Dumb question regarding Diltiazem/any cream for AFs

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Dumb question regarding Diltiazem/any cream for AFs

Postby volans » 22 Jan 2018, 20:12

I've decided to renew an old prescription of diltiazem cream as it appears my sphincter is still too tight to properly have normal bowel movements. I checked the medication and it says "FOR EXTERNAL USE ONLY." I've been applying this cream to the inside of the anus with a finger cot. Is this not right? When I search instructions it just says "apply to the anus" but this language is vague.
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Re: Dumb question regarding Diltiazem/any cream for AFs

Postby chachacha » 22 Jan 2018, 22:27

Some doctors want patients to apply it around the outside of the anus and others ask that we put it up inside like you've been doing. My CRS wanted it applied to the exterior, because he said it is absorbed through the skin so that was very effective. Many other posters on this forum have been advised to apply it up inside though, so it seems that both ways are good.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Dumb question regarding Diltiazem/any cream for AFs

Postby Fissurefrustration » 23 Jan 2018, 01:27

I apply mine inside and that’s ok for me.
Suffering since June 2013 :(

Methods tried:
Sitz Baths
GTN cream - awful migraines!
Manuka Honey / Coconut oil / Aloe
Vitamin E suppositories
Tablets (Fiber, Cod liver oil with vit A+D, Multi vits)my + tag excision X 2
Dilatiazem - so far so good.
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