No need to apologise for the dyslexia! You make perfect sense!
Print this or save screen shots off your phone or tablet and bring to your GP or walk in centre or if necessary A&E:
https://www.nice.org.uk/advice/esuom3/c ... 2017429593It's from NICE and one would hope that would be evidence enough for them to admit that it exists! My tub only says diltiazem 2%. Here's a copy and paste of why I think they're reluctant to prescribe it: The NHS price for 2% diltiazem cream is £73.83 per 30 g tube and the NHS price for 2% diltiazem ointment is £163.07 per 30 g tube. The licensed topical glyceryl trinitrate product, Rectogesic 4 mg/g rectal ointment, costs £34.80 per 30 g tube (costs exclude VAT and are taken from the Drug Tariff, February 2013).
There's a huge price difference between the diltiazem and the rectogesic. Yes, the NHS needs to save money but on the other hand you can't use rectogesic and they should give you diltiazem. Be firm with them, feel free to say that you know of someone else in the U.K. Who had it prescribed on the NHS and that will hopefully help.
Does your local A&E have a walk in centre adjacent to it? My local one has and I went there on Sunday. I registered at A&E and saw a triage nurse, they then sent me to the walk in centre waiting room. I sadly have noticed that I have an 'easier' time getting what I need/want now that I have my PhD and use Dr as my title. Everyone should have the same experience regardless of stuff like that.
I don't know where you live but search for private GP and the city you live in to see what comes up. A private GP will prescribe the diltiazem for you but you'll have to fork out whatever the private GP charges (mine charges £65 for a 20 minute appointment but some charge more and charge to write a prescription, there should be info on the websites) plus the full price for the prescription. Then again, if you can afford it do it if you still have no luck after trying the above.
Are you still in the spasm horrid pain for hours stage?
Fissure pain isn't easy on the marriage no matter how understanding your spouse is. I spend most of my time talking about fissures hemmies and I'm aware that those are not the most exciting topics for people who don't suffer from them. That's why this board is brilliant! We're all kindered spirits.
Good luck and let me know how you get on!