Senvie Skin Care

Best Hemorrhoid Cream for Hemorrhoids: 2017 & 2018 Reviews & Guides

Posted on 13 November 2017

What Are Hemorrhoid Ointments?

Hemorrhoid ointments are used to treat symptoms of hemorrhoids. They are applied directly to the rectum and can relieve:

  • Burning
  • Itching
  • Irritation
  • Pain
  • Inflammation

Hemorrhoid ointments can be particularly helpful after having a bowel movement.

Many patients use them after bowel movements to reduce inflammation and relieve symptoms that are often exaggerated after bowel movements.

How Do Hemorrhoid Ointments Work?

Hemorrhoid ointments and creams should always be used exactly as prescribed. Always talk to your physician before using any over-the-counter medication.

Most hemorrhoid ointments are used up to four times a day.

Here are directions on how to use a hemorrhoid ointment:

  • Clean your rectum with a moist cloth or wipe before applying ointment.
  • Blot the area dry.
  • Do not place cream or ointment inside the rectum.
  • Use on the area around or just outside the rectum.
  • Wash your hands before and after applying the medication.
  • Hemorrhoid ointments should not be used longer than seven days. If symptoms do not improve after this time, speak with your physician.

There are many ointments available on the market.

Some have been specifically designed to treat certain symptoms, such as itching, pain, or burning.

Many hemorrhoid ointments contain phenylephrine.

Phenylephrine is a decongestant that shrinks blood vessels.

Since hemorrhoids are caused by dilated blood vessels, ointments with phenylephrine are effective in treating hemorrhoids.

Symptoms of pain, itching, and discomfort are generally caused by inflammation and swelling of the blood vessels.

Ointments relieve symptoms by reducing inflammation.

How Common Are Hemorrhoids?

A hemorrhoid is a swollen blood vessel in the wall of the anus. Two out of every three people experience them at least once during their lifetime.

For some they are chronic medical conditions. For others they come and go.

Are Your Hemorrhoids Internal, External and/or Thrombosed?

Some hemorrhoids are internal (in the anus) while others are external (outside the anus).

Also, some hemorrhoids are thrombosed, which means there is a blood clot in the hemorrhoid.

Using a hemorrhoid supplement with a hemorrhoid cream is an excellent way to get long term relief from hemorrhoids.

HemRid Plus is our hemorrhoid supplement that does wonders for hemorrhoids.

hemrid plus hemorrhoid cream

Thrombosed hemorrhoids are usually external hemorrhoids and are considered extremely painful. There are also prolapsed hemorrhoids.

Prolapsed hemorrhoids come out of the anus and are either 2nd degree(retract on their own); 3rd degree(can be pushed back in); or 4th degree(can't be pushed back in).

Do You Have Prolapsed Hemorrhoids?

While hemorrhoids are generally not life threatening, they can be terribly painful, debilitating and prevent you from being able to function normally and enjoy life.

Common hemorrhoid symptoms include, pain, bleeding, swelling, itching and burning.

Currently there are many products which have been designed to help those suffering from hemorrhoids: wipes, supplements and creams.

What Can Cause Hemorrhoids?

Hemorrhoids can be caused by pregnancy, diet, bowel movements, overstraining and more.

Frequently, women will get them during pregnancy or vaginal delivery as a result of the excess pressure on the anus.

What is a Hemorrhoid Cream?

Hemorrhoid creams are designed to provide relief from the hemorrhoid symptoms and some are designed to shrink the hemorrhoid.

Some hemorrhoid creams are designed more towards relieving pain, while others are designed more for shrinking the hemorrhoid.

Let's take a look at the best Hemorrhoid Creams For Hemorrhoids.

Top Hemorrhoid Creams For Hemorrhoids: 2018

1. Preparation H Maximum Strength

prep h maximum strength cream

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See Full Preparation H Review

Preparation H is one of the most trusted brands in the hemorrhoid treatment market, and for good measure.

It has ingredients which are designed to provide you with relief while at the same time improving your condition by shrinking your hemorrhoids.

Preparation H Maximum Strength includes both Pramoxine HCL and Phenylephrine HCL.

This is a hemorrhoid killer combo. The Pramoxine HCL is a local anesthetic which numbs the area and provides you with comfort, while the Phenyephrine HCL shrinks the hemorrhoid with its vasoconstrictor properties.

A vasoconstrictor is a substance which is proven to actually constrict or shrink vessels, like your hemorrhoids.

In addition, Preparation H has petroleum jelly to cover and protect the hemorrhoids from being irritated.

So, the preparation H cream ingredients really serve three purposes, anesthetic pain reliever, protectant and hemorrhoid shrinker.

>Preparation H hemorrhoid ointment relieves symptoms of both internal and external hemorrhoids. It works by temporarily shrinking the hemorrhoid tissue. This provides fast, soothing relief for painful burning, itching, and discomfort caused by hemorrhoids. The benefits of Preparation H ointment include:

  • Temporary reduction of swelling in hemorrhoidal tissue
  • Immediate results to protect against further irritation
  • Relief of external and internal discomfort
  • Soothing protection
  • Long lasting relief

Preparation H is marketed as the #1 doctor recommended brand. It is among the leading over-the-counter brands for hemorrhoid symptoms relief. Preparation H offers this product in two sizes. It comes in one and two-ounce sizes.

The active ingredients in Preparation H ointment are:

  • 14% mineral oil which works as a protectant. Mineral oil is helpful for internal hemorrhoids. Its skin protectant properties help ease bowel movements and reduce pain through lubrication. It can also help relieve itching, swelling, and discomfort around the anus.
  • 74.9% petrolatum which also works as a protectant. This provides a coating for relief of anorectal discomfort. It can also protect the inflamed and irritated anal surface that can be further irritated with bowel movements. Petrolatum helps make bowel movements less painful.
  • 0.25% phenylephrine is a vasoconstrictor. It reduces swelling in veins to reduce the symptoms of hemorrhoids. Vasoconstrictors work by reducing the dilation of hemorrhoidal tissue veins. This helps relieve itching, burning, irritation, pain, and other discomforts.
  • Some Preparation H ointments add the ingredient lidocaine. The anesthetic properties of lidocaine numb the area to provide pain relief.

The inactive ingredients in Preparation H hemorrhoid ointment include:

  • Benzoic acid
  • Butylated hydroxyanisole
  • Corn oil
  • Glycerin
  • Lanolin
  • Lanolin alcohols
  • Methylparaben
  • Paraffin
  • Propylparaben
  • Purified water
  • Thymus vulgaris flower/leaf oil
  • Tocopherols excipient
  • White wax

The ingredients in Preparation H Hemorrhoid Ointment are safe for topical use.

Patients who have been diagnosed with the following diseases should consult a doctor before use:

  • Heart disease
  • High blood pressure
  • Thyroid disease
  • Diabetes
  • Difficulty with urination due to an enlarged prostate gland

The product ranks among Amazon best sellers are #83 for pain relieving medications and treatment for hemorrhoid care.

It is easy to use and does not provide discomfort during application. The product may be applied up to four times a day. It can be particularly useful following bowel movements.

Preparation H products are trusted for their effectiveness and long-lasting effects. Preparation H hemorrhoid ointment provides lasting relief from pain, itching, and dryness.

It is a great option for hemorrhoid treatment, and the only draw backs are for patients who have the above mentioned medical conditions that may not be able to use this product.

2. Nikzon Hemorrhoid Cream

nikzon hemorrhoid cream

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See Full Nikzon Review

Nikzon hemorrhoid cream has been around for a long time and is a multi-nationally recognized hemorrhoid brand which has also helped thousands of hemorrhoid sufferers get relief.

Like Preparation H, Nikzon has both Pramoxine HCL and Phenylephrine HCL. These two ingredients take care of your pain while actually shrinking your hemorrhoids.

This ingredient combination places Nikzon at the top of the list with Preparation H Maximum Strength. Whether you have internal or external hemorrhoids, Nikzon is a great choice.

Nikzon hemorrhoid ointment works to provide pain, itching, and inflammation relief using vasoconstrictor and anesthetic ingredients. The double effect of anesthetic and vasoconstrictor has been effective for treating hemorrhoids. The anesthetic properties help ease bowel movements.

The full active ingredients of Nikzon include Phenylephrine HCl 0.25% and Pramoxine HCl 1%.

The inactive ingredients of Nikzon include:

  • Aloe barbadensis leaf extract
  • Butylated hydroxytoluene
  • Cetostearyl alcohol
  • Cetyl esters
  • Cetyl palmitate
  • Distilled water
  • Glycerin
  • Glycerol monostearate
  • Isopropyl myristate
  • Lanolin
  • Methylparaben
  • Mineral oil
  • Polysorbate 60
  • Propylene glycol
  • Propylparaben
  • Sodium citrate hydrate
  • Stearic acid
  • Tocopherol acetate
  • White petrolatum

While the unique combination of ingredients combine relief for multiple symptoms, one of the major downfalls of this product is that it is not readily available.

It can be found online, so if you don’t mind ordering off the internet, it is effective in treating the symptoms of hemorrhoids.

3. Tronolane Hemorrhoid Cream


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See Tronolane Review

This is another high rated ointment for hemorrhoid treatment. It provides relief through dual action anesthetic and astringent properties.

The product steps ahead of the competition through its combination of pramoxine hydrochloride and zinc oxide which provides faster relief.

The anesthetic action helps numb pain.

It also helps reduce inflammation and prevent irritation.

The product contains 5% zinc oxide and 1% pramoxine hydrochloride as its active ingredients.

The inactive ingredients of Tronolane include:

  • Beeswax
  • Cetyl alcohol
  • Cetyl esthers wax
  • Glycerin
  • Methylparaben
  • Propylparaben
  • Sodium lauryl sulfate
  • USP water

The dual action formula of Tronolane hemorrhoid ointment increase its effectiveness as a quality medication for hemorrhoid relief.

One reported downfall of the product is that is can initially cause a slight burning sensation for some patients.

Tronolane Summary

Tronolane is next favorite Hemorrhoid Cream of 2018. Just like Preparation H, Tronolane has a dual action formula. Tronolane contains the anesthetic, Pramoxine HCL and Zinc Oxide.

The Pramoxine HCL is a wonderful pain reliever while the Zinc Oxide is fantastic at reducing irritation and providing a protective layer over your hemorrhoid.

Tronolane is also a trusted hemorrhoid brand which is sold by all the major stores, including Walmart, Walgreens and Amazon.

This OTC medicine is one of the best there is.

4. Anusol Plus

anusol plus hc oitnment

Buy Anusol on Amazon

Anusol is another heavy hitter in the hemorrhoid department with its main ingredient, Zinc Sulfate Monohydrate.

This ingredient which is heavily used in diaper rash products has proven effective for reducing skin irritation and providing relief from itching and burning.

As a protectant, the zinc will also provide a protective layer over the hemorrhoid. For those with irritated, itching hemorrhoids, Anusol is a great answer and one of the Best for Hemorrhoids in 2018.

5. Emuaid

emuaid hemorrhoid cream

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See Full Emuaid Review

Emuaid contains HPUS Argentum Metallicum (Pure Colloidal Silver). Collodial Silver has been used for centuries to help heal wounds.

It has antiseptic properties and is generally well regarded for the treatment of hemorrhoids. Emuaid is likely the most popular homeopathic hemorrhoid cream on the market.

While it runs a little on the expensive side compared to Preparation H and the others, customers report that it does wonders for their hemorrhoids.

If you want to go the homeopathic route, then Emuaid is the perfect choice and a proven winner.

6. Dr. Butlers Hemorrhoid and Fissure Ointment

dr butlers

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See Full Dr. Butler Review

Dr. Butlers hemorrhoid and fissure ointment is another inventive pain relieving formula.

For pain relieving, they incorporate lidocaine which is a powerful numbing cream.

Lidocaine is a topical analgesic with excellent pain receptor blocking abilities to get you out of pain quickly.

The only potential downside to lidocaine is that it is considered to be a vasodilator.

A vasodilator is a substance or compound which dilates the blood vessel.

Usually, hemorrhoid creams and ointments are packed with vasoconstrictors and astringents which shrink or constrict making the hemorrhoid smaller.

However, in this instance the pain relieving properties outweigh the vasodilator properties.

Dr. Butlers also contains Phenylephrine HCL, which is a known vasoconstrictor used to shrink the hemorrhoid.

Add to these powerful ingredients natural herbs and amino acids and you have one great hemorrhoid and fissure treatment.

Does Dr. Butler's Really Work?

Dr. Butler’s hemorrhoid and fissure ointment has been trusted by thousands of patients to relieve the symptoms of hemorrhoids.

As an Amazon Choice product, it ranks #4 for pain-relieving medication and treatment for hemorrhoid care.

The product was developed by a board-certified Proctologist who combined the most powerful topical pain reliever available.

Dr. Butler’s hemorrhoid ointment adds powerful healing herbs, minerals, and amino acids to provide sustained healing effects.

The FDA approved product provides the following benefits:

  • Pain relief
  • Relief from itching and burning
  • Protection from further irritants
  • Soothing relief for irritation
  • Reduces swelling
  • Stops bleeding
  • Provides sustained healing

The product is backed by a money back guarantee.

Its unique blend of ingredients sets it apart from other products. Active ingredients include:

  • Lidocaine USP 4%
  • Analgesic pain relief
  • Phenylephrine HCl 0.25%

Inactive ingredients include:

  • Algae extract
  • Aloe vera oil
  • Ascorbic acid
  • Calendula oil
  • Cholecalciferol
  • Ginseng extract
  • Gotu kola extract
  • Horse chestnut extract
  • Hyaluronic acid
  • Hydrocortisone USP
  • Lysine HCl
  • Methyparaben
  • Mineral oil
  • Octyldodecanol
  • PEG-8 dimethicone
  • Petrolatum
  • Pomegranate extract
  • Propylene glycol
  • Propylparaben
  • Pyridoxine HCl
  • Retinyl Palmitate
  • Silica
  • Sodium propoxyhydroxypropyl thiosulfate silica
  • Stearic acid
  • Tocopheryl acetate
  • Zea mays oil
  • Zinc oxide

The product is backed by tens of thousands of satisfied customers.

The only downfall of the product is that it does not provide any relief for dryness because it lacks an ingredient that addresses this issue.

This issue aside, the product offers a unique blend that combines many healing properties for multiple hemorrhoid symptoms. It is a top seller for hemorrhoid care.

7. RectiCare


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See Full Recticare Review

Recticare is a trusted product that uses high quality active ingredients to effective treat the bothersome symptoms of hemorrhoids.

This medication is available by prescription. It is popularly prescribed to relieve soreness from hemorrhoid symptoms.

It works for both internal and external hemorrhoids.

Recticare contains 5% lidocaine, which is prescription strength anesthetic that helps numb pain and provide instant relief for hemorrhoid symptoms.

The higher concentration of lidocaine makes this product more effective than many other ointments because of its fast relief.

The product also has anti-itch properties to soothe hemorrhoid symptoms.

The active ingredient in Recticare is 5% lidocaine.

The inactive ingredients of Recticare include:

  • Benzyl alcohol
  • Carbomer 940
  • Cholesterol
  • Hydrogenated lecithin
  • Isopropyl myristate
  • Polysorbate 80
  • Propylene glycol
  • Purified water
  • Trolamine
  • Vitamin E acetate

The product is effective in treating the symptoms of hemorrhoids because of its high concentration of lidocaine.

Recticare Review Summary

RectiCare is similar to Dr. Butlers in that RectiCare also is a lidocaine pain relieving cream with Phenylephrine HCL.

The main difference is that Dr. Butlers has organic herbs, while RectiCare adds Mineral Oil and White Petrolatum as active ingredients.

Mineral Oil and White Petrolatum are categorized as protectants which are used to soothe and protect the skin, reducing irritation and inflammation.

Research shows that Mineral Oil locks in moisture and that surface lipid levels increase when it is used on the skin regularly.

In other words, it is great at providing a protective barrier over the skin to prevent it from drying out.

8. NuperCainal Hemorrhoid Ointment

nupercainal hemorrhoid ointment

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This is an innovative pain relieving hemorrhoid treatment which, instead of lidocaine includes Dibucain.

NuperCainal also includes Mineral Oil and White Petrolatum to soothe and protect.

DibuCaine is similar to the lidocaine products because it also has numbing effect, although Dibucaine's numbing effect should last longer than lidocaine.

In fact, NuperCainal claims to give you a full eight hours of relief.

The only problem with NuperCainal is that it does not have a vasoconstrictor to shrink the hemorrhoids.

These vasoconstrictors and astringents (tissue shrinking substances) are what makes products like Preparation H cream, Tucks pads and HemRid hemorrhoid supplement work so well.

NuperCainal is a straight numbing cream. For those in terrible pain that are looking for long lasting pain relief, NuperCainal may do the trick.

Does Nupercainal Really Work?

This product is reported to provide eight hours of complete relief from hemorrhoid discomfort.

The active ingredient is dibucaine 1%.

The Nupercainal inactive ingredients are:

  • Acetone sodium bisulfite
  • Lanolin
  • Light mineral oil
  • Purified water
  • White petrolatum

The benefits of this product are in its ability to treat symptoms.

Not only does it provide numbing relief, it also provides skin protectant for easier bowel movements, and soothing relief.

The major downfall of the product is that it does not treat swelling or inflammation.

And, because many patients experience allergic reactions, it’s recommended to patch test before use.

9. Mayinglong Musk Hemorrhoids Ointment

mayinglong musk

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See Full Mayinglong Musk Review

Mayinglong Musk is the top selling hemorrhoid ointment in China and it has started gaining some popularity in the USA.

This all natural concoction of Chinese herbs, including pearl, Borneal and Bezoar. Don't judge too quickly, this Chinese medicine is one the top selling hemorrhoid treatment in the world and it has one of the highest rated products for hemorrhoids on Amazon.

Best of all, its relatively inexpensive at around $5 per tube.

Mayinglong Musk hemorrhoid ointment was invented by the Ma Ying Long family using a mix of traditional Chinese herbs to treat hemorrhoid symptoms.

The product is one of the most trusted medications for hemorrhoid treatment in China.

It works by clearing heat and toxic materials through traditional Chinese medicine. It also promotes skin regeneration.

The ointment is effective in treating itching, burning, and discomfort caused by hemorrhoids.

The combination of ingredients provides a protecting coating over the inflamed area to shrink hemorrhoid tissue and heal the affected area.

It provides long-lasting relief and has a cooling effect on hemorrhoids.

One of the benefits of this product is that it is herbal. It is free of chemicals, artificial ingredients and toxic materials. Active ingredients include:

  • Moschus
  • Bovis calculus
  • Margarita (hyriopsis cuming II)
  • Borneolum syntheticum
  • Calamina
  • Borax
  • Succinum

Inactive ingredients are lanolin, petrolatum, and dimethyl sulfoxide.

The product is effective in relieving local itching and discomfort, protecting hemorrhoidal tissue, and making bowel movements less painful.

It should be noted, however, that the product is not as effective in treating pain from hemorrhoids as many other hemorrhoid ointments.

10. Americaine Hemorrhoidal Ointment

americiaine hemorhoid ointment

Buy Americaine on Amazon


Americaine is another pain relief ointment specifically designed for hemorrhoids. With a 20% BenzoCaine formula this hemorrhoid treatment is sure to give you relief.

Benzocaine is a topical anesthetic that produces a substantial numbing effect. For those with painful thrombosed hemorrhoids, Americaine is a great asset.

Tips For Hemorrhoid Suffers

Regardless which hemorrhoid cream you use, make sure you are eating your veggies and drinking lots of water.

Also, try not to spend too much time on the toilet, but do not rush either.

When you have some downtime, take a sitz bath to help with your symptoms. Don't forget to pair your hemorrhoid cream with a hemorrhoid supplement and wipe as well.

11. Avenoc Hemorrhoid Ointment

avenoc hemorrhoid ointment

See Full Avenoc Ointment Review

Avenoc hemorrhoid ointment provides temporary relief from the minor symptoms of hemorrhoids. 

  • Discomfort
  • Itching
  • Burning
  • Swelling

One of the benefits of Avenoc is that it was created by Boiron. The company has been trusted since 1932 for homeopathic hemorrhoid treatment.

The homeopathic option is a major benefit for some patients who look for a more natural way of treating the symptoms of hemorrhoids.

The active ingredients of Avenoc ointment include:

  • Aesculus hippocastanum 1X HPUS 1.3% which works by relieving stinging pain associated with external hemorrhoids
  • Collinsonia Canadensis 1X HPUS 1.3% which relieves painful hemorrhoids associated with constipation
  • Hamamelis virginiana 1X HPUS 1.3% which relieves bleeding hemorrhoids

It also contains the inactive ingredients of alcohol and white petrolatum USP-NF

While the product is effective in treating the bothersome symptoms of hemorrhoids, the relief has not been reported to last long.

If you are looking for a homeopathic treatment, this is the most effective option on the market.

If you are looking for the most effective overall treatment, there are many ointments that provide longer relief.


Hemorrhoids can be a real problem. If not taken care of the right way, they can become chronic and debilitating and even lead to surgery.

Fortunately, with some of the best hemorrhoid creams on the market your symptoms can be relieved and the hemorrhoids can be made smaller.

Take the first step towards relief and get yourself a hemorrhoid cream.

But don't stop there, take a look at our Top Hemorrhoid Supplement and Best Wipes to go with your cream.

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