الشق الشرجي المزمن خلال الحمل أو الرضاعة

References

DOI: 10.1111/codi.167

Prescription of nonsurgical treatments in female patients with a chronic anal fissure and who are pregnant, or breast feeding may be considered with caution.

The British National Formulary (BNF) states that GTN is not known to be harmful in pregnancy or lactation and has the most data to support its safety.

It should probably therefore be used as first line therapy in these patients.

With all use of topical treatments mothers should be advised to wash hands immediately after use of a topical product to avoid contact of medication with the infant and avoid breastfeeding for 1–2 h after use.