At Towne Lake Family Pharmacy, we specialize in custom-compounded topical creams and ointments that combine several powerful prescription ingredients — including nifedipine, diltiazem, hydrocortisone, nitroglycerin, and lidocaine — to relieve pain, promote healing, and restore comfort for patients suffering from hemorrhoids or anal fissures.
How Each Ingredient Works
- Nifedipine & Diltiazem (Calcium Channel Blockers):
These medications relax the smooth muscles of the anal sphincter, reducing spasm and improving blood flow to the area. Increased circulation helps the fissure heal faster and decreases pain during bowel movements. - Hydrocortisone (Topical Corticosteroid):
Helps reduce inflammation, swelling, and itching, providing fast symptom relief. It also helps shrink hemorrhoidal tissue. - Nitroglycerin (Vasodilator):
Works by dilating blood vessels and improving local blood flow. This helps accelerate tissue healing and reduce internal pressure in the anal canal, often used in resistant anal fissures. - Lidocaine (Topical Anesthetic):
Provides quick numbing relief from pain, burning, or itching, making bowel movements more tolerable and improving overall comfort.
Benefits of a Compounded Formula: Commercial creams typically contain only one or two ingredients. At Towne Lake Family Pharmacy, we customize multi-ingredient formulations tailored to the patient’s condition and tolerance. This allows for:
- Targeted pain and inflammation relief
- Improved healing rates
- Reduction in muscle spasm and tissue irritation
- Personalized strengths and combinations as prescribed by your provider
Possible Side Effects and What to Do
| Although topical use limits systemic absorption, side effects can occur, especially if over-applied or used on broken skin. | Potential Side Effects | What to Do |
| Nifedipine / Diltiazem / Nitroglycerin | Mild headache, lightheadedness, flushing due to vasodilation | Apply a pea-sized amount only as directed. If headaches persist, reduce application frequency and inform your provider. |
| Hydrocortisone | Thinning of skin with long-term use, local irritation | Use only for the prescribed duration. Notify your prescriber if you notice skin changes. |
| Lidocaine | Temporary burning or numbness | Usually mild; discontinue and call your provider if severe or persistent. |
Seek immediate medical attention if you experience severe pain, bleeding, dizziness, or allergic reactions (rash, swelling, difficulty breathing).
Our Compounding Expertise: At Towne Lake Family Pharmacy in Woodstock, GA, our experienced compounding team prepares these formulations using pharmaceutical-grade ingredients from trusted suppliers like PCCA to ensure potency, safety, and stability. Our pharmacists can also collaborate with your provider to adjust ingredient strengths or add soothing agents like Aloe Vera, zinc oxide, or vitamin E to further promote healing and comfort.
If you or someone you love is struggling with painful hemorrhoids or anal fissures, talk to our compounding experts today.
We’ll work directly with your prescriber to create a personalized topical treatment that works for you.
📍 Towne Lake Family Pharmacy
2360 Towne Lake Parkway, Suite 102
Woodstock, GA 30189
📞 770-635-7697
💻 Visit us or call to speak with Julius, our Board-Certified Functional Medicine Pharmacist, for guidance on compounded hemorrhoid and anal fissure therapies.