Crema Gel is used to promote the healing of the incision in the skin of the anus (anal fissure) and reduce the symptoms of pain caused by the incision. An anal fissure is an incision in the anus or anal canal lining. The sign of an anal fissure is pain during or after a bowel movement.

Crema Gel contains diltiazem which works by relaxing the muscle around the anus (anal sphincter), reducing anal pressure and increasing blood flow to the area for healing.

In some cases, Crema Gel may cause side effects like application site reactions (burning sensation, itching), headache, and dizziness. These side effects are not familiar to everyone and vary individually. If you notice any side effects that are not manageable, please consult your doctor.

Inform your doctor if you have had an allergic reaction to any of the ingredients of Crema Gel. Consult your doctor if you are pregnant or breastfeeding. Crema Gel may cause light-headedness or dizziness; hence, it is recommended not to drive or operate machinery until you are mentally alert. Crema Gel is for external use only.

Crema Gel contains diltiazem. It is used to promote the healing of the incision in the skin of the anus (anal fissure) and reduce the symptoms of pain caused by the incision. Crema Gel works by relaxing the muscles around the anus (anal sphincter), reducing anal pressure and increasing blood flow to the area for healing.

• Headache
• Light headedness or dizziness
• Application site reactions (burning sensation, itching)

Inform your doctor if you have had an allergic reaction to any ingredients of Crema Gel. Keep your doctor informed about your health condition and all the medicines you take to rule out any side effects. Consult your doctor if you are pregnant or breastfeeding. Crema Gel may cause light-headedness or dizziness; hence, it is recommended not to drive or operate machinery until you are mentally alert. Seek medical attention if the symptoms persist longer. Crema Gel is for external use only.

Drug-Drug Interactions: Crema Gel may have interaction with medicines used to treat asthma (e.g. salmeterol, formoterol, budesonide), medicines used to relieve pain (e.g. aspirin, naproxen and ibuprofen), medicines used to treat high blood pressure (e.g. atenolol, metoprolol), medicines used to treat allergy (e.g. diphenhydramine and loratadine), medicines used to induce anaesthesia (e.g. lidocaine), medicines used to treat heart failure (e.g. digoxin) and medicines used to treat anxiety (e.g. alprazolam).

Drug-Food Interactions: No interactions found.

Drug-Disease Interactions: Inform your doctor if you have heart-related problems such as aortic stenosis, congestive heart failure, low blood pressure, coronary artery disease, ventricular tachycardia and accessory AV tracts.

• SALMETEROL
• FORMOTEROL
• BUDESONIDE
• ASPIRIN
• NAPROXEN
• IBUPROFEN
• ATENOLOL
• METOPROLOL
• DIPHENHYDRAMINE
• LORATADINE
• LIDOCAINE
• DIGOXIN
• ALPRAZOLAM

• Eat fibre-rich food and drink plenty of fluids. This helps to keep the stools soft.
• A warm bath helps in easing pain and itching.
• Keep your bottom dry and clean.
• Regular exercise is recommended.
• Avoid or limit alcohol and caffeinated products to prevent constipation.
• Empty your bowels whenever your body tells you to.
• Avoid pushing too hard while pooping as it can cause tearing of tissues.
• Include fruits, vegetables and whole wheat grains in your diet.

Anal fissure: Anal fissure is a small tear in the mucosa that lines the anus which causes pain and bleeding during or after a bowel movement. Anal fissures generally heal independently, and if the condition lasts for more than 8 weeks, it can be considered chronic. Sometimes surgery may also be needed depending upon the condition. Symptoms include tear of skin around the anus region, burning sensation, pain, and blood during a bowel movement.