MYOVIN Ointment 30gm

Introduction About MYOVIN OINTMENT

MYOVIN OINTMENT contains Nitroglycerin (Glyceryl trinitrate) which belongs to
the group of medicines called Vasodilators. It is used in adults to relieve and
manage symptoms of anal fissures. Anal fissure is a tear or crack in the anus
and anal canal caused by passing hard or constipated bowel movements. The
symptoms include sharp pain, spasms, and bleeding during and after passing
stool, itching, and burning in the anal area.

MYOVIN OINTMENT is also used to relieve pain and discomfort due to haemorrhoids
(swelling of veins in anus, rectum) and haemorrhoidectomy (operation to remove
haemorrhoids).

It’s advisable to drink plenty of water and add a fibre rich diet to enhance
proper digestion and to reduce chances of getting constipation.

MYOVIN OINTMENT is not recommended for use in patients having severe anaemia
(low red blood cells count), glaucoma (increased pressure in eyes), low blood
pressure, increased pressure inside your head. MYOVIN OINTMENT is not
recommended to use in children, in pregnant and breastfeeding women.

Most common side effects of using MYOVIN OINTMENT includes headache, nausea and
dizziness. Consult your doctor if any of these symptoms doesn’t improve or
worsen.

Uses Of MYOVIN OINTMENT

It is used in adults to:

• relieve and manage symptoms of anal fissures
• relieve pain and discomfort due to haemorrhoids (swelling of veins in anus, rectum) and haemorrhoidectomy (operation to remove haemorrhoids).

How MYOVIN OINTMENT Works

MYOVIN OINTMENT is a vasodilator which works by relaxing the smooth muscles in
the anus (back channel), which reduces pressure and muscle spasm. This helps in
relieving the pain. The reduction in muscle spasm improves the blood flow which
helps in wound healing.

How to use MYOVIN OINTMENT

Always use MYOVIN OINTMENT as directed by your physician. It is for rectal use
only.  Wash your hands properly before applying MYOVIN OINTMENT. If possible,
wear a finger covering or disposable gloves to apply the medicine. Apply
ointment to the skin 2.5 cm (1 inch) around the anus and, if possible, a little
inside. Discard gloves and wash your hands after applying the medicine. Avoid
contact of this medicine in your eyes, ears, nose, mouth, or vagina. Your doctor
will decide the correct dose and duration of MYOVIN OINTMENT for you depending
upon your age, body weight and severity of disease condition.

Side Effects Of MYOVIN OINTMENT

Common

• headache
• dizziness
• fainting effect
• nausea

Uncommon

• diarrhoea
• vomiting
• anal or rectal discomfort
• itching or burning sensation in anal canal
• rectal bleeding
• faster heartbeat
• rectal bleeding

How To Manage Side Effects

Nausea:

Stick to simple meals while using this medicine. Avoid eating rich or spicy
food. Do not take any medication on your own. Ask for your doctor’s advice if
nausea doesn’t improve.

Headache:

Drink plenty of water and stay hydrated. Take adequate rest and sleep. Try to be
stress and tension free. Avoid drinking alcohol. Reduce screen time. Apply pain
balm if needed. Consult doctor before taking any medicines.

Dizziness:

Sit or lie down soon after you feel dizzy. Do not drive or operate any machines.
Drink enough water. Consult doctor if it is worsening.

Vomiting

Avoid eating oil rich and sweet foods. Take small meals at frequent time.
Maintain a balanced diet with adequate amount of water. Consult doctor if it is
not subsiding.

Warning & Precautions

!### Pregnancy

MYOVIN OINTMENT is not recommended for use in pregnant women. Consult your
doctor before using.

!### Breastfeeding

MYOVIN OINTMENT is not recommended for use in breast feeding women. Consult
doctor before using.

!### Driving and Using Machines

Do not drive or operate machines if you feel dizzy, lightheaded, tired or have
blurring of vision, or headaches after using MYOVIN OINTMENT.

!### Alcohol

Avoid consum
blood pressure to fall, making you dizzy and faint.

!### Allergy

Do not use MYOVIN OINTMENT if you are allergic to Nitroglycerin or any other
ingredients of this medicine.

Others

MYOVIN OINTMENT is not recommended to use if you have

• severe anaemia (low red blood cells count)
• glaucoma (increased pressure in eyes)
• increased pressure inside your head

Use in pediatrics:

MYOVIN OINTMENT is not recommended for use in children. Consult your doctor
before using.

Use in geriatrics:

MYOVIN OINTMENT should be used with caution in elderly patients as it may cause
some unwanted side effects. Your doctor might reduce the dose of MYOVIN OINTMENT
for you. Consult doctor before using.

Interactions

A. Drug – drug interaction:

Before using MYOVIN OINTMENT inform your doctor if you are taking following
medicines

• medicine used to manage erectile dysfunction (Ex. sildenafil citrate, tadalafil, vardenafil)
• medicine used to manage migraine (Ex. dihydroergotamine)
• medicine used to manage heart problems (Ex. isosorbide dinitrate, amyl or butyl nitrite, enalapril)
• medicines used to manage depression (Ex. amitriptyline, amoxapine, desipramine)
• medicine used to manage liver problems (Ex. acetylcysteine)
• medicine used to manage blood clots (Ex. alteplase)

Overdosage:

If you or anyone else accidentally ingests or use too much of MYOVIN OINTMENT,
consult your doctor or visit the nearby hospital. Symptoms of overdosage of
MYOVIN OINTMENT include headache, fainting, dizziness.

Synopsis

Drug	:	Nitroglycerin
Pharmacological Category	:	Vasodilators
Therapeutic Indication	:	Anal fissures, Haemorrhoids, Haemorrhoidectomy
Dosage Forms	:	Tablet, Capsule, Injection, Ointment, Spray, Patch

More Information

• Keep MYOVIN OINTMENT out of reach of children.
• Store MYOVIN OINTMENT at room temperature below 25°C

FAQs About MYOVIN OINTMENT

What is MYOVIN OINTMENT used for?

MYOVIN OINTMENT is used in adults to relieve and manage symptoms of anal
fissures(tear or crack in the anus), haemorrhoids (swelling of veins in anus,
rectum) and haemorrhoidectomy (operation to remove haemorrhoids). Consult a
doctor before using.

How to use MYOVIN OINTMENT?

Always use MYOVIN OINTMENT as directed by your physician. It is for rectal use
only.  Wash your hands properly before applying MYOVIN OINTMENT. If possible,
wear a finger covering or disposable gloves to apply for the medicine. Apply
ointment to the skin 2.5 cm (1 inch) around the anus and, if possible, a little
inside. Discard gloves and wash your hands after applying for the medicine.
Avoid contact with this medicine in your eyes, ears, nose, mouth, or vagina.
Your doctor will decide the correct dose and duration for you depending on your
age, body weight and severity of the disease condition.

What happens if I use too much of MYOVIN OINTMENT?

You may get a headache, dizziness or faint if you use too much of MYOVIN
OINTMENT. Consult your doctor or visit the nearby hospital if it happens.

Can MYOVIN OINTMENT cause a headache?

Yes. Headache is the most common side effect of using MYOVIN OINTMENT which may
occur when you start to use the medicine. Drink plenty of water and stay
hydrated. Take adequate rest and sleep. Try to be stress and tension free. Avoid
drinking alcohol. Reduce screen time. Apply pain balm if needed. Consult your
doctor if it doesn’t improve as they might consider lowering your dose.

Which conditions I should not use MYOVIN OINTMENT?

MYOVIN OINTMENT is not recommended to use in children, in pregnant and
breastfeeding women. This medicine is not also recommended for use if you have
severe anaemia (low blood cell count ), glaucoma (increased pressure in eyes),
low blood pressure or increased pressure inside your head.

Does MYOVIN OINTMENT affects my ability to drive?

Do not drive your car or operate machines if you feel dizziness,
lightheadedness, blurring of vision, headaches, or tiredness after using MYOVIN
OINTMENT. Consult a doctor before using.

Is it safe to use MYOVIN OINTMENT in elderly patients?

MYOVIN OINTMENT should be used with caution in elderly patients as it can cause
some unwanted side effects like nausea, dizziness and fainting in some people.
Your doctor might reduce the dose of MYOVIN OINTMENT for you. Consult a doctor
before using.

Useful Diagnostic Tests

• Digital rectal examination
• Ultrasound scanning
• Colonoscopy
• Anoscopy