Top OTC Hemorrhoid Remedies: Best Treatments Reviewed

May 24, 2026

Skip the prescription — these over-the-counter hemorrhoid remedies deliver real results.

Top OTC Categories

Creams

  • Revivol-XR Advanced Hemorrhoid Cream (5% lidocaine + 0.25% phenylephrine)
  • Preparation H Rapid Relief
  • RectiCare
  • Doctor Butler's

Ointments

  • Preparation H Ointment
  • Anusol Plus Ointment

Suppositories

  • Preparation H Suppositories
  • Anusol HC Suppositories

Wipes & Pads

  • TUCKS Medicated Cooling Pads
  • Preparation H Medicated Wipes
  • Witch Hazel Pads

Sitz Bath Soaks

  • Thena Natural Wellness Organic Sitz Bath
  • Epsom salt
  • DIY recipes

Active Ingredients Quick Guide

  • Lidocaine 5% — fastest pain relief
  • Hydrocortisone 1% — reduces inflammation (max 7 days)
  • Phenylephrine — shrinks swelling
  • Witch hazel — natural astringent
  • Zinc oxide — protective barrier
  • Pramoxine — alternative anesthetic

Matching Remedy to Symptom

Symptom Best Remedy
Pain Lidocaine cream
Itching Hydrocortisone
Swelling Phenylephrine cream
Internal Suppositories
Bleeding Witch hazel + cool compress
Pregnancy Natural/Motherlove

FAQ

Strongest OTC option?

5% lidocaine creams.

How long can I use them?

Up to 7 days. Longer needs doctor input.


For temporary OTC relief, Revivol-XR at hemorrhoid.com.


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