Local anesthetic / corticosteroid combinations are used to help reduce swelling, pain, redness, or itching caused by hemorrhoids, anal itching, and anal fissures. They work by combining a local anesthetic to numb the area and a corticosteroid to reduce inflammation and itching. They come in different topical forms, including creams, ointments, and foams. Examples include hydrocortisone / pramoxine (Pramosone, Analpram HC, Proctofoam HC) and lidocaine / hydrocortisone. You can discuss with your healthcare team which option might be right for you.