Description

(Multi-Agent Topical Ointment for Post-Hemorrhoidectomy Pain, Inflammation, and Wound Healing)

Comprehensive Topical Support for Post-Surgical Recovery After Hemorrhoid Procedures

This Hemorrhoid Post-Operative Ointment combines four pharmacologically active ingredients—Diclofenac 3%, Lidocaine 1.5%, Metronidazole 10%, and Nifedipine 0.5%—in a single 30-gram compounded ointment, specifically formulated to optimize the healing environment following hemorrhoidectomy or other anorectal surgeries.

By targeting pain, inflammation, infection risk, and impaired vascular perfusion, this preparation helps reduce post-surgical discomfort, promote tissue regeneration, and minimize the risk of complications. Designed for topical perianal or intrarectal use, it is a preferred option in colorectal and proctologic care for enhancing patient outcomes and comfort during recovery.

Product Overview

• Active Ingredients:
  • Diclofenac 3% – NSAID for anti-inflammatory and analgesic action

  • Lidocaine 1.5% – Local anesthetic for rapid pain relief

  • Metronidazole 10% – Antibacterial/anti-inflammatory for anaerobic coverage and wound protection

  • Nifedipine 0.5% – Calcium channel blocker to improve blood flow and reduce sphincter spasm

• Base: Compounded in a smooth, hypoallergenic ointment suitable for anorectal mucosa

• Volume: 30 grams

• Application: Topical use only (external or internal via applicator)

• Storage: Store at room temperature; avoid heat and direct sunlight

• Use: Prescription only; use under medical supervision

How It Works

This advanced multi-agent formulation offers synergistic benefits across four therapeutic dimensions:

1. Diclofenac 3% – Anti-inflammatory Support

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits COX enzymes, reducing prostaglandin synthesis at the surgical site. This results in:

• Decreased swelling and local irritation

• Improved range of motion for sphincter control

• Less need for systemic NSAIDs or oral analgesics

2. Lidocaine 1.5% – Immediate Pain Relief

Lidocaine provides fast-onset local anesthesia, reducing burning, stinging, and soreness during the immediate post-operative period and after bowel movements. At 1.5%, it offers an effective dose with minimal systemic absorption.

3. Metronidazole 10% – Wound Antisepsis & Inflammation Control

Metronidazole provides anaerobic antimicrobial protection to help prevent infection in the vulnerable post-op wound area. It also exhibits anti-inflammatory effects via free-radical scavenging and neutrophil modulation—ideal for reducing swelling and exudate.

4. Nifedipine 0.5% – Sphincter Relaxation and Perfusion

Nifedipine facilitates anal sphincter relaxation and enhances local microvascular circulation, which is critical in post-hemorrhoidectomy healing. It helps:

• Prevent ischemic pain

• Promote tissue regeneration

• Minimize risk of fissure formation post-op

Indications

This ointment is compounded specifically for:

• Post-hemorrhoidectomy recovery

• Post-banding or laser hemorrhoid treatments

• Fissure prevention in post-op healing

• Secondary healing of complicated anorectal wounds

• Pain and inflammation control after excision or surgical debridement

It may also be used in perianal dermatologic procedures or anal trauma recovery, as determined by a provider.

Dosing and Administration

• Frequency: Apply a small amount (pea-sized) to the affected area 2–3 times daily, or as directed

• Application site: Perianal and/or intrarectal (as instructed, using a gloved finger or applicator)

• Hygiene: Gently cleanse area before each use

• Treatment duration: Typically 7–21 days, depending on wound severity and healing progression

Caution: Avoid contact with eyes, open ulcers (unless directed), or large surface areas.

Safety and Tolerability

This formulation is localized and well tolerated. When used correctly, it minimizes the need for oral medications and reduces systemic side effects.

Mild side effects may include:

• Temporary burning or tingling on application

• Mild rash or redness

• Rare allergic response to one or more components

Contact your provider if symptoms worsen or do not improve within 7 days.

Contraindications

Do not use in patients with:

• Allergy to NSAIDs, lidocaine, metronidazole, or calcium channel blockers

• Active systemic infection without provider supervision

• Deep open wounds without physician clearance

• Known hypersensitivity to local anesthetics of the amide type

Use in pregnancy or lactation only if clearly needed and prescribed.

Storage and Handling

• Store at room temperature (68–77°F / 20–25°C)

• Do not freeze

• Keep away from direct sunlight

• Use within 30 days of dispensing or as per pharmacy label

Why Choose This Hemorrhoid Post-Op Preparation?

• Multi-targeted formulation to reduce inflammation, numb pain, prevent infection, and promote healing

• Safe, localized relief without systemic medication burden

• Customized for use in colorectal and surgical recovery settings

• Allows patients to recover with less pain, fewer complications, and faster return to function

Summary

Hemorrhoid Post-Op Preparation – 30g Ointment (Diclofenac 3% / Lidocaine 1.5% / Metronidazole 10% / Nifedipine 0.5%) offers a clinically advanced topical solution to reduce post-surgical pain, inflammation, and infection risk while enhancing vascular support for optimal anorectal healing. Widely used in post-hemorrhoidectomy care, this pharmacist-compounded ointment is an essential part of a patient-centered, conservative recovery plan.