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I’ve just been back to see my GP to get the prescription for the Anoheal (diltiazem). He said further to my call yesterday, the pharmacy had been trying to get hold of some and couldn’t get any locally so they had to do a special order direct from the suppliers which could take a while to be delivered. He said they don’t normally prescribe this because it is more expensive than GTN (nitro) but are willing to in my case because of my small children etc etc. Has anyone else been told it is more expensive? how does the diltiazem work in comparison to the GTN?

A:
Diltiazem is a calcium channel blocker, Nitro is a vasodilator. I would call around and compare prices- availability and not rely on the doctor or pharmacy especially if you need it now.

I had LIS in october and my fissure finally healed but the area still can be tender at times.
I tried the diltiazem and I find it burns and irritates the most. I’ve used nirto and nifedipine and I think the nifedipine is the least irritating and works the best but that’s just my opinion.
I had other issues besides the fissure, scar tissue from an old hemorrhoid surgery and ibs and some pelvic floor problems so I think the area where the fissure was and some of the old skin tags stay tender for quite a while. The only thing that seems to help me when things do get tender are sitz baths. Of course eating more fiber and keeping bms strain free are a must. If the diltiazem is irritating you tell your doctor and see if you can try something else.
If you have a health food store close by try pure aloe vera, you have to store it in the fridge but that’s even better. It feels cool and soothes the irritated skin.