Suggested Use At first sign of symptoms: Adults: 1 tablet every 1/2 to 1 hour until symptoms lesson, then continue with standard dosage. Do not exceed 12 tablets in 24 hours. Standard dosage: Adults: 3 tablets per day, taking 1 tablet every 4 to 6 hours.Allow tablets to dissolve completely in the mouth, do not swallow. Other Ingredients Active Ingredients: Each tablet contains: *Aesculus hippocastanum 4X, *aloe socotrina 4X, *collinsonia canadensis 4X, *leptandra virginica 6X, muriaticum acidum 6X, *nux vomica 5X, *paeonia officinalis 6X, *sulphur 10X 37.5 mg each. *Natural Ingredients Inactive Ingredients: Lactose, magnesium stearate.X is a homeopathic dilution. Warning If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. If condition worsens or does not improve within 7 days, consult a doctor. In case of bleeding, consult a doctor promptly. Do not use if known sensitivity to Hemorrhoid or any of its ingredients exists.For children under 18, consult your health professional.Tamper Evident: Use this product only if imprinted shrink seal around neck and cap is intact.Store tightly closed to room temperature. Protect from light and moisture.