Hemorrhoid Products

Pain Relief Formula Hemorrhoid Cream

By Doctor Butler's

HSA Approved


Hemorrhoid Products

Pain Relief Formula Hemorrhoid Cream

By Doctor Butler's

HSA Approved


Doctor Butler’s Pain Relief Formula is a 5% Lidocaine cream expertly made to relieve the worst hemorrhoid and fissure pain, itching and burning. Get this if you know Lidocaine works to reduce the pain of your hemorrhoids and fissures and you are free of swelling and bleeding.

For swollen, bleeding hemorrhoids, try our Maximum Strength formula.

  • Proctologist developed formula
  • 5% Lidocaine – the most available in an OTC
  • Numbing relief made with our expert mineral blend
  • Paraben free

In stock

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HSA Approved

• Potent Medicine

Expertly medicated cream to reduce hemorrhoid pain. Works instantly and lasts for hours.

• Paraben Free

Made without harsh chemical preservatives to keep our formula as clean as possible. Leaping Bunny certified, too!

• Proctologist Developed

Designed by a medical professional who deals exclusively with anorectal conditions and complications from hemorrhoids.

• Made Safe

This cream is produced in the USA under rigorous quality control standards in a state of the art manufacturing facility

What are Hemorrhoids?

Pressure from straining and difficult bowel movements due to constipation contribute to hemorrhoids and complications like anal fissures. This pressure causes the hemorrhoid veins to swell, and once swollen hemorrhoids can become irritated, resulting in uncomfortable symptoms.

The main symptoms of hemorrhoids are pain, itching and burning. While the condition can sometimes be debilitating and agonizing, it’s rarely a serious and can usually be treated with some lifestyle changes and over the counter remedies. This 5% Lidocaine cream instantly reduces painful, itchy, and burning hemorrhoid symptoms.

Do Hemorrhoid Creams Really Work?

Hemorrhoid creams have had a place on retail shelves for decades. Over the counter hemorrhoid products have thrived as customers searched for discreet solutions to a very private problem, though many patients could only find relief following proctologist-directed, prescription-based treatment. Lidocaine cream was one of those treatments, and it was prescription-only for years. Doctor Butler’s changed that in 2005 by introducing an OTC Lidocaine cream. A quality OTC hemorrhoid cream promotes healing by:

• Alleviating pain
• Relieving itchiness
• Protecting the skin and promoting hygiene

Our Lidocaine cream does all of that. While we can’t speak for how well other brands work for everyone, our customers speak for us, with rave reviews of our hemorrhoid and fissure ointment. Just go to our Amazon page and read the customer testimonials.

Why Our Cream Is The Best Hemorrhoid Treatment

Doctor Butler's Hemorrhoid & Fissure Cream in packaging


Doctor Butler’s has gained recognition for its hemorrhoid creams from Verywell Health and Health.com for our effective, immediate solutions to common hemorrhoid symptoms. We’ve been awarded Best Hemorrhoid Treatment and Best Ointment, respectively, for two years running!

Our Pain Formula, the newest of our hemorrhoid creams, combines Doctor Butler’s unique herbal excipient mix with the strongest topical Lidocaine available over the counter. Our powerful combination of herbs, minerals, amino acids, and essential oils, along with a potent topical anesthetic has led users of our cream to note a long-term reduction of hemorrhoid symptoms compared to other products they have tried.

Passion for a superior product was present throughout every stage of our product development. Many advanced anorectal issues can be prevented with early hemorrhoid intervention, so we worked to create the best hemorrhoid treatment possible to use as soon as you feel symptoms.

One benefit of our Pain Formula can’t be understated: fast relief.

Doctor Butler’s hemorrhoid cream includes strong pain relief – the highest you can get with or without a prescription – with a 5% Lidocaine formula. On top of that, we developed a proprietary delivery system where the medication remains in contact with the tissues longer for an extended absorption period and a wider dispersal of the medication over a larger area.

Developed by a Board Certified Proctologist

Dr. Robert Cutler is a doctor turned product specialist. After seeing so many patients who end up needing advanced procedures, he realized that a lot of suffering could be avoided through an effective hemorrhoid medicine that wasn’t yet available over the counter.

He researched the remedies that worked best to resolve common hemorrhoid issues and applied those to theories of wound care and tissue health. This potent combination of therapeutic ingredients he developed does three things:

• Keeps hemorrhoids from getting worse
• Relieves painful symptoms
• Promotes the healing of raw, irritated tissue

Soothes Irritation and Provides Pain Relief

Doctor Butler’s hemorrhoid and fissure ointment is made to “Leave the Pain Behind,” (so much so that we made it our slogan!). While hemorrhoids can be somewhat embarrassing, the most annoying thing about hemorrhoids and fissures is the pain and discomfort they cause. We upped the percentage of Lidocaine in this formula to 5% for the most hemorrhoid pain relief possible to reduce the agony of hemorrhoids.

That makes this hemorrhoid cream the most powerful relief you can get out of a Lidocaine ointment (prescription or not!).

FDA Approved Ingredients

High standards make for a quality product. Our medicinal hemorrhoid ointment is made from active ingredients that are considered safe and effective by the FDA. What’s more, our product is manufactured in an FDA inspected facility.

With Doctor Butler’s OTC hemorrhoids cream, you get the best of both worlds – part homeopathic hemorrhoid cream, part herbal hemorrhoid treatment and part traditional hemorrhoid ointment, all produced according to trusted medical standards.

Unique Proprietary Formula

Doctor Butler’s Hemorrhoid and Fissure Ointment is one of a kind with its proprietary delivery system. Our hemorrhoid ointment is specially formulated to provide intensive care for hemorrhoid flareups. This works by optimizing absorption where the medication remains active on the affected tissue longer, and the medication is dispersed over a larger area.

Contains Natural Herbs and Amino Acids

We’re proud to be part of the medical community making great strides in developing drugs in the lab, and even prouder of how we implement natural remedies into our medicated products in a way completely unique among over the counter hemorrhoid creams.

Powerful man-made medicine comes together with trusted natural remedies to make the best hemorrhoid treatment over the counter. It’s what we call our “bio-enhanced” formula, and it includes organic herbs, essential oils, beneficial minerals, and amino acids for added antimicrobial healing solutions and natural pain relief. Our product also features aloe vera extract, ginseng extract, and horse chestnut for skin protectant and anti-inflammatory benefits.

There’s no need to fill your basket with a dozen products because we’ve put them all into one potent hemorrhoid ointment.

Customers Love Our Hemorrhoid Ointment

When Doctor Butler’s Hemorrhoid and Fissure Cream was ready to go on the market, we were confident that it would give hemorrhoid sufferers the relief they desperately needed. The thousands of Amazon reviews confirm that we succeeded in what we set out to do – provide a superior hemorrhoid solution.

Ingredients in Doctor Butler’s External Pain Formula

Active Ingredients

Lidocaine 5%

Inactive Ingredients

Aesculus Hippocastanum (Horse Chestnut) Extract, Benzyl Alcohol, Calendula Officinalis Flower Extract, Camellia Sinensis Leaf Extract, Cananga Odorata Flower Oil (Organic), 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.

When Will My Symptoms Improve?

With at-home treatment, hemorrhoid symptoms should clear up within a week or so. If symptoms persist or worsen after two weeks, contact your doctor.

Reminder: your lifestyle choices also impact your healing. Drink plenty of water, eat a balanced diet with plenty of fiber, get regular exercise, and don’t wear clothing that irritates (or traps moisture) your bottom.

How to Get Rid of Hemorrhoids

To resolve hemorrhoid issues you should also make some simple lifestyle adjustments to complement your medicated treatment. You increase your success in beating hemorrhoids when you take care of yourself. The hemorrhoid-aware lifestyle:

• Prevent constipation with plenty of water and fiber intake.
• Get regular exercise that doesn’t strain your anorectal muscles.
• Don’t strain or spend too much time on the toilet.
• Wear breathable undergarments that don’t irritate your bottom.

Doctor Butler’s Mission Statement


Doctor Butler’s mission is to create anorectal care options that function better than any other available products of its kind. We do so while maintaining affordability and an utmost excellence in quality.

Our expertise comes from the leadership of Dr. Robert Cutler, our founder, product developer, and a world class Proctologist with more than 30 years of experience. Since his founding of Doctor Butler’s in 2005, we’ve provided top of the line, physician-developed products. We continue to innovate anorectal care to this day.

We also recognize the need for personal interactions with our customers and are incredibly proud of the open lines of communication we offer. We aim to help people better understand their conditions and treatment options.

We strive to help individuals recognize if they require further evaluation with a physician due to an advanced, complicated or co-existing disorder. Please get in touch at doctorbutlers.com/contact.

Guaranteed Satisfaction

Doctor Butler’s Hemorrhoid Cream & Fissure Ointment is backed by a full guarantee. We want our product to be the right one for your situation.

We understand the frustration of trying new products only for each to fall short of expectations, especially when you’ve been living with acute discomfort for so long.

Because of the hesitation that comes from past experiences, we gladly offer a full refund if – for any reason – you are not completely satisfied.

It’s Time to Leave the Pain Behind

The bottom line is to have more people resolve their hemorrhoid and anal fissure problems before they become a bigger pain in the rear. For many sufferers, hemorrhoids are an embarrassing problem they’d rather keep on the down-low. Having an effective at-home treatment gives you that much-needed privacy as you heal the problem. Early intervention is key in preventing a more serious medical problem.

When you hold a tube of Doctor Butler’s, the power is in your hands to end hemorrhoid suffering. With consistent ointment applications according to our package instructions along with a proactive self-care regimen, you will finally leave the pain behind!

Join our growing community of satisfied customers and get the best hemorrhoid cream on the market – Doctor Butler’s. Our product is guaranteed to work and is made by a family-owned company dedicated to helping you successfully resolve hemorrhoid flareups and other anorectal disorders such as anal fissures.