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Lidocaine Cream 5% Review - Does Lidocaine Anorectal Cream 5% Really Work?

Posted on 26 February 2018 by

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Lidocaine Cream 5% sold by Nivagen Pharmaceuticals Inc. is a topical anesthetic used to provide temporary hemorrhoid relief for pain and itching due to anorectal issues.

Nivagen is a pharmaceutical company dedicated to the development, acquisition, and sales of generic prescription drugs and over the counter products.

Nivagen partners with global pharmaceutical companies to provide valuable products that are affordable.

They use manufacturing facilities that have the best FDA approvals and are located all over the world.

The Lidocaine Cream 5% is an over-the-counter product that can be used in the treatment of hemorrhoids.

If you have prolapsed hemorrhoids, we suggest you see a doctor prior to using the anorectal lidocaine cream.

Lidocaine Cream 5% Benefits

Lidocaine Cream 5% works to ease hemorrhoid itching, pain, soreness, dryness, and bothersome symptoms of hemorrhoids.

The active ingredient of lidocaine works as a topical anesthetic to numb the area. It specifically works by preventing the nerves from transmitting painful signals to the brain.

It also has anti-inflammatory properties that helps calm irritation and reduce bothersome discomfort.

The main ingredient of this cream, Lidocaine, has the following benefits:

  • It numbs the place of application to provide fast pain relief
  • It contains just enough local anesthetic to treat the problem area without adding risks
  • It is powerful as a topical treatment
  • It works against many different symptoms of hemorrhoids including itching, burning, prickling pain, and painful bowel movements
  • It has a long-lasting effect that promotes faster healing

Lidocaine Cream 5% Reviews

Although this product is not as popular in reviews as Preparation H products, it still carries a four-star review from Amazon customers.

It also carries the ‘Amazon Choice’ label for Lidocaine 5%.

This means that it is a common and reasonably priced product that is highly-rated amongst consumers and offers free shipping through Amazon Prime.

Amazon Best Seller Reviews rank it as #19,026 in health and household products. It is ranked #41 in medications and treatments providing pain relief for hemorrhoid care.

One reason is may rank so low amongst popular hemorrhoid care products is because it only contains one active ingredient to fight against the symptoms of hemorrhoids.

Many hemorrhoid creams and ointments combine two active ingredients to combat a variety of symptoms of hemorrhoids and work towards faster healing times.

Lidocaine will address the symptoms of hemorrhoids, but it will not eliminate your hemorrhoid causes.

Does Lidocaine Cream 5% Really Work?

Thirty-one Amazon customers came forward to give the product an online review. 52% of reviewers marked the product as a five-star product, 29% marked it as a four-star product, and 6% marked it as a one-star product.

Although the product has a customer rating like some of the branded products like Preparation H or Dr. Cole’s, there are far less consumers coming forward to rate the product.

For example, Preparation H Rapid Relief with Lidocaine has over two-hundred reviewers, while Lidocaine Cream 5% has only thirty-one.


There were only six reviews that marked the product as three-stars or lower. These reviews referred to the product as being not as effective as other name brands, watered down, and having a strange consistency.

They also referenced the packaging and having problems with the opening and closing of the cap. Even some positive reviews mentioned that the packaging and design needed work.

In fact, almost every review on Amazon had some complaint about the makeup of the cap to open and close the product.

There are many other OTC hemorrhoid medicines that work great for hemorrhoids.

Positive reviews of the product mentioned the following:

  • Timely shipping
  • Lower costs than most creams that offer the same relief
  • Good product
  • Great concentration of Lidocaine compared to other over-the-counter products
  • Works to numb the skin within seconds
  • Quick relief

Money Back Guarantees

Like many other products made for hemorrhoids, there are no money back guarantees for the Lidocaine Cream 5%.

This is likely because the products have different results for different patients based on the severity and type of hemorrhoid they are battling.


The Lidocaine Cream 5% is for external use only. Its main active ingredient is Lidocaine 5%.

We wish it had Witch Hazel for hemorrhoids. Witch hazel is an outstanding ingredient used in many hemorrhoid medicines.

HemRid Plus is an excellent hemorrhoid supplement that uses Witch Hazel.

Since this product does not have Witch or a Vasoconstrictor, it will not make your hemorrhoids go away.

The Lidocaine Cream 5% works to numb the area of application, providing relief for anorectal issues such as hemorrhoids, and its inactive ingredients include:

  • Benzyl Alcohol
  • Carbomer hompolymer kind C
  • C10-18 triglycerides
  • Ldl cholesterol
  • Lecithin
  • Isopropyl myristate
  • Polysorbate 80
  • Propylene glycol
  • Tocopherol
  • Trolamine
  • Water

Directions for Use

The product should be applied topically. It is for external use only. When using this product, patients should be sure to avoid contact with eyes.

It is not recommended to exceed the dosage listed on the instructions unless directed by a doctor.

If rectal bleeding occurs or symptoms do not improve in seven days, patients should stop use immediately and contract their healthcare provider.

Directions for use of Lidocaine 5% are as follows:

  • Clean the affected area with mild soap and warm water. Pat dry.
  • Use the prescribed amount of cream and apply to the anal area with applicator or a clean finger.
  • Check label or speak to your healthcare provider for exact dosage.
  • Repeat as necessary and as directed by instructions or doctor advice.

This medication should also be kept out of reach of children. In addition, if you are pregnant with hemorrhoids, you will want to speak with your doctor prior to using the lidocaine cream.

Warning: Do not use this hemorrhoid ointment on a hemorrhoid burst.

Where Can I Purchase Lidocaine Cream 5%?

Nivagen Pharmaceuticals has used their sales team to launch products in the US market. They currently have 160 national points of distribution.

The Lidocaine Cream 5% can be found in many chain drug stores, regional wholesales, mass merchandisers, hospitals, mail order pharmacies, and online at Amazon.

Pro Tip: Use a hemorrhoid wipe and hemorrhoid suppository with a proven hemorrhoid cream for maximum relief from hemorrhoids.

Overall Product Review

Overall, the Lidocaine Cream 5% is okay. It is very reasonably priced, which is a common selling point.

The concentration of lidocaine is affecting and helps to alleviate painful symptoms of hemorrhoids fast. For this reason, it is good to help with the symptoms of pain and itching.

Lidocaine cream is better for external hemorrhoids than internal hemorrhoids.

There have been many complaints about the product packaging, and the product is not as readily available as many other hemorrhoid creams.

One of its downfalls is that it only has one active ingredient to fight against hemorrhoid symptoms.

Since most hemorrhoid creams or ointments combine active ingredients, it is not the most effective cream on the market.

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