Probably, there is no adult who would not imagine what anal fissures and hemorrhoids are. Those who have encountered these problems remember for a long time the exhausting painful sensations when trying to defecate, and just while walking.
One of the main components of the conservative treatment of the mentioned diseases of the anus (anus) is nitroglycerin ointment (glycerol trinitrate). We will talk about the rules for its use and the effectiveness of treatment with this drug today.
When is nitroglycerin ointment treatment used
More than 40 years ago, doctors noticed that the spasm of the anal sphincter, which accompanies the appearance of hemorrhoids and cracks in a patient, greatly interferes with their healing. This is because this involuntary contraction of the tonic muscles greatly impedes local blood flow.(causes ischemia) and greatly complicates the already painful process of defecation, eventually leading to new gaps and injuries of the anus.
A similar problem prompted doctors to use nitroglycerin ointment to treat cracks. This substance is able to relax the sphincter muscles and, as tested, has a positive effect on the acceleration of the healing process.
How nitroglycerin ointment works: its composition
The composition of this drug includes the active ingredient nitroglycerin and lanolin-vaseline base.
The described drug, when applied topically, being absorbed, dilates blood vessels and relaxes the sphincter. Due to this, blood circulation improves, which helps healing, and spasm disappears. And thanks to the latter effect, trauma to the anus is reduced and, accordingly, the painful crack heals faster. By the way, some patients may experience slight itching and burning during the application of the ointment.
Features of the application of the ointment
Nitroglycerin ointment is applied to the affected areas two to four times a day. As a rule, the course of treatment is 1 month. During treatment, strictly adhere to the dosage indicated by your doctor!
The instruction suggests applying a little ointment to a cotton swab on a rod and injecting it at a shallow depth into the anus (if you just lubricate the surface around the sphincter, the active substance will not give a sufficient therapeutic effect, but it can cause side effects). True, with severe pain during the introductiona tampon is allowed and lubrication of the surface around the anus.
Nitroglycerin is especially rapidly absorbed with good blood flow. Therefore, doctors advise not to apply the ointment within half an hour after taking a bath in order to avoid getting into the blood an excessive amount of the active substance
Side effects of applying the ointment
When treating with this drug, it is important not to overdo it with its use! In large quantities, the ointment can cause dizziness and headache caused by a decrease in blood pressure due to the expansion of blood vessels (by the way, therefore, doctors recommend applying the drug in the supine position). To avoid unwanted side effects, you also need to remember to wash your hands after the procedure from the remnants of the ointment. Interestingly, all of these effects are self-limiting: with the constant use of drugs with nitroglycerin, they become less pronounced. But still, when they appear, the use of the ointment should be stopped and consult a doctor.
Contraindications for use
The described rectal ointment is prescribed by a proctologist. The patient should not make his own decision about the appropriateness of its use.
It should also be remembered that in some cases nitroglycerin ointment may be contraindicated. The instruction about this says the following:
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where to buy nitroglycerin ointment before starting treatment, the patient must always consult with his supervisordoctor;
- do not prescribe if the patient suffers from cardiovascular disease or severe hypotension (low blood pressure);
- older people should use the mentioned remedy with extreme caution;
- treatment with this drug is contraindicated in patients taking products containing organic nitrates or who are hypersensitive to the active substance;
- during pregnancy and lactation, a doctor's consultation is required before using the ointment;
- if you have dizziness caused by the use of the ointment, you must stop driving until the side effect disappears.
In what other cases is nitroglycerin used as part of an ointment?
In proctology, nitroglycerin ointment 0.2% is used. But there is also an ointment with a 2% content of the active ingredient.
This drug is used in cardiology as a prophylactic for angina attacks, as well as in cases of chronic heart failure. Nitroglycerin ointment is also effective as one of the components of the treatment of pulmonary hypertension.
In these cases, the amount of ointment prescribed by the doctor is applied to the dosing paper scale and attached to the area of \u200b\u200bskin without hair. The effect, as a rule, comes in half an hour and lasts up to 5 hours.
Nitroglycerin ointment: price
It should be taken into account that there is no factory production of nitroglycerin ointment 0.2% in Russia. describedthe drug is made in pharmacies to order according to individual prescriptions. Therefore, when prescribing it by your doctor, check where to buy nitroglycerin ointment. Some clinics manufacture and offer it to their patients.
This product is usually placed in a dark glass bottle of 20 g. Store it at room temperature, avoiding direct sunlight and moisture.
Ointment in Russia costs around 350 rubles.
