How to Put in a Suppository: A Step-by-Step Method

A suppository is a solid, medicinal preparation designed for insertion into a body cavity, where it melts or dissolves to release medication. They deliver medication for systemic effects throughout the body or localized effects within a specific area. Suppositories can treat various conditions, from alleviating constipation to providing relief for local symptoms like inflammation or pain. This article offers general guidance on administration and should not be considered a substitute for professional medical advice.

Getting Ready for Administration

Before handling any medication, wash your hands thoroughly with soap and water to ensure hygiene. Always read the specific instructions in the suppository’s package insert, as different formulations may have unique requirements. Some suppositories may need moistening with water for easier insertion, while soft ones might require chilling in a refrigerator for about 30 minutes to firm them up.

Selecting a comfortable position is important for successful self-administration. Many individuals find it helpful to lie on their side with one leg bent toward their chest, or to squat slightly. For administering to another person, ensure they are in a relaxed position that allows easy access. If recommended by your healthcare provider or the package instructions, apply a small amount of water-based lubricant to the suppository tip to reduce friction during insertion.

Step-by-Step Insertion Guide

For rectal suppositories, begin by unwrapping the suppository completely. Use a finger cot or a disposable glove to maintain hygiene. Gently insert the suppository into the rectum, guiding it with your finger until it passes the anal sphincter. For adults, this typically means inserting it about one inch, while for children, approximately half an inch to one inch may be sufficient.

After insertion, remain still for a few minutes to allow the suppository to settle and begin dissolving. This helps prevent premature expulsion. For vaginal suppositories, unwrap the medication fully. Many come with a disposable applicator, which simplifies the insertion process.

If an applicator is provided, load the suppository into it according to the package instructions. Then, gently insert the applicator into the vagina as far as is comfortable, typically aiming for deep placement. If no applicator is supplied, use a clean finger to gently push the suppository into the vagina as far as possible. After insertion, it is generally recommended to lie down for a period to help the suppository dissolve and absorb properly.

Post-Insertion Care and Important Considerations

After inserting a rectal suppository, remain lying down or still for approximately 15 to 20 minutes to ensure the medication has time to dissolve and begin working. Avoid having a bowel movement for at least an hour or two after rectal suppository insertion, allowing sufficient time for absorption. For vaginal suppositories, remaining recumbent helps the medication disperse effectively and reduces the chance of leakage.

Once inserted, the suppository will gradually dissolve due to body heat and moisture, releasing its active medication. Proper storage is important to maintain efficacy; they should typically be kept in a cool, dry place away from direct sunlight. Some types may require refrigeration, so always check the product’s packaging for precise storage instructions.

Consult a doctor if you experience any signs of irritation, such as burning or itching, at the insertion site that persists or worsens. Seek medical attention if you notice bleeding, severe pain, or develop symptoms of an allergic reaction, such as a rash or difficulty breathing. If the suppository does not seem to be working or your symptoms do not improve, contact a healthcare professional for guidance. Unless specifically instructed by a doctor or the product’s directions, never crush or break suppositories before insertion, as this can alter their intended release and effectiveness.