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1.7 Preparations for haemorrhoids

Glyceryl Trinitrate Ointment 0.4% (Rectogesic)
Anusol cream, ointment, suppositories
Anusol HC ointment, suppositories
Lidocaine ointment 5%
Proctosedyl ointment and suppositories
Xyloproct ointment and suppositories  
Witch Hazel
Diltiazem ointment 2%
Botulinum Toxin

Notes:

1. Preparations such as "Anusol" are safe and inexpensive and may help relieve pruritis and soreness.

2. Topical Corticosteroids can be used to relieve inflammation but should not be used in the presence of untreated local infection. Prolonged use should be avoided e.g.- "Anusol HC" limited to 7 days.

3. Glyceryl Trinitrate Ointment 0.4% is 1st line for the symptomatic management of chronic anal fissure. However, side effects of headaches and dizziness may be a problem in which case diltiazem ointment 2% may be appropriate.

Additional information on place of topical diltiazem for anal fissure can be found here.

Link to BNF section: 1.7 Local preparations for anal and rectal disorders