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Perianal application of 2 percent diltiazem ointment after hemorrhoidectomy significantly reduces postoperative pain and is perceived as beneficial, with no increase in associated morbidity.

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Dealt with fissure and prescription creams for over 8 months!

A generic drug is not worse than brand medicine.

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Tinctures can be used as they are, or mixed with tea, or when called for a bath, foot bath, oil or ointment.

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Drawback: It is, however, supposed to cause reversible internal anal sphincterolysis.

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Compared with excisional hemorrhoidectomy, stapled hemorrhoidopexy is more favorable in terms of postoperative pain, time until return to work, and complications of pruritus and fecal urgency.

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By demonstrating that a sample of retail pharmacies compound a large percentage of substandard formulations of topical 2% diltiazem, the study underscores that this drug, recommended for use by medical society practice parameters, should be produced under Good Manufacturing Practice regulations to ensure its identity, quantity, potency, and purity.

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This is also important after surgery because straining and passage of hard stools increase pain and bleeding, and delay healing.

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Even if it has lasted six weeks, technically becoming known as chronic anal fissure, there is still a reasonable chance that it will heal on its own without treatment.

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These differences have no effect on the medical action of the drug whatsoever.

BUTT, I had a fissure that broke open again after a hard BM (3 years later) and that area needed to be re-treated.

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Subsequent titration to higher or lower doses may, however, be necessary and should be initiated as clinically indicated.

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The toxin exerts its effects on the acetylcholine releasing parasympathetic peripheral nerve endings as well as the ganglionic nerve endings, thereby leading to flaccid paralysis of the internal sphincter.

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