This is more a part two of our discussion on hemorrhoids medication – the first part can be found on our How to treat hemorrhoids page, which covered three top online hemorrhoid medications, along with photographic proof of what they achieved.

Hemorrhoids medication – the pills, creams and solutions are the backbone of hemorrhoids treatment – and we show you how to select the best hemorrhoid medication that’s right for you, using 3 simple questions and a table for comparing the hemorrhoid medications to each other.

In this second part, other hemorrhoid medications are included for you to compare.: Avatrol, Ziro and Ensa.

Avatrol was placed on this page, as the Venapro hemorrhoid treatment had about 20% more of the active ingredients and was considerably cheaper, though with a not as good money back guarantee as Avatrol. Avatrol may be a better hemorrhoid medication for those with a more sensitive or delicate digestive system. To explain the active ingredients a bit better, Venapro and Avatrol basically used the identical active ingredients, except the Venapro hemorrhoid medication included Red Sage, a herb that encourages healing of damaged hemorrhoids and helps prevent diarrhea, improves circulation through the hemorrhoidal area, which acts as a preventative against hemorrhoids developing, as well as in reducing the severity of any hemorrhoid attack. Venapro also contained Vitamin E as it helps to reduce inflammation and any related swelling. While the Avatrol hemorrhoid medication included Red Root, a herb that eases swelling, reduces inflammation, strengthens tissue and reduces bleeding.

The Ziro hemorrhoid medication appeared to be a great external hemorrhoid cream and I truly loved this hemorrhoid medication, referred to it as the Rolls Royce of hemorrhoids creams and had a lot of trust in it, but when I tried to arrange to test the Ziro hemorrhoids medication on a real sufferer, the company wouldn’t allow me to buy the product and have it shipped to another address, even though I had phone calls and emails with them about it. As I cant test it, this great hemorrhoid medication was moved to this page.

Ensa is a preventative hemorrhoid medication put out by the same company as Ziro – Zenmed Pty Ltd – so it was dropped to this page as well and for the same reasons.

The following hemorrhoids medication table allows you to compare at a glance the three that I have tested, with the three that I haven’t tested. As expected, all are said to come delivered to your residence in plain wrapping. H-Hemorrhoids and H-Bleeding Hemorrhoids claim to have pregnancy safe versions of their hemorrhoid medications that you can select at check out, but they have not been rigorously tested for this claim.

These following hemorrhoid medications should also take care of all or most of your troublesome hemorrhoid symptoms too.


Hemorrhoids Medication Table / Chart

Hemorrhoid Medications Compared – I do get commissions if you buy products through my links, that’s how this site is kept running.
You can buy any of these hemorrhoids medications by clicking on the links in this table.
Hemorrhoids Medication Medication
Form: Treats Pain Treats Discomfort Medication
helps Cure External
for Internal
helps Heal hemorrhoidal area
helps To Prevent Hemorrhoids returning
Hemorrhoids Medication Price Comparison $US
Venapro# 90 days Tablet Yes Yes Yes Yes Yes May delay their return $40 one month supply, or up to $160 on special ( $240 normally ) for 6 month supply.
Avatrol 180 days Tablet Yes Yes Yes Yes Yes May delay their return $46 for 1 month supply, or up to $184 on special ( $276 normally ) for 6 month supply .
Heal Hemorrhoids^ 60 days Solution Yes Yes Yes . . May delay their return $30 for about 3 weeks worth, up to $70 for 9 to 12 weeks.
Neo Healar
120 days
May delay their return
$40 a tube – about 2 weeks worth.  $240 for 9 tubes (normally $360)
60 days
May delay their return
$35 per month supply.
Heal Bleeding Hemorrhoids 60 days Solution Yes Yes . . . . $30 for hemorrhoids,  $70 for anal fissure.
Do NOT use for more than 8 months at a time
60 days Tablet Helpful Helpful Helpful Helpful Helpful Yes $25 about a one month supply.

Some potential hazards of, or confusion with, these hemorrhoids medications:

Mullien is one of many herbs that may be included in a hemroids treatment.  The herbal medicine assists with pain relief, reduction in swelling and may help reduce bleeding from hemorrhoids

Important warning – Potentially Harmful:  External hemorrhoids can be treated by all the above hemorrhoid medications presumably, BUT  Internal hemorrhoids and prolapsed hemorrhoids ( which are made out of the same mucous membrane material as internal hemorrhoids are ) raise particular concerns:  Those hemorrhoids medications designed to be taken orally should be fine, but all the others hemorrhoids medications may be unsafe to use on internal and prolapsed hemorrhoids.

This is because hemorrhoids medications that are applied to external hemorrhoids only have about 5% of their active ingredients absorbed, but up to about 95% of the active ingredients may be absorbed by internal and prolapsed hemorrhoids.

This raises the question, how can a topical hemorrhoids medication be of sufficient strength to work on an external hemorrhoid while not causing problems of over absorption when applied to internal or prolapsed hemorrhoids?

To date, not one drug company has been able to get a topical hemorrhoids medication – whether a topical hemorrhoids cream or a topical hemorrhoids solution – FDA approved for internal or prolapsed hemorrhoid use, due to safety concerns.  I’m not saying you cant use a topical hemorrhoids medication for internal or prolapsed hemorrhoids, but you do need to be aware that there is a safety issue involved. And always remember, it also takes a proper diet and exercise to defeat hemorrhoids.

After discussing the use of hemorrhoid creams and solutions with Mrs. L Ice – one of my professional writers – I was informed that hemorrhoid medications designed for external hemorrhoids are reasonably safe to use on internal hemorrhoids provided two conditions are met:

  1. The directions stipulate that the hemorrhoid medication can be used internally and describes how to use it and
  2. The product comes with a manufacturers applicator to get the specified amount of the hemorrhoid medication inside of you.

However, after discussing with Dr Hogg, the answer was a a resounding NO – don’t use topical products on internal hemorrhoids

Venapro still appears to be the strongest hemorrhoids medication pill on the market, but they have recently thrown in a FREE homeopathic solution that you spray under your tongue. From our research, homeopathic solutions, regrettably, don’t really work as a hemorrhoids medication. So, you pay the SAME, get the same Venapro herbal pills you always did, and then when you get this hemorrhoids medication, I suggest you give the spray a go and let me know how it went – but it’s the pills that are the big guns in this hemorrhoids medication I think.

^ The H- Hemorrhoids medication should not be used when bleeding hemorrhoids are present.  First use their H- Bleeding Hemorrhoids solution to stop the bleeding, then use the H- Hemorrhoids solution.

^^ H- Hemorrhoids and H- Bleeding hemorrhoids medications for pregnancy are selected when you go through their checkout – you select the ones with a ” P” after them – e.g. H-Hemorrhoids P .  I am concerned though about how a company can claim a product is pregnancy safe, when ethically they would not be allowed to research on pregnant women and the same product is to act as both an internal and external hemorrhoids medication.

**Zenmed Ziro and Ensa can be selected separately during check out, but you have to look at the top right hand side and click on the hemorrhoid medicine you want, but you’d probably benefit from buying both these hemorrhoid medications together. However, ENSA contains Cascara Sagrada (bark) in a dose of 285mg – this is a stimulant laxative, and at this dose in some people, if used for more than 8 months straight, it may cause your bowel to become dependent on their product.

“May Delay Their Return”. What do I mean by that?

  • Obviously if you use a hemorrhoid medication to fix up your hemorrhoids, there is a time that the medicine will remain in you after the product has been stopped and that should help delay the return of hemorrhoids.
  • The products normally work to strengthen the hemorrhoid veins and surrounding tissue in some way and that should also assist in delaying hemorrhoids returning, possibly by a lot more than just the bit left in you for a time after the product is stopped.
  • Finally, there is your life style and genetic and disease predisposition to developing hemorrhoids again. If you can control these factors then chances are the hemorrhoids wont return.

Once the swellings have gone down – the blood vessels returned to normal – you have been cured by the hemorrhoid medication, but new hemorrhoids can develop again if you don’t look after yourself – for example check out the page on hemorrhoid causes and the five steps to preventing hemorrhoids.

So, What’s the best Hemorrhoids Medication?

The best hemorrhoids medication is the one that best meets your needs and that is easy to help you with:

Do you prefer applying hemorrhoid medication to your anal area that requires washing your hands and any applicator you may use? Or do you prefer tablets that you take by mouth with a glass of water?

So now you are down to either choosing a tablet OR a cream / solution based hemorrhoid medication – that is YOUR personal choice. If you cant decide try tossing a coin, or looking at guarantees or costs.

If you chose the creams or solutions, you can possibly rule out Ziro if you have internal hemorrhoids – after that it is again YOUR personal choice and what you choose is the one best for you!

If you chose the tablets, then there are two to choose from and the one you choose will be the hemorrhoid medication that is best for you

How can I say that what you chose is the best hemorrhoids medication for you, because they should all work!!! It’s just a matter of you catering to your personal likes and dislikes about things. “BUT” you say, “other sites have pretty little stars and rating scores”. Such things are by and large deceitful, designed purely to sell you things. I even had one company that produced a hemorrhoid medication, approach me and asked if I would use a 100 point rating system and give their product the highest ranking by just one point, because it would generate lots of sales to them and lots of commissions to me, because that would make their product the best and everyone wants to buy the best. I turned them down, so there are no pretty stars nor point systems used, you don’t find such rubbish here.

I did, however, go over to one large impartial selling site that took customer reviews on products that were purchased. Now I want to say that the same complaints I’ve made about scoring and star rating were upheld by several of the review writers noticing that false positive reviews were being made to the bolster some products images, evidently by some companies employees, so I guess the reverse would be true also. So the pretty stars showed peoples ratng of Venapro 80%, Avatrol 70%, HemRelief 70%, H-hemorrhoids 70%, Ziro 20% (but only one customer reviewed it, so not that accurate I suspect). Mayinglong Musk 90%, which is interesting as it failed to reach our product safety and suitablility criteria – we knew it had some good ingredients, but we also knew it had some very dubious and potentially dangerous ones – from the reviews I see it also stunk to high heaven! Like I said though, pretty rating systems are open to abuse and these types of findings don’t really prove anything – except maybe that no product works on everyone.

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