How do you compound nifedipine ointment?

Topical nifedipine ointment regimen was prepared by a pharmacist diluting 100 mg of nifedipine in 20 g of yellow soft paraffin to produce a preparation of 0.5%. Patients were instructed to apply the ointment circumferentially 1 cm inside the anus, near the internal anal sphincter, every 8 h for 8 wk.

Does Rectiv heal fissures?

The ointment relaxes the smooth muscle around the anus and promotes blood flow which helps heal the fissure (tear). The NTG reduces anal canal pressure, which diminishes pain and spasm. We use Rectiv and then dilute it with KY Jelly or Vaseline.

Where do you apply Nifedipine ointment?

Apply a small, pea-sized amount with your finger. Ointment should be applied just outside the anal canal (preferably not directly to the fissure which could cause discomfort). The medication should be applied two to three times a day.

How do you insert Nifedipine?

The Diltiazem/Nifedipine ointment should be applied 3 times per day, or as directed. A pea-sized drop should be placed on the tip of your finger and then gently placed inside the anus. The finger should be inserted 1/3 – 1/2 its length and may be covered with a plastic glove or finger cot.

Is Epsom salt good for a fissure?

Whenever you experience a wound in the perineal area–whether due to surgery or a condition like anal fissures–you can help the area heal by using sitz baths, often with added salt or Epsom salts. Sitting in a warm-water sitz bath with salt several times a day can help delicate perineal and anal wounds heal faster.

Does Vaseline help fissures?

Soaking in a warm bath (also called a sitz bath), 10 to 20 minutes several times a day, to help relax the anal muscles; Cleansing the anorectal area more gently; Avoiding straining or prolonged sitting on the toilet; Using petroleum jelly to help lubricate the anorectal area.

What foods should be avoided when taking NIFEdipine?

NIFEdipine food You should avoid or limit the consumption of grapefruit and grapefruit juice if you are receiving treatment with NIFEdipine. Grapefruit juice can significantly increase the blood levels and effects of medications like NIFEdipine.

How long does it take NIFEdipine ointment to work?

It may take several weeks for the fissure to begin healing, and you will need to continue taking the medication after resolution of your symptoms. It is important to continue the treatment for the entire time period – up to 3 months or as directed.

How long does it take nifedipine ointment to work?