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Doctor Butler’s Maximum Strength Hemorrhoid Ointment

HSA Approved


Get instant pain relief and targeted healing with Doctor Butler’s Maximum Strength hemorrhoid ointment, designed to quickly soothe itching, burning and swelling with a proctologist developed blend of natural and medicated ingredients.

If fissures are your main concern, try our Advanced Formula instead.

  • Instantly Relieves
  • Jumpstarts Healing
  • Paraben Free
  • Made In the USA

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• The Original Lidocaine Ointment!

No other OTC hemorrhoid ointment was made like ours when we introduced Doctor Butler's in 2005. We're extremely proud of our work improving the standard of care across the industry.

• Prescription-Strength Solution

This powerful medicine contains prescription strength relief in an over the counter ointment, combining medication and herbal extracts in one proctologist developed blend.

• Proctologist Developed

Doctor Butler’s combines potent medicated active ingredients in a proctologist developed formula that’s been proven and refined over 17 years to soothe and heal problematic hemorrhoids.

• Maximum-Strength Pain Relief + Shrinking

Made with maximum strength phenylephrine, a vasoconstrictor that shrinks swollen tissue. We combine that with Lidocaine, a strong topical pain reliever for a doubly effective ointment.

• Anti-Inflammatory

Made with anti-inflammatory properties to reduce swelling and jumpstart hemorrhoidal healing. The faster you tame swelling, the less permanent damage you may do to your skin in the form of skin tags and scars.

• Natural Ingredients

Contains natural anti-inflammatory and antiseptic ingredients, such as Calendula, Horse Chestnut, Aloe, Chamomile and Ginseng for herbal support as the skin and blood vessels recover from a flare up.

• Odorless & Colorless

Doctor Butler’s includes no artificial fragrances, colors, or supplements. The formula itself is made as clean as a medication can be. And, it's Leaping Bunny cruelty free certified, unique among medicated hemorrhoid treatments.

• Ultra Hygienic & Made in America

All production of our ointment is made in an FDA inspected production facility in the United States with rigorous quality control standards to ensure that every ointment you use contains our pure, hygienic formula.

• We Listen to Patient Needs

Before Doctor Butler's, Dr. Cutler prescribed multiple prescriptions for his patients to pick up and compound themselves. He created this ointment as one simple solution for hemorrhoid pain and healing in his patients.

• FDA Approved Ingredients

The active ingredients in Doctor Butler’s hemorrhoid ointments are FDA approved for treatment of anorectal conditions. Each ingredient is carefully selected by Dr. Cutler in a scientifically driven formulation process.

Why We’re Different

Doctor Butler’s Hemorrhoid & Fissure Ointment contains maximum strength Phenylephrine and prescription-strength Lidocaine in a relieving, healing formula. It’s boosted by natural herbs and botanicals making it the most comprehensive hemorrhoid treatment available anywhere.

Why Doctor Butler's hemorrhoid cream is better than other hemorrhoid ointment

Benefits of Doctor Butler’s Hemorrhoid Ointment

• Helps to instantly relieve pain, itching and burning associated with hemorrhoids and anal fissures
• Reduces swelling and discomfort associated with hemorrhoids and anal fissures
• Heals external hemorrhoids over a one-to-two week treatment period and can be used to treat symptoms of internal hemorrhoids
• Resolves symptoms as effectively as a prescription, at an over the counter price
• Made with a colorless and odorless formula

What is Hemorrhoid Ointment?

This medication is used to instantly relieve hemorrhoid pain and heal hemorrhoids and fissures over a two-week treatment period. 

This ointment is made with maximum strength Phenylephrine and 4% Lidocaine to numb pain and stop swelling and bleeding. It is also made with a proprietary blend of herbs, minerals, amino acids and essential oils to better heal skin once swelling goes down and bleeding has been stopped.

If you continue to experience hemorrhoid symptoms after two weeks of using Doctor Butler’s hemorrhoid ointment then we suggest you see a physician to rule out an advanced or complicated condition.

What are Hemorrhoids?

Hemorrhoids are swollen blood vessels in and around your anal cavity. This part of the body is susceptible to this kind of inflammation because of the unique pressure put on it through activities like sitting, straining on the toilet, and pregnancy, among other causes.

The blood vessels and soft tissue that make up the anorectal region are particularly sensitive and are believed to have been useful in passing bowel movements in ancient humans, but are now considered vestigial according to the latest research.

“Hemorrhoids” themselves are actually present in the body all of the time, and are a normal part of human anatomy, but become a problem when swollen and inflamed. When most people refer to hemorrhoids, however, they are referring to symptomatic hemorrhoids.

Does Hemorrhoid Ointment Actually Work?

All medicated hemorrhoid ointments will numb the pain of flare ups temporarily. Common pain relief ingredients for hemorrhoids include Lidocaine, Pramoxine or Hydrocortisone.

But the overall effectiveness of an ointment depends on what else is in it, how the ingredients combine, and the medication delivery system that helps treat and heal hemorrhoid symptoms. 

Doctor Butler’s ointment was specifically developed to deliver medicated relief over an extended period of time with a proprietary formula that increases the breadth and depth of the ointment’s effectiveness.

How to Use Hemorrhoid Ointment

This medication is most effective in treating hemorrhoids by applying to the skin of the anal canal and surrounding external areas. (Do not insert this product fully into the rectum.)

External hemorrhoids are usually a sign of recurring internal hemorrhoids, and often require external hemorrhoids treatment. Thankfully, by using this ointment to treat the pain, itching and burning of external hemorrhoids, you're actually helping to soothe internal hemorrhoid symptoms as well.

A typical treatment period will last between one to two weeks. Aim to use the contents of one 1 oz tube over two weeks by following the directions in the next section, titled Step-by-Step Instructions. If you follow these directions and your symptoms are still present, it’s time to see a doctor.

Step-by-Step Instructions

To use, apply a pea sized amount upon waking up, after your first bowel movement, and before bed each day. Follow these instructions every time:

• Wash and dry your hands before using hemorrhoid cream. It is essential to keep the area affected by hemorrhoids clean and clear of bacteria.
• Once ready to apply the ointment, wash your anal area as you want to avoid introducing more bacteria to the affected area. Use cleansing wipes or a sitz bath/sitz soak. Try to avoid toilet paper as it can be rough on irritated skin. Wash your hands again.
• Attach the applicator head to the hemorrhoid cream, ensuring it is on tight. Squeeze some of the hemorrhoid cream out and rub it on the outside of the applicator tip. 
• Squeeze your hemorrhoid cream tube just enough for roughly a pea-sized amount of hemorrhoidal ointment to come out. Apply externally or to the skin of the anal canal only.
• Remove the applicator gently, and remove it from the tube and wash the applicator and your hands.

For a more detailed guide, visit our Resources page titled How to Apply Hemorrhoid Cream, found in the drop down along the top of this website.

Ingredients in Doctor Butler’s Hemorrhoid Ointment

Active Ingredients

Lidocaine 4%, Phenylephrine Hydrochloride 0.25%.

Inactive Ingredients

Aesculus Hippocastanum (Horse Chestnut) Extract, Aloe Barbadensis Leaf Extract, Ascorbic Acid, Calendula Officinalis Flower Extract, Caprylhydroxamic Acid, Caprylic/Capric Triglyceride, Centella Asiatica Extract, Chamomilla Recutita (Matricaria) Flower Extract, Cholecalciferol, Glycerin, Glyceryl Caprylate, Helianthus Annuus (Sunflower) Seed Oil, Hydrocortisone, Laminaria Digitata (Algae) Extract, Lysine HCL, Mineral Oil, Octyldodecanol, Olea Europaea (Olive) Fruit Oil, Panax Ginseng Root Extract, PEG-8 Dimethicone, Petrolatum, Porphyra Umbilicalis Extract, Propylene Glycol, Punica Granatum Extract, Pyridoxine HCL, Retinyl Palmitate, Silica, Sodium Hyaluronate, Sodium Propoxyhydroxypropyl Thiosulfate Silica, Stearic Acid, Tocopheryl Acetate, Triethoxycaprylylsilane, Water, Zea Mays (Corn) Oil, Zinc Oxide

We Guarantee You’ll be Satisfied 

Doctor Butler’s hemorrhoid medications are well-loved by customers for following through on our promise to help you leave the pain behind. If you try our ointment and it doesn’t work the way you want it to, contact us for a full refund within 30 days of purchase.

If you need a child resistant version of our Maximum Strength Hemorrhoid & Fissure Ointment, please get in touch through our Contact page.

It’s Time to Leave the Pain Behind

Doctor Butler’s makes hemorrhoid treatment simple.  Take control of your hemorrhoids now with our proctologist-developed ointment, expertly formulated for powerful healing and instant relief. Get the best hemorrhoid treatment over the counter now!