Demonstration Formulary
1 Gastro-intestinal system
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01-07-04 Management of anal fissures
| Diltiazem Cream 2% Anoheal |
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Second Choice
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£££££ Unlicensed - for use only in patients intolerant of or unresponsive to GTN ointment Store in the fridge One tube will last a month if used as 2cm apllication TWICE DAILY Topical diltiazem 2% may be used twice daily [unlicensed indication] in patients with chronic anal fissures unresponsive or intolerant to topical nitrates and before considering surgery |
 NICE evidence summary; Chronic anal fissure: 2% topical diltiazem hydrochloride |
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