appears, stop using the product.
When to see a doctor
See a doctor for bleeding from the anus (especially if it is new, heavy or dark), severe pain, a lump that does not go away, a change in bowel habits, or if in doubt — rectal bleeding has other, more serious causes that need examination. Do not automatically attribute all bleeding to haemorrhoids.
Commonly used active ingredients
Pick an ingredient to see products and prices.
Frequently asked questions
Which remedy works quickly for haemorrhoids?
Topical products with an anaesthetic (e.g. lidocaine) can relatively quickly ease pain and itching, but do not treat the cause. Products with venotonics and lifestyle changes work more slowly. The choice depends on the symptoms — ask a pharmacist which product suits your case.
Creams or suppositories — which is better?
Creams and ointments are convenient for external complaints and itching, while suppositories reach further in for internal haemorrhoids. Some products offer both forms. The choice depends on where the complaints are and on convenience — if unsure, consult a pharmacist.
Is bleeding from haemorrhoids dangerous?
Slight, bright-red bleeding when passing stool is often due to haemorrhoids, but bleeding from the anus can have more serious causes too. So new, heavy or dark bleeding, as well as a change in bowel habits, should always be examined by a doctor.
Can I use haemorrhoid remedies during pregnancy?
Haemorrhoids are common in pregnancy, but not all ingredients are suitable then. Do not use a product without consulting a doctor or pharmacist who can judge which form and ingredient are safe for you during this period.
How can I prevent haemorrhoids?
A fibre-rich diet, enough fluids, regular physical activity, and avoiding prolonged straining and long sitting on the toilet all help. These measures reduce the pressure in the veins of the area and the risk of flare-ups.