{"id":56730,"date":"2024-02-27T17:05:50","date_gmt":"2024-02-27T17:05:50","guid":{"rendered":"https:\/\/medsname.com\/crema-gel\/"},"modified":"2026-04-30T10:24:35","modified_gmt":"2026-04-30T10:24:35","slug":"crema-gel","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/crema-gel\/","title":{"rendered":"Crema Gel"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Crema Gel?<\/h3>\n<p style=\"margin:0;\"><strong>Crema Gel<\/strong> este <strong>diltiazem topic 2% w\/w<\/strong> (tub 30 g) \u2014 un blocator al canalelor de calciu formulat pentru <strong>fisura anal\u0103 cronic\u0103<\/strong>. Aplicat de dou\u0103 p\u00e2n\u0103 la trei ori pe zi \u00een canalul anal, relaxeaz\u0103 sfincterul anal intern, reduce presiunea anal\u0103 de repaus \u0219i \u00eembun\u0103t\u0103\u021be\u0219te fluxul sanguin la baza fisurii, permi\u021b\u00e2nd vindecarea f\u0103r\u0103 interven\u021bie chirurgical\u0103. Ratele de vindecare sunt de 65\u201375% \u00een 6\u20138 s\u0103pt\u0103m\u00e2ni. Este agentul topic preferat \u00een locul <strong>nitroglicerin\u0103 (GTN)<\/strong> deoarece provoac\u0103 mult mai pu\u021bine dureri de cap. Fabricat conform standardelor WHO-GMP.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>De ce s\u0103 comanzi de la MedsBase:<\/strong> \u2714 <strong>produc\u0103tor certificat WHO-GMP<\/strong> \u2714 Ambalaj discret \u2714 Livrare worldwide \u2714 <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">Recenzii verificate ale clien\u021bilor (peste 1.400 de clien\u021bi)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"background:#f4f8fb;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\ud83d\udca1 Tratament topic de prim\u0103 inten\u021bie pentru fisura anal\u0103 cronic\u0103 (conform ASCRS 2017).<\/strong> Diltiazem 2% \u0219i nifedipin\u0103 0,3% sunt ambele blocante ale canalelor de calciu (CCB) topice eficiente pentru fisura anal\u0103. Diltiazemul este preferat \u00een majoritatea protocoalelor moderne datorit\u0103 unui num\u0103r mai mic de dureri de cap comparativ cu unguentul de GTN 0,2%. Injectia cu toxin\u0103 botulinic\u0103 \u0219i sfincterotomia intern\u0103 lateral\u0103 sunt op\u021biuni de a doua\/a treia linie.<\/div>\n<h3 class=\"wp-block-heading\">De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Crema Gel este furnizat\u0103 de la <strong>produc\u0103tor certificat WHO-GMP<\/strong>. Fiecare comand\u0103 este expediat\u0103 discret \u00een \u00eentreaga lume \u0219i este acoperit\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 dac\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, retrimitem f\u0103r\u0103 costuri suplimentare. Diltiazemul topic este preferat \u00een locul unguentului GTN datorit\u0103 unei rate mult mai sc\u0103zute de dureri de cap (5\u201315% fa\u021b\u0103 de 35\u201350% pentru GTN), oferind \u00een acela\u0219i timp rate similare de vindecare.<\/p>\n<h2 class=\"wp-block-heading\">Mecanism de ac\u021biune<\/h2>\n<p>Diltiazemul este un blocant al canalelor de calciu non-dihidropiridinic. Aplicat topic \u00een canalul anal, relaxeaz\u0103 sfincterul anal intern (mu\u0219chi neted), reduc\u00e2nd presiunea anal\u0103 de repaus (un factor cheie \u00een durerea \u0219i ischema fisurii) \u0219i \u00eembun\u0103t\u0103\u021bind perfuzia capilar\u0103 a mucoasei midline posterioare. O presiune mai sc\u0103zut\u0103 a sfincterului permite vindecarea fisurii. Absorb\u021bia sistemic\u0103 de la o prepara\u021bie topic\u0103 de 2% este mic\u0103 (~10%), astfel efectele sistematice ale CCB (tensiune arterial\u0103 sc\u0103zut\u0103, bradicardie, edem la nivelul picioarelor) sunt minime la dozele standard.<\/p>\n<h2 class=\"wp-block-heading\">Indica\u021bii<\/h2>\n<ul>\n<li>Fisur\u0103 anal\u0103 cronic\u0103 (definit\u0103 ca &gt; 6 s\u0103pt\u0103m\u00e2ni)<\/li>\n<li>Fisur\u0103 anal\u0103 acut\u0103 care nu s-a vindecat cu b\u0103i de \u0219ezut, fibre \u0219i analgezice topice<\/li>\n<li>Spasm dureroas al sfincterului post-hemoroidectomie (off-label)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cum s\u0103 aplica\u021bi<\/h2>\n<ol>\n<li>Sp\u0103la\u021bi m\u00e2inile; pute\u021bi folosi un degetar sau m\u0103nu\u0219\u0103 pe degetul ar\u0103t\u0103tor, dac\u0103 prefera\u021bi.<\/li>\n<li>Stoarce\u021bi o cantitate de m\u0103rimea unui bob de maz\u0103re pe v\u00e2rful degetului.<\/li>\n<li>Introduce\u021bi aproximativ 1 cm \u00een canalul anal \u0219i \u00eentinde\u021bi pe zona fisurii; sau aplica\u021bi la marginea fisurii dac\u0103 aplicarea intern\u0103 este prea incomod\u0103.<\/li>\n<li>Aplica\u021bi de dou\u0103 p\u00e2n\u0103 la trei ori pe zi, ideal dup\u0103 o scaun \u0219i o baie de \u0219ezut.<\/li>\n<li>Continua\u021bi timp de 6\u20138 s\u0103pt\u0103m\u00e2ni. \u00centrerupe\u021bi odat\u0103 ce fisura s-a vindecat (f\u0103r\u0103 durere, f\u0103r\u0103 s\u00e2ngerare) timp de cel pu\u021bin 1\u20132 s\u0103pt\u0103m\u00e2ni.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Efecte secundare<\/h2>\n<ul>\n<li>Local: m\u00e2nc\u0103rime, arsur\u0103, dermatit\u0103 de contact (5\u201310%)<\/li>\n<li>Sistemic (rar): cefalee (5\u201315% \u2014 mult mai rar dec\u00e2t la GTN), ame\u021beli, palpita\u021bii<\/li>\n<li>Precau\u021bie \u00een bloc cardiac (rar la administrare topic\u0103), hipotensiune sever\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Tratament adjuvant \u2014 f\u0103r\u0103 acestea, gelul nu va vindeca fisura<\/h2>\n<ul>\n<li><strong>Diet\u0103 bogat\u0103 \u00een fibre:<\/strong> 25\u201335 g\/zi din psilium, legume, fructe, cereale integrale.<\/li>\n<li><strong>Hidratare adecvat\u0103<\/strong> (2 L\/zi).<\/li>\n<li><strong>B\u0103i de \u0219ezut<\/strong> 10\u201315 minute dup\u0103 fiecare scaun.<\/li>\n<li><strong>\u00cenmuietor de scaun<\/strong> (PEG, lactuloz\u0103) dac\u0103 scaunul r\u0103m\u00e2ne dur.<\/li>\n<li><strong>F\u0103r\u0103 efort la scaun, f\u0103r\u0103 navigat pe telefon \u00een toalet\u0103.<\/strong><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 p\u00e2n\u0103 se observ\u0103 efectul?<\/h3>\n<p>Durerea se amelioraz\u0103 de obicei \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni. Vindecarea complet\u0103 a fisurii dureaz\u0103 6\u20138 s\u0103pt\u0103m\u00e2ni. Continua\u021bi aplicarea cel pu\u021bin 2 s\u0103pt\u0103m\u00e2ni dup\u0103 dispari\u021bia simptomelor pentru a preveni recidiva.<\/p>\n<h3 class=\"wp-block-heading\">De ce doare la aplicare?<\/h3>\n<p>Gelul \u00een sine nu este dureros, dar zona fisurii este. Aplicarea dup\u0103 un b\u0103i de \u0219ezut relaxeaz\u0103 sfincterul \u0219i reduce durerea la aplicare. Anestezicul topic (gel de lidocain\u0103 2%) \u00eenainte de diltiazem poate ajuta \u00een prima s\u0103pt\u0103m\u00e2n\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103-l folosesc \u00eempreun\u0103 cu unguentul GTN?<\/h3>\n<p>Nu \u2014 ambele sunt vasodilatatoare \u0219i combinarea lor cre\u0219te riscul de hipotensiune \u0219i dureri de cap severe f\u0103r\u0103 a \u00eembun\u0103t\u0103\u021bi rata de vindecare.<\/p>\n<h3 class=\"wp-block-heading\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 nu se vindec\u0103 \u00een 8 s\u0103pt\u0103m\u00e2ni?<\/h3>\n<p>Consulta\u021bi chirurgia colorectal\u0103. Op\u021biunile includ o concentra\u021bie mai mare, trecerea la nifedipin\u0103 topic\u0103, injec\u021bie de toxin\u0103 botulinic\u0103 sau sfincterotomie intern\u0103 lateral\u0103 (interven\u021bia standard, cu 95% rat\u0103 de succes dar ~5% risc de incontinen\u021b\u0103 pe termen lung).<\/p>\n<h3 class=\"wp-block-heading\">Este sigur \u00een sarcin\u0103?<\/h3>\n<p>Date limitate. Absorb\u021bia topic\u0103 este mic\u0103, dar se recomand\u0103 pruden\u021b\u0103. \u00cencerca\u021bi mai \u00eent\u00e2i b\u0103i de \u0219ezut, fibre, lactuloz\u0103 \u0219i anestezic topic. Discuta\u021bi cu medicul obstetrician prescriitor.<\/p>\n<h3 class=\"wp-block-heading\">Pot avea rela\u021bii sexuale \u00een timp ce \u00eel folosesc?<\/h3>\n<p>Gelul poate fi transferat la partener \u00een timpul contactului anal \u0219i poate produce efecte locale u\u0219oare. A\u0219tepta\u021bi cel pu\u021bin 1-2 ore dup\u0103 aplicare sau folosi\u021bi o barier\u0103.<\/p>\n<h3 class=\"wp-block-heading\">De ce se pl\u00e2nge partenerul meu de dureri de cap?<\/h3>\n<p>Cremele topice cu CCB transferate pot provoca o u\u0219oar\u0103 cefalee. Sp\u0103la\u021bi bine m\u00e2inile \u0219i zona perianal\u0103 \u00eenainte de contactul intim.<\/p>\n<h3 class=\"wp-block-heading\">Va p\u0103ta lenjeria intim\u0103?<\/h3>\n<p>Se poate transfera un sub\u021bire strat uleios. Folosi\u021bi un protec\u021bi\u0219or \u00een primele 30 de minute dup\u0103 aplicare.<\/p>\n<h3 class=\"wp-block-heading\">Depozitare<\/h3>\n<p>Sub 25\u00b0C, nu refrigerati. P\u0103stra\u021bi tubul bine \u00eenchis. Aruncati dup\u0103 4 s\u0103pt\u0103m\u00e2ni de la prima deschidere.<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Aplica\u021bi c\u00e2nd v\u0103 aminti\u021bi \u0219i continua\u021bi programul. Omiterile unei sau dou\u0103 doze nu anuleaz\u0103 vindecarea - consecven\u021ba pe parcursul s\u0103pt\u0103m\u00e2nilor este cea important\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alte Medicamente pentru S\u0103n\u0103tatea Gastrointestinal\u0103<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/anovate\/\">Anovate \u2014 crem\u0103 cu Beclometazon\u0103 + fenilefrin\u0103 + lidocain\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/movicol-sachets\/\">Movicol \u2014 laxativ osmotic cu PEG<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/duphalac\/\">Duphalac \u2014 Lactuloz\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/cremalax\/\">Cremalax \u2014 Bisacodil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/dulcolax\/\">Dulcolax \u2014 Bisacodil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/gastro-health\/\"><strong>Vede\u021bi toate Medicamentele pentru S\u0103n\u0103tatea Gastrointestinal\u0103<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are doar scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui profesionist calificat. S\u00e2nger\u0103rile rectale persistente, modificarea obiceiurilor intestinale, pierderea \u00een greutate sau fisura care nu se vindec\u0103 \u00een 6-8 s\u0103pt\u0103m\u00e2ni necesit\u0103 evaluare colorectal\u0103 pentru a exclude boala inflamatorie intestinal\u0103, infec\u021bii (HIV, sifilis) sau malignitate.<\/div>","protected":false},"excerpt":{"rendered":"<p>Crema Gel (Diltiazem 2% topic, tub 30 g) \u2014 blocator al canalelor de calciu pentru fisura anal\u0103 cronic\u0103. Rata mai mic\u0103 de dureri de cap comparativ cu unguentul de nitroglicerin\u0103. Produc\u0103tor certificat WHO-GMP. Livrare worldwide de la MedsBase.<\/p>","protected":false},"featured_media":56731,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[4162,3360],"class_list":{"0":"post-56730","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","9":"product_tag-crema-gel","10":"product_tag-diltiazem","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/56730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=56730"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/56731"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=56730"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=56730"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=56730"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=56730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}