Hemorrhoid Products

Advanced Protection Hemorrhoid & Fissure Ointment

By Doctor Butler's

HSA Approved


Hemorrhoid Products

Advanced Protection Hemorrhoid & Fissure Ointment

By Doctor Butler's

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 tears & chronic hemorrhoids
  • Four active ingredients plus organic herbs
  • The only paraben free ointment available anywhere

In stock

- +
HSA Approved

• 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?

Hemorrhoid ointment with lidocaine

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:

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.

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.

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.

What are the Symptoms of Hemorrhoids?

Woman sitting in a chair after applying hemorrhoid creamBelieve 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.

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.

Relieving + Soothing

The relieving analgesic and astringent in this 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 this formula, Lanolin and Glycerin, work by protecting irritated skin from coming into contact with further irritants.

Targets Pain & Protects Tender Areas

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.

How Soon Can You Expect Relief?

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.

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

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.