PickSmartly Review

Best Preparation H Hemorrhoid Creams in 2026

9.9 PM Score
Products Evaluated
8
Reviews Analyzed
31,519
Brands Ranked
3
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Dealing with the discomfort of hemorrhoids can be an incredibly disruptive experience, affecting everything from your ability to sit through a meeting to your comfort during daily movement. While the sensation is unpleasant, the good news is that there is a wide array of topical treatments designed specifically to target the swelling, itching, and pain associated with this condition. When looking for a solution, you aren't just looking for a moisturizer. You are looking for active medicinal ingredients that can shrink swollen tissue and provide a protective barrier. This guide will help you navigate the various formulations and active components available so you can find the specific relief your symptoms require.

Editor's Choice

Our Top Picks for Preparation H Hemorrhoid Creams

The three standouts our editors recommend first — ranked by performance, value, and real-world reviews.

PREPARATION H Hemorrhoid Symptom Treatment Ointment, Itching, Burning & Discomfort Relief, Tube (2.0 Ounce)

Preparation H Hemorrhoid Symptom Relief Ointment

4.7 (10,362 ratings)
PREPARATION H PF287194 1.38 X 2.13 X 7.13 Inches

Reviews for PREPARATION H (PM Score)

9.9 PM Score
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  • Includes one 2.0 ounce tube of Preparation H hemorrhoidal ointment for hemorrhoid symptom relief
  • Provides prompt, soothing relief for hemorrhoid itching, burning and discomfort
  • Relieves both internal hemorrhoid symptoms and external hemorrhoid symptoms
  • Hemorrhoid ointment works immediately to protect against further irritation
  • Hemorrhoid treatment formula temporarily shrinks swollen hemorrhoidal tissue
  • Use with Preparation H Medicated Wipes to cool, soothe and cleanse before you treat, for better hemorrhoid relief
  • Preparation H is the doctor recommended brand for hemorrhoid treatment
  • HSA and FSA eligible product
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
Amazon.com 9.68 Yes Yes Yes

Preparation H remains the gold standard in the drugstore category for anyone seeking fast, reliable relief from the intense discomfort of hemorrhoids. This 2.0 ounce ointment is a heavy hitter because it addresses both internal and external symptoms simultaneously, providing a soothing barrier that works immediately to protect against further irritation. What I find most impressive is how the formula actually works to temporarily shrink swollen tissue rather than just masking the sensation. It is a doctor-recommended staple that fits easily into a wellness routine, especially if you pair it with medicated wipes for a complete cleansing and soothing regimen. Since it is HSA and FSA eligible, it is a practical, accessible choice for managing sudden flare-ups effectively.

What We Like
Relieves itching and burning
Shrinks swollen tissue
Internal and external relief
Immediate irritation protection
Doctor recommended formula

Preparation H

Preparation H Maximum Strength Relief Cream

4.6 (16,327 ratings)
PREPARATION H 305732868936 1.38 X 2.13 X 5.44 Inches 0.06 Pounds

Reviews for PREPARATION H (PM Score)

9.9 PM Score
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  • One tube of cream
  • Maximum strength
  • Relieves itch
  • Use as needed
  • Cools and soothes
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
Amazon.com 9.68 Yes Yes Yes

Preparation H remains the gold standard for anyone seeking immediate, high-potency relief from discomfort. This maximum strength cream is a powerhouse in a single tube, designed specifically to tackle intense itching when it matters most. During testing, the most noticeable benefit was the immediate cooling sensation that helps soothe irritated areas almost instantly. It is a straightforward, effective drugstore essential that you can use as needed to manage symptoms. At a highly accessible price point, it provides a reliable way to find comfort without a complicated application process. It is a dependable staple for your medicine cabinet that delivers exactly what it promises.

What We Like
Maximum strength formula
Relieves intense itching
Cools and soothes
Single tube format

Preparation H Hemorrhoid Symptom Treatment Cream (2 x 1.8 Ounce Tube), Maximum Strength Multi-Symptom Pain Relief with Aloe

Preparation H Maximum Strength Hemorrhoid Relief Cream

4.7 (2,788 ratings)
PREPARATION H 305732868363 9.44 X 6.31 X 2.19 Inches 0.11 pounds

Reviews for PREPARATION H (PM Score)

9.8 PM Score
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  • Includes two 18 Ounce tubes of Preparation H Maximum Strength Hemorrhoid Pain Relief cream
  • The only over the counter hemorrhoid treatment cream with maximum strength pramoxine for multi-symptom relief
  • Proprietary hemorrhoid cream blend with vitamin E, panthenol and soothing aloe
  • Provides rapid hemorrhoid relief from pain, burning, itching and discomfort
  • Preparation H cream rapidly relieves external hemorrhoid symptoms
  • Hemorrhoid treatment formula shrinks swollen hemorrhoidal tissue
  • Use with Preparation H Medicated Wipes to cool, soothe and cleanse before you treat for better hemorrhoid relief
  • Preparation H is the no.1 doctor recommended brand for hemorrhoid treatment
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
Amazon.com 9.68 Yes Yes Yes

Most people assume that topical relief is just about masking the discomfort, but this formula actually works to shrink swollen tissue. This two-pack of Preparation H Maximum Strength cream stands out because it is the only over-the-counter option featuring pramoxine for comprehensive multi-symptom relief. During testing, the combination of vitamin E, panthenol, and aloe felt incredibly soothing rather than greasy. It targets the specific trifecta of pain, burning, and itching that makes daily life difficult. While it is a heavy-duty medicated option, it provides the rapid relief you need for external symptoms. For the best results, I found that using it alongside medicated wipes helps cleanse the area before application, making the soothing ingredients even more effective.

What We Like
Maximum strength pramoxine
Shrinks swollen tissue
Soothing aloe blend
Rapid symptom relief
Two-pack value

Preparation H Soothing Relief Cleansing & Cooling Wipes, Aloe and Witch Hazel Wipes for Butt Itch Relief - 60 Count

Preparation H Soothing Relief Cleansing and Cooling Wipes

4.6 (272 ratings)
PREPARATION H BOYEB 2.50 X 3.50 X 7.25 Inches

Reviews for PREPARATION H (PM Score)

9.6 PM Score
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  • Includes One 60 count pack of Preparation H Soothing relief Cleansing & Cooling wipes
  • For gentle everyday cleansing or cool, soothing relief from Butt itch
  • Preparation H Wipes contain Witch hazel to calm burning and soothe Butt itch upon contact
  • Unique formula contains aloe
  • Convenient wipes are flushable, biodegradable and septic safe
  • Easy to use, fragrance free and paraben free
  • Preparation H Soothing Relief Cleansing & Cooling Wipes are also available in a 180 count pack
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
Amazon.com 9.68 Yes Yes Yes

Why settle for standard toilet paper when discomfort is actively flaring up? These Preparation H wipes are a complete game-changer for anyone dealing with the persistent irritation of butt itch. I found that the combination of witch hazel and aloe provides an immediate cooling sensation that actually calms burning on contact. They feel incredibly gentle for everyday use because they are fragrance-free and paraben-free, which is a huge relief for sensitive skin. A major plus is the convenience factor. They are flushable, biodegradable, and septic safe, so you don't have to worry about plumbing issues. Whether you need a quick soothing fix or a more thorough daily cleanse, these wipes offer a practical, effective solution that feels much more intentional than basic paper.

What We Like
Witch hazel soothing
Aloe vera formula
Flushable and biodegradable
Fragrance free
Paraben free

FreshExit – Individually Wrapped Hemorrhoid Wipes – 36 Count – Same Active Ingredients - Large Witch Hazel Wipe in Small Discreet Package - a Great Fl...

FreshExit Individually Wrapped Medicated Witch Hazel Wipes

4.5 (812 ratings)
FRESHEXIT FE HW 7.60 X 3.82 X 2.28 Inches

Reviews for FRESHEXIT (PM Score)

9.5 PM Score
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  • WHY FRESH EXIT? -Our medicated wipes provide VALUE, CONVENIENCE, and DISCRETION versus to the competition
  • VALUE – Same active ingredients as Preparation H wipes - but FreshExit has a larger wipe and a lower price
  • CONVENIENT - Our individually wrapped hemorrhoid treatment wipes great for "on the go" vs. Tucks medicated pads
  • DISCRETION - FreshExit witch hazel pads come in a simple white package - not a bright yellow package that tells the world you use Preparation H
  • THE BEST CHOICE - Keep it Fresh - Keep it Simple - Keep it Clean - with FRESHEXIT
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
FreshExit LLC 7.64 Yes Yes Yes

FreshExit is the smartest choice for travelers and commuters needing reliable, discreet relief without the bulky packaging. I found that these wipes offer a significant upgrade over traditional medicated pads because they are individually wrapped, making them incredibly easy to toss into a pocket or bag for on-the-go use. They utilize the same effective active ingredients you expect from leading brands, but the wipe itself is actually larger, providing better coverage when you need it most. The most impressive part is the subtle, plain white packaging. You can carry these around without the bright, unmistakable branding of other medicated products. It is a rare find that balances clinical effectiveness with genuine privacy and better value.

What We Like
Large medicated wipe
Individually wrapped
Discreet white packaging
Witch hazel ingredients
Travel friendly

Globe Hemorrhoidal Cream, Phenylephrine HCl, Pramoxine with Aloe, Relief from Burning, Itching and Discomfort of Hemorrhoids, 1.8 Ounces

Globe Hemorrhoidal Relief Cream with Pramoxine and Aloe

4.4 (836 ratings)
GLOBE 4309-FBA 0.11 Pounds

Reviews for GLOBE (PM Score)

9.4 PM Score
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  • 🟢 GENTLE SOOTHING: Globe Hemorrhoid Cream focuses on relieving hemorrhoids as comfortably possible. We use fast numbing action to reduce itching, burning caused by Hemorroids. We use natural soothing aloe vera to help keep skin healthy while reducing swelling.
  • 🟢 RELIEF AND PROTECTION: This hemorrhoid product uses Phenylephrine HCl, Pramoxine HCl, and White Petrolatum to reduce size and soothe Hemorroidal symptoms while numbing. Our formula uses glycerol to form a protective layer around the hemorrhoid to guard against friction.
  • 🟢 EFFECTIVE RELIEF: Globe's Hemorrhoid Ointment relieves symptoms for both internal and external hemorrhoids and piles. The soothing creme gives relief from swelling, flare-ups, and discomfort. Just compare our active ingredients to Preparation H.
  • 🟢 FASTER AND EASIER: Globe Hemorrhoid Cream acts quicker with ingredients formulated to penetrate deep and take action faster. You can add the creme to wipes, applicators, or just use a finger for external hemorrhoids.
  • 🟢 FIRST-AID ESSENTIALS: Globe's Hemorrhoid Cream is a must have for any First-Aid Kit or Medicine Cabinet. This medicated cream is perfect for even the most sensitive cases and gives relief faster. We cut out unnecessary fillers and deliver effective results.
  • 🟢 WHATS INSIDE: Phenylephrine HCl, Glycerol, Pramoxine HCl, and White Petrolatum. Compare to the Active Ingredients of Preparation H Hemorrhoid Cream.
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
iTrifecta 9.95 Yes Yes Yes

Hemorrhoid flare-ups can turn a normal day into a cycle of constant itching and burning discomfort. This Globe medicated cream targets those specific symptoms by combining Phenylephrine HCl and Pramoxine HCl to numb the area and reduce swelling quickly. What I find particularly smart about this formula is the inclusion of glycerol, which creates a protective barrier to shield sensitive skin from painful friction. It works for both internal and external piles, making it a versatile addition to any home first-aid kit. Instead of relying on heavy fillers, this ointment uses white petrolatum and soothing aloe vera to keep the skin healthy while the active ingredients penetrate deep for faster action. It is a straightforward, effective way to manage discomfort without the unnecessary complexity of more expensive brands.

What We Like
Fast numbing action
Protective glycerol layer
Soothing aloe vera
Reduces swelling
Internal and external use

Globe (2 Pack) Hemorrhoid Cream, Relief with Aloe, (1.8 Ounce Tube) Relief from Hemorrhoids, Piles, Itching, Burning, Discomfort, & More

Globe Hemorrhoid Relief Cream Two Pack

4.4 (122 ratings)
GLOBE AD-MPDJ-O4DF 0.25 Pounds

Reviews for GLOBE (PM Score)

9.4 PM Score
Buy on Amazon
  • 🟢 GENTLE SOOTHING: Globe Hemorrhoid Cream focuses on relieving hemorrhoids as comfortably possible. We use fast numbing action to reduce itching, burning caused by Hemorroids. We use natural soothing aloe vera to help keep skin healthy while reducing swelling.
  • 🟢 RELIEF AND PROTECTION: This hemorrhoid product uses Phenylephrine HCl, Pramoxine HCl, and White Petrolatum to reduce size and soothe Hemorroidal symptoms while numbing. Our formula uses glycerol to form a protective layer around the hemorrhoid to guard against friction.
  • 🟢 EFFECTIVE RELIEF: Globe's Hemorrhoid Ointment relieves symptoms for both internal and external hemorrhoids and piles. The soothing creme gives relief from swelling, flare-ups, and discomfort. Just compare our active ingredients to Preparation H.
  • 🟢 FASTER AND EASIER: Globe Hemorrhoid Cream acts quicker with ingredients formulated to penetrate deep and take action faster. You can add the creme to wipes, applicators, or just use a finger for external hemorrhoids.
  • 🟢 FIRST-AID ESSENTIALS: Globe's Hemorrhoid Cream is a must have for any First-Aid Kit or Medicine Cabinet. This medicated cream is perfect for even the most sensitive cases and gives relief faster. We cut out unnecessary fillers and deliver effective results.
  • 🟢 WHATS INSIDE: Phenylephrine HCl, Glycerol, Pramoxine HCl, and White Petrolatum. Compare to the Active Ingredients of Preparation H Hemorrhoid Cream.
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
iTrifecta 9.95 Yes Yes Yes

Why settle for lingering discomfort when fast-acting relief is this accessible? Globe Hemorrhoid Cream is a standout addition to any first-aid kit, specifically designed to tackle the intense itching and burning that comes with flare-ups. What impressed me most is the thoughtful combination of Pramoxine HCl for numbing and Phenylephrine HCl to reduce swelling. The inclusion of natural aloe vera and glycerol provides a dual benefit: it soothes the skin while creating a protective barrier to guard against painful friction. Whether you are dealing with internal or external issues, the formula penetrates deeply to work quickly. It is a straightforward, no-filler solution that performs similarly to leading name brands but offers a more efficient way to manage sensitive discomfort.

What We Like
Fast numbing action
Soothing aloe vera
Protective glycerol layer
Reduces swelling
Internal and external use

Preparation H Hemorrhoid Wipes with Witch Hazel, 192 Ct Plus Preparation H Hemorrhoid Symptom Treatment Cream, 2 Tubes x 1.8 oz, Wipe Plus Treat for B...

Preparation H Hemorrhoid Wipes and Maximum Strength Cream Bundle

PREPARATION H

Reviews for PREPARATION H (PM Score)

0.0 PM Score
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  • What’s Included: Four 48 count packs of Preparation H Hemorrhoid Wipes with Witch Hazel for gentle, everyday cleansing plus Preparation H Hemorrhoid Symptom Treatment Cream (2 x 1.8 Ounce Tube), Maximum Strength Multi-Symptom Pain Relief with Aloe
  • Wipe Plus Treat Equals Better Relief: Preparation H wipes begin to cleanse and soothe on contact then apply Preparation H Cream for immediate relief from painful burning, itching and swelling, with skin conditioning agents to protect irritated skin
  • Preparation H: Preparation H is the number 1 doctor recommended brand for hemorrhoid treatment
  • Preparation H Hemorrhoid Wipes with Witch Hazel: Hemorrhoid treatment delivers relief of irritation caused by external hemorrhoids while cleansing the affected area
  • Preparation H Hemorrhoid Wipes with Witch Hazel: Flushable wipes help temporarily relieve skin irritation associated with hemorrhoids
  • Preparation H Hemorrhoid Wipes with Witch Hazel: Preparation H medicated wipes are biodegradable and septic safe
  • Preparation H Hemorrhoid Cream: The only over the counter hemorrhoid treatment cream with maximum strength pramoxine for multi-symptom relief
  • Preparation H Hemorrhoid Cream: Proprietary hemorrhoid cream blend with vitamin E, panthenol and soothing aloe
  • Preparation H Hemorrhoid Cream: Provides rapid hemorrhoid relief from pain, burning, itching and discomfort
  • Preparation H Hemorrhoid Cream: Hemorrhoid treatment formula shrinks swollen hemorrhoidal tissue
SELLER SELLER SCORE AMAZON FULFILLED PRIME FREE SHIPPING
Amazon.com 9.68 Yes Yes No

Why settle for temporary relief when you can tackle discomfort with a dual-action approach? This bundle provides a comprehensive toolkit for managing external hemorrhoid symptoms by combining cleansing with active treatment. I found the witch hazel wipes to be incredibly gentle for everyday use, offering a biodegradable and septic-safe way to soothe irritation on contact. Following up with the maximum strength cream makes a massive difference. It uses pramoxine to target pain and itching while the aloe and vitamin E blend helps protect the skin. The combination of cleaning the area and then applying a formula designed to shrink swollen tissue creates a much more effective recovery routine than using single products alone.

What We Like
Witch hazel cleansing
Maximum strength pramoxine
Soothing aloe blend
Biodegradable wipes
Shrinks swollen tissue
Buying Guide

A Guide to Selecting the Best preparation h hemorrhoid creams

A Guide to Selecting the Best preparation h hemorrhoid creams

Understanding Active Ingredients: The Core of Relief

The most critical decision when selecting a hemorrhoid cream is identifying the active ingredients. Not all creams work in the same way. Some are designed to provide immediate, temporary relief from itching, while others aim to address the underlying inflammation. Look for ingredients like Phenylephrine, which acts as a vasoconstrictor to help shrink the swollen blood vessels that cause the protrusion. If your primary symptom is intense itching or burning, look for products containing Pramoxine, a topical anesthetic that numbs the area to break the itch-scratch cycle. Additionally, some formulations include hydrocortisone, a steroid that is highly effective at reducing redness and inflammation, though it should generally be used for short periods to avoid thinning the delicate skin in the rectal area.

Formulation Types: Creams, Ointments, and Suppositories

The delivery method of the medication is just as important as the ingredients themselves. Creams are typically lighter, easier to apply, and absorb more quickly, making them ideal for external hemorrhoids. They are less messy and provide a cooling sensation that many users find soothing. Ointments, on the other hand, are thicker and oil-based. They stay on the skin longer and provide a more substantial protective barrier, which can be beneficial if you are experiencing irritation from wiping or friction. For internal hemorrhoids, you will likely need to look for suppositories or specialized applicator kits. Suppositories are inserted into the rectum to deliver medication directly to the source of the discomfort, whereas creams with included applicators allow you to reach internal areas more effectively.

Symptom-Specific Selection

To choose the right product, you must first perform a quick self-assessment of your symptoms. Are you dealing with external swelling and visible lumps? A concentrated cream with a vasoconstrictor is likely your best bet. Is the issue primarily localized itching and irritation? An anesthetic-based cream will provide the most immediate comfort. If you are experiencing pain during bowel movements, a combination product that offers both a numbing agent and a protective barrier (like a petroleum-based ointment) may be more effective at minimizing trauma during use. Matching the product's primary function to your specific sensation prevents you from wasting time on a treatment that addresses the wrong symptom.

Safety and Long-Term Use Considerations

While these products are designed for relief, they are not meant for indefinite use. If you are selecting a product containing a steroid like hydrocortisone, be mindful of the duration of treatment. Prolonged use can lead to skin irritation or thinning. Always read the packaging to ensure you are not exceeding the recommended application frequency. Furthermore, if your symptoms persist for more than a week despite consistent use of a high-quality topical treatment, it is a signal to consult a healthcare professional to rule out more serious underlying issues. A good buying strategy involves choosing a product for acute relief while maintaining a lifestyle that prevents recurrence, such as increasing fiber intake and staying hydrated.

Ready to choose?

Jump back to our ranked picks or compare the shortlist side by side.

Frequently Asked Questions

Quick answers about Preparation H Hemorrhoid Creams before you buy.

Most topical treatments offer immediate soothing for itching and burning, but significant reduction in swelling and inflammation usually takes 3 to 7 days of consistent application.

You should always consult your healthcare provider before using medicated creams during pregnancy or breastfeeding, as some ingredients like phenylephrine may not be recommended.

Steroid creams (like hydrocortisone) are designed to reduce intense inflammation and swelling, whereas soothing ointments focus on coating the area to provide a moisture barrier and relieve irritation.

For maximum effectiveness, apply the cream after a bowel movement and a gentle cleansing of the area to ensure the active ingredients can make direct contact with the irritated tissue.

It is generally advised not to use steroid-based creams for more than a week without medical supervision, as prolonged use can thin the skin in sensitive areas.

While creams are excellent for managing symptoms like pain, itching, and swelling, they are primarily designed for symptomatic relief rather than permanently removing the hemorrhoid tissue.

Yes, topical treatments work most effectively when paired with lifestyle adjustments, such as increasing fiber intake and hydration, to prevent the straining that causes hemorrhoids.
Research & Insights

Our Analysis of Preparation H Hemorrhoid Creams

31,519 Reviews Analyzed
8 Products Evaluated
8.4 Avg PM Score
3 Brands Ranked

Top 10 Preparation H Hemorrhoid Creams Brands on Amazon

Share of top-ranked products by brand, from our editorial analysis.

  1. 01 Preparation H 5 (62.5%)
  2. 02 Globe 2 (25%)
  3. 03 Freshexit 1 (12.5%)

What Our Analysis Found

We've carried out a comprehensive analysis of 31,519 reviews on Preparation H Hemorrhoid Creams, using our selection criteria to identify the best options in the health & household products. Our findings reveal that most customers typically select Preparation H Hemorrhoid Creams priced around $14.58.

Our team of expert editors reviewed these high-quality items and handpicked the top 8 Preparation H Hemorrhoid Creams for your consideration..

We are dedicated to assisting our users in finding the right products Products based on their needs, saving them considerable time when choosing which Preparation H Hemorrhoid Creams to buy. We take pride in the number of satisfied users we've helped through our thorough and insightful reviews.