Diltiazem 2% w/w + Lidocaine 2% w/w Rectal Gel, 30g

Diltiazem 2% w/w + Lidocaine 2% w/w Rectal Gel is used for painful anal fissures. It combines local sphincter relaxation with temporary surface anaesthesia, addressing the spasm and pain associated with the tear. It is an anorectal treatment, not a general-purpose skin gel or a treatment for high blood pressure.
Wash your hands, gently clean and dry the anal area, then apply a small amount around the anal opening with a protected finger. Application is commonly morning and evening, preferably after a bowel movement. Wash your hands afterwards. Do not swallow the gel or insert an applicator deeply into the rectum.
Diltiazem relaxes the internal anal sphincter and improves blood flow around the fissure. Lidocaine blocks voltage-gated sodium channels in sensory nerves, temporarily reducing the transmission of local pain signals.
Temporary burning, irritation, itching or local numbness may occur. Marked dizziness, ringing in the ears, unusual drowsiness, palpitations or allergic swelling needs urgent attention, particularly after excessive application.
Use only a small local amount; excessive application to damaged tissue can increase lidocaine absorption. Tell your doctor about local-anaesthetic allergy, low blood pressure, heart-conduction problems or significant liver disease. Avoid overlapping lidocaine-containing anal products. Keeping stools soft supports healing; heavy bleeding or worsening swelling needs assessment.
Lidocaine can provide earlier pain relief while diltiazem addresses the sphincter tension that impairs healing. Numbness may make passing stool more comfortable, but it does not mean the fissure has already closed.
Lidocaine adds a temporary numbing action. It does not replace the slower healing benefit associated with reducing sphincter pressure.
Overlapping local-anaesthetic products can increase the total absorbed dose. The combination gel already contains lidocaine, so additional numbing products should not be added independently.
No. The duration of numbness does not determine how much gel is needed. Extra applications increase exposure without showing that fissure healing will be faster.
No. A fissure is only one possible cause. Heavy, persistent or unexplained bleeding needs assessment rather than being masked with a numbing gel.
Local anaesthetic: a medicine that temporarily reduces sensation in a small area. Sodium channel: a nerve-cell channel involved in electrical signalling. Anal fissure: a tear in the anal lining. Sphincter pressure: tension maintained by the muscle at the anal opening; AR: Diltiazem 2% w/w + Lidocaine 2% w/w جل شرجي; FR: Diltiazem 2% w/w + Lidocaine 2% w/w gel rectal; PT: Diltiazem 2% w/w + Lidocaine 2% w/w gel retal; ES: Diltiazem 2% w/w + Lidocaine 2% w/w gel rectal; RU: Diltiazem 2% w/w + Lidocaine 2% w/w ректальный гель; ID: Diltiazem 2% w/w + Lidocaine 2% w/w gel rektal; VI: Diltiazem 2% w/w + Lidocaine 2% w/w gel bôi hậu môn; MS: Diltiazem 2% w/w + Lidocaine 2% w/w gel rektum; TL: Diltiazem 2% w/w + Lidocaine 2% w/w gel para sa puwit; ZH-SG: Diltiazem 2% w/w + Lidocaine 2% w/w 直肠凝胶
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Diltiazem 2% w/w + Lidocaine 2% w/w Rectal Gel, 30g