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On atripla and anal fissures
Oct 7, 2015

Hello Dr. Young

My brother is on atripla currently and he s having painful anal fissures due to constipation. What medicine would you advise him to take to treat the fissures while on atripla? His doctor has prescribed hydrocortisone ointment to reduce the pain but do not seem to help.

Looking forward to hear from you.

Many Thanks


Response from Dr. Young

Hello and thanks for posting.

Sorry to learn of your brother's health problem. Anal fissures are not uncommon in our patient population, treatments involve life style modifications (increasing fiber, avoiding dehydration), and on occasion, medications or even surgery. Fortunately, most of these interventions don't cause interactions with HIV medications. If he's not getting benefit from the topical steroids, sometimes other medical strategies, like nitroglycerin or botox can be helpful.

For more information, check out WebMD's page on the subject.


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