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LEVORAG'S EFFECT

An innovation in the treatment of anal fissures.

LEVORAG. It works.

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ADVANTAGES.

PROTECTS

  • Lubricates and protects

SOOTHES

  • Improves painful symptoms

REPAIRS

  • Assists the tissue-repair process

LEVORAG.
Practical, Fast. Convenient

SINGLE-DOSE
PACKS

  • Standard quantity
  • High level of hygiene

READY
FOR USE

  • Applicator integrated
    into tube

TARGETED
RELEASE

  • Onto the appropriate area using the practical applicator

EASE OF
APPLICATION

  • Apply twice daily

NON
GREASY

  • Does not stain and easily washed off

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Packaging

20 single-dose 3.5 ml tubes with built-in applicator

Dosage

1 single-use tube twice daily for at least 20 days

When

preferably apply
after a bowel movement

3 simple steps

  1. Remove applicator cap
  2. Grasp tube
  3. Delicately insert the applicator into anus avoiding completely inserting the canula. Firmly squeeze the applicator to empty the full contents of the tube

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Composition

Aqua, dimethicone, glycerin, prunus amygdalus dulcis oil,phenyl trimethicone, borago officinalis seed oil, malva sylvestris extract, panthenol, dextrin, hydrolyzed hibiscus esculentus extract, phenoxyethanol, glyceryl stearate, cetyl alcohol, PEG-75 stearate, acrylates/C10-30 alkyl acrylate crosspolymer, triethanolamine, tocopherol, caprylyl glicol, 1,2-hexanediol, calendula officinalis extract, maltodextrin, glycyrrhiza glabra extract, ceteth-20, steareth-20, ethylhexylglycerin, sodium carboxymethyl beta-glucan, trisodium ethylenediamine disuccinate, tropolone, aspartic acid, sodium chloride, sodium bromide.

THE ANAL FISSURE

Fissures are small and deep lesions that develop on the skin and that can affect various areas of our body, in particular orifices such as the mouth and anus.

The term anal fissure refers to a wound bordering the anus, a few millimetres in length, and normally situated in the central posterior area of the anus.

They are one of the most frequent causes of proctologic visits after haemorrhoidal disease.

It is a common PROBLEM at all ages, but particularly between the ages of 20 and 40.

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PATHOPHYSIOLOGY

PERSISTENT CONTRACTIOB
of the internal anal sphincter, which can be caused by constipation, pain, and stress.

LOCAL ISCHAEMIA
(limited bloodflow) which slows, or directly prevents the wound healing properly.

Symptoms and consequences

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PAIN
primary symptoms are intense and acute, localised in the anal canal, particularly during bowel function and in the 3-4 hours following.


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BLEEDING
with the loss of bright red blood


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ALTERED BOWEL HABIT
with consequent difficulties in passing stools

PREVENTION
from A to Z

From diet, to fissures during pregnancy, to in the over 65s.

While it is not possible to entirely ensure prevention, there are certainly habits which can be adopted to lessen symptoms, such as: following a diet rich in fibre, avoiding irritating foods, drinking lots of water and taking an at least 30-minute long brisk walk each day.

FAQ

Are anal fissures and haemorrhoids the same thing?
No. Fissures are small lacerations of the skin occuring in the perianal area, while haemorrhoids manifest through the loss of tone in the venous wall of the vessels that make up the haemorrhoidal plexus, with consequent swelling and leakage from the haemorrhoids.

Are anal fissures asymptomatic?
No. These small lacerations in the skin cause discomfort which have a negative impact on patients' quality of life, with burning and pain of greater or lesser intensity when passing a bowel movement, the loss of bright red blood loss, and anal itching. In some cases the pain can continue after the bowel movement.

What is the treatment for anal fissures?
There are different treatments such as the applications of topical ointments with a glycerine base, botulin injections, incisions to the anal sphincter, and mechanical dilators.
THD has released Levorag, a new medical treatment in the form of emulgel in single-dose packs, which is effective in the treatment of acute and chronic anal fissures.
Levorag allows for simple and practical treatment of anal fissures in the patient's own home, without operations or invasive interventions and pain.
Ask your pharmacist for more information.
A good fibre and water intake, possibly in addition to approved treatments, can help prevent the development of constipation, which can cause the development or worsening of the fissures.

Why is it useful to alter diet and lifestyle for the prevention and treatment of anal fissures?
A sedentary lifestyle and diet lacking in fibre and water can encourage the development of constipation. If constipated, the anal sphincter dilates excessively causing, in some cases, the formation of small lacerations in the skin (fissures) close to the anus.

Why is it important to care for the hygiene of the anal area in the case of fissures?
It is important to care for the hygiene of the anal area because the bacteria present in faeces can come into contact the the cutaneous lacerations, worsening the painful symptoms, itching and burning. Wipes and liquid soaps specifically designed for anal cleansing and hygiene are available.

Does Levorag have side effects?
Currently, there are no known side effects related to the use of the components within Levorag. Nevertheless, it is recommended to use the product under close medical supervision.

Where can I buy Levorag?
Levorag can be purchased in all good pharmacies.


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THD provides a range of food supplments, medical treatments and products for intimate hygiene, developed specifically for the wellbeing of the intestine and the perianal area, and as an adjuvant in the prevention and treatment of numerous colorectal ailments.

E’ un dispositivo medico CE. Leggere attentamente le avvertenze o le istruzioni per l’uso.
Aut. Min. 27/11/2018