The use of topical 2% diltiazem hydrochloride for treating anal fissures is supported by multiple clinical trials. Calcium works with another substance in the body to cause contraction of the heart muscle, which helps the heart pump blood. Discuss your experiences, share your stories and get friendly help and advice. The NHS price for 2% diltiazem cream is £73.83 per 30g tube and the NHS price for 2% diltiazem ointment is £163.07 per 30g tube. Mine is also compounded @ 2% with 5% lidocaine in an aquaphor base.Thanks for all of the answers! Our goal is to offer accurate information and a product that should be available to everyone, but isn’t. First, they should find out if their compounding pharmacy uses pure diltiazem powder, USP, which makes for a finer product. This entry was posted on September 5, 2019 by woodlandhills pharmacy. endstream endobj 134 0 obj < Diltiazem is a calcium channel blocker, which works by dilating blood vessels. Disclaimer - All information and content on this site are for information and educational purposes only. Patients should continue using diltiazem-ointment for the entire prescribed treatment period, which can be up to 3 months or more as directed. Patient Drug Education for Diltiazem Ointment 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. internal anal-sphincter smooth muscle. Anal fissures (also called fissure in ano) are a common affliction— second only to hemorrhoids in terms of patient complaints about the anus.However, researchers have been unable to estimate the true incidence of anal fissures. The licensed topical glyceryl trinitrate product, Rectogesic 4mg/g rectal ointment, costs £34.80 per 30g tube (costs exclude VAT and are taken from theDrug Tariff, February 2013). %PDF-1.5 %���� Its called 2% diltiazen ointment. 156 0 obj <>/Filter/FlateDecode/ID[<40175B9FA21FBB4FA09AF2D03EAD58F5><2308534AD318C04B9D3057B5B3DD493B>]/Index[133 41]/Info 132 0 R/Length 106/Prev 108311/Root 134 0 R/Size 174/Type/XRef/W[1 3 1]>>stream Extemporaneous compounding formulation for Diltiazem Hydrochloride 20-mg/mL Rectal or Topical Gel (Cardizem 2% Gel), including components, quantities, instructions, and references Please note for the minimum order for Exports is of US$ 100. It has good short term success rates. 173 0 obj <>stream The ointment relaxes the smooth muscle around the rectum and ... only available at compounding pharmacies. The risk for side effects decrease as the treatment progresses and the fissure healed.Other options for treating anal fissures include nitroglycerin or nifedipine ointment. It works by relaxing the muscles of your heart and blood vessels. 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. Hope this helps, lea The ointment relaxes the smooth muscle around the rectum and ... only available at compounding pharmacies. Diltiazem is used to treat hypertension (high blood pressure), angina (chest pain), and certain heart rhythm disorders.. Diltiazem may also be used for purposes not listed in this medication guide. Extemporaneous compounding formulation for Diltiazem Hydrochloride 20-mg/mL Rectal or Topical Gel (Cardizem 2% Gel), including components, quantities, instructions, and references I had printed out 3 different discount cards on the internet and asked the pharmacist to check prices. Adding 10% For more information about treating anal fissures with diltiazem ointment, Stay up to date with what's happening in our pharmacyOffice: 3200 Downwood Circle NW, Suite 210 Atlanta, GA 30327OptiCleanse GHI Vanilla Delight Sugar & Stevia Free by XymogenEstrodim Capsules, 60 Count by Ortho Molecular Products, IncOptiCleanse GHI Creamy Chocolate Sugar & Stevia Free by Xymogen