What Is Lidocaine Cream Used For? 5% Lidocaine Uses Explained
May 24, 2026
By Hemorrhoid.com
Lidocaine cream is a topical numbing agent used to relieve pain and itching from a variety of conditions — most notably hemorrhoids and anal fissures. Here's what it does and how to use it.
What Lidocaine Cream Does
Lidocaine is a local anesthetic. When applied topically, it blocks nerve signals in the skin, providing fast pain and itch relief within minutes.
Common Uses
1. Hemorrhoid Pain
Numbs the painful area, especially helpful before bowel movements.
2. Anal Fissures
Provides relief from the sharp pain of fissures.
3. Anal Itching
Effective for relief from pruritus ani.
4. Minor Skin Procedures
Used before injections, waxing, or laser treatments.
5. Insect Bites and Minor Burns
Reduces stinging and pain.
Strengths Available
2% — OTC, general use
4% — OTC, stronger pain relief
5% — Maximum OTC strength (like Revivol-XR)
Prescription — 7-10% for procedures
How to Apply
Clean and dry the area
Apply a thin layer with clean fingertips
Wash hands after
Use up to 4 times daily
How Long It Lasts
Effects start in 5-15 minutes and last 1-3 hours.
Side Effects
Mild burning on application
Skin irritation
Allergic reaction (rare)
When NOT to Use
On broken or infected skin
Children under 12 (without doctor approval)
If pregnant (without OB approval)
If you have a lidocaine allergy
FAQ
Is 5% lidocaine safe?
Yes, for external use up to 4 times daily for short-term use.
Can it numb internal hemorrhoids?
Limited — use suppositories for internal hemorrhoids.
For maximum-strength 5% lidocaine relief, Revivol-XR at hemorrhoid.com.