Diltiazem+lidocaine
About Diltiazem+lidocaine
Diltiazem+lidocaine is a specialized rectal medication prescribed to treat anal fissures, which are small tears in the delicate lining of the anus. This treatment works directly at the site of discomfort to relieve severe pain and reduce muscle spasms around the anal opening. By targeting these symptoms, it helps the area heal and makes daily activities much more comfortable.
To get the best results, you must apply Diltiazem+lidocaine consistently at the same times each day as directed by your healthcare provider. It is highly recommended to apply this rectal medication after a bowel movement to ensure it stays in place and works effectively. Making simple lifestyle adjustments, such as eating high-fiber foods and drinking plenty of water, will also help keep your stools soft and support the healing process.
Some people may experience mild, temporary local side effects, such as a slight burning, stinging, or itching sensation where the medicine is applied. These mild symptoms usually go away quickly as your body adjusts to the treatment. However, if you experience any severe side effects—such as severe dizziness, fainting, or an unusually slow or irregular heartbeat—you should stop using the product and consult your doctor immediately.
Do not use this medicine if you have a known allergy to any of its active components or similar local numbing agents. Before starting Diltiazem+lidocaine, talk to your doctor if you have a history of severe heart conditions, liver damage, or very low blood pressure. Discussing your medical history ensures that this treatment is safe and appropriate for your specific health needs.
Using Diltiazem+lidocaine alongside certain oral blood pressure medications or heart rhythm drugs may increase the risk of side effects like low blood pressure. You should also avoid smoking and excessive alcohol consumption, as they can impair overall blood circulation and delay the natural healing of tissue tears. If you are pregnant, breastfeeding, or an older adult, consult your doctor or pharmacist before using this product.
Uses of Diltiazem+lidocaine
Medicinal Benefits
- Provides targeted pain relief: Works directly at the affected area to quickly reduce pain and discomfort.
- Acts locally: Since it is applied to the skin, it works where needed without passing through the entire digestive system like oral pain medicines.
- Relaxes anal muscles: Helps relax the tight anal sphincter, reducing muscle spasms and pressure around the affected area.
- Improves blood flow: Increases blood circulation to the damaged tissue, supplying oxygen and nutrients needed for healing.
- Promotes faster healing: Supports quicker recovery of anal fissures by creating better conditions for tissue repair.
- Makes bowel movements more comfortable: Reduces pain and spasms during bowel movements, helping you perform daily activities with greater comfort.
- Reduces ongoing discomfort: Helps relieve persistent throbbing pain and improves overall quality of life during recovery.
Directions for Use
- Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
- Use a finger covering, such as a finger glove, to apply Diltiazem+lidocaine. Apply the gel using your finger to the affected area.
- Diltiazem+lidocaine is for external use only.
- Wash your hands after use and dispose of the finger covering appropriately.
Storage
Side Effects of Diltiazem+lidocaine
Common Side Effects (Usually mild):
- Mild burning, stinging, or itching at the application site
- Slight redness or skin irritation around the anus
- Mild headache or lightheadedness
Serious Side Effects (Call a doctor right away):
- Signs of a severe allergic reaction (such as skin rash, hives, swelling of the face, lips, tongue, or throat, and difficulty breathing)
- An unusually slow or irregular heartbeat
- Severe dizziness, fainting, or extreme drowsiness
Medicines Containing this Salt
View AllDrug Warnings
- Check the tube before use; do not use the medication if the seal is broken or if the gel appears discolored or has separated.
- If using an applicator, clean it thoroughly with warm, soapy water after every use and let it air dry completely.
Avoid getting this medication in your eyes, nose, or mouth; if contact occurs, rinse thoroughly with cool water. - Do not apply this medicine to open wounds, infected areas, or bleeding sores unless specifically instructed by your doctor.
- Avoid applying heat (such as a heating pad) to the treated area immediately after application, as this may increase absorption and side effects.
Drug Interactions
- May interact with heart rhythm medications (antiarrhythmics), potentially causing abnormal heart rhythms.
- Combining this medication with oral blood pressure drugs (such as beta-blockers or other calcium channel blockers) may lead to an increased risk of low blood pressure or a slow heart rate.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
consult your doctorNo interaction was found or established. Please consult your doctor.
Pregnancy
cautionIf you are pregnant, please consult your doctor before using Diltiazem+lidocaine. Your doctor may prescribe Diltiazem+lidocaine if the benefits outweigh the risks.
Breast Feeding
cautionIf you are breastfeeding, please consult your doctor before using Diltiazem+lidocaine. Your doctor may prescribe Diltiazem+lidocaine if the benefits outweigh the risks.
Driving
cautionDiltiazem+lidocaine may cause side effects like light-headedness or dizziness, affecting your ability to concentrate and drive. Hence, it is recommended not to drive or operate machinery until you are mentally alert.
Liver
cautionDiltiazem+lidocaine should be used with caution if you have liver problems. Please consult your doctor. Your doctor will weigh the benefits and potential risks before prescribing Diltiazem+lidocaine.
Kidney
cautionDiltiazem+lidocaine should be used with caution if you have kidney problems. Please consult your doctor. Your doctor will weigh the benefits and potential risks before prescribing Diltiazem+lidocaine.
Children
cautionThe safety and efficacy of Diltiazem+lidocaine have not been established in paediatric patients. Hence, please consult your doctor for more information on this.
Habit Forming
Diet & Lifestyle Advise
- Eat a high-fiber diet including whole grains, fruits, and vegetables to help soften your stool and prevent constipation, which can worsen anal fissures.
- Drink plenty of fluids (mainly water) throughout the day to keep your stools soft and easy to pass.
Avoid straining during bowel movements, as this increases pressure on the rectal tissue and can reopen healing tears. - Take warm baths (sitz baths) for 15 to 20 minutes two or three times a day to help soothe the rectal area and relax the anal muscles.
- Avoid sitting on hard surfaces or sitting for long periods of time, which can increase pressure on the anal region.
Patients Concern
Disease/Condition Glossary
Anal fissure: Anal fissure is a small tear in the mucosa that lines the anus, which causes pain and bleeding during or after a bowel movement. Anal fissures generally heal independently, and if the condition lasts for more than 8 weeks, it can be considered chronic. Sometimes, surgery may also be needed depending on the condition. Symptoms include tearing of the skin around the anus region, burning sensation, pain, and blood during a bowel movement.
FAQs
Diltiazem+lidocaine is used to treat anal fissures, haemorrhoids, and other related rectal or anal discomforts.
Diltiazem+lidocaine contains Lidocaine and diltiazem. Lidocaine relieves pain by temporarily numbing the skin or the area where it is applied. Diltiazem works by relaxing the muscle around the anus (anal sphincter), reducing anal pressure, and increasing blood flow to the area for healing.
Continue using Diltiazem+lidocaine for as long as your doctor has prescribed it to treat your condition effectively. Do not hesitate to speak with your doctor if you experience difficulty using Diltiazem+lidocaine.
Diltiazem+lidocaine may cause side effects such as application-site burning or itching, headache, nausea, lightheadedness, or dizziness. If you experience severe or persistent side effects, consult your doctor.
The safety of this medication during pregnancy is not fully established. It should only be used if the potential benefits outweigh the risks. Talk to your doctor or pharmacist to discuss your options.
The application frequency depends on your doctor's specific instructions. It is typically applied two to three times a day, often after bowel movements. Always follow the directions on your prescription label, and talk to your doctor or pharmacist if you are unsure.
A mild, temporary burning or stinging sensation is a common side effect when you first apply Diltiazem+lidocaine. This usually fades after a few minutes. If the burning is severe, worsens over time, or is accompanied by a rash, wash the area gently and talk to your doctor.
For most people, Diltiazem+lidocaine does not affect the ability to drive because it is applied locally and very little is absorbed into the bloodstream. However, if you feel dizzy or lightheaded after application, avoid driving or operating machinery and talk to your doctor.
This medication is typically applied to the skin around the anus and just inside the anal opening. If your doctor has supplied an applicator for internal use, follow their instructions carefully on how to use it safely. Talk to your doctor or pharmacist if you need a demonstration on how to apply it.
If your pain, bleeding, or muscle spasms do not improve after a few weeks of consistent use, or if they get worse, you should stop using the product and seek medical advice. There may be another underlying cause that needs evaluation. Talk to your doctor.

