Lidocaine-Nifedipine
Lidocaine-Nifedipine is a topical preparation commonly compounded for the treatment of anal fissures. Lidocaine is a local anesthetic that provides rapid, localized pain relief, which is a primary complaint of fissures. Nifedipine, a calcium channel blocker, is applied to relax the internal anal sphincter muscle, thereby reducing pressure and improving blood flow to the area, which promotes healing.
What is Lidocaine–Nifedipine?
Lidocaine-Nifedipine is a topical rectal ointment used to relieve pain and improve healing in conditions such as anal fissures and severe rectal discomfort. It combines a local anesthetic with a calcium channel blocker to reduce pain, relax muscles, and increase blood flow to the affected area. This combination helps ease symptoms and supports faster recovery when used as part of a treatment plan guided by a healthcare provider.
Lidocaine–Nifedipine used for
This medicine is commonly used to treat:
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Anal fissures (small tears in the anal lining)
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Chronic rectal pain
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Post-surgical discomfort in anorectal procedures
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Muscle spasm in the anal canal
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Difficulty during bowel movements caused by severe pain
It is often recommended when symptoms make everyday activities uncomfortable or difficult.
Chemical composition
The ointment contains two main active ingredients:
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Lidocaine – a local anesthetic that numbs the affected area
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Nifedipine – a calcium channel blocker that relaxes muscles and improves blood circulation
Additional components may include petrolatum, mineral oil, emulsifiers, or stabilizers to help the ointment spread smoothly and stay in place.
Lidocaine–Nifedipine Mechanism
Each ingredient plays a unique role:
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Lidocaine blocks pain signals from the nerves, offering quick relief from burning or sharp pain.
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Nifedipine relaxes the anal sphincter muscles, reducing pressure and allowing improved blood flow.
Together, they reduce discomfort while helping the tissue repair itself more efficiently.
How does it help promote healing?
Anal fissures and rectal tears often worsen due to muscle tightness and pain during bowel movements. This ointment relaxes the sphincter muscles and decreases irritation, which makes bowel movements easier and less painful. Improved blood circulation also helps the skin and tissues heal naturally, lowering the chances of chronic or recurring symptoms.
What are the other Benefits?
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Reduces inflammation in the affected area
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Provides quick pain relief
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Helps prevent secondary infections by reducing skin trauma
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Supports faster recovery after anorectal surgery
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Enhances comfort during daily activities like sitting or walking
Because it is applied directly to the affected area, it offers targeted relief with minimal systemic absorption.
Dosages
Available strengths or dosage
Lidocaine–Nifedipine ointment is commonly available in combination strengths such as:
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Lidocaine 1.5% to 5%
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Nifedipine 0.2% to 0.5%
Exact strengths vary by formulation and may be compounded based on a doctor’s prescription.
How and when to take it
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Wash and dry the affected area gently before applying
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Apply a thin layer using clean fingers or an applicator
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Use the ointment 2 to 3 times daily or as directed
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Avoid applying inside the rectum unless instructed
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Continue treatment even if symptoms improve, unless told otherwise
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Combine with a high-fiber diet and plenty of fluids for better healing
Using the medicine consistently helps maintain muscle relaxation and tissue repair.
Overdose caution
Using too much ointment may cause:
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Increased numbness
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Skin irritation
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Light-headedness
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Slow heart rate (rare)
If swallowed or applied excessively, medical attention may be needed. Keep the medication away from children and store it safely.
Who can use/take Lidocaine–Nifedipine?
This topical medicine is usually suitable for:
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Adults experiencing anal fissures or severe rectal pain
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Individuals recovering from anorectal surgery
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Patients with muscle spasms in the anal canal
It may not be suitable for:
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Children unless specifically prescribed
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Pregnant or breastfeeding women without medical approval
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People with allergies to local anesthetics
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Patients with severe heart conditions or low blood pressure
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Individuals using nitrate medications
A healthcare provider will evaluate your symptoms and health background to decide if this ointment is appropriate.
Side Effects & Precautions
What are the side effects?
Common side effects include:
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Mild burning sensation
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Temporary numbness
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Redness or irritation
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Headache (related to Nifedipine)
Less common effects may involve:
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Dizziness
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Low blood pressure
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Swelling
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Unusual skin reactions
Severe allergic reactions are rare but require immediate care.
What are the Precautions to avoid side effects?
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Apply only the prescribed amount
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Avoid use on broken or infected skin unless approved
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Do not use longer than recommended
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Wash hands before and after application
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Avoid strenuous activities that worsen symptoms
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Inform your doctor about heart medications, blood pressure medicines, or other topical treatments
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Stay hydrated and maintain soft bowel movements to prevent irritation
Following these steps helps reduce discomfort and improves healing outcomes.
Always consult your healthcare provider before starting treatment for anal fissures or rectal pain. If prescribed, you can order Lidocaine–Nifedipine ointment online safely from trusted pharmacy sources and receive convenient refills to support continuous recovery.