ALL RIGHTS RESERVED BY WOODLAND HILLS PHARMACY. Secondly, they should ask if the compounding pharmacy takes the extra step to run the ointment through a mill, which is a piece of pharmaceutical equipment that physical breaks down coarse particles into finer ones. It may also be used in hyperthyroidism if beta blockers cannot be used. Using pure diltiazem powder and milling ensures a superior compounded product that is smooth, well absorbed, and elegantFinally, they should inquire as to whether the compounding pharmacist adds anesthetics or other active ingredients to support pain relief and promote healing.The compounding pharmacists at Pavilion Compounding Pharmacy can add a longer lasting anesthetic, such as lidocaine or bupivacaine, along with aloe vera to provide both pain relief and healing properties to the formula. Diltiazem is a calcium channel blocker that dilates the blood vessels and increases blood flow to the anal fissure, promoting healing. Many doctors also prescribe diltiazem-ointment for anal fissures, an uncomfortable condition suffered most often by infants and middle-aged adults.Anal fissures are usually the result of trauma to the inner lining of the anus from a bowel movement or from other stretching of the anal canal. This treatment has few side effects and is effective when used regularly. Diltiazem hydrochloride … Diltiazem and lidocaine are important medications in the treatment of anal fissures. Those with chronic anal fissures may have a small lump or skin tag located on the skin near the anal fissure.Anal fissure treatment depends largely on the cause and severity of the symptoms. 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. Less commonly, inflammatory bowel disease, anal infections, or tumors can cause anal fissures.An anal fissure usually causes a sharp pain that begins with the passage of stool and can continue for several minutes to a few hours. Calcium also causes blood vessels to constrict, or get smaller. It is taken by mouth or injection into a vein. Patients simply apply a pea-sized drop ointment to the skin just inside the anus three times per day, or as often as directed. 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. As any patient can tell you, there is nothing worse than a gritty rectal ointment that does not absorb well!Patients and doctors should discuss diltiazem with their compounding pharmacists for more information about healing anal fissures. Over-the-counter stool softeners can prevent constipation and hard stools. First, they should find out if their compounding pharmacy uses pure diltiazem powder, USP, which makes for a finer product. Anoheal is also known as diltiazem hydrochloride 2% cream. Doctors avoid prescribing narcotic pain medications for anal fissures because narcotics can cause constipation, which could worsen anal fissures.Most anal fissures do not require surgery, but chronic anal fissures may not respond to conventional treatment. A hard, dry bowel movement or loose, frequent bowel movements can lead to anal fissures. This procedure, also allows a larger amount of the drug to be absorbed into the rectal tissue. To treat anal fissures, doctors typically suggest dietary and lifestyle changes, along with medications.Dietary treatment for anal fissures includes a high-fiber diet and over-the-counter fiber supplements to make stools soft, formed, bulky, and easier to pass. Doctors commonly prescribe diltiazem to treat high blood pressure and to control the type of chest pain known as angina. Some people are more prone to developing anal fissures, particularly those with a tight anal sphincter. Diltiazem 2% Ointment Available with Lidocaine. Blocking the calcium, as the calcium channel blockers in diltiazem do, allows the blood vessels to relax and widen.Diltiazem ointment relaxes the sphincter muscle, which alleviates pain and allows stool to pass more easily. Complete healing can take several months – up to 2 years in some cases – so patients should add fiber to their diet, increase their consumption of water, take sitz baths, and avoid prolonged sitting or straining on the commode.The tissue near an anal fissure is typically inflamed, and inflamed tissue tends to absorb more medication into the bloodstream. This increased absorption can raise the risk of side effects, the most common of which are headaches. This therapy also reduces pressure in the anal sphincter, which eases the spasms and decreases pain. Patients may notice bright red blood on the stool or toilet paper following a bowel movement.