5th March 2024

A 65-year-old man presents to the GP for a follow-up appointment regarding his anal fissure.

A 65-year-old man presents to the GP for a follow-up appointment regarding his anal fissure. He has been trialled for 8 weeks on a bulk-forming laxative however whilst this gave him some minor relief to begin with, it is still causing him severe pain that he rates 8/10 when he defecates. The GP decides to trial him on the second-line intervention for this man’s anal fissure. 

Please prescribe one medication that would be most suitable for treating this patient.