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Last updated: May 2026
When comparing hemorrhoid creams, most shoppers look at the brand name first. Preparation H is one of the most recognized names in the hemorrhoid category. But brand recognition is not the only thing that matters.
If you are comparing Preparation H Rapid Relief with Lidocaine Cream to Revivol-XR Advanced Hemorrhoid Cream, there are several important differences to consider, including tube size, value, active ingredients, inactive ingredients, and where the product is made.
The biggest practical difference is simple: Revivol-XR comes in a larger 1.5 oz tube, while Preparation H Rapid Relief with Lidocaine Cream is commonly sold in a 1 oz tube.
That means Revivol-XR gives you 50% more cream per tube compared with a 1 oz tube.
| Feature | Preparation H Rapid Relief with Lidocaine Cream | Revivol-XR Advanced Hemorrhoid Cream |
|---|---|---|
| Tube size | 1 oz tube | 1.5 oz tube |
| Amount of cream | Standard 1 oz size | 50% more cream than a 1 oz tube |
| Lidocaine strength | 5% lidocaine | 5% lidocaine |
| Shrinking ingredient | Phenylephrine HCl 0.25% | Phenylephrine HCl 0.25% |
| Skin protectants | Glycerin 14.4%, white petrolatum 15% | Glycerin 14.4%, petrolatum 15% |
| Botanical support ingredients | Includes aloe, mineral oil, dexpanthenol, vitamin E acetate, and other inactive ingredients | Includes aloe, witch hazel, horse chestnut, calendula, centella asiatica, panthenol, vitamin E, and other inactive ingredients |
| Made in USA | Not positioned as a Made in USA small-business product | Made in the USA |
| Company type | Owned by Haleon, a large global consumer healthcare company | Sold by Revivol-XR, a small American-owned business |
| Best fit | People who want a familiar national brand | People who want comparable active ingredients, a larger tube, Made in USA manufacturing, and a strong value alternative |
One of the easiest differences to miss is also one of the most important: tube size.
Preparation H Rapid Relief with Lidocaine Cream is commonly sold in a 1 oz tube. Revivol-XR Advanced Hemorrhoid Cream comes in a 1.5 oz tube.
That extra half ounce matters. A 1.5 oz tube gives you 50% more cream than a 1 oz tube.
For someone dealing with occasional hemorrhoid discomfort, that may mean fewer reorders. For someone who deals with recurring flare-ups, that larger tube can make a meaningful difference in convenience and value.
When comparing hemorrhoid creams, many shoppers look only at the sticker price. That can be misleading.
A smaller tube may look cheaper at first, but the real question is:
When you compare Revivol-XR to Preparation H Rapid Relief, the active ingredient profile is very similar, but Revivol-XR gives you a larger tube.
That makes Revivol-XR a strong value-focused alternative for shoppers who want more cream per purchase without giving up key OTC active ingredients.
Both Preparation H Rapid Relief with Lidocaine Cream and Revivol-XR are designed for temporary hemorrhoid symptom relief. Both use a similar active ingredient approach.
Lidocaine 5% helps temporarily numb pain, burning, itching, soreness, and discomfort.
Phenylephrine HCl 0.25% helps temporarily shrink swollen hemorrhoidal tissue.
Glycerin and petrolatum help protect irritated anorectal skin by forming a soothing protective coating.
So if you are asking, “Does Revivol-XR have the same type of active ingredient support as Preparation H Rapid Relief?” the answer is yes. Both products use 5% lidocaine, phenylephrine, and skin protectants.
The active ingredients are similar, but the inactive ingredient blends are different.
Preparation H Rapid Relief includes inactive ingredients such as aloe, mineral oil, dexpanthenol, vitamin E acetate, and other formulation ingredients.
Revivol-XR includes aloe, witch hazel, horse chestnut, calendula, centella asiatica, panthenol, vitamin E, mineral oil, and other skin-supporting ingredients.
Inactive ingredients are not the same as active drug ingredients, and they should not be treated as cure-all ingredients. But they can affect the overall product experience, texture, feel, and skin-supporting profile.
For shoppers who want a hemorrhoid cream with both OTC active ingredients and a broader botanical support blend, Revivol-XR offers a compelling option.
Another important difference is the company behind the product.
Preparation H is owned by Haleon, a large global consumer healthcare company. It is a well-known brand with broad retail distribution and decades of name recognition.
Revivol-XR is different. Revivol-XR is Made in the USA and sold by a small American-owned business.
For some shoppers, that matters. They want to support smaller American businesses, especially when the active ingredients are comparable and the product offers more cream per tube.
Big brands have recognition. Small brands have to earn trust through product quality, customer service, clear labeling, and real value. Revivol-XR was built to be a serious alternative for shoppers who do not want to automatically default to the biggest name on the shelf.
There is no public head-to-head clinical study showing that Revivol-XR works faster than Preparation H Rapid Relief, or that Preparation H works faster than Revivol-XR.
Because both products contain 5% lidocaine, both are designed to provide temporary numbing relief. Individual results can vary based on symptom severity, skin sensitivity, application amount, and the cause of discomfort.
The better question may not be “Which one works faster?” The better question may be:
If you are only comparing name recognition, Preparation H has the advantage. It is a household name.
But if you are comparing amount of cream, active ingredients, and value, Revivol-XR deserves a closer look.
Revivol-XR comes in a 1.5 oz tube, giving you 50% more cream than a standard 1 oz tube. It also contains the same key active ingredient types: 5% lidocaine, phenylephrine HCl 0.25%, and skin protectants.
That combination makes Revivol-XR a strong value alternative to Preparation H Rapid Relief with Lidocaine Cream.
Hemorrhoid creams are intended for temporary symptom relief. They are not a substitute for medical diagnosis or treatment of serious conditions.
Stop use and ask a doctor if symptoms worsen, do not improve within 7 days, or if bleeding occurs. Rectal bleeding should not be assumed to be hemorrhoids without proper medical evaluation.
Ask a healthcare professional before use if you are pregnant or breastfeeding, have heart disease, high blood pressure, thyroid disease, diabetes, difficulty urinating due to an enlarged prostate, or take prescription medication for high blood pressure or depression.
Always follow the Drug Facts label on the exact product you purchase.
A hemorrhoid cream can help with temporary discomfort, but long-term improvement often requires addressing the habits that contribute to flare-ups.
Simple steps may help:
Choose Preparation H Rapid Relief with Lidocaine Cream if you want a familiar national brand from a large global consumer healthcare company.
Choose Revivol-XR Advanced Hemorrhoid Cream if you want comparable key OTC active ingredients, a larger 1.5 oz tube, 50% more cream than a 1 oz tube, Made in USA manufacturing, a broader botanical support blend, and the opportunity to support a small American-owned business.
The key takeaway: Revivol-XR gives shoppers more cream per tube while still offering the active ingredient profile people look for in a serious hemorrhoid cream.
Preparation H has the big-name advantage. Revivol-XR has the value, size, Made in USA, and small-business advantage.
Yes. Revivol-XR comes in a 1.5 oz tube, while Preparation H Rapid Relief with Lidocaine Cream is commonly sold in a 1 oz tube. That means Revivol-XR provides 50% more cream per tube compared with a 1 oz tube.
Yes. Both Preparation H Rapid Relief with Lidocaine Cream and Revivol-XR contain 5% lidocaine for temporary numbing relief.
Yes. Both products contain phenylephrine HCl 0.25%, which helps temporarily shrink swollen hemorrhoidal tissue.
Yes. Revivol-XR is made in the USA and sold by a small American-owned business.
Preparation H is owned by Haleon, a large global consumer healthcare company.
It depends what you are comparing. Preparation H has stronger brand recognition. Revivol-XR offers comparable key active ingredients, a larger 1.5 oz tube, 50% more cream than a 1 oz tube, Made in USA manufacturing, and a broader botanical support blend.
Price per ounce is usually the better comparison. A 1 oz tube and a 1.5 oz tube are not equal sizes, so the shelf price alone does not tell the full value story.
No. OTC hemorrhoid creams are intended for temporary symptom relief. Persistent, severe, worsening, or bleeding symptoms should be evaluated by a healthcare professional.
Try Revivol-XR Advanced Hemorrhoid Cream, a Made in USA hemorrhoid cream from a small American-owned business. Revivol-XR comes in a larger 1.5 oz tube, giving you 50% more cream than a standard 1 oz tube.
Disclosure: Hemorrhoid.com sells Revivol-XR. This comparison is based on publicly available product labels, ingredient information, and product size details. Preparation H is a trademark of its respective owner. Hemorrhoid.com is not affiliated with Preparation H.
