Straight answers about symptoms and causes, plus maximum-strength OTC relief from Revivol-XR®.

Match the product to what you're actually dealing with.
Pain and swelling together
Lidocaine plus a vasoconstrictor plus skin protectants. The full-strength option, and it covers fissures too.
$26.99 View product →
Pain and itching only
Same maximum-strength lidocaine without the vasoconstrictor. For when the pain is the problem and swelling isn't.
$14.95 View product →
Cleaning and daily care
Gentle witch hazel cleansing between applications, so wiping doesn't undo the relief.
$15.99 View product →
Soaking relief
A concentrated soak for the end of the day, or when applying a cream is uncomfortable.
$21.99 View product →

The full routine
Cream + sitz soak + cleansing lotion, shipped together in one plain box.
$59.95Sorry, we had trouble adding the kit to your cart. Please try again.
Find the right treatment of hemorrhoids and fissures with this clear guide to home care, OTC options, proce...
Read the guide →
Find the best hemorrhoid medicine with our OTC guide comparing creams, sprays, and suppositories by ingredi...
Read the guide →
Learn what to put in a sitz bath for hemorrhoids with safe, expert-backed tips on water temperature, additi...
Read the guide →Answer a few questions and get pointed to the right guide and the right kind of relief.
Check your symptoms →Still unsure? Our Learn section covers hemorrhoid symptoms, causes, and when it's time to see a doctor.
Read the guides →The Revivol-XR® Relief Kit is three over-the-counter hemorrhoid relief products bought together: Advanced Hemorrhoid Cream (5% lidocaine + phenylephrine), the 20-in-1 Sitz Bath Soak Mix, and the Hygienic Cleansing Lotion. Adding the kit puts all three in your cart, the kit price is applied automatically, and they ship together in one plain box.
5% lidocaine is the maximum strength allowed in over-the-counter hemorrhoid creams in the United States. Revivol-XR® Advanced Hemorrhoid Cream uses that full 5% and adds phenylephrine, a vasoconstrictor that helps temporarily reduce swelling, so it is the strongest formula in the Revivol-XR® line.
Lidocaine typically begins numbing within a few minutes of application, which is why the cream is the first step of the routine during a flare-up. Individual results vary, and relief is temporary, so reapply as directed on the label.
Dissolve one scoop of Sitz Bath Soak Mix in a few inches of warm (not hot) water in a sitz bath basin or clean tub, then sit for 10 to 15 minutes. Most people soak once or twice a day during a flare-up, and after bowel movements, to calm irritated tissue and keep the area clean.
Follow the directions on the label. Revivol-XR® creams are OTC monograph products meant for temporary relief. If symptoms do not improve within 7 days, get worse, or you notice bleeding, stop use and talk to a doctor.
No prescription is needed. Every Revivol-XR® product is available over the counter and ships free within the continental USA in plain packaging with no product description on the outside.