1.7 LOCAL PREPARATIONS FOR ANAL AND RECTAL DISORDERS

1.7 Local Preparations for anal and rectal disorders

1.7.1 Soothing haemorrhoidal preparations

GREEN Anusol® cream & suppositories [Consider OTC/Self care]

1.7.2 Compound haemorrhoidal preparations with corticosteroids

GREEN Anusol® HC ointment (do not use for longer than 7 days)

GREEN Prednisolone hexanoate, cinchocaine hydrochloride ointment and suppositories (Scheriproct®)

1.7.3 Rectal sclerosants

RED Oily phenol injection 5%

1.7.4 Management of anal fissures

The management of anal fissure requires stool softening by increasing dietary fibre or by the use of a bulk-forming laxative.

Short term use of local anaesthetic preparations may help. If these measures are inadequate the patient should be referred

for specialist treatment in hospital – here the local use of glyceryl trinitrate or diltiazem may be appropriate.

AMBER Diltiazem cream 2% (prescribe generically)

GREEN Glyceryl trinitrate (Rectogesic®) ointment 0.4%

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