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BNSSG Paediatric Joint Formulary
1.9 Rectal and anal disorders
Last edited: 20-02-2024
1.9.1 Haemorrhoids
First line drugs |
Second line drugs |
Specialist drugs |
Secondary care drugs |
Corticosteroids
Scheriproct® ointment / suppositories (TLS Green)
Anusol HC (TLS Green)
- restricted to patients who are 12+
Rectal Sclerosants
Oily phenol injection 5% (TLS Red)
Management of Anal Fissures
Glyceryl trinitrate 4mg/mL (unlicensed) (TLS Amber Specialist Recommended)
Specific indication:
Diltiazem 2% cream / ointment (unlicensed) (TLS Amber Specialist Recommended)
- If Glyceryl trinitrate 0.4% rectal ointment inappropriate or failed