Quick answers
- What is Lidocaine, phenylephrine and witch hazel used for?
- The Drug Facts label of Dr Butlers Advanced Hemorrhoid Relief (Beyond Health. PA) lists these uses: temporary relief of anorectal itching and discomfort associated with hemorrhoids and other anorectal disorders for the temporary relief of pain, soreness or burning temporarily reduces the swelling associated with hemorrhoids temporarily shrinks hemorrhoidal tissue.
- Do I need a prescription for Lidocaine, phenylephrine and witch hazel?
- No. The products on this page are sold without a prescription (over the counter).
- Is a store brand the same as the name brand?
- Products listed together below have the same active ingredients, in the same amount and the same form, as registered with the FDA. Inactive ingredients (such as colors, flavors and fillers) and package sizes can differ. Compare the “Active ingredient” box on both packages, and ask a pharmacist if you are not sure.
- Has Lidocaine, phenylephrine and witch hazel been recalled?
- No recall linked to these products appears in the FDA enforcement reports we use.
Drug Facts label
Every over-the-counter medicine must carry a “Drug Facts” box in the same order, set by FDA rules. Below is the label of one product for each common strength and form, quoted word for word. Your own package can differ (for example, children’s products have other directions): always follow the label on your package.
Dr Butlers Advanced Hemorrhoid Relief · Beyond Health. PA
Lidocaine HCL 5% · Phenylephrine hydrochloride 0.25% · Witch hazel 50%, spray (topical)
Active ingredient
Lidocaine HCl 5% Phenylephrine HCl 0.25% Witch Hazel 50%
Purpose
External Analgesic Vasoconstrictor Astrigent
Uses
temporary relief of anorectal itching and discomfort associated with hemorrhoids and other anorectal disorders for the temporary relief of pain, soreness or burning temporarily reduces the swelling associated with hemorrhoids temporarily shrinks hemorrhoidal tissue
Warnings
For external use only. Flammable
Do not use
whie smoking or near heat or flame.
Do not use
in large quantities, particularly over raw surfaces or blistered areas. Do not exceed recommended dosage unless directed by a doctor.
When using this product
keep out of eyes. Rinse eyes with water to remove do not put this product in the rectum by using fingers or any mechanical device or applicator
Ask a doctor or pharmacist before use if
you have heart disease, high blood pressure, thyroid disease, diabetes, difficulty in urination due to enlargement of the prostate gland are presently taking a prescription drug for high blood pressure or depression
Stop use and ask a doctor if
condition worsens or does not improve within seven (7) days bleeding occurs an allergic reaction develops the symptom being treated does not subside or if redness, irritation, swelling, pain or other symptoms develop or icrease
If pregnant or breastfeeding
ask a health professioal before use.
Keep out of reach of children
If swallowed, get medical help or contact a Poison Control Center right away.
Directions
adults, when practical, cleanse the affected area by pattig or blotting with an appropriate cleansing pad gently dry by patting or blotting with toie tissue or soft cloth before application of this product shake well before using hold 3 to 6" away from rectal area, spray to moisten and then wipe off excess, if desired apply externally to the affected area up to 4 times daily chidren under 12 years of age, consult a doctor
Other information
Flammable Do not use whie smoking or near heat or flame.
Inactive ingredients
aesculus hippocastanum (horse chestnut) extract alcohol aloe barbadensis leaf extract benzophenone-4 benzyl alcohol calendula officinalis flower extract carya ovata bark extract centella asiatica extract chamomilla recutita (matricaria) flower extract curcuma longa (tumeric) root extract disodium EDTA epilobium angustifolium extract ethylhexylglycerin eucalyptus globulus leaf oil glycerin hammamelis virginiana (witch hazel) leaf extract helichrysum italicum extract hydroxyethylcellulose lavandula angustifolia (lavender) flower extract lysine HCl melaluca alternifolia (tea tree) leaf extract mentha piperita (peppermint) oil olea europaea (olive) leaf extract panax ginsing root extract polysorbate 40 propylene glycol rosmarinus officinalis (rosemary) leaf extract sodium citrate sodium hyaluronate tocopherol tocopherol acetate water
— FDA label of Dr Butlers Advanced Hemorrhoid Relief, Beyond Health. PA, effective July 23, 2025. See the official label on DailyMed →
myDerm MEDICAL NEW Soothing Hemorrhoidal · Inspec Solutions
Lidocaine hydrochloride 5% · Phenylephrine hydrochloride 0.25% · Witch hazel 50%, spray (topical)
Active ingredient
Purpose Witch Hazel Extract 50.00%.....................................................Anesthetic Lidocaine HCl 5.00%................................................................Anesthetic Phenylephrine Hydrochloride 0.25%................................Vasoconstrictor
Uses
Temporarily shrinks hemorrhoidal tissue.
- Temporarily reduces swelling associated with irritation
- Helps protect irritated anorectal areas.
Warnings
For external use only.
When using this product
- avoid spraying in eyes.
- contents under pressure.
- do not puncture or incinerate.
- do not store at temperature above 120° F.
- do not exceed recommended daily dosage unless directed by doctor.
- do not put this product into rectum by using fingers or any mechanical device or applicator.
Ask a doctor or pharmacist before use if
you have
- heart disease, high blood pressure, thyroid disease, diabetes, difficulty in urination due to enlargement of prostate gland.
- are presently taking a prescription drug for high blood pressure or depression. Stop use and ask doctor if
- condition worsens, or if symptoms persist for more than 7 days, or clear up and reoccur again within a few days.
If pregnant or breastfeeding
ask a healthcare professional before use.
Keep out of reach of children
If swallowed, get medical help or contact a Poison Control Center immediately.
Directions
- Adults and children 2 years of age and older: Apply to affected area not more than 3 to 4 times daily.
- Children under 2 years of age: Consult physician.
Inactive ingredients
Alcohol, Aloe Barbadensis Leaf, Benzophenone-4, Disodium EDTA, Tocopheryl Acetate, Ethylhexylglycrin, Phenoxyethanol, Polysorbate-20, Propylene Glycol, Sodium Citrate, Water.
— FDA label of myDerm MEDICAL NEW Soothing Hemorrhoidal, Inspec Solutions, effective May 27, 2026. See the official label on DailyMed →
Lidocaine Hemorrhoid · Walgreens Co
Lidocaine hydrochloride anhydrous 5% · Phenylephrine hydrochloride 0.25% · Witch hazel 50%, spray (topical)
Active ingredient
Lidocaine HCl 5%, Phenylephrine HCl 0.25%, Witch Hazel 50%
Purpose
Anorectal; anesthetic, vasoconstrictor, astringent
Uses
Temporarily shrinks hemorrhoidal tissue Temporarily reduces the swelling and irritation associated with hemorrhoids and other anorectal disorders aids in protecting irritated anorectal areas Temporarily shrinks hemorrhoidal tissue. Temporarily reduces the swelling and irritation associated with hemorrhoids and other anorectal disorders. Aids in protecting irritated anorectal areas.
Warnings
For external use only. Flammable.
Do not use
while smoking or near heat or flame.
When using this product
keep away from children avoid spraying in eyes contents under pressure. Do not puncture or incinerate. Do not store at temperatures above 120F do not exceed the recommended daily dosage unless directed by a doctor do not put this product into the rectum by using fingers or any mechanical device or applicator certain persons can develop allergic reactions to ingredients in this product. If the symptoms being treated does not subside or if redness, irritation, swelling, pain or other symptoms develop or increase, discontinue use and consult a doctor.
Ask a doctor or pharmacist before use if
you have heart disease, high blood pressure, thyroid disease, diabetes, difficulty in urination due to enlargement of the prostate gland are presently taking a prescription drug for high blood pressure or depression
Stop use and ask a doctor if
bleeding occurs condition worsens symptoms persist for more than 7 days or clear up and occur again within a few days needed for longer than 1 week Ask a health professional before use. If swallowed, get medical help or contact a Poison Control Center immediately (1-800-222-1222).
Directions
Adults: when practical, cleanse the affected are with an appropriate cleansing wipe. Spray rectal area until thoroughly moist. Wipe off excess with tissue. Gently dry by patting or blotting with a tissue or a soft cloth. Apply to the affected area up to 4 times daily, especially at night, in the morning or after each bowel movement. Children under 12 years of age, consult a doctor.
Inactive ingredients
alcohol, aloe barbadensis leaf extract, anthemis nobilis flower extract, benzophenone-4, benzyl alcohol, centella asiatica extract,disodium EDTA, epilobium angustifolium extract, ethylhexylglycerin, glycerin, hydroxyethylcellulose, polysorbte 40, propylene glycol, sodium citrate, tocopherol, tocopheryl acetate, water.
Questions?
1-800-925-4733
— FDA label of Lidocaine Hemorrhoid, Walgreens Co, effective February 5, 2024. See the official label on DailyMed →
This page is not medical advice. Read the label on your package, and ask a pharmacist or doctor if you are not sure a medicine is right for you, for your child, or with your other medicines.
Same medicine, other brands
Each group lists the products that have exactly the same active ingredients, in the same amount and form, as registered with the FDA (NDC Directory). A store brand in the same group has the same medicine as the name brand; inactive ingredients, flavors and package sizes can differ. Each product links to its own official label.
Lidocaine HCL 5% · Phenylephrine hydrochloride 0.25% · Witch hazel 50% · spray (topical) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Dr Butlers Advanced Hemorrhoid Relief | Beyond Health. PA | DailyMed |
Lidocaine hydrochloride 5% · Phenylephrine hydrochloride 0.25% · Witch hazel 50% · spray (topical) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| myDerm MEDICAL NEW Soothing Hemorrhoidal | Inspec Solutions | DailyMed |
Lidocaine hydrochloride anhydrous 5% · Phenylephrine hydrochloride 0.25% · Witch hazel 50% · spray (topical) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Lidocaine Hemorrhoid | Walgreens Co | DailyMed |
Companies that sell this medicine
The company named on the package (maker or distributor), as listed in the FDA NDC Directory, with its number of over-the-counter products of this medicine.
- Beyond Health. PA1 product
- Inspec Solutions1 product
- Walgreens Co1 product
Recalls
No recall linked to these products (by their NDC code or label) appears in the FDA enforcement reports.
Sources
- Drug labeling (SPL, openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
- FDA rule for the Drug Facts label (21 CFR 201.66)
Only medicines marketed under FDA rules for nonprescription drugs (an FDA monograph or an FDA approval) are listed. Homeopathic products are not listed: the FDA does not evaluate them for safety or effectiveness.