Diltiact Gel is recommended for healing fissures and alleviating pain It should only be used externally It is important to follow the dosage and duration recommended by your doctor Prior to application cleanse and dry the affected area before gently applying the gel Common side effects may include dizziness local itching soreness rectal bleeding and headache Taking caution as lightheadedness may increase the risk of falls Although less common there are other serious side effects To ensure your safety consult your doctor and read the accompanying leaflet provided with the medicine