Nelsons H+ Care Hemorrhoid cream is a soothing cream formulated from four plant tinctures to help alleviate the discomfort of hemorrhoids. For extra effectiveness use H+care Hemorrhoid wipes to cleanse & soothe the area before applying the cream. Containing the same active plant ingredients than the cream both products together present an effective alternative to help you when suffering from this uncomfortable ailment. Visit our Nelsons H+care page to find out more about hemorrhoids & who is suffering. Active Ingredients Aesculus hippocastanum, Calendula offcinalis, Hamamelis virginca, Paeonia officinalis Directions Wash affected area with warm water then apply cream as required. Precautions Keep all medicines out of the reach of children. Side effects are rare. If you notice anything unusual or symptoms persist, consult your doctor or homeopath. Sufferers from persistent hemorrhoids should consult a doctor. If you are pregnant or breast feeding always consult a doctor or homeopath before using this product. Do not use if sensitive to ingredients.