Anal fissures

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Note Colorectal symptoms guidance.

GLYCERYL TRINITRATE

Important: Therapy notes

Important: Formulation and dosage details

Formulation:

Rectal ointment 0·4%

Dosage:

Apply a small amount (the size of half a pea) to the site of the anal fissure twice daily. Wash off at night to avoid continuous use.

DILTIAZEM

Important: Therapy notes

  • Available from special-order manufacturers; for information contact Medicines Information.
  • Diltiazem is useful for patients who cannot tolerate glyceryl trinitrate due to headaches.

Important: Formulation

Cream 2% unlicensed (s)