Exploring Anal Fissure Treatments: Are Similar Ointments Available in Taiwan? - Surgery

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Medications for anal fissures?


A doctor in Taiwan diagnosed me with anal fissure.
A doctor in the United States prescribed a topical ointment called Rective.
I'm wondering if there is a similar ointment with the same ingredients available in Taiwan?

Josephine, 40~49 year old female. Ask Date: 2016/10/19

Dr. Ke Fangxu reply Surgery


Due to the annual reduction of drug prices by the National Health Insurance Administration, there are currently only about 4-5 types of hemorrhoid ointments covered by health insurance in the country.
I couldn't find any relevant information on the ointment you mentioned (perhaps it was misspelled?), so I cannot provide details about its ingredients or confirm if there are any ointments with the same components.
However, there are certainly ointments that local physicians commonly prescribe, and if you are not accustomed to them, you may have to bring alternatives from abroad.

Reply Date: 2016/10/19

More Info


When dealing with anal fissures, it's essential to find effective treatments that can alleviate pain and promote healing. In the United States, medications like Rective ointment are commonly prescribed for this condition. However, if you are in Taiwan and have been diagnosed with an anal fissure, you may be wondering about the availability of similar ointments or treatments.

Firstly, it's important to understand that anal fissures are small tears in the lining of the anus, which can cause significant discomfort, especially during bowel movements. Treatment typically focuses on relieving pain, promoting healing, and preventing constipation. Common treatments include topical anesthetics, stool softeners, and in some cases, prescription ointments that may contain ingredients like nitroglycerin or calcium channel blockers to help relax the anal sphincter and improve blood flow to the area.

In Taiwan, while specific brand names may differ, there are several alternatives that can be considered. For instance, ointments containing lidocaine or other local anesthetics can provide temporary relief from pain. Additionally, products like hydrocortisone cream may help reduce inflammation and promote healing. It's also worth noting that some over-the-counter products designed for hemorrhoids may contain similar active ingredients that can be beneficial for anal fissures.

Since you mentioned that your doctor in the U.S. prescribed Rective, it would be prudent to consult with a healthcare professional in Taiwan. They can evaluate your condition and recommend appropriate treatments available locally. They may also suggest lifestyle modifications, such as increasing fiber intake, staying hydrated, and using stool softeners to prevent straining during bowel movements, which can exacerbate fissures.

If you are looking for specific ointments, it may be helpful to inquire about products like "XYLMOL OINTMENT," which has been mentioned as a suitable alternative for similar conditions. However, always ensure that any medication you consider is approved and recommended by a healthcare provider.

In conclusion, while Rective may not be available in Taiwan, there are various alternatives that can be effective in treating anal fissures. Consulting with a local physician will provide you with the best guidance tailored to your specific needs and ensure that you receive the most appropriate care for your condition. Remember, managing an anal fissure often requires a multifaceted approach, including both topical treatments and lifestyle changes, to promote healing and prevent recurrence.

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