Why 'Advanced'?
We updated our original Maximum Strength Relief Formula with ingredients that protect skin, allowing irritated areas time to heal without being disturbed during bathroom breaks.
Major Pain Relief
Our Advanced ointment is made with Lidocaine to quickly provide relief from the most common hemorrhoid symptoms like pain, burning and itching.
Natural Organic Ingredients
We spent years updating our formulation of organic herbs, minerals, amino acids and essential oils to calm your hemorrhoids. Doctor designed for the best possible results.
Plus Over-the-Counter Effectiveness
In addition to our unique, one of a kind excipient blend of natural organic ingredients, this formula is made with four powerful ingredients to stop pain and protect skin.
Larger Tube
Get 50 percent more ointment than our other ointment and creams. Now in 1.5 oz tubes compared to 1 oz.
Thicker Ointment
This ointment is also thicker than our original Maximum Strength ointment, coating problem areas for longer.
Who should use our Advanced Formula?

If you suffer from chronic fissures and hemorrhoid flare ups, our Advanced ointment will reduce pain, protect skin, and promote healing. It contains our lab tested proprietary formula that increases the medication’s effectiveness, over-the-counter pain reduction, and a precise mix of relieving herbs, organic essential oils, a mineral and an amino acid.
This ointment alone will stop the worst hemorrhoid and fissure pain. Combine it with our Maximum Strength ointment or Hemorrhoid Spray for our most comprehensive treatment plan to date to prevent the recurrence of a skin tears and flare ups. Simply apply to the hemorrhoid or fissure site for 1-2 weeks after swelling has been reduced with our other products.
Get this ointment if you’ve tried it all and you still have problem hemorrhoids and fissures. It will help satisfaction guaranteed.
Benefits of Doctor Butler’s Best-Selling Hemorrhoid Cream with Lidocaine
This advanced formula keeps all of the benefits of our best selling formula and comes with additional active and herbal ingredients to make it work even better. Here’s how:
Why We (and others!) Think Our Advanced Formula with Lidocaine is the Best Hemorrhoid Treatment Cream
Doctor Butler’s Advanced Formula: Hemorrhoid & Fissure Lidocaine Cream works great because it does two things. First, it provides fast targeted relief, and second, it promotes long term skin healing. In fact, we have developed a proprietary delivery system where the medication remains in contact with the tissues longer for extended absorption and also disperses the medication over a larger area.
This means that while you get the immediate numbing effects of the strongest over-the-counter Lidocaine for hemorrhoids cream available, you’re also getting a product that works long beyond the original application to help you feel better in the long term.
That’s why Verywellhealth.com named Doctor Butler’s the best overall over-the-counter hemorrhoid treatment of 2023, and why we continue to receive great user reviews. Our personal care formula contains a powerful combination of healing herbs, minerals, amino acids, and essential oils along with a potent topical anesthetic to provide a holistic solution to your hemorrhoid problems.
What are the Symptoms of Hemorrhoids?

Believe it or not, everybody has hemorrhoids but not all hemorrhoids become a problem. Hemorrhoids are simply blood vessels that researchers theorize were useful in controlling bowel movements in early humans but which have limited or no usefulness in our lives today. Instead, they tend to cause problems!
Hemorrhoids can become swollen for a variety or reasons, and when they become swollen they can become irritated, causing burning, pain or itching. Other symptoms of problem hemorrhoids include redness, skin tears aka fissures, bleeding and irregular bathroom breaks.
Too much pressure on the rectal blood vessels commonly causes inflamed hemorrhoids. Straining during bowel movements, pregnancy, weightlifting and other heavy lifting are all causes of problem hemorrhoids. Anything that causes difficult bowel movements, such as poor diet or stress can be a factor too. If you find yourself straining on the toilet, you may be triggering hemorrhoid flare ups.
Doctor Butler’s Satisfaction Guarantee
We know the frustration of trying new hemorrhoid relief products to limited results, so to make that process as pain free as possible, know that you won’t pay a thing if Doctor Butler’s doesn’t meet your expectations. If you are not satisfied, contact us for a refund within 30 days of your purchase.
Please realize that some conditions require 1-2 weeks of treatment to receive optimal benefits. If you do not improve after applying the treatment for a full two weeks as directed, your condition may be too advanced and not within the intended use for any over the counter treatment. In this case, we recommend you schedule an evaluation with a physician.
It’s Time to Leave the Pain Behind with Doctor Butler’s Advanced Formula Hemorrhoid & Fissure Lidocaine Ointment
Doctor Butler’s was specifically developed by a board-certified proctologist with more than 30 years of patient experience to be a practical solution to the widespread problem of painful hemorrhoids.
Research has shown that at least 50 percent of people will experience symptomatic hemorrhoids at some point in their life, whether you have a flare up from pregnancy, heavy lifting, obesity or some other cause. Whatever the reason, you want a product that acts right away to target pain, and works over the long term to heal tender skin.
Doctor Butler’s advanced formula does both at an even greater efficiency than our beloved original ointment thanks to a years-long fine-tuning process. You still get the benefits of prescription-strength Lidocaine and an herbal-enhanced healing cream, but with the addition of a reworked formula to include a stronger pain-reliever, astringent, and new skin-protecting medication.
When you buy from Doctor Butler’s, you’re supporting a brand loved by its customers for providing effective, research-driven solutions to some of the body’s most embarrassing problems. We’re here to make the best hemorrhoid cream available anywhere, as we’ve been doing for more than fifteen years running.