Hi HipJan,I've used Balneol for years for anal itching and it's very soothing. I usually follow it with a tissue soaked in Witch Hazel (cheaper than Tuck's pads) and then Prep H. I found that using just the Balneol felt good in the short term but over several days actually increased the itching.I use the Balneol when I don't have time to soak my butt in Epsom Salts in warm water. This works best for me, at nighttime before bed, followed by Prep H. The balneol can be hard to find, I have to call Walmart pharmacy and order it special.