Topical diltiazem and bethanechol substantially reduce anal sphincter pressure for a prolonged period, and represent potential low side effect alternatives to topical nitrates for the treatment of anal fissures.
How to use
Use exactly as prescribed by your health care professional.
Side Effects
If you notice any of the symptoms listed below or any other symptoms which seem severe/persistent contact your doctor immediately.
Asthenia
AV block
Bronchitis
Diaherra
Dispepsia
Dizziness
Dyspnea
Extra systoles
Flu like syndrome
Headaches
Infection
Peripheral edema
Drug Interaction
Inform your doctor about any other medication you may be taking in any other form.
Over Dose
If you suspect an overdose call the emergency department or your doctor immediately.
Missed Dose
Do not double applications to make up for a missed application.
Uses
Diltiazem gel is used to treat anal fissures.
Storage
Store in a cool dry place.
Precaution
Patients with sick sinus syndrome except in the presence of a functioning ventricular pacemaker should inform thier health care professional about the same.
Patients with second or third dergree AV block except in the presence of a functioning ventricular pacemaker should inform thier health care professional about the same.
Patients with severe hypotension should inform thier health care professional about the same.
Patients with acute myocardial infarction and pulmonary congestion documented by x ray on admission should inform thier health care professional about the same.
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