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Unlicensed - for use only in patients intolerant of or unresponsive to GTN ointment

Store in the fridge

One tube will last a month if used as 2cm apllication TWICE DAILY

Topical diltiazem 2% may be used twice daily [unlicensed indication] in patients with chronic anal fissures unresponsive or intolerant to topical nitrates and before considering surgery