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1.9 Rectal and anal disorders

First line drugs Second line drugs Specialist drugs Secondary care drugs

Traffic light status (TLS) explained:

  • Green: Routine prescribing within licensed indication
  • Amber 1: specialist recommendation followed by GP initiation and continuation
  • Amber 2: specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation
  • Amber 3: specialist initiation and stabilisation followed by GP continuation
  • Amber SCG: specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline
  • Red: Hospital or specialist prescribing only

 

 

 

9.2 Haemorrhoids  

Anusol® 

  • cream 

Notes: 

  • Should not be prescribed in Primary Care or at Discharge
  • Advise patient to purchase, unless prescription is for long-term regular use

 

Corticosteroids 

Anusol HC®

  • ointment and suppositories 

Notes: 

  • Should not be prescribed in Primary Care or at Discharge
  • Advise patient to purchase, unless prescription is for long-term regular use

 

 

Scheriproct  

  • Ointment and suppositories 

 

 

Rectal sclerosants

Oily Phenol

  • Injection 5%

 

 

Management of anal fissures

Glyceryl trinitrate

  • Rectogesic® rectal ointment 0.4% (For 6 weeks up to a maximum of 8 weeks) 

 

Diltiazem (Amber 2)

  • Cream 2% - unlicensed

 

Note:

  • To be used when Glyceryl Trinitrate 0.4% rectal ointment is inappropriate or has failed. 

 

 

 

 

Traffic light status (TLS) explained:

  • Green: Routine prescribing within licensed indication
  • Amber 1: specialist recommendation followed by GP initiation and continuation
  • Amber 2: specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation
  • Amber 3: specialist initiation and stabilisation followed by GP continuation
  • Amber SCG: specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline
  • Red: Hospital or specialist prescribing only

 

 

 

Return to Chapter: 1. Gastro-Intestinal System

Last updated by: Dupe Fagbenro on 19-02-2019 09:47