A homeopathic medicine. Natural care since 1860. Relieves, soothes, calms. Established in 1860. Nelsons is Europe's oldest and most experienced homeopathic manufacturer. Nelsons topical remedies represent over a century of excellence in natural skin care, and are unrivaled in effectiveness and quality. Nelsons H+care soothing hemorrhoid cream has been uniquely formulated to help provide soothing relief from itching, burning, and irritation associated with hemorrhoids. No artificial colors, artificial fragrances or animal products. This product has not been tested on animals. Active ingredients made according to the Homeopathic Pharmacopoeia of the United States (HPUS). Made in England.