What is diltiazem 2 ointment used for?
Diltiazem hydrochloride 2% cream is used to promote the healing of the tear that has occurred in the skin of the anus, and reduce the symptoms of pain caused by the tear. The tear in the skin lining the anus is called an ‘anal fissure’.
How effective is diltiazem cream?
Conclusion: This study shows that topical 2% diltiazem is an effective and safe treatment for chronic anal fissure in patients who have failed topical 0.2% GTN. The need for sphincterotomy can be avoided in up to 70% of cases.
How long can you use Diltiazem ointment?
Patients should continue using diltiazem-ointment for the entire prescribed treatment period, which can be up to 3 months or more as directed.
Is Diltiazem ointment over the counter?
There no commercially manufactured formulation of topical 2% diltiazem has been approved yet by the Food and Drug Administration for the treatment of anal fissure, prescriptions for the medication need to be compounded with a prescription from a doctor.
How do you know if a fissure is healing?
Q: How do you know if a fissure is healing? A: Most anal fissures heal with home treatment after a few days or a weeks. These are known as acute anal fissures. Pain during bowel movements usually goes away within a couple of days after the start of treatment.
Is diltiazem good for hemorrhoids?
Diltiazem ointment (Cardizem) is a calcium channel class of medication we use to help heal anal fissures, promote wound healing, or treat external thrombosed hemorrhoids.
How long does it take diltiazem cream to work?
In keeping with earlier reports[11-13], topical 2% diltiazem gel in this study provided earlier pain relief, with a significant reduction in pain after 1 wk and preceded the significant healing rate of chronic anal fissure observed at 6 wk of treatment.
How do I know my fissure is healing?
How long does it take for a chronic fissure to heal?
Anal fissures usually heal within a few weeks but those that have not healed after 4–6 weeks are called chronic fissures.
Does itching mean fissure is healing?
Swelling: swelling at the outer end of the fissure can result in a skin tag. It may be noticed when cleaning the rectal area. Itching: Discharge may result as the fissure alternately heals and reopens, causing itching.
Is sitting bad for fissures?
The importance of correct anal hygiene and the need to keep the anal area dry should be emphasised. Regular sitz baths (sitting in warm water up to the hips) can help to relax the sphincter. The patient should also be advised to avoid undue straining during bowel movements.
Is diltiazem better than nitroglycerin?
Conclusions: Smooth muscle relaxant drugs do not achieve a higher cure rate than the traditional measures used in CAF, but offer more symptomatic relief, providing an opportunity to avoid surgery. Topical diltiazem does not have the side effects of the nitroglycerin and is better accepted by patients.
What is diltiazem hydrochloride 2% cream?
Diltiazem hydrochloride 2% cream is used to promote the healing of the tear that has occurred in the skin of the anus (back passage) and reduce the symptoms of pain caused by the tear. The tear in the skin lining the anus is called an anal fissure.
Is topical 2 per cent diltiazem ointment an alternative to chemical sphincterotomy?
In this study the use of topical 2 per cent diltiazem ointment has been investigated as an alternative method of chemical sphincterotomy. Methods: A prospective assessment of 71 consecutive patients with a chronic anal fissure treated with 2 per cent topical diltiazem ointment for a median duration of 9 (range 2–16) weeks was performed.
Why is my diltiazem ointment so gritty?
Diltiazem ointment tends to contain large particles of its active ingredient, which can make the final product gritty. This grittiness can be uncomfortable in the application area; it can also interfere with the absorption of the ointment into the rectal tissue.
Does diltiazem help with a fissure?
Diltiazem has been helpful for me, I’ve been pain-free for close to three weeks now after a full 3 months of battling a fissure. I’ve heard that diltiazem helps some people, but not everyone, best to talk to your doctor. Keep in mind that while ointments are good, the BEST thing for you is to keep BMs soft and thin!