Exclusively distributed by:
Care Pharmaceuticals Pty Ltd
Bondi Junction NSW 2022
FREECALL Australia 1800 788 870
E-mail: [email protected]
CONSUMER MEDICINE INFORMATION
Please read this leaflet carefully before you start using
Rectogesic® and keep it for your reference as you may
You should not use Rectogesic if you suffer from:
need to read it again. This leaflet is designed to provide you
with important information about Rectogesic. Please ask
your doctor or pharmacist if you want to know more about
Rectogesic. Please tell your doctor at your next visit that
• increased intracranial pressure (high pressure inside
What is Rectogesic?
Also you should not use Rectogesic if you are pregnant or
Rectogesic Ointment contains 0.2% glyceryl trinitrate in
breastfeeding or if you are allergic to glyceryl trinitrate or
a base of liquid paraffin, soft yellow paraffin, lanolin and
any of the other ingredients in Rectogesic.
ethanol. It is used for the treatment and relief of symptoms
Use with other medicines
of anal fissure and to relieve pain and discomfort and
You should not use Rectogesic if you are taking Viagra
assist in wound healing following haemorrhoid surgery. It is
(sildenafil), Cialis (tadalafil) or Levitra (vardenafil).
Advise your doctor if you are already taking any medication
How will it help me?
for chest pain or the treatment of any other heart condition.
If you suffer anal fissure (which has been diagnosed by
If you are taking oral nitrate products (such as glyceryl
your doctor), Rectogesic is used as a treatment to help
trinitrate, isosorbide mononitrate or isosorbide dintrate)
reduce the fissure and relieve the pain and spasm (muscle
or using glyceryl trinitrate patches, you should not use
contraction) associated with this condition.
Rectogesic unless advised to do so by your doctor. The
If you are having haemorrhoid surgery, Rectogesic will relieve
doctor may need to adjust the dose of Rectogesic and
your pain and discomfort and assist in wound healing.
advise you on arrangements for a daily ‘nitrate-free period’ that suits both medications. Discuss this with your doctor
Before using Rectogesic?
and he will advise you as to what you should do.
Before you begin using Rectogesic, you should be aware of some precautions associated with the use of Rectogesic.
Driving or operating machinery
Rectogesic may cause dizziness, light headedness, blurred
Use in children
vision, headaches or tiredness in some patients, especial y when
Rectogesic is not recommended for use in children or in
you first start to use it. Be careful driving a car or operating
machinery until you know how Rectogesic affects you.
Interaction with alcohol
After applying Rectogesic, you may also experience fainting
Be careful when drinking alcohol while you are using
effect or dizziness, particularly if you are an older person.
Rectogesic as your blood pressure may drop, making you
Changing position slowly from lying or sitting to standing
feel dizzy and faint. Therefore, it is advisable to reduce or
up may help you to avoid this problem. A possible effect is
stop alcohol consumption during treatment with Rectogesic.
reduced control over your bowel movements and leaking of bowel motions although this is expected to be a rare event
How do I use Rectogesic
Because Rectogesic contains glyceryl trinitrate it must be used strictly as directed. A 1cm to 1.5cm strip of
If you experience any of these unwanted effects, do not use
ointment (see measurement indicated on box) should
any more ointment for at least eight hours, then continue
be inserted into the anal canal with your finger. The
treatment by reducing the amount of ointment by half. If the
finger may be wrapped in Gladwrap. An applicator is not
effect persists, stop the treatment and see your doctor. If anal
recommended since it is difficult to judge the amount
bleeding increases, stop treatment and tell your doctor.
being squeezed into the anal passage. The ointment must
In case of overdosage
be inserted at least 1cm into the anus. Apply the ointment
Overdosage may occur if you use too much ointment or if
three times daily and do not exceed the dosage. Wash
you are sensitive to the effects of Rectogesic. Some signs of
overdosage are headache, fainting or dizziness. When these
You should ensure that you have a period of 12 hours each
symptoms are experienced, you should stop using Rectogesic
day where you do not use Rectogesic. This is necessary
for at least 8 hours and then resume use with half the
to avoid tolerance (that is, to maintain the full effect of the
dosage. Simple analgesics such as paracetamol may provide
medication). For example, you could use the ointment at
temporary relief of headaches. If any of these symptoms
8am, 2pm and 8pm – this would give you a full 12 hours
persist, stop using Rectogesic and consult your doctor.
from 8pm to 8am without the medicine. Talk to your doctor or pharmacist if you need advice on this point.
Close the tube tightly, immediately after each use. Store the
If the tube is difficult to squeeze – soften the ointment
Rectogesic in a cool place (below 25˚C) and protect it from
by warming the tube between your hands or in a glass of
light (e.g. store in a cupboard, not in the bathroom). Keep
There wil be an expiry date (month, year) on the Rectogesic
You should report any unwanted effects associated with the
container. The ointment should not be used after this date
use of Rectogesic to your doctor or pharmacist, even if the
and should be returned to your pharmacy for disposal.
undesirable effect is not mentioned in this leaflet. Some of the more common side effects expected with Rectogesic
Exclusively distributed by Care Pharmaceuticals Pty Ltd, Bondi Junction NSW 2022, Australia.
Headache is a common side effect experienced with
Under licence from Cellegy Australia Pty Ltd.
Rectogesic. These are usually mild and occur after the first few applications only, due to intolerance to the Rectogesic.
The headache may be relieved with a simple analgesic,
es de aproximadamente 300 ml/minuto, excede el ritmo de filtración glomerular normal de 120 ml/ MICROBIOLOGÍA. Infecciones respiratorias bajas (moderadas y suaves): Escherichia coli, Klebsiella pneumoniae, En caso de infecciones comunes, debe considerarse la severidad y naturaleza de la infección, la Se han informado convulsiones en pacientes que recibieron el producto. Con la administ
Antibiotic Subcommittee Report Infectious Diseases Society of America (IDSA) & the Society for Health-care Epidemiology of America Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship – Antibiotic Subcommit-tee members and P&T Members strongly recommend having an ID Clini-cal Pharmacist in the University Hospital. Human Papillomavirus (Type 6,11,16,1