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Diltiazem cream is meant for anal fissures treatment. I was prescribed with this medication after I had constipation and severe pain in my anus. It was nearly killing me every time I was going to the bathroom. At first I didn't want to go to the doctor as I was embarrassed but soon I understood that this disorder won't heal by itself. So I visited a doctor, he wasn't surprised and immediately prescribed me with Diltiazem cream. In 2 days I was happy again. Excellent cream!
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When you have an anal fissure it means that your bowel got injured and there is a small tear in it that brings you that horrible pain in the ass. Sometimes you can even notice some bleeding. But don't be as stupid as I was - you are not dying! What you need in this case (and what I needed as well) is Diltiazem cream that helps the tears heal. Give it several days and it will bring your anus back n order. Believe my experience!
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Because over one third of the compounded preparations were subpotent, patients treated with compounded formulations of topical 2% diltiazem might not receive the anticipated relief of anal-fissure pain.
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Aloe Vera, to special creams and nothing worked, except for the H-Fissure; it took several days before I experienced complete relief.
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So my doctor had me use this cream for several months.
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My doctor prescribed this for anal fissures.
Your instruction for using the H-Fissures is very thorough and I was confident that it would help me.
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Prevalence represents new and pre-existing cases alive on a certain date, in contrast to incidence which reflects new cases of a condition diagnosed during a given period of time.
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Using a glove or cellophane finger cot, patients typically apply a pea-sized amount of the 2% diltiazem cream to the external anal area twice daily for up to 12 weeks.
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The treatment of chronic anal fissure has shifted in the recent years from surgical to medical modalities because of disability and the risk of incontinence associated with surgery.
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Treatment: The application of topical antibiotics such as mupirocin cream or ointment (Bactroban) is very effective.
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Chronic or complicated fissure in ano: The above mentioned approaches do not prove effective in the chronic variety of fissures in ano.
Drawbacks: The toxicity of the drugs, accidental injection in the surrounding tissue amounting to general poisoning, hematoma and infection reported had refrain the surgeons from regularly resorting to this method.
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When nothing else has worked this seems to calm my fissure.
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What happens if I overdose?
Follow your doctor's directions on how to take this medication.
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Colorectal Disease (c) 2011 The Association of Coloproctology of Great Britain and Ireland.
Furthermore, the severity of headache with the use of GTN ointment was so marked that treatment was abandoned.
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Numerous recent studies including randomized controlled trials proved that topical 2-percent diltiazem appears to be well tolerated and the preferred first-line method of chemical sphincterotomy for chronic anal fissures.
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Problems in this part of the body are common, but people are often embarrassed to seek help.
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The reason why anal fissure develops is still largely unclear, however the pathogenesis points to an initial anal trauma cause by the hard stool leading to anal sphincter hypertonia or spasm which cause local ischemia and non-healing ulcer.
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There are several other brand names of this medication, including Cartia, Dilacor XR, Diltzac, Taztia and Tiazac.
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Comparison of topical glyceryl trinitrate with diltiazem ointment for the treatment of chronic anal fissure: a randomized clinical trial.
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Hemodynamic and Electrophysiologic Effects: Like other calcium channel antagonists, Diltiazem decreases sinoatrial and atrioventricular conduction in isolated tissues and has a negative inotropic effect in isolated preparations.
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