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Long-Acting
Long-Acting
Long-Acting
Long-Acting
Long-Acting
Long-Acting
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Long-Acting

Hemorrhoid & Fissure Rx Cream

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

A soothing, high-efficacy cream designed for long-term healing—especially effective for pregnant people.

  • Crafted especially for women dealing with hemorrhoids or chronic anal fissures. It’s ideal for those suffering from that sharp, “paper cut” pain and bleeding. Works for all sexes.
  • The formula includes diltiazem, a long-acting calcium channel blocker that relaxes the anal sphincter. This helps promote healing and long-term relief from stubborn fissures over time.
  • For fast pain relief, lidocaine goes to work immediately to numb discomfort.
  • Bupivacaine extends the numbing effect, keeping you comfortable for longer periods.
  • Hydrocortisone reduces swelling, itching, and irritation—especially useful when hemorrhoids are involved.
  • Metronidazole and aloe provide antimicrobial protection while gently soothing sensitive skin.
  • Safe for people with a history of headaches or migraines. Designed for long-term healing, it doesn’t just mask symptoms—it helps fix the problem for good.

 

 

 

 

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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

Product in Action
Extended relief

Extended relief

Formulated with diltiazem to relax the anal sphincter and support long-term tissue healing, plus bupivacaine to prolong numbing comfort.
Multi-symptom soothing

Multi-symptom soothing

Combines lidocaine for fast pain numbing with hydrocortisone, metronidazole, and aloe to reduce swelling and irritation for stubborn hemorrhoids and fissures.
<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.

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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

Amazing service and product for both fissure and hemorrhoids! Not to mention that customer service is top notch. I have had issues with hemorrhoids ever since a surgery years ago and recently was wrestling with a fissure and hemorrhoids once again. Their product stopped the bleeding in a week, and I’m on the road to healing. I cannot recommend them enough; I hope it doesn’t reoccur, but I will use them before any other option if it happens again.

Verified Bummed Patient

Was very straightforward in completing the questionnaire and then a follow-up question from the doctor. Once that process was complete I had my medicine in 3 days, highly recommend

Verified Bummed Patient

The process was super easy, and medical review was fast! My prescription shipped within a day and I received it in less than one week. I appreciate getting access to three types of treatments and feel like my symptoms resolved. Thank you!!

Verified Bummed Patient

As a family medicine physician, I see how common hemorrhoids are—especially during pregnancy and postpartum. Bummed provides a private, convenient way for patients to access effective treatment without unnecessary barriers to care.

Mikela Yarawamai, 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.

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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

Meet Dr. Carmen Fong: Surgeon, Storyteller, and Chief Medical Officer

Meet Dr. Carmen Fong: Surgeon, Storyteller, and Chief Medical Officer

What Exactly Is a Compounding Pharmacy — and Why Aren’t Its Meds “FDA-Approved”

What Exactly Is a Compounding Pharmacy — and Why Aren’t Its Meds “FDA-Approved”

Why are Hemorrhoids so Common?

Why are Hemorrhoids so Common?

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