Doctor Butler's Advanced Hemorrhoid & Fissure Ointment – Lidocaine Hemorrhoid Treatment and Fissure Treatment Extra Strength Formula, Heals and Provides Fast Pain and Itch Relief* (1.5 oz.)

I purchase this couple times a year. Love this product, love the consistancy, and any amount of ointment helps me tremendously. Numbs the area pretty great. Depending on the severity of the "issue" wears out differently. Worse case for me, lasts 2 hours, best case but still needed lasts me a good 6 hours.

This stuff works great. I guess that's why is so expensive

Better than any over the counter medication It's a little more expensive but if you don't have to continue Buying it constantly.Then you're actually saving money.

And costs 5 times more. I was desperate, so I gave it a shot. Don’t bother.Updated: Vendor contacted me and offered a complete refund. Didn't work for me but may work for you.

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Only slightly better than a "lesser known, over the counter" brand. Did not solve the constant issue with hemorrhoids

One of the other reviews said this has the same active ingredients as Pranicura 5 so I gave it a try. Should have known better. Pranicura has the consistency of cool whip, is very easy to apply, and gives instant relief - Dr Butler's formula is a thick gel that is very difficult to get out of the tube, doesn't spread very well, and doesn't give any relief. Even though Pranicura is $50, it's a way better investment that this stuff.BTW, Pranicura is very expensive and takes a while to work (weeks or months), but at least it helps the situation.

This is an absolutely fantastic product! Having suffered from fissures and internal hemorrhoids, I tried the ones in the supermarkets near me. They all burned like hell and I'm pretty sure they made it worse. Tip for anyone else out there, never buy anything with any kind of alcohol, or anything ending in -ol or non vegetable glycerin. It's also free of all the common irritants that you seem to find in everything nowadays.This is the only product that has worked for me, the lidocaine and hydrocortisone is very effective at relaxing the muscles, and all the naturally sourced oils help to keep the area moisturized, healing and preventing further fissures. My hemorrhoids have also gown down a bit, not completely but enough that I forget I even had them. Since I had them for almost 10 years, I don't expect them to dissappear anytime soon though.Regardless, this is one of the few times the phrase "you get what you pay for" can be said in a positive light. Don't waste your money on cheap stuff, not for your tushie!Do keep in mind though, that it should not be kept in warm places or warmed up prior to use, it will cause the oils to separate, as seen in the photo. After I left it sitting in hot water, the oil separated permanently, so only let your body warm it up as you apply it.(It's also the perfect thing to use when you want to do some, uh, "stretches" 😉).