Frequently Asked Questions
Answers about using DoseRite for anal fissure treatment, post-hemorrhoidectomy care, and anal HSIL therapy.
About DoseRite
What is included in DoseRite?
The DoseRite Reusable Pack includes everything you need for a full 4-week treatment course:
- 5 reusable anal applicators (slimmer profile, washable material)
- 5 reusable dosing syringes
- 1 dosing jar
- 1 medication-tube adapter (purple). If you're using the dosing jar, you can discard the adapter.
- 1 cleaning tool for maintaining clear medication channels
- 1 spatula for transferring medication from a jar
- 1 Instructions for Use
Medication is not included. DoseRite is a delivery system only.
Does DoseRite include medication?
No. DoseRite is a precision dosing and applicator system. Medication is not included. Your physician will prescribe the appropriate topical medication separately. Most patients are prescribed Diltiazem, Nifedipine, or Nitroglycerin (Rectiv).
How much medication do I put into the syringe?
Always follow your physician's or pharmacist's instructions for the dose that is right for you. As a general reference, most physicians recommend:
- Calcium channel blocker (e.g., Diltiazem, Nifedipine): 0.5 ml per dose, 3 times daily
- Nitroglycerin (e.g., Rectiv): 0.3 ml per dose, 2 times daily
For post-hemorrhoidectomy pain management, dosing may differ. Confirm with your physician.
Can I reuse the DoseRite applicators?
Yes. DoseRite's Reusable Pack includes applicators and syringes designed to be washed and reused throughout your 4-week treatment period. Refer to the Instructions for Use included in your kit for proper cleaning steps.
Will using DoseRite be painful?
For most patients, no. DoseRite's applicator is slimmer than a finger and made from smooth medical-grade plastic, making self-administration more comfortable than manual application. A small amount of lubricant, such as Aquaphor, can be used to ease insertion if needed.
Patients recovering from hemorrhoidectomy may have some post-surgical sensitivity. In those cases, using a lubricant and inserting slowly is especially helpful.
Is it safe to apply medication directly into the anal canal?
Yes. Most topical anal fissure medications are specifically indicated for intra-anal delivery. Medication applied to the anal mucosa within the canal is absorbed more effectively and reaches the sphincter muscle more reliably than surface application around the outside of the anus. This is the method most physicians recommend.
Do I need a prescription to order DoseRite?
No. DoseRite itself is available without a prescription and can be ordered directly through Amazon or through a participating compounding pharmacy. You will need a prescription for the topical medication used with DoseRite.
Does DoseRite work with other medications?
DoseRite is designed primarily for use with topical anal sphincter relaxants (Diltiazem, Nifedipine, and Nitroglycerin/Rectiv), but it can work with other topical medications that are safe to apply within the anal canal.
It is also well-suited for topical medications prescribed after hemorrhoidectomy to manage pain and promote healing. Always confirm with your physician that your medication is appropriate for intra-anal delivery.
Is DoseRite right for post-hemorrhoidectomy care?
Yes. DoseRite is an effective delivery tool for patients who have undergone hemorrhoidectomy and have been prescribed topical medication for pain management or healing. Precise intra-anal delivery helps ensure medication reaches the treatment site consistently, something that is difficult to achieve with finger application, particularly in the days immediately following surgery.
Talk to your surgeon about whether a topical medication delivered with DoseRite is appropriate for your recovery plan.
Will DoseRite heal my anal fissure?
DoseRite is a delivery device, not a medication. It helps ensure the medication your physician prescribes is applied precisely and consistently, which is what promotes healing. When used as directed with the appropriate medication, most patients complete healing within four weeks.
How is the DoseRite applicator made?
DoseRite applicators are made from smooth, medical-grade plastic and are free of latex.
Does DoseRite contain latex?
No. DoseRite is 100% latex-free.
How do I order DoseRite?
DoseRite is available through Amazon.com or through participating compounding pharmacies. Contact us at info@surgin.com and we can help you locate a compounding pharmacy near you.
Is DoseRite reimbursed by insurance?
Coverage varies by plan. Most insurance policies do not reimburse for DoseRite directly, but some patients have had success submitting through flexible spending accounts (FSA) or health savings accounts (HSA). Check with your insurer or benefits administrator.
How much medication do I need for a four-week treatment?
For a standard 4-week anal fissure treatment regimen (3 applications per day), ask your physician to prescribe approximately 30 grams of medication. This is enough for the full course without requiring a refill mid-treatment.
Where is DoseRite available?
DoseRite is currently available in the United States and Europe. If you are ordering from outside these regions, contact us at info@surgin.com and we will do our best to assist you.
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DoseRite for Anal HSIL
What is anal HSIL?
Anal High-Grade Squamous Intraepithelial Lesion (HSIL) is a precancerous condition of the anal canal caused by certain strains of HPV (human papillomavirus). It is most commonly found in patients who are immunocompromised, including those living with HIV. HSIL does not always cause noticeable symptoms, so it is typically detected through screening programs such as anal Pap smears and high-resolution anoscopy (HRA).
How is anal HSIL treated?
Treatment typically involves topical therapies applied directly to the affected tissue within the anal canal. Commonly used agents include fluorouracil (5-FU) and imiquimod cream, which work to destroy abnormal cells and stimulate an immune response. Treatment protocols vary and are managed by a specialist. Consistent, accurate delivery of the medication to the treatment site is essential for effectiveness.
How is the HSIL applicator different from the anal fissure applicator?
DoseRite offers a separate applicator specifically designed for anal HSIL treatment. The HSIL applicator features a larger, rounded tip that simulates the shape of a finger, helping to spread medication along the walls and folds of the anal canal, where HSIL lesions are typically located. The fissure applicator has a slimmer profile optimized for sphincter-targeted delivery.
The two applicators are not interchangeable: the HSIL applicator is not intended for anal fissure patients.
Why not just use a finger or a cotton swab?
Precise, consistent delivery of topical medication within the anal canal is difficult to achieve manually. DoseRite's dosing syringe connects directly to the patient's medication tube, eliminating the need to handle the medication directly. The applicator then delivers a single, measured dose to the treatment site. This reduces dose variability, minimizes skin contact with the medication, and makes self-administration more manageable for patients undergoing extended treatment courses.
Can DoseRite be reused during an HSIL treatment course?
Yes. The DoseRite Reusable Pack for HSIL includes applicators and syringes designed to be washed and reused throughout the treatment period. Refer to the Instructions for Use included with your kit for proper cleaning and maintenance steps.
Do I need a prescription for the DoseRite HSIL applicator?
No. Like the anal fissure applicator, the DoseRite HSIL Applicator Kit is available without a prescription. The topical medication used with it, such as fluorouracil or imiquimod, does require a prescription from your physician.
Where can I order the DoseRite HSIL applicator?
The DoseRite Anal HSIL Applicator Kit is available through Amazon.com. You can also contact us at info@surgin.com for ordering assistance or to find a participating pharmacy.
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