Compounded Formula • Prescription Required
Diltiazem Ointment
Rock Ridge Pharmacy prepares customized Diltiazem Ointment for relief of anal fissures and related anorectal conditions, offering a topical option when oral or standard therapies may not fully resolve symptoms.
Diltiazem Ointment for Anal Fissures
Anal fissures are painful tears in the mucosa around the anus, often causing burning, bleeding, and discomfort during defecation.
A targeted treatment is topical Diltiazem ointment, compounded to help relax the internal anal sphincter, improve blood flow, and support healing while reducing pain.
At Rock Ridge Pharmacy, we compound Diltiazem ointment in USP <795> / <800>-compliant facilities, ensuring precision, purity, and custom strengths to match your prescriber’s instructions.

How Does Diltiazem Ointment Work?
Calcium Channel Blockade
Diltiazem is a calcium channel blocker that relaxes smooth muscle tone. In an anal fissure setting, this reduces sphincter spasm and lowers resting pressure.
Increased Blood Flow
By reducing sphincter tension, the ointment improves blood flow to the fissure site, bringing oxygen and nutrients necessary for tissue repair.
Pain Relief & Healing
The combined effect of muscle relaxation and improved perfusion helps alleviate pain while promoting natural healing of the fissure.
Benefits of Diltiazem Ointment
Pain Relief
Helps reduce the burning, discomfort and pain associated with anal fissures during bowel movements.
Promotes Healing
Improves circulation to the fissure area, supporting the body’s natural repair mechanisms.
Reduced Side Effects
Because it is applied topically, Diltiazem is localized, minimizing systemic exposure and reducing side-effect risk.
How to Use Diltiazem Ointment
A step-by-step guide to safe application and optimal healing.
Step 1: Preparation
Clean and dry the anal area thoroughly. Wash hands before and after applying the ointment.
Step 2: Application
Apply a pea-sized amount to the external anus and, if advised by your prescriber, gently just inside the anal canal.
Step 3: Frequency & Duration
Usually 2–3 times daily, as directed by your provider. The duration depends on your healing progress.
Topical Treatment Ingredients for Anal Fissures
A variety of active agents can be compounded to relieve pain, reduce inflammation, and promote healing. Concentrations are tailored per patient.
Nifedipine
Often compounded at 0.2%, 0.3%, or 0.5%. Helps by relaxing sphincter and increasing local blood flow.
Diltiazem
Typically compounded at 2% concentration. Works via muscle relaxation and improved perfusion.
Nitroglycerin
Usually compounded at 0.2%. Relaxes smooth muscle to reduce pain and improve circulation.
Lidocaine
Compounded at 1% or 2%. Provides local anesthesia to reduce pain.
Hydrocortisone
Usually compounded in 1% or 2%. Helps diminish local inflammation and swelling.
Sucralfate
Available in 2%, 4%, or 7%. Forms protective barrier to aid healing.
Misoprostol
Often compounded at 0.0024%. Supports tissue repair in fissures.
Managing Anal Fissures: Essential Treatments and Lifestyle Tips
Anal fissures can be painful, but with the right mix of therapies and habits, you can ease symptoms and promote recovery.
Essential Treatments
- Stool Softeners: Use agents like Docusate to ease bowel movement.
- Fiber Intake: Target ~25–35 g/day from fruits, veggies, grains, legumes.
- Stay Hydrated: Drink ≥8 glasses of water daily.
- Sitz Baths: Warm water soaks (10–15 min) post–defecation help soothe and relax.
Lifestyle & Dietary Recommendations
- Regular Exercise: Promotes healthy bowel motility.
- Avoid Straining: Less strain reduces risk of aggravating fissures.
- Limit Irritants: Cut down spicy foods, caffeine, alcohol.
Monitoring & Follow-Up
Regular follow-ups with your healthcare provider help tailor treatment and ensure proper healing.
Storage & Safety Information
Proper handling and storage are key to preserving the integrity of compounded Diltiazem ointment.
Storage Guidelines
Store at room temperature (68–77 °F), away from direct light, heat, moisture. Do not freeze. Always refer to your pharmacist’s instructions.
Safety & Side Effects
Common: mild local irritation, burning, itching, or redness at site.
Occasional / rare: systemic effects like dizziness or headache.
Use only as prescribed and avoid exceeding recommended amount. This content is educational and not a substitute for medical advice.
Cost of Diltiazem Ointment Compounding
The price for compounded Diltiazem Ointment depends on factors like strength (commonly 2 %), additional ingredients (e.g. lidocaine, hydrocortisone), and total quantity.
For tailored pricing, please call (201) 444-4190 or email info@rockridgepharmacy.com.

Why Choose Rock Ridge Pharmacy for Diltiazem Ointment?
- Custom strength (2 %) with optional add-ins like lidocaine or hydrocortisone. :contentReference[oaicite:15]{index=15}
- USP <795> / <800> compounding lab, ensuring accuracy, purity, and safety. :contentReference[oaicite:16]{index=16}
- Fast turnaround — many prescriptions are filled in 24–48 hours and shipped to patients. :contentReference[oaicite:17]{index=17}
Our compounding pharmacists work directly with prescribers to design a formulation that optimizes comfort, promotes healing, and aligns with each patient’s unique needs.
FAQs About Diltiazem Ointment at Rock Ridge Pharmacy
What is Diltiazem Ointment?
Diltiazem ointment is a topical calcium channel blocker compounded to treat anal fissures. It relaxes the anal sphincter, improves local blood flow, and helps reduce pain while promoting healing.
What Concentrations Are Available?
At Rock Ridge Pharmacy, Diltiazem ointment is most often compounded at a 2% strength. It may be customized further to meet your prescriber’s directions.
How Do I Apply Diltiazem Ointment?
Apply a pea-sized amount to the affected area of the anus and, if directed, just inside the anal canal. It is generally used 2–3 times per day, but always follow your prescriber’s guidance.
What Conditions Can It Treat?
Diltiazem ointment is prescribed primarily for chronic anal fissures and related rectal pain. By lowering sphincter pressure, it promotes improved circulation and healing.
Why Choose a Compounded Ointment?
Compounded medications provide custom strengths and formulations when commercial options are unavailable, unsuitable, or less effective. Diltiazem ointment is not available as a standard commercial product.
Is Diltiazem Ointment Safe?
Yes. All compounds at Rock Ridge Pharmacy are prepared in a USP <795>/<800> compliant lab using pharmaceutical-grade ingredients, with pharmacist oversight for safety and accuracy.
Do I Need a Prescription?
Yes. Diltiazem ointment requires a valid prescription. Prescribers can send prescriptions to Rock Ridge Pharmacy via e-prescription, fax, or directly from their office.
Can Rock Ridge Pharmacy Ship Diltiazem Ointment?
Yes. We provide statewide shipping across New Jersey for valid prescriptions. Please contact our pharmacy team for delivery details.
Can I Speak to a Pharmacist?
Absolutely! Our pharmacists are available to discuss dosing, application, side effects, and safe use to ensure the best outcomes from your treatment.
Take Control of Your Digestive Health Today
Call (201) 444-4190 or book online today. Our pharmacists are here to support your unique gastroenterology needs with personalized compounded medications.