Hemorrhoids: Drug Therapy

Therapeutic target

• Reduction of symptoms

Therapy recommendations

• Basic therapy: nutritional measures (e.g., high-fiber diet or use of swelling agents for stool regulation, e.g., psyllium, Plantago ovata).
• lavonoids (citrus bioflavonoids, hesperidin, diosmin, rutin and hydroxymethylrutinosides) as internals:
  • Drug therapy with diosmin/hesperidin can be used for acute hemorrhoidal symptoms and postoperatively [S3 guideline: recommendation grade 0].
• Hemorrhoidal agents for symptomatic therapy.
• Note: With drug therapy is not possible to reduce the size of hemorrhoids.
• See also under “Further therapy”.