Related guidance:
![](https://formulary.nhssomerset.nhs.uk/wp-content/uploads/2023/11/NICE-300x43.png)
Haemorrhoids (CKS July 2021)
![](https://formulary.nhssomerset.nhs.uk/wp-content/uploads/2023/11/SPS-e1701080334466.png)
Haemorrhoids: treatment during pregnancy (SPS January 2022)
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
Anusol®
suitable for self-care | Cream: £2.70 (23g)
Ointment: £2.70 (25g)
Suppository: £2.42 (12)
|
|
Corticosteroids | Cinchocaine with prednisolone
as Scheriproct® | Ointment: £3.23 (30g)
Suppository: £1.52 (12)
| Proctosedyl® is not cost effective. |
Nitrates | Glyceryl Trinitrate
as Rectogesic®
| 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. |