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Rectiv is the brand name for nitroglycerin and is available as a rectal ointment.

Rectiv is available as a 0.4% w/w (4 mg nitroglycerin/1 g ointment) rectal ointment.

Rectiv is a nitrate vasodilator used to treat moderate to severe pain associated with chronic anal fissure.

Rectiv is a nitrate. When it’s applied inside the anus, this medication mainly works to relax the muscles around the area. This lowers the pressure inside the anus which helps with pain and allows the fissures (small skin tears) to heal faster.

Rectiv is typically dosed as follows:

• Apply 1 inch of ointment (375 mg of ointment equivalent to 1.5 mg of
• Nitroglycerin) intra-anally every 12 hours for up to 3 weeks.

Rectiv is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication in the following:

• Taking a PDE5 inhibitor
• Seriously low red blood cells (anemia)
• High pressure in the brain
• Allergy to nitrates or nitrites

Common side effects of Rectiv:

• Headache
• Dizziness

Serious side effects are rare with Rectiv. Contact your healthcare provider immediately if you experience any of the following:

• Heart problems and low blood pressure

The following medications may interact with Rectiv:

• PDE5 inhibitors
• Antihypertensives
• Aspirin
• Tissue-type plasminogen activator
• Heparin
• Ergotamine
• Alcohol

Allergan

It is not known whether this medication is safe for you and your unborn baby during pregnancy. Talk to your doctor if you are already pregnant or if you have plans on becoming pregnant. They will recommend what is best for you.

• Nitroglycerin