Hametum Hämorrhoidenzäpfchen (Hamamelis Leaves Fluid Extract (1:2), Ethanol 60% (V/V))

Hametum Hämorrhoidenzäpfchen are indicated for the symptomatic treatment of hemorrhoids, providing local soothing for discomfort that arises from swollen vascular tissue in the anal canal.

• Relief of mild to moderate anal itching and burning.
• Reduction of swelling and discomfort associated with internal or external hemorrhoidal tissue.
• Support of local soothing after bowel movements.
• Adjunctive care following minor hemorrhoid procedures or conservative management.
• Temporary alleviation of perianal pressure during prolonged sitting.
• Complementary use with dietary fiber and fluid intake to improve overall bowel health.

Local application of Hametum Hämorrhoidenzäpfchen may be associated with mild, transient effects at the site of administration, which are generally self‑limiting and resolve without medical intervention.

Common

• Mild burning or stinging sensation upon insertion.
• Temporary increased rectal discharge or mucus.
• Slight irritation of the perianal skin.
• Mild itching after the suppository dissolves.
• Temporary feeling of fullness in the rectum.

Serious

• Allergic reaction such as rash, swelling, or itching beyond the application site.
• Severe pain persisting more than a few hours.
• Signs of infection like fever or purulent discharge.
• Persistent bleeding unrelated to hemorrhoidal tissue.
• Development of ulceration at the application site.

When using Hametum Hämorrhoidenzäpfchen, certain precautions should be observed to minimize the risk of irritation or adverse reactions.

• Do not use if you have a known allergy to witch hazel (Hamamelis) or ethanol.
• Avoid insertion if the rectal mucosa is severely inflamed, ulcerated, or infected.
• Limit use to the recommended frequency; excessive application may increase local irritation.
• Consult a healthcare professional before use during pregnancy, breastfeeding, or if you have chronic gastrointestinal conditions.
• Keep the suppository out of reach of children; accidental ingestion may cause gastrointestinal discomfort.
• Discontinue use and seek medical advice if symptoms worsen or persist beyond a few days.

Hametum Hämorrhoidenzäpfchen are applied locally, but potential interactions with other treatments should be considered.

Avoid

• Concurrent use of other rectal irritants such as harsh enemas or suppositories containing strong acids or bases.
• Application together with topical anesthetics that may mask irritation signs.

Use with caution

• Simultaneous use of systemic anticoagulants or antiplatelet agents, as hemorrhoidal bleeding may be more noticeable.
• Combination with other herbal rectal products, which could increase the risk of local irritation.
• Use alongside oral medications that cause gastrointestinal side effects, to avoid additive discomfort.