Hemorrhoid Care

Hemorrhoid Cream with Lidocaine: Advanced Formula

HSA Approved


Get fast relief and long-term healing for hemorrhoids with our advanced formula, made with Lidocaine to reduce pain, soreness and burning, and with newly added active ingredients to protect already irritated skin.

  • Formulated for persistent hemorrhoids
  • Fissure friendly – apply directly to tears
  • The only paraben free ointment available anywhere
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    What makes this formula Advanced?

    • 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.
    • Phenylephrine (a vasoconstrictor) has been removed in order to treat Fissures directly.
    • An updated mix of healing herbs, minerals, amino acids and essential oils has been fine tuned with years of additional research and data.
    • After hearing feedback from customers wanting more ointment, we’ve increased the size of the tube from 1 oz to 1.5 oz.

    Who should use our Advanced Formula?

    If you suffer from chronic hemorrhoid flare ups, get this to prevent the recurrence of a flare up that you’ve already tamed. That’s what we mean when we say that this is our Advanced Protection & Prevention Formula. It can be used to manage inflammation in times of irritability with its protectant properties. Just apply to the hemorrhoid site for 1-2 weeks after symptoms improve to help protect against another hemorrhoid flare up.

    With the Advanced Formula, you still get Doctor Butler’s proprietary technology that increases the breadth and depth of the medication’s absorption, but now with an even more precise mix of relieving, healing ingredients. Unlike our Maximum Strength ointment, this one contains no Phenylephrine so you can apply it directly to problematic Fissures.

    Get this ointment if you need to treat advanced cases of Fissures, 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?

    What are the 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 these personal care terms should be considered separately in 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.

    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 this advanced formula, we’ve added additional astringents and protectants so that the relieving and soothing qualities work extra hard.

    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, lots of people use a Lidocaine-based hemorrhoid cream for a lot of different topical applications like new tattoos, minor burns, poison ivy or insect bites, though we don’t recommend it.

    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 2021, 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.

    Ingredients in Doctor Butler’s Advanced Formula

    Active Ingredients

    Glycerin 37.5%, Lanolin 12.5%, Lidocaine 4%, Zinc Oxide 5%.

    Inactive Ingredients

    Aesculus Hippocastanum (Horse Chestnut) Extract, Argania Spinosa Kernel Oil, Calendula Officinalis Flower Extract, Camellia Sinensis Leaf Extract, Cananga Odorata Flower Oil, Canola Oil, Caprylic/Capric Triglyceride, Centella Asiatica Extract, Chamomilla Recutita (Matricaria) Flower Extract, Cocos Nucifera (Coconut) Oil, Curcuma Longa (Turmeric) Root Extract, Dunaliella Salina Extract, Euphorbia Cerifera (Candelilla) Wax, Helianthus Annuus (Sunflower) Seed Oil, Helianthus Annuus, (Sunflower) Seed Wax, Hydrocortisone, Lavandula Angustifolia (Lavender) Oil, Linum Usitatissimum (Linseed) Seed Oil, Lysine HCl, Macadamia Ternifolia Seed Oil, Olea Europaea (Olive) Fruit Oil, Panax Ginseng Root Extract, Persea Gratissima (Avocado) Oil, Pogostemon Cablin Oil (Organic), Polyhydroxystearic Acid, Punica Granatum Fruit Extract, Ricinus Communis (Castor) Seed Oil, Rosa Canina Seed Oil (Organic), Sodium Hyaluronate, Tocopheryl Acetate, Triethoxycaprylylsilane, Viburnum Opulus Bark Extract , Water.

    Doctor Butler’s Satisfaction Guarantee

    Money Back 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

    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.