Perianal syndromes can often be troublesome.
Although widely prescribed there is a risk of sensitisation with these agents. The long-term use of topical corticosteroids is strongly discouraged. Duration of therapy with local anaesthetics should be limited to only a few days. Preparations not containing steroids or local anaesthetics are preferred. Definitive treatment, however, is more appropriate than the continuous use of local preparations that provide at best temporary symptomatic relief.