RISK FREE PURCHASE: Doctor Butler's comes with a SATISFACTION GUARANTEE. If you are not satisfied with your hemorrhoid cream purchase, in any way, you will receive your money back. MADE IN THE USA: Doctor Butler’s is manufactured in the USA and is produced in an FDA Certified Facility. Rigorous quality control testing of ingredients is done to prove the SAFE & EFFECTIVE use of our products. PROTECT: Reduce swelling with zinc oxide and protect inflamed tissue with glycerin to reduce friction and pain. Added ingredients like ginseng extract and horse chestnut have natural skin protectant and anti-inflammatory properties offering natural relief.*. HEAL & SOOTHE: Doctor Butler’s formula features lidocaine to numb and soothe your skin along with organic herbs, essential oils, minerals and amino acids for added healing solutions and natural pain relief. LEAVE THE PAIN BEHIND: Doctor Butler’s hemorrhoid ointment was developed by a Board Certified Proctologist to ensure only the best ingredients are offered for hemorrhoid and fissure treatment. Our lidocaine ointment works as a numbing cream to quickly alleviate your pain.*.