Hemorrhoid & Fissure Rx Cream
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
Our medications ship from our partner pharmacy in 2 – 5 business days.
CMO, Bummed
Diltiazem-powered healing for chronic hemorrhoids and anal fissures — clinically-backed formula, that heals up to 75% of fissures by reducing muscle pressure
Calcium channel blocker relaxes the anal sphincter, restores blood flow to damaged tissue, and promotes healing.
Lidocaine numbs discomfort immediately while bupivacaine extends that relief for hours — so you stay comfortable from morning to night.
Metronidazole targets bacterial activity in irritated tissue so your body isn't fighting two battles at once.
No nitroglycerin means no headache risk — making this the preferred formula for those with migraine history.
Complete a quick medical intake. Tell us your symptoms in a secure, 2-minute online form.
Reviewed by a licensed clinician. A board-certified provider reviews your intake and prescribes treatment if appropriate.
Prescription delivered to your door. Your medication ships directly to your home in discreet packaging.
average out-of-pocket cost for a specialist
pays for your consult, which includes 12 months of refills
A one-off compounded medication or a branded medication
will last approximately 3 months
Average wait to see a specialist
Online consultation
FAQs
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.
The clinical results speak for themselves: in a randomized controlled trial, diltiazem healed chronic anal fissures in over 91% of patients within 6 weeks — outperforming nitroglycerin (GTN) with a significantly higher healing rate and zero headache side effects. A separate double-blind randomized trial published in Annals of Surgery found that topical diltiazem matched Botox injections’ healing rate at 3 months, with no needles required. And for patients looking to avoid surgery altogether, research shows diltiazem eliminates the need for sphincterotomy in up to 70% of cases — even among patients who had already failed other treatments.
The same sphincter-relaxing effect can also help decrease pressure and discomfort associated with symptomatic hemorrhoids, supporting healing and improving overall comfort. Because of its strong efficacy and favorable side-effect profile — with no headache risk unlike nitroglycerin — topical diltiazem is also a preferred option for pregnant and postpartum patients.
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.
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.
Immediately.
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.
Visit our FAQs page for more information.
Provides prolonged pain relief by blocking nerve signals in the affected area
Relaxes muscle which helps to improve blood flow, reduce pain and promote healing
Antimicrobial and anti-inflammatory properties
Complete our 2-min quiz and discover which product is the best fit for your needs
Take The Quiz
