Hi! I am new to this forum, so thanks in advance for any help you can offer a fellow fissure sufferer.
My CRS prescribed Diltiazem ointment for a fissure. Unfortunately, he didn't give me much information on how to apply it (i.e., how much to use, how far up to rub it, etc.). My pharmacist recommended that I use a Preparation H suppository, dip it into the ointment, and then insert the suppository which would distribute the ointment.
Question: how will I know if the Diltiazem ointment is working? Will there be an immediate relief of the fissure pain and reduction of spasms? Or is the relief more gradual, over a period of days or weeks? For example, when I take ibuprofen, I can expect relief in about 30 minutes, which means I know it is working. What should I expect to see happen with the Diltiazem?
Also, my doctor had mentioned that if the Diltiazem didn't work (or if it caused headaches), I could try Nifedipine instead. Does anyone have any thoughts on Diltiazem vs. Nifedipine in regards to success/effectiveness?
Thanks!