Nitrogesic Ointment (Nitroglycerin) | Rectiv | For Fast Relief from Anal Fissures, Hemorrhoids, and Muscle Spasms
Nitrogesic Ointment (Nitroglycerin), also known as Rectiv, is a topical treatment used for the relief of pain and discomfort caused by anal fissures, hemorrhoids, and anal muscle spasms.
Introduction
Nitrogesic Ointment contains Nitroglycerin, a vasodilator used topically to relieve anal fissures, hemorrhoids, and anal muscle spasms. It is designed for individuals experiencing pain, discomfort, or bleeding due to these rectal conditions. By relaxing the smooth muscles around the anus and improving blood flow, it promotes healing and provides symptomatic relief.
Precautions of Nitrogesic Ointment
Warnings:
For external rectal use only; do not ingest or use internally.
Avoid operating heavy machinery immediately after use due to the risk of dizziness or lightheadedness.
Who should not use it:
- Individuals with hypotension (low blood pressure)
- People with severe anemia
- Patients taking PDE5 inhibitors (e.g., sildenafil)
- Those with known allergy to nitroglycerin or nitrates
Always consult your doctor before starting this medication, especially if you have a cardiovascular condition.
Uses of Nitrogesic Ointment
Nitrogesic Ointment is commonly prescribed for:
- Chronic or acute anal fissures
- Hemorrhoids (piles)
- Anal sphincter spasms
- Post-surgical rectal pain relief
It reduces pressure in the anal canal, enhances blood flow to the affected area, and speeds up the healing process.
Side Effects of Nitrogesic Ointment
Like all medications, Nitrogesic Ointment may cause side effects, although not everyone will experience them:
Common (usually mild):
- Headache (very common, due to vasodilation)
- Dizziness or lightheadedness
- Burning or stinging at the application site
- Nausea
Rare but severe:
- Low blood pressure
- Fainting
- Allergic reactions (rash, itching, swelling)
If you experience persistent or severe symptoms, discontinue use and consult a healthcare provider.
FAQs of Nitrogesic Ointment
Q1. How quickly does Nitrogesic Ointment work?
Most users experience relief from pain within a few days, but full healing may take 1–3 weeks with consistent use.
Q2. How should I apply Nitrogesic Ointment?
Apply a small amount (typically a pea-sized portion) around the anal canal using a gloved finger or applicator, usually twice daily or as prescribed.
Q3. Can I use this ointment long-term?
This ointment is generally used short-term, and long-term use should only be done under medical supervision to avoid systemic effects.
Q4. What should I do if I experience severe headaches?
Headaches are a common side effect. Try reducing the dosage slightly (under guidance), or speak to your doctor for alternative options.
Q5. Is it safe during pregnancy?
Use during pregnancy should only be done if clearly needed and prescribed by your doctor.
Interactions of Nitrogesic Ointment
Nitrogesic may interact with:
- PDE5 inhibitors (e.g., sildenafil, tadalafil) – can cause dangerous drops in blood pressure
- Antihypertensive drugs – increased risk of low blood pressure
- Alcohol – may intensify dizziness and side effects
- Other nitrate medications – avoid using in combination
- Inform your healthcare provider of all current medications, including over-the-counter and herbal supplements.
| Manufacturer | : | A. Menarini India Pvt Ltdine HCL) |
| Trade Name | : | Rectiv |
| Generic Search | : | Nitroglycerine |
| Strength | : | 0.2% (30gm) |








