Diltiazem 2% w/w Rectal Gel, 30g

Diltiazem 2% w/w Rectal Gel is used for anal fissures, which are small tears in the lining of the anal canal. It treats the local muscle spasm that can maintain pain and impair healing. This topical formulation is not used to treat high blood pressure or heart disease.
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 reduces calcium-dependent contraction of the internal anal sphincter. Lower resting muscle pressure improves local blood flow and creates conditions that allow the fissure to heal.
Local burning, itching or irritation can occur. Headache and dizziness are possible because some medicine may be absorbed. Stop application and seek help for severe local inflammation, fainting or allergic swelling.
Keeping stools soft and avoiding straining are important alongside the gel. Tell your doctor about low blood pressure, a slow heartbeat, heart-rhythm medicines and other anal treatments. Heavy bleeding, fever, increasing swelling or severe persistent pain needs assessment rather than additional applications. Mention pregnancy and breastfeeding before use.
Reduced sphincter tension can make bowel movements less painful and improve the chance of healing. Symptom relief can occur before the tear has fully healed, so a planned course may extend over several weeks.
No. A fissure is a tear in the anal lining; haemorrhoids are swollen vascular cushions. Pain or bleeding should be attributed to the correct condition before treatment.
Healing commonly takes several weeks, and many treatment plans use a course of up to six to eight weeks. Duration varies with the fissure and response, rather than ending automatically after the first pain-free bowel movement.
Diltiazem alone is not a local anaesthetic. It reduces sphincter spasm; a formulation containing lidocaine adds a separate numbing action.
Hard stools, diarrhoea or straining can reopen a healing tear. Bowel-habit management remains important even when the gel has reduced discomfort.
Anal fissure: a small tear in the anal canal lining. Internal anal sphincter: the involuntary muscle controlling the anal opening. Sphincter spasm: sustained tightening of that muscle. Topical treatment: medicine applied directly to a body surface; AR: Diltiazem 2% w/w جل شرجي; FR: Diltiazem 2% w/w gel rectal; PT: Diltiazem 2% w/w gel retal; ES: Diltiazem 2% w/w gel rectal; RU: Diltiazem 2% w/w ректальный гель; ID: Diltiazem 2% w/w gel rektal; VI: Diltiazem 2% w/w gel bôi hậu môn; MS: Diltiazem 2% w/w gel rektum; TL: Diltiazem 2% w/w gel para sa puwit; ZH-SG: Diltiazem 2% w/w 直肠凝胶
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Diltiazem 2% w/w Rectal Gel, 30g