Rectogesic is an ointment used mainly for the treatment and relief of symptoms of anal fissure (tear). It may also be used for relief of pain and discomfort associated with haemorrhoids and haemorrhoidectomy (operation to remove haemorrhoids). The ointment relaxes the anal muscles and allows more blood flow into the skin around the fissure, to enable the fissure to heal. Read more about anal fissure (tear).
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Glyceryl trinitrate (rectal)
Also known as Rectogesic
Key points about Rectogesic
- Rectogesic is an ointment used for the treatment and relief of symptoms of anal fissure.
- Rectogesic is also called glyceryl trinitrate rectal ointment.
- Find out how to use it safely and possible side effects.
Apply the ointment 3 times daily; don't use it more than this.
- Cover your finger with a finger cot (available from pharmacies), or a piece of cling film, or use a disposable glove.
- Then use 1 to 1.5 cm of the ointment from the tube on to your finger (there is a measuring line on the packaging to help you).
- Then, using your finger, gently insert the ointment just inside your anus (bottom).
- To make sure that the ointment gets to the correct place, insert your finger to the first finger joint.
Note: It's important not to apply too much of ointment – using too much causes headache (dilates the blood vessels in the brain).
Tips when applying Rectogesic
Keep your hands clean: Before applying the ointment, wash and dry your hands. Wear disposable gloves or use a finger cot or cling film over the finger you are using. Wash your hands after you have used Rectogesic.
If the tube is difficult to squeeze: Warm the tube between your hands or in a glass of lukewarm water. Don't warm the ointment in the microwave.
Missed dose: If you forget to apply the ointment, apply the next dose at the usual time. Don't use a double dose to make up for a forgotten dose.
Keep using Rectogesic regularly. It's important to continue treatment as directed for 4 to 6 weeks for a fissure to allow it to heal. If you are using Rectogesic for haemorrhoids, you may only need to use it for 2 to 4 weeks. Your doctor may ask to see you every 2 weeks to check progress.
Do not use Rectogesic if you are pregnant or breastfeeding.
Do not use Rectogesic if you are taking medicines used to treat erection problems, such as:
Using erectile dysfunction medicine with Rectogesic can cause a sudden decrease in blood pressure, which can be life threatening.
If you have low blood pressure, heart failure, migraines or regular headaches, talk to your doctor before starting Rectogesic.
Limit alcohol or avoid alcohol while you are using Rectogesic
Alcohol can increase your chance of side effects such as headaches and making you feel dizzy and faint.
Rectogesic can affect your ability to drive or operate machinery
Rectogesic may cause dizziness, light headedness, blurred vision, headaches or tiredness in some people, especially when you first start to use it. Be careful driving a car or operating machinery until you know how Rectogesic affects you.
Taking other medicines and supplements
Rectogesic can interact with some medicines, herbal supplements and rongoā Māori, so check with your doctor or pharmacist before starting Rectogesic and before starting any new products. If you are also taking other nitrate medicines as patches or tablets, talk to your doctor or pharmacist about the best times to take them.
Like all medicines, Rectogesic can cause side effects, although not everyone gets them. Often side effects improve as your body gets used to the new medicine.
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The following links have more information about Rectogesic:
- Glyceryl trinitrate (ointment)(external link) NZ Formulary
- Rectogesic(external link) Medsafe Consumer Information Sheet, NZ
- Glyceryl trinitrate (rectal)(external link) NZ Formulary
- Rectogesic(external link) Medsafe NZ
- Viagra reminder – ask! don't be shy!(external link) Medsafe, 2001
Credits: Healthify editorial team. Healthify is brought to you by Health Navigator Charitable Trust.
Reviewed by: Angela Lambie, Pharmacist, Auckland
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