Is diltiazem good for hemorrhoids?

Author: Laila Stoltenberg  |  Last update: Saturday, November 20, 2021

Diltiazem ointment (Cardizem) is a calcium channel class of medication we use to help heal anal fissures, promote wound healing, or treat external thrombosed hemorrhoids.

How does diltiazem work for hemorrhoids?

Diltiazem/Nifedipine ointment is used to help heal anal fissures. The ointment relaxes the smooth muscle around the anus and promotes blood flow which helps heal the fissure (tear).

How quickly does Diltiazem ointment work?

Diltiazem starts to work on the day you start taking it, but for high blood pressure and angina it may take a couple of weeks to work fully. If you're taking diltiazem for high blood pressure, you may not have had any symptoms before. In this case, you may not feel any different when you take it.

What does diltiazem cream do?

What is it used for? Diltiazem hydrochloride 2% cream is used to promote the healing of the tear that has occurred in the skin of the anus (back passage) and reduce the symptoms of pain caused by the tear. The tear in the skin lining the anus is called an anal fissure.

Is diltiazem cream safe?

Based on the studies, diltiazem cream or ointment does not appear to cause significant harm or side effects in adults using it in the short term. Most studies looked at use for around 3 months or less. It is not known what possible harms or side effects the treatment may cause if it is used for longer than this.

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How long does diltiazem take to heal fissure?

Results: In 39 patients (13 males; median age, 42 (range, 20- 80) years), topical 2 percent diltiazem gel lowered anal resting pressure by 20 percent from a median of 93 to 74 cm H2O (P < 0.0001, Wilcoxon), and fissures healed in 19 (49 percent) within 8 weeks.

What can you not take with diltiazem?

Common medications that may interact with diltiazem include:
  • anticonvulsants, such as fosphenytoin.
  • antifungal agents, such as itraconazole.
  • alfentanil.
  • amiodarone.
  • beta-blockers, such as atenolol, labetalol, or metoprolol.
  • buspirone.
  • benzodiazepines such as midazolam or triazolam.
  • carbamazepine.

What are the worst side effects of diltiazem?

Dizziness, lightheadedness, weakness, nausea, flushing, constipation, and headache may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

What pain reliever can I take with diltiazem?

Occasional painkilling doses are unlikely to have a significant effect, but check with your doctor if it's OK for you to take this type of painkiller - they may not be suitable for you due to your heart condition. If you need a painkiller it's fine to take paracetamol with diltiazem.

What drug can replace diltiazem?

Metoprolol is used to treat high blood pressure (hypertension), heart pain (angina), congestive heart failure, abnormal heart rhythms, hyperthyroidism, some neurologic conditions, and to prevent migraine headaches.

Where do you apply Diltiazem ointment?

Apply a small amount to your finger (approximately 2.5cm) and place the cream just inside the anus, at the entrance. A finger covering, such as cling film or a disposable glove may be used to apply the ointment. Use the cream twice a day every day (morning and evening) for 2 months.

How do you know if a hemorrhoid is thrombosed?

How do I know if my hemorrhoid is thrombosed? Hemorrhoids are otherwise painless unless they are thrombosed, prolapsed, or strangulated, meaning their blood supply has been cut-off. Thus, significant pain in the perineal area, as well as feeling a painful lump near the anus can be signs of thrombosed hemorrhoids.

Is diltiazem anti inflammatory?

Recent evidences have shown that diltiazem has anti‐inflammatory actions. Its ability to downregulate T, B, and NK cell proliferation and function was widely shown several years ago.

Can I take Tylenol and diltiazem at the same time?

No interactions were found between diltiazem and Tylenol. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

Can you take vitamin D with diltiazem?

Avoid taking high doses of vitamin D with this heart medication. High doses of vitamin D can cause hypercalcemia, which increases the risk of fatal heart problems with digoxin. Diltiazem (Cardizem, Tiazac, others). Avoid taking high doses of vitamin D with this blood pressure drug.

How long should you take diltiazem?

It may take up to 2 weeks before you feel the full benefit of diltiazem. Continue to take diltiazem even if you feel well. Do not stop taking diltiazem without talking to your doctor.

Does diltiazem cause constipation?

Calcium-channel blockers, such as diltiazem (Cardizem). These drugs relax the smooth muscles in blood vessels to lower blood pressure. But they also relax the muscles in the gut and may cause constipation.

Does diltiazem cause ankle swelling?

Ankle oedema appears to occur more frequently in CCBs from the DHP group, although some agents such as lacidipine and lercanidipine may cause it less frequently than nifedipine and amlodipine. Diltiazem, a non-DHP agent, seems to be associated with the lowest incidence of ankle oedema.

Does diltiazem make you pee a lot?

Diltiazem did not cause tachycardia in either strain. Moreover, hypotensive doses of diltiazem acutely increased urinary excretion of sodium as well as urine volume in saline-loaded SHR and WKY.

Can diltiazem cause weight gain?

Heart failure has gotten worse in some people taking this drug. If you have heart failure, talk with your doctor. Call your doctor right away if you have shortness of breath, a big weight gain, or swelling in the arms or legs. A severe skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen.

Can you take vitamins with diltiazem?

Using dilTIAZem together with multivitamin with minerals can decrease the effects of dilTIAZem. Talk with your doctor before using dilTIAZem and multivitamin with minerals together. You may need a dose adjustment or need your blood pressure checked more often if you take both medications.

Can ibuprofen be taken with DilTIAZem?

ibuprofen dilTIAZem

The combination may cause your blood pressure to increase. You may need a dose adjustment or your blood pressure checked more often. Also, if you are already taking the combination and stop taking ibuprofen, your blood pressure may decrease.

Can you take diphenhydrAMINE with DilTIAZem?

Interactions between your drugs

DilTIAZem and diphenhydrAMINE may have additive effects in lowering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.

Is DilTIAZem an L type calcium channel blocker?

The L-type calcium channel antagonists verapamil and diltiazem have been used widely for the treatment of hypertension, cardiac arrhythmia, and coronary vasospasm, and are effective in the treatment of angina pectoris (1, 2).

What shrinks hemorrhoids fast?

Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent. Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water for 10 to 15 minutes two to three times a day.

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