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Rectiv is a prescription medication used to treat moderate-to-severe pain caused by chronic anal fissures. It comes in the form of an ointment that is applied twice daily for up to three weeks. In the United States, this product is currently the only nitroglycerin ointment approved for this use. Although most people tolerate it well, side effects are possible and may include headaches and dizziness.
How Does It Work?Rectiv works to treat anal fissures by causing the muscle in the anus to relax, and also by dilating the blood vessels in the area, causing improved blood flow.
When and How to Use RectivSome general considerations to keep in mind during treatment with Rectiv include the following:
- The ointment is usually applied twice daily, with 12 hours between applications, for up to three weeks.
- Usually, one inch of the ointment is first applied to the finger (which has been covered with a glove, finger cot, or plastic wrap). Then the ointment is gently applied inside the anus by inserting the finger no further than the first finger joint. If this is too painful, simply start by applying it to the outside of the anus.
- For the medication to work properly, it must be used as prescribed.