Spread the ointment around the inside of the anus. If you cannot do this because it is too painful, you may apply the ointment to the outside of the anus. Throw away the finger covering and wash your hands after each dose. Apply this medication usually every 12 hours, for up to 3 weeks, or as directed by your doctor.

How effective is GTN?

Pharmacological treatment using topical GTN has been shown to be effective for over two thirds of patients with chronic anal fissures. 15 Our current study provides further evidence for this finding. It has also confirmed that healing is associated with a sustained reduction in maximum resting anal pressure.

Can nitroglycerin cream cause headaches?

One common side effect of RECTIV is headache. Here’s why: the nitroglycerin in RECTIV increases blood flow to the anal area. That same kind of increased blood flow also occurs in the head and brain, which can cause headaches.

How often can you use Rectogesic?

Apply the ointment three times daily and do not exceed the dosage. Wash hands after use. You should ensure that you have a period of 12 hours each day where you do not use Rectogesic.

How long does GTN cream take to work?

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System Organ ClassFrequencyAdverse Reaction
Nervous system disorderVery commonHeadache
CommonDizziness
Gastrointestinal disordersCommonNausea
UncommonDiarrhoea, anal discomfort, vomiting, rectal bleeding, rectal disorder

What is GTN cream?

Glyceryl trinitrate, or GTN, is a type of medicine called a nitrate. It is used to treat angina (chest pain). It can help stop chest pain if an angina attack has already started. It can also help to prevent them from starting. GTN ointment can also be used to treat tears in the skin around your bottom (anal fissures).

What is GTN ointment?

Does nitroglycerin cream heal fissures?

Application of a 0.2% nitroglycerin ointment may help heal a long-term (chronic) tear, or fissure , in the anus . You rub a pea-sized dot of cream on the fissure twice a day. It is a good idea to either wear gloves when applying the nitroglycerin cream or wash your hands right after.

How do I know my fissure is healing?

Q: How do you know if a fissure is healing? A: Most anal fissures heal with home treatment after a few days or a weeks. These are known as acute anal fissures. Pain during bowel movements usually goes away within a couple of days after the start of treatment.

Which medicine is best for fissure?

Topical calcium channel blockers are thought to be about as effective as GTN ointment for treating anal fissures, and may be recommended if other medicines have not helped. As with GTN ointment, you’ll usually have to use calcium channel blockers for at least 6 weeks, or until your fissure has completely healed.

How much does GTN spray cost?

Glyceryl trinitrate 400micrograms/dose aerosol sublingual spray (Aspire Pharma Ltd)

Active ingredientsSizeDrug tariff price
Glyceryl trinitrate 400 microgram per 1 dose180£3.85
200£4.15