MTW NHS Trust West Kent CCG

Drug Status Key

  • Preferred
  • Second Line
  • Third Line
  • Specialist Initiation
  • Hospital Only
  • Not Approved for Formulary

Anal fissures

Drug Safety update

 December 2014: Botulinum toxin products: rare but serious risks

Following conservative treatment failure:

  • Glyceryl trinitrate or Diltiazem can be used. Maximum 8 weeks treatment only. Needs medical review if problem persists beyond this time.
  • Botulinum A toxin was agreed by DTMMC for chronic anal fissure as an unlicensed indication.
Pack Price
30 gram £13.49

Caution: Due to unit differences in the potency assay, unit doses for different brands of Botulinum A toxin are NOT interchangeable.

Pack Price
1 vial £77.50
Pack Price
1 vial £138.20
Pack Price
1 vial £72.00
Pack Price
1 vial £129.90