5% Lidocaine · 0.25% Phenylephrine HCl · Botanical Extracts
Maximum OTC strength lidocaine, a monograph vasoconstrictor, and skin protectants in one tube. For temporary relief of hemorrhoid and anal fissure pain, itching, burning, and swelling.
Pairs with Revivol-XR® Hygienic Cleansing Lotion $15.99. Gentle cleansing between applications keeps the area clean without the irritation that dry wiping causes.
| Lidocaine 5% | Local anesthetic |
|---|---|
| Phenylephrine HCl 0.25% | Vasoconstrictor |
| Glycerin 14.4% | Skin protectant |
| Petrolatum 15% | Skin protectant |
Aesculus hippocastanum (Horse Chestnut) Extract, Aloe Barbadensis Leaf Extract, BHA (Butylated Hydroxyanisole), Calendula Officinalis Extract, Cellulose Gum, Centella Asiatica Extract, Cetyl Alcohol, Citric Acid, Disodium EDTA, Ethylhexylglycerin, Glyceryl Stearate, Hamamelis Virginiana (Witch Hazel) Leaf Extract, Mineral Oil, Panthenol, Phenoxyethanol, Propyl Gallate, Propylene Glycol, Sorbitan Olivate, Steareth-21, Stearyl Alcohol, Tocopherol (Vitamin E), Tocopheryl Acetate (Vitamin E Acetate), Water, Xanthan Gum.
Read the full Drug Facts label before use. For external use only.
Four actives doing four jobs, at the strengths the monograph allows.
Two measurable differences, stated as strength and volume. Neither is a claim that one product works better than another.
A leading 4% lidocaine ointment is formulated at 4%. Revivol-XR® is at 5%, the maximum the OTC monograph permits.
Most leading hemorrhoid creams ship in 1 oz tubes. Revivol-XR® is 1.5 oz, so a tube lasts longer at the same application schedule.
Many products cover one or two of these. Revivol-XR® carries all four in a single application.
Comparison is of labeled lidocaine strength and net weight only, not of clinical performance.
Three actives. Three jobs. One tube.
Maximum OTC strength local anesthetic. Numbs pain, burning, and itching.
FDA-monograph vasoconstrictor. Temporarily shrinks the swollen hemorrhoidal tissue that causes the throbbing pain.
Botanical extracts help soothe the surrounding skin while the actives go to work.
Temporary relief of the symptoms covered by the FDA OTC monograph for topical anorectal drug products.
Four steps, per the Drug Facts label.
For external use only. Do not exceed 4 applications per day unless directed by a healthcare professional. Do not insert into the rectum. Do not use if you have a history of allergic reaction to local anesthetics or vasoconstrictors. Ask a doctor before use if you have heart disease, high blood pressure, thyroid disease, diabetes, or trouble urinating due to an enlarged prostate. If you are pregnant or breastfeeding, ask a healthcare professional before use. If symptoms persist for more than 7 days, clear up and occur again within a few days, or if bleeding occurs, stop use and consult a healthcare professional. Keep out of reach of children.
Your first purchase of each Revivol-XR® product is covered by our no-deadline satisfaction guarantee. If it isn't right for you, contact support with your order number and we'll refund that first unit: no deadline, no return required, no explanation needed. Repeat purchases and additional units aren't covered. See the full refund policy.
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.

Pain and itching only
Same maximum-strength lidocaine without the vasoconstrictor. For when the pain is the problem and swelling isn't.

Cleaning and daily care
Gentle witch hazel cleansing between applications, so wiping doesn't undo the relief.

Soaking relief
A concentrated soak for the end of the day, or when applying a cream is uncomfortable.
Most customers report noticeable numbing within 3 to 5 minutes of application. The 5% lidocaine is the maximum strength allowed by the FDA OTC monograph for topical anorectal preparations.
The 0.25% phenylephrine HCl is a vasoconstrictor included in the FDA's OTC anorectal monograph specifically for temporarily shrinking swollen hemorrhoidal tissue.
Revivol-XR® is formulated to comply with the FDA's OTC monograph for topical anorectal drug products and is LegitScript Certified.
External use only. The applicator tip allows for targeted application; do not insert into the rectum.
Up to four times per day, or as directed by a healthcare professional. Always read the full label before use.
If you are pregnant or breastfeeding, please consult your healthcare provider before using any OTC medication, including Revivol-XR®.
One 1.5 oz tube typically lasts 2 to 4 weeks at the recommended application schedule.
Your first purchase of each Revivol-XR® product is covered by our no-deadline satisfaction guarantee. If it isn't right for you, contact support with your order number and we'll refund that first unit: no deadline, no return required, no explanation needed. Repeat purchases and additional units aren't covered. See the full refund policy.
Maximum OTC strength, backed by a no-deadline satisfaction guarantee.
Buy NowFirst-purchase money-back guarantee • Discreet packaging • Free U.S. shipping
Revivol-XR® Advanced Hemorrhoid & Fissure Cream is an over-the-counter drug product formulated in accordance with the FDA's monograph for topical anorectal drug products (21 CFR §346). Read the full Drug Facts label before use. For external use only. Do not use if you have a history of allergic reaction to local anesthetics or vasoconstrictors. If symptoms persist for more than 7 days, consult a healthcare professional. Statements about Revivol-XR® have not been evaluated as a treatment, cure, or diagnosis for any condition beyond temporary relief of symptoms covered by the OTC monograph.