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Rectal and Colon Health

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Rectal and Colon Health

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Compounded Treatment Options for Anal Fissures

Anal fissures are caused due to tearing of the anus as a manifestation of bowel problems such as passing of hard stool, constipation, and chronic diarrhea. They may also result from anal sex, rectal examinations, or other trauma to the anus.

Inflammatory conditions such as Crohn’s disease also increase the susceptibility towards having anal fissures. High pressure in the anal canal as a result of muscle spasms of the internal anal sphincter is believed to be the primary cause of slow healing of anal fissures. Furthermore, low blood supply to the anal region may prolong the wound healing process.

Most effective medications against anal fissures function by increasing the blood flow to the anal region and relaxing the muscles to decrease spasms.

Healing can be greatly improved with the use of topical treatments such as nitroglycerin, nifedipine, and diltiazem. Medications like nifedipine work by dilating the blood vessels around the anus, which allows blood to flow to the area more easily and promote faster healing. These medications can also cause relaxation of the internal anal sphincter, which reduces pressure and spasms.

We provide compounding medication solutions for anal fissures that include Nifedipine Ointment, Diltiazem Ointment, Nitroglycerin Ointment .

These ointments may be applied a few times per day and locally acting anesthetics can be included in the compounded medicine for pain relief.

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How does compounding work?

Compounding pharmacies can produce unique dosage forms based on patient preferences and/or restrictions. Examples include dye-free, preservative-free, alcohol-free, and/or sugar-free forms of medications.

Many compounds are specialized medication combinations or liquid or cream forms of products that are not otherwise commercially available.

Frequently Asked Questions

What is Compounding?

In general, compounding is a practice in which a licensed pharmacist, upon a physicians’ prescription order, combines, mixes, or alters ingredients of a drug to create a medication tailored to the needs of an individual patient.

A health care provider will prescribe a compounded drug when commercially available products do not meet your needs. Preparing a paste or suspension from crushed tablets is one example of compounding. Likewise, adding flavoring to medication is also compounding.

Is a prescription required?

Yes, a prescription order from a physician is required for the pharmacist to compound your medication to meet your specific needs.

Are compounded prescriptions covered by insurance?

Some health insurance plans cover compounded medications. Check with your insurance company to see if you have coverage. Many pharmacies are able to bill insurance companies directly for compounded medications. If unable to bill your insurance company, you may submit a claim form to your insurance company to reimburse you directly. Depending on the nature of the product, these medications may be just as affordable as your conventional prescriptions.

How does my medical provider play a role in compounding?

Many medical providers are aware of the practice of compounding, and they may work with your local compounding pharmacy to provide the right medication for you. Talk to your pharmacist or doctor today if you feel that a compounded prescription may be a better way to manage a health condition for you or your family member.

Does a compounding pharmacist have special training?

All pharmacists are taught in pharmacy school how to properly compound medications, and many compounding pharmacists have advanced training after pharmacy school graduation. Compounding pharmacists utilize their unique pharmacy skills, knowledge, and creativity to work with you and your prescriber to prepare medication in a dosage form that has been customized to your particular needs.

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