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Because diltiazem is also used as a hypertensive agent, the largest risk associated with suprapotent topical 2% diltiazem might be dizziness or postural hypotension.

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Some doctors advise to continue with the ointment for a full 6-8 weeks even if the pain goes much sooner.

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When used concomitantly, anesthetics and calcium channel blockers should be titrated carefully.

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Ointments were applied to the perianal region three times daily for seven days.

Chronicity of fissures relates to duration of greater than 6 weeks, associated pathology may include a sentinel pile.

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Just had my second Sphincterotomy Surgery done four days ago, the first one was done 3 years ago, I have IBS ( or so the doctors say ), So over usage of the area caused fissures which were very painful, I feel like I was hit with a baseball bat several times plus I also have the feeling of an ice-pik inside of my anus, Don't know if this is a condition which will continue seing that my stomach alwas wants to push my food down and my bottom's in pain and sometimes can not be in synch.

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