Anal Fissure Ointment

Anal fissures are small tears or cuts in the skin lining the anus, which can cause pain and/or bleeding. Patients with anal fissures typically experience extreme pain when having a bowel movement and red blood streaking in the stool.

Some of the more common causes of anal fissures include:
• Hard, dry bowel movements causing a tear in the anal lining, resulting in a fissure.
• Chronic diarrhea and inflammation of the anorectal area.

An anal fissure that develops all of a sudden is usually due to a recent change in bowel habits. Persistent or recurring fissures can be caused by continually poor bowel habits, overly tight or spastic anal sphincter muscles, scarring in the anal lining, or an underlying medical problem such as inflammatory bowel disease or an infection.

90% of all acute anal fissures can be managed non-surgically by increasing dietary fiber, using stool softeners, drinking plenty of fluids, and by taking warm baths to sooth and relax the anal muscles. Special medicated anal ointments are frequently prescribed to encourage faster healing.

Apothecary Options prepares a special anal fissure cream that has been used successfully by dozens of patients. It combines nine different ingredients all into one, cost-effective product.

  • Nifedipine 0.2% is a calcium channel blocker that helps reduce anal sphincter spasms and also works to increase blood flow to the affected area thus encouraging healing.
  • Lidocaine 5% & Tetracaine 0.5% are local anesthetics and are used to numb the painful areas.
  • Hydrocortisone 2.5% is a steroid, which is used to reduce inflammation that may be causing pain.
  • Nitroglycerin 0.2% is a vasodilating agent that relaxes blood vessels and impoves blood flow to the affected areas. Higher concentrations of nitroglycerin can cause a pounding headache. In our experience, the 0.2% concentration is well tolerated by most patients.
  • Vitamins E, A, & D are fat-soluble vitamins. They have anti-oxidant and wound healing properties and are a common ingredient in many topical healing preparations.
  • Aloe Vera is a commonly used skin remedy.  It helps relieve burning, itching, and promotes healing.

What side effects can this medication cause? This drug may make you drowsy and dizzy. Do not drive a car or operate machinery until you know how it affects you. Ask your doctor about the safe use of alcoholic beverages while you are using this. Alcohol can make the side effects from nitroglycerin ointment worse. Be careful when you first stand up in case you feel faint. Nifedipine and nitroglycerin can lower your blood pressure, but usually only when taken in higher doses. Other side effects that may occur include: headache, skin irritation or rash, dizziness, upset stomach, headache, flushing (feeling of warmth). If you experience any of the following symptoms, stop using this medication and call your doctor immediately: blurred vision, dry mouth, chest pain, irregular heartbeat, shakiness, or seizures. Do not use this product if you are allergic to anesthetic agents such as Novocaine. If you develop a mild headache, ask your doctor if you may take acetaminophen (Tylenol).

50gm = $47.30

Click here to download a prescription to take to your prescriber.