Analysis of the range of rectal drugs used for the treatment of proctologic diseases in Ukraine

Abstract

Proctological diseases (acute and chronic hemorrhoids, anal fissure, proctitis) have frequent relapses, are characterized by a severe course and are common among broad strata of the working-age population. The leading clinical sign of this group of diseases is lesions of the mucous membrane of the rectum of varying degrees of severity which is accompanied by signs of inflammation, pain syndrome, deterioration of local circulation, involvement of secondary infection. It determines the use of complex products that combine anti-inflammatory, analgesic effects and promote the reparative processes of the mucous membrane. On the Ukrainian pharmaceutical market the number of such products is limited, most of them are foreign-made. The purpose of the work is to study the assortment of medicines for rectal use on the pharmaceutical market of Ukraine, to determine the feasibility and prospects of developing new combined soft medicines of domestic production. Methods of marketing, statistical and graphic analysis were used in the work from official sources of information: (The State Register of Medicinal Products of Ukraine and the ATC classification system). While researching the assortment of medicines for rectal use it was established that there are 34 names of medicines for rectal use in various forms of release on the domestic market, of which suppositories ‒ 55.9%, ointments ‒ 35.3%, creams ‒ 8.8%; the share of foreign-made medicines is 61.7% and domestic ‒ 38.3%. Complex synthetic medicines occupy 49.9% of the assortment and complex medicines of natural origin ‒ only 2.95%. In the production of soft medicines for rectal use, hydrophobic (40%), emulsion (40%) and diphilic bases (20%) are more often used. Solid fat (78.9%) is more often used in the production of suppositories. Considering the limited range of medicines for rectal use based on medicinal plant raw materials, it is advisable to develop new combined soft medicinal products which will include biologically active substances of plant origin.