Related guidance:
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. |