|Therapeutic Area||Formulary Choices||Cost for 28|
(unless otherwise stated)
|Rationale for decision / comments|
|Antiseptic, astringent and emollient||Zinc oxide, bismuth oxide and balsam Peru as|
suitable for self-care
|Cream: £2.70 (23g)|
Ointment: £2.70 (25g)
Suppository: £2.42 (12)
|Corticosteroids||Cinchocaine with prednisolone|
|Ointment: £3.23 (30g)|
Suppository: £1.52 (12)
|Proctosedyl® is not cost effective.|
|Nitrates||Glyceryl Trinitrate |
|0.4% ointment: £39.30 (30g)||For the management of anal fissure. Maximum duration of use is 8 weeks.
Diltiazem is available via secondary care who are commissioned to provide full treatment course where person deemed contraindicated to Rectogesic.