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Rectiv is a medicine used to treat pain caused by long-term anal fissures (a tear in the skin lining the anal canal). Rectiv is available as an ointment.
How does this medication work?
Rectiv works by relaxing the blood vessels in the anal canal, thereby helping to relieve your pain.
What are the beneficial effects of this medication and when should I begin to have results?
What: Rectiv has been shown to relieve your pain associated with anal fissures.
When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you use Rectiv exactly as your healthcare provider has prescribed.
How do I know it is working?
You may feel an improvement in your pain after you start using Rectiv. This is a good indicator that the medicine is working. Your healthcare provider may ask you questions to assess how well your symptoms are controlled.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
More common side effects may include: headache, dizziness.
Less common side effects may include:
Rectiv may lower your blood pressure.
Do not use Rectiv if you are allergic to it, any of its ingredients, or to other similar medicines (such as isosorbide mononitrate).
Do not use Rectiv if you are taking medicines for erectile dysfunction (an inability to attain or maintain an erection) (such as sildenafil, tadalafil, or vardenafil).
Do not use Rectiv if you have anemia (low red blood cell counts).
Do not use Rectiv if you have high pressure within your skull (following a head trauma or bleeding in your brain).
Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Rectiv. Also, talk to your healthcare provider about your complete medical history, especially if you have low blood pressure; recently had a heart attack; have heart or blood vessel disorders; suffer from migraines or recurrent headaches; or if you are pregnant, plan to become pregnant, or are breastfeeding.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults: Apply 1 inch of ointment around the inner sides of the anal canal every 12 hours.
Use Rectiv exactly as prescribed by your healthcare provider. Do not change your dose or stop using Rectiv without first talking to your healthcare provider.
If you do not see an improvement in your condition in 3 weeks, call your healthcare provider.
Please review the instructions that came with your prescription on how to properly apply Rectiv.
Do not drive, operate heavy machinery, or do other dangerous activities until you know how Rectiv affects you.
Do not drink alcohol while you are using Rectiv.
If Rectiv is used with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Rectiv with the following: alcohol, aspirin, blood pressure/heart medications (such as metoprolol or amlodipine), erectile dysfunction medicines, ergotamine, heparin, or if you are receiving tissue-type plasminogen activator (t-PA) therapy (medicines used to help dissolve blood clots formed in the blood vessels in your heart, lungs, or brain).
The effects of Rectiv during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
If you miss a dose of Rectiv, apply it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not apply two doses at once.
Store at room temperature.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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