PREPARATION H Maximum Strength Relief Cream is the only hemorrhoid cream with maximum strength pramoxine for multi-symptom relief*. The proprietary blend with vitamin E, panthenol and soothing aloe provides rapid relief from discomfort, burning, itching and discomfort. APPLICATION: Adults: when practical, cleanse the affected area by patting or blotting with an appropriate cleansing wipe. Gently dry by patting or blotting with a tissue or a soft cloth before applying this cream. PREPARATION H Maximum Strength Relief Cream is to be applied externally or in the lower portion of the anal canal only.