This blend helps to reduce pain of hemorroids--practically instantly--and you only need to take a few extra capsules as needed depending on your pain level. It is recommended to take at least 2 capsules per day and 2 more when needed up to 8 capsules per day. Can be rotated with the Herba-rhoid pain relief #2 blend for healing at a slightly different energetic level. It is also recommended to take the Pato-V formula, or Systemic's L-Liver, to help heal your veins at a faster rate. Either this blend or #2 will help women that develop this pain at the time of the month and you could take these only as needed for the few days and keep the balance in your medicine cabinet, as most herbals when kept in a dark, cool and dry area will last another 3 years. The FDA has not approved these statements and you are taking this at your own risk. Depending on your pain level it may be necessary to take 2 capsules every two hours to feel relief. This formula also supplies bile salts. Contains: stoneroot root, Boldo leaf and 1 more.