Pomada rectal de trinitrato de glicerilo
Rectogesic
Revisado por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSÚltima actualización 20 oct 2024
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Glyceryl trinitrate rectal ointment can ease the pain associated with small tears of skin around the back passage (anal fissures).
Use the ointment twice daily at 12-hourly intervals. You can use it for up to eight weeks if necessary.
The most common side-effect is a headache.
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About glyceryl trinitrate rectal ointment
Tipo de medicamento | Un nitrato |
Utilizado para | Pain relief for anal fissures (in adults) |
También llamado | Nitroglycerin (in US); Rectogesic® |
Disponible como | Rectal ointment |
An anal fissure is a small tear of the skin around your back passage (anus). Glyceryl trinitrate (GTN) rectal ointment (Rectogesic®) works by relaxing the muscle just inside your back passage. Relaxing this muscle increases the flow of blood to the area, which eases pain. It can be helpful where other treatments have not been effective.
A different brand of glyceryl trinitrate ointment (Percutol®) is used to relieve angina pain. For information on this product please see our medicine leaflet Glyceryl trinitrate for angina.
Before using glyceryl trinitrate rectal ointment
To make sure that this is the right treatment for you, before you start using GTN rectal ointment it is important that your doctor knows:
Si está embarazada o en periodo de lactancia.
Si tiene algún problema con el funcionamiento del hígado o de los riñones.
If you have migraines or severe headaches.
If you have low blood pressure, or a heart condition.
Si un médico le ha dicho que tiene niveles bajos de hierro en la sangre (anemia) o niveles bajos de oxígeno en la sangre (hipoxemia).
Si tiene una glándula tiroides hipoactiva.
Si padece una enfermedad ocular llamada glaucoma.
Si ha sufrido recientemente un traumatismo craneal o un infarto de miocardio.
Si alguna vez ha tenido una reacción alérgica a un medicamento.
If you are taking other medicines, including those available to buy without a prescription, as well as herbal or complementary medicines. It is particularly important that you tell your doctor if you are using any medicines to help treat erectile dysfunction.
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How to use glyceryl trinitrate rectal ointment
Before you use the ointment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about using the ointment, and it will also provide you with a full list of side-effects which you could experience.
Cover your finger with a finger cot (available from pharmacies), or a piece of cling film, or use a disposable glove. Then measure out 2.5 cm of the ointment from the tube on to your finger (there is a measuring line on the packaging to help you). Then, using your finger, gently insert the ointment just inside your back passage. To make sure that the ointment gets to the correct place, insert your finger to the first finger joint. Apply the ointment this way every 12 hours until the pain goes away. You can continue to use the ointment for up to eight weeks, if needed.
Aproveche al máximo su tratamiento
Remember to follow any lifestyle or dietary advice you have been given by your doctor. Try to avoid becoming constipated, by eating a high-fibre diet and drinking several glasses of water each day.
It is best not to drink alcohol while you are using GTN rectal ointment. Alcohol will increase the chance that you experience side-effects such as feeling dizzy and light-headed.
If you experience any bleeding from your back passage, or if your symptoms do not improve, you should discuss this with your doctor.
If you buy any medicines, check with a pharmacist that they are suitable for you to take while you are using GTN rectal ointment.
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Can glyceryl trinitrate rectal ointment cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with GTN rectal ointment. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common glyceryl trinitrate rectal ointment side-effects (these affect more than 1 in 10 people) | ¿Qué puedo hacer si me ocurre esto? |
Dolor de cabeza | Ask your pharmacist to recommend a suitable painkiller. If the headache is severe or if it continues, please ask your doctor for further advice |
Common glyceryl trinitrate rectal ointment side-effects (these affect fewer than 1 in 10 people) | ¿Qué puedo hacer si me ocurre esto? |
Sensación de mareo o vértigo | No conduzca ni utilice herramientas o máquinas mientras esté afectado |
Sensación de malestar (náuseas) | Try to stick to simple meals (avoid rich or spicy foods). If it becomes troublesome, please speak with your doctor |
Less common glyceryl trinitrate rectal ointment side-effects | ¿Qué puedo hacer si me ocurre esto? |
Blurred vision, diarrhoea, local burning or itching | Si alguno le resulta molesto, hable con su médico. |
Si experimenta cualquier otro síntoma que crea que puede deberse a la pomada, consulte a su médico o farmacéutico.
How to store glyceryl trinitrate rectal ointment
Once opened, do not store or use the ointment for longer than eight weeks.
Mantenga todos los medicamentos fuera del alcance y de la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Información importante sobre todos los medicamentos
Never use more than the prescribed dose. If you suspect that someone might have swallowed some of the ointment by accident, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.
Este medicamento es para usted. Nunca se lo dé a otras personas aunque su enfermedad parezca ser la misma que la suya.
Si va a someterse a una operación o a un tratamiento odontológico, no olvide comunicar a la persona que lleve a cabo el tratamiento qué medicamentos está tomando o utilizando.
No guarde medicamentos caducados o que no desee. Llévelos a su farmacia local, que se encargará de eliminarlos por usted.
Si tiene cualquier duda sobre este medicamento pregunte a su farmacéutico.
Informar de los efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede notificarlos en línea a través del sitio web de la Tarjeta Amarilla.
Lecturas complementarias y referencias
- Manufacturer's PIL, Rectogesic® 4 mg/g Rectal Ointment; Grunenthal Meds, Kyowa Kirin International UK NewCo Ltd, The electronic Medicines Compendium. Dated February 2024.
- Medicamentos BNF completa 89ª edición; Asociación Médica Británica y Real Sociedad Farmacéutica de Gran Bretaña, Londres.
Historia del artículo
La información de esta página ha sido redactada y revisada por médicos cualificados.
Fecha prevista para la próxima revisión: 16 oct 2027
20 Oct 2024 | Última versión

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