Hemorrhoid Care

Hemorrhoid Cream: External Pain Formula


Doctor Butler’s Pain 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
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    • 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 or an anal fissure issue. This pressure causes the hemorrhoid veins to swell.

    The main symptoms of hemorrhoids are:

    Pain, and swelling
    Itching or burning

    While this condition can be debilitating and agonizing, it’s rarely serious and can usually be treated with some lifestyle changes and over the counter remedies. This 5% Lidocaine cream will instantly soothe the worst hemorrhoid symptoms.

    Do Hemorrhoid Creams Really Work?

    Hemorrhoid creams have had a place on retail shelves for decades. Over the counter hemorrhoids products are a multi-million dollar industry as people look for discreet solutions to a very private problem.

    A quality hemorrhoid cream promotes healing by:

    Reducing inflammation
    Alleviating pain
    Relieving itchiness
    Stopping the bleeding
    Protecting the skin and promoting hygiene

    While we can’t speak for how well the other brands work for everyone, we can in fact tell you that all other OTC hemorrhoid treatments have one thing in common…none have been proven to work better, stronger or more effectively than Doctor Butler’s.

    Amazon customers speak for us, with rave reviews of our hemorrhoid and fissure ointment. Resolving hemorrhoid issues is also helped by making lifestyle adjustments. 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.

    Why Our Cream Provides the Best Hemorrhoid Treatment

    Package contents of Doctor Butler's Hemorrhoid Cream


    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 External 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.

    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 extended absorption and also disperses the medication over a larger area.

    For these reasons and more, we’re extremely proud to make our Pain Formula available to you today.

    Developed by a Board Certified Proctologist

    Dr. Robert Cutler is a doctor turned inventor. After seeing so many patients who end up needing advanced procedures, he realized that a lot of suffering could be avoided through effective hemorrhoid medicine.

    Over the years, he’s discovered what remedies work best to resolve common hemorrhoid issues. Making this potent combination of therapeutic ingredients available to the world is his strategy to keep hemorrhoids from getting worse. But it doesn’t stop there. Doctor Butler’s catalog continues to expand by adding on other products intended to heal and reduce the discomfort for hemorrhoid-prone people.

    Soothes Irritation and Provides Pain Relief

    With Doctor Butler’s hemorrhoid and fissure ointment, you can “leave the pain behind.” Aside from being somewhat embarrassing, the most annoying thing about hemorrhoids and fissures is the pain and discomfort it causes. We turned up the volume on hemorrhoid pain relief to turn down the agony of hemorrhoids.

    Aside from our hemorrhoid cream being the most powerful pain relief you can get (prescription or not), it also has a vasoconstrictor agent that shrinks swollen tissue and helps to stop the bleeding.

    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, that is 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 that has made great strides in developing drugs in the lab, but it remains that nature still has many remedies to offer.

    Powerful man-made medicine comes together with the best of nature to offer in the best hemorrhoid treatment over the counter. Our “bio-enhanced” formula 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.

    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.

    Doctor Butler’s Mission Statement

    Package contents of Doctor Butler's Hemorrhoid Cream

    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.