Crema Gel is a gel applied to the anal area, used to treat painful anal fissures (tears in the lining of the anal canal) and to relieve pain and discomfort around the anus. It is a single-ingredient medicine containing diltiazem, and belongs to a class of medicines called calcium channel blockers.
This medicine works by relaxing the internal anal sphincter, the ring of muscle around the anus, which improves local blood flow and helps the fissure heal. After washing and drying the area, gently apply a small amount around and inside the anal canal as directed by your doctor. Wash your hands before and after application.
Eating high-fibre foods, drinking plenty of water, taking warm sitz baths and avoiding straining during bowel movements help soften stools and support healing.
Before using this medicine, tell your doctor if you have heart problems, low blood pressure or take other medicines for your heart or blood pressure. It is for use on the anal area only. Tell your doctor if you have severe burning, or if symptoms do not improve after two weeks.














































































