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”.