Product Features: Preparation H Maximum Strength Pain Relief Cream is formulated to provide fast relief from external hemorrhoid discomfort. It contains pramoxine for maximum-strength, multi-symptom relief. The smooth cream is enriched with vitamin E, panthenol, and soothing aloe for added comfort. Apply up to four times daily for relief from discomfort such as itching, burning, and pain. For enhanced relief, use alongside Preparation H Medicated Wipes.