Long-Acting

Hemorrhoid & Fissure Rx Cream

$65
First order $114—includes $49 doctor consult · 3-month supply | 30 grams.

Long-term healing for hemorrhoids and chronic anal fissures — with relief that starts right away.

Colorectal-surgeon formulated care 

Contains diltiazem for anal sphincter relaxation and healing

Double-action pain relief with lidocaine and bupivacaine

Hydrocortisone reduces swelling and irritation 

Metronidazole treats infection 

Delivered discreetly to your door

Free shipping
24/7 support
HSA/FSA Eligible
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  • This compounded prescription cream combines five clinically active ingredients to address both the pain and the underlying cause of anal fissures and hemorrhoids. Diltiazem, a calcium channel blocker, relaxes the anal sphincter and increases blood flow to the affected tissue — promoting real, lasting healing rather than just symptom management. It’s particularly well-suited for chronic fissures and is a preferred option for those with a history of headaches or migraines.
  • For pain relief, lidocaine works immediately to numb discomfort while bupivacaine extends that relief for longer periods — so you stay comfortable throughout the day. Hydrocortisone reduces swelling, itching, and irritation, and metronidazole provides antimicrobial protection to support tissue recovery. Aloe rounds out the formula with gentle, soothing relief for sensitive skin.
  • Safe for use during pregnancy and effective across all sexes, this cream is designed for ongoing use — helping your body heal from the inside out.

Our medications ship from our partner pharmacy in 2 – 5 business days. 

HSA/FSA Eligible
HSA/FSA Eligible
24/7 support
24/7 support
Free shipping
Free shipping

Expert Care

Dr. Carmen Fong
Bummed is about breaking the stigma around rectal health and providing medical-grade care that is accessible, comfortable, and effective.

Dr. Carmen Fong

CMO, Bummed

<p>Hemorrhoid & Fissure Rx Cream</p>
LONG-LASTING RELIEF

Hemorrhoid & Fissure Rx Cream

A powerful prescription cream featuring diltiazem. This long-acting formula helps calm inflammation, ease fissure pain and itching, and support hemorrhoid healing.

Key ingredients

Bupivacaine

Provides prolonged pain relief by blocking nerve signals in the affected area

Diltiazem

Relaxes muscle which helps to improve blood flow, reduce pain and promote healing

Key ingredients

Metronidazole

Antimicrobial and anti-inflammatory properties

How our prescription treatment works

Step 1

Step 1

Complete a quick medical intake. Tell us your symptoms in a secure, 2-minute online form.

Step 2

Step 2

Reviewed by a licensed clinician. A board-certified provider reviews your intake and prescribes treatment if appropriate.

Step 3

Step 3

Prescription delivered to your door. Your medication ships directly to your home in discreet packaging.

Testimonials

Getting my prescription took way longer than expected (a little over a week) but the communication from the company was very fast and the issue was a delay with a pharmacy partner and I was given a full refund for the inconvenience. I would highly recommend bummed because they cared more about my customer experience than making a profit. I received my prescription about 3 days after my refund and it works. It was totally worth the wait!

Verified Bummed Patient

Great product! Wish I would've known about sooner.

Verified Bummed Patient

As someone without insurance, I couldn't believe it when I found out about this service. I wish more people knew about it. My hemorrhoids have improved significantly. I am also doing sitz baths and other lifestyle changes, but once I integrated the Bummed cream into my routine, my hemorrhoids shrunk even more.

Verified Bummed Patient

As a physician, I see every day how common and how overlooked hemorrhoids are, especially in late pregnancy. Many patients suffer in silence despite significant discomfort, and the lack of accessible, judgment-free care has been a real gap in maternal health. Bummed’s prescription formulations, including options with ingredients like clotrimazole and hydrocortisone, provide targeted relief within appropriate clinical guardrails. Anything that helps us care for new mothers compassionately, safely, and without stigma is a meaningful step forward.

Vivek Chander, MD

Having seen this firsthand in my own family during pregnancy, I know how miserable it can be. As an ER physician I can tell you that hemorrhoids affect the majority of pregnant women and the treatment options have never been great. Bummed is filling a real need with their pregnancy safe compounded creams and I'm glad someone is finally tackling this.

Suneer Chander, MD

FAQs

Visit our FAQs page for more information.

Immediately.

90 days

Apply a pea-sized amount to inside of anus 3 to 4 times a day. Finger cots are included in your order for easy application.

Many patients with anal fissures or hemorrhoids have more than one underlying issue, such as sphincter muscle tension, inflammation, or poor blood flow to healing tissue. Compounded topical treatments combine medications with different mechanisms to address these problems at the same time—helping relax the anal sphincter, improve circulation, and reduce pain and inflammation. This approach simplifies treatment with a single medication and can improve healing, comfort, and adherence while helping some patients avoid more invasive procedures.

Topical diltiazem helps treat anal fissures and painful hemorrhoids by relaxing the internal anal sphincter muscle. This reduces pressure in the anal canal, improves blood flow to irritated or damaged tissue, and helps relieve pain caused by muscle spasm. For chronic anal fissures, studies show that diltiazem can achieve healing rates similar to nitroglycerin but with fewer side effects, such as headaches, making it a well-tolerated option for many patients, including pregnant and postpartum people. The same sphincter-relaxing effect can also help decrease pressure and discomfort associated with symptomatic hemorrhoids, supporting healing and improving comfort. Because of its favorable side-effect profile, topical diltiazem is often used as a practical long-term treatment option before considering procedures like Botox injections or surgical sphincterotomy.

Why choose bummed?

Traditional Care

CONSULTATION FEE

$200+

average out-of-pocket cost for a specialist

$49

pays for your consult, which includes 12 months of refills

Medication Cost

$80+ / $200+

A one-off compounded medication or a branded medication

$65

will last approximately 3 months

Accessibility

64-day

Average wait to see a specialist

Same-day

Online consultation

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