Hemorrhoid Cream with Lidocaine: Our New Advanced Formula

Advanced Formula: Hemorrhoid & Fissure Ointment

Advanced Hemorrhoid Fissure Ointment
Hemorrhoid Cream

Get fast relief and long-term healing for internal and external hemorrhoids with our advanced formula, made with Lidocaine to reduce pain, soreness and burning and newly added active ingredients to protect already irritated skin. If you know Doctor Butler’s original ointment, you know that it’s beloved by customers, gaining more than 9,500 reviews four stars and above on Amazon.

This advanced paraben-free formula builds upon the original in many ways. Zinc-Oxide, a powerful astringent, has been increased for superior pain reduction. Lanolin and glycerin have been added to protect the skin from further irritation. An updated mix of healing herbs, minerals, amino acids and essential oils has been fine tuned with years of additional research and data. And after hearing feedback from customers wanting more ointment, we’ve increased the size of the tube.

With the advanced formula you still get Doctor Butler’s proprietary technology that increases the breadth and depth of the medication’s absorption rate, but now with an even more precise mix of relieving, healing ingredients. Get this if you need added protection, soothing relief and herbal support over our maximum strength ointment.


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. I formulated my original ointment more than ten years ago using the most up to date technology available. Now, I’ve built on that formula with the latest research to create an even more effective ointment. Here’s how:

More Pain-Relieving Ingredients

The additional Zinc Oxide in Doctor Butler’s advanced formula provides greater pain relief than the original. Zinc Oxide shrinks mucous membranes and constricts swollen tissues to provide relief from irritation and burning, providing superior pain reduction.

Added Irritation Protection

Completely new in the advanced formula is the addition of FDA-classified skin protectants. By adding the protectants glycerin and lanolin, Doctor Butler’s advanced formula soothes irritated skin by protecting it from further harm, helping it heal.

Contains Multiple Active Ingredients for Enhanced Effectiveness

The new formula contains four active ingredients: Lidocaine, Zinc Oxide, Lanolin and Glycerine. These ingredients relieve acute pain and boost the skin’s defenses to prevent further irritation. These new active ingredients combined with an updated mix of herbs, minerals, amino acids and essential oils not only treats the painful symptoms of hemorrhoids, but promotes skin healing, making it unique among hemorrhoid creams.

Larger Size Means More Medication in Each Tube

The advanced formula comes in a tube 50 percent larger than our original formula. Get more medication with each tube.

What are the Symptoms of Hemorrhoids?

Symptoms of Hemorrhoids

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.

How do Hemorrhoid Creams Work?

Hemorrhoid creams work by first relieving painful symptoms, and then by soothing skin to prevent further irritation. The terms relieving and soothing may sound similar at first, but let me explain why I think of these personal care terms separately and how they work in tandem to make an effective hemorrhoid cream.

The relieving analgesic and astringent in my formula, Lidocaine and Zinc Oxide respectively, work by counteracting the stimuli causing uncomfortable symptoms and by allowing swollen blood vessels to constrict and shrink. The soothing protectants in my formula (lanolin and glycerin) work by protecting irritated skin from coming into contact with further irritants.

portrait of doctor butler's advanced formula hemorrhoid and fissure ointment with finger cots

Put another way, the analgesic and astringent provides relief by numbing and shrinking swollen tissue, and the protectants put up a barrier to further harm. In my advanced formula, I’ve added additional astringents and protectants so that the relieving and soothing qualities work extra hard. My original formula has relieving and soothing qualities, and this formula does both with more oomph.

All personal care hemorrhoid creams will take about a week or two to really heal problem hemorrhoids, but you can expect relief from the most irritating symptoms almost immediately. That’s thanks to the numbing effect of Lidocaine. For this reason, you can use a Lidocaine-based hemorrhoid cream for a lot of different topical applications like new tattoos, minor burns, poison ivy or insect bites.

Developed by a Board Certified Proctologist

Dr. Robert Cutler is the doctor turned inventor who founded this company more than ten years ago, and who continues to run it to this day. Over 30 years of patient visits as a proctologist, Dr. Cutler saw the need for more effective hemorrhoid treatment creams, and set out to create it. Dr. Cutler tested formula after formula until finally developing Doctor Butler’s original ointment. Now with additional fine tuning and research, Dr. Cutler has created his strongest ever pain-relieving product, Doctor Butler’s Advanced Formula.

Learn more about Robert here.

Doctor Butler’s Mission Statement

Our mission at Doctor Butler’s is to create top of the line, affordable personal care solutions for people affected by ano-rectal and other acute skin problems.

Provides Pain Relief and Soothes Irritation

Bees work hard to protect the hive and what they create heals and protects your skin!


  • High in vitamin A (helps with cell reconstruction).
  • Heals wounds
  • Anti-inflammatory (soothing and calming).
  • Hydrophilic
  • Exfoliant
  • Protective layer that locks in moisture.


  • Treats burns
  • Decreases inflammation.
  • Restores damaged tissues with nutrients.
  • Exfoliates

When honey and turmeric are combined, they work together to calm and ease the discomfort of pain, irritation, and inflammation. Our product also includes turmeric root extract along with honey.

Customers Love Our Hemorrhoid Ointment

Over and over again, customers tell us how much our ointment has helped them. We feel incredibly fortunate to help so many people, which is why we do what we do. If you’ve dealt with problem hemorrhoids but found limited results in other topical creams, give Doctor Butler’s a shot. We offer a money-back guarantee so there’s no risk in trying.

Why 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 2020, 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 vasoconstrictor and a potent topical anesthetic to provide a holistic solution to your hemorrhoid problems.

FDA Approved Ingredients

Doctor Butler’s ointment goes through rigorous quality control testing. Our product is manufactured at an FDA inspected facility in the USA with ingredients tested to be safe and found to be effective according to the FDA.

Advanced, Proprietary Formula

Our ointment was developed to provide instant relief and long term healing. We achieve this with our proprietary mix of prescription-strength active ingredients and a unique medication delivery system that keeps the medicine in contact with tissue for longer. The combination results in immediate relief from hemorrhoid flare ups and an extended absorption time over a larger area of skin.

Contains Natural Herbs and Amino Acids

We like to say our ointment is “bio-enhanced”, meaning it’s formulated with herbs, essential oils, beneficial minerals and amino acids for added antimicrobial healing and natural pain relief. By including aloe vera, ginseng, horse chestnut extract and more, we boost the skin protectant and anti-inflammatory benefits of our product naturally.

Cruelty-Free and Never Tested on Animals

None of our creams, ointments, sprays or wipes are ever tested on animals. In fact, when you buy any Doctor Butler’s product, you’re buying a Leaping Bunny certified cruelty-free item.

Doctor Butler’s Satisfaction Guarantee

I 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, I 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 

portrait of doctor butler's advanced formula hemorrhoid and fissure ointment with finger cots

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 family-owned and run company, and 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 ten years running.

Questions? Contact us.

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Dr. Cutler has more than 30 years of experience as a practicing physician.

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