RectiCare: what it is and how to use it

At a glance

RectiCare is a lidocaine-based topical product marketed for hemorrhoid and anorectal discomfort. Its primary benefit is pain relief through local anaesthesia — it numbs the area temporarily, reducing the sensation of pain and itching.

It is available over the counter in some markets and is one of several topical options people consider for hemorrhoid symptom management. This guide covers what it contains, how to use it, and where it fits among other options.

What it contains

The active ingredient in RectiCare is lidocaine — a widely used local anaesthetic. Lidocaine works by temporarily blocking nerve signals in the area where it is applied, reducing the sensation of pain and itching.

RectiCare is available in two forms:

  • Cream — applied directly to the perianal area
  • Medicated wipes — pre-moistened wipes with lidocaine for cleaning and symptom relief

How to use it

Application

  1. Clean the area gently with warm water and pat dry
  2. Apply a thin layer of cream to the affected external area
  3. Do not insert into the rectum unless specifically directed by a clinician
  4. Wash hands before and after application
  5. Apply as needed — typically up to six times daily, following product instructions

Timing

People commonly describe applying RectiCare:

  • After bowel movements — when discomfort is often at its peak
  • Before bed — to help with comfort during sleep
  • Before activities that worsen symptoms — sitting for long periods, exercise

What it does and does not do

What it does

  • Provides temporary pain relief — the numbing effect typically lasts 30 minutes to a few hours
  • Reduces itching — the anaesthetic effect dulls the itch sensation
  • Offers immediate comfort — faster-acting than anti-inflammatory treatments

What it does not do

  • Reduce swelling — RectiCare does not contain anti-inflammatory agents
  • Treat the underlying cause — it manages symptoms, not the condition
  • Promote healing — it does not contain healing or reparative ingredients
  • Address internal hemorrhoids — it is for external use

Compared to other options

ProductActive approachPain reliefAnti-inflammatoryBarrier protection
RectiCareLocal anaesthetic (lidocaine)StrongNoNo
AnusolAstringent (zinc, bismuth)MildMildYes
GermoloidsLocal anaesthetic (lidocaine) + zincStrongMildYes
Preparation HVarious formulationsVariableSome formulationsYes
SudocremGeneral antiseptic (zinc oxide)Very mildNoYes

RectiCare’s strength is focused pain relief. For people whose primary issue is pain rather than swelling or irritation, it may be the most directly effective topical option.

Practical considerations

  • Not a standalone solution — RectiCare works best alongside other management (diet, hydration, sitz baths, toilet habits)
  • Temporary use — if you need it consistently for more than a week or two, the underlying condition needs attention
  • Sensitivity — some people develop sensitivity to lidocaine with repeated use; if you notice increased irritation, stop using it
  • Availability — RectiCare may not be available in all markets; ask a pharmacist about equivalent lidocaine-based products
  • Cost — typically more expensive than basic options like Anusol; whether the targeted pain relief justifies the cost depends on your primary symptom

When to seek care

If you experience any of the following, seek urgent medical care:

  • Rectal bleeding — always worth getting checked
  • Unexplained weight loss
  • Persistent change in bowel habits
  • Severe or worsening pain

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