Love your bum

[johnep]

Had pt bring in tube of 2% diltaziem ointment called Anoheal.
Had labe on side of box 'This product does not have a UK Licence'.

1) Rationale for Diltaziem?
2) If I put a label on box saying no uk licence, could I market whatever I liked?

johnep

[lamzee]

Re: Love your bum

Widens blood vessels so makes healing of anal fissure happen more quickly, like with GTN 0.3% ( I think)

Does it need a sticker at all? Loads of unlicenced tosh gets prescribed/dispensed every day like Co-Q-10 liquid for ADHD, and all that homeopathic stuff!

[pharmatron]

Re: Love your bum

Take a look at the following PIL produced by Chesterfield Royal Hospital. I have found that many hospital Medicines Info Departments produce useful leaflets for unlicensed products / indications. I have adapted some for distribution to patients I encounter.

(http://www.chesterfieldroyal.nhs.uk/...edcc2d41844e26)

[DavidS]

Re: Love your bum

2) If I put a label on box saying no uk licence, could I market whatever I liked?

johnep

for doctors to write scripts, sure. i think so, anyway: what did you have n mind?

[funkeeduck]

Re: Love your bum

My hosp tends to use Diltiazem ointment as much if not more than GTN oint for anal fissures these days. Not sure how much evidence for use but the consultants like it

[johannes]

Re: Love your bum

My hosp tends to use Diltiazem ointment as much if not more than GTN oint for anal fissures these days. Not sure how much evidence for use but the consultants like it

- lowers the tonus of sphincter
- significant fewer systemic effects than ISDN or GTN
- less headache ...
- fewer side effects (like described under GTN ISDN)
- Better stabillity.
- Galenic advantages

Nifedipin(drops) can also be used to prepare a 0.2 % gel on a macrogol cream or poloxamer-gel basis for....

Best wishes