HemRid Max vs HemRid Ultra (2026 Comparison)
Medically reviewed by Dr. Robert William, MD · Written by Kevin Schwaner · Updated July 2026
Quick Answer
HemRid Max and HemRid Ultra are genuinely different formulas, not just strength tiers. HemRid Max is a seven-ingredient botanical blend, horse chestnut standardized to 20%, the citrus flavonoid hesperidin, witch hazel, butcher’s broom, bilberry, Enovita grapeseed, and vitamin C, that supports vein health from several angles at once. HemRid Ultra is a focused single-active formula: 600mg of diosmin, the citrus flavonoid with the strongest clinical research for hemorrhoids, in an enhanced-bioavailability form. Choose Max for broad botanical coverage; choose Ultra for a concentrated dose of the single most-studied hemorrhoid flavonoid. Max is $33.99 a month and the popular default; Ultra is $38.21 a month. Both ship from an active US brand under the 120-day guarantee.
| HemRid Max | HemRid Ultra | |
|---|---|---|
| Formula type | Seven-ingredient botanical blend | Single-active concentrate |
| Key ingredients | Horse chestnut 20%, hesperidin, witch hazel, butcher’s broom, bilberry, grapeseed, vitamin C | 600mg diosmin (citrus flavonoid) |
| Approach | Broad vein support from several botanicals | Concentrated dose of the most-studied hemorrhoid flavonoid |
| Bioavailability | Standard | Enhanced-bioavailability formulation |
| Built for | Most users wanting broad botanical support | Those wanting a focused, clinical single-flavonoid dose |
| Price (one-time) | $39.95 | $44.95 |
| Price (subscription) | $33.99/mo | $38.21/mo |
| Guarantee | 120-day money-back guarantee | 120-day money-back guarantee |
| Made in | USA, FDA-registered, GMP-certified | USA, FDA-registered, GMP-certified |
Two Genuinely Different Formulas
Max and Ultra are not two strengths of one blend; they take two different routes to the same goal. HemRid Max casts a wide net: seven botanicals, each contributing to vein support in its own way, from horse chestnut’s aescin to hesperidin’s flavonoid action to grapeseed’s antioxidant OPCs. HemRid Ultra goes narrow and deep: a single active, 600mg of diosmin, the citrus flavonoid with the most direct clinical evidence for hemorrhoid symptoms, formulated for enhanced bioavailability so the body absorbs it efficiently.
Neither is simply stronger than the other. One is broad, one is concentrated. That distinction, not a strength tier, is what should drive the choice.
What Is HemRid Max?
HemRid Max is the flagship: a daily capsule delivering a focused panel of botanical extracts studied for vein health. The anchors are horse chestnut standardized to 20% (the active fraction studied in chronic venous insufficiency) and the citrus flavonoid hesperidin, evaluated in research on hemorrhoid symptoms, rounded out by witch hazel, butcher’s broom, bilberry, grapeseed extract, and vitamin C. A Cochrane review of phlebotonic compounds, the flavonoid class that includes hesperidin, found evidence of benefit for hemorrhoid symptoms including bleeding and itching.
Made in the USA in an FDA-registered, GMP-certified facility, with a 120-day money-back guarantee. It is our most popular first purchase and the right default for most people.
What Is HemRid Ultra?
HemRid Ultra is built around a single active: 600mg of diosmin per serving, in an enhanced-bioavailability form. Diosmin is a citrus flavonoid and the most clinically studied ingredient for hemorrhoids; it is the active behind the flavonoid preparations used for venous symptoms worldwide, and it belongs to the phlebotonic class a Cochrane review found beneficial for bleeding, itching, and discharge. Rather than spreading across many botanicals, Ultra concentrates on delivering a robust dose of the one flavonoid with the deepest research base, absorbed efficiently.
At $38.21 a month on subscription it is the premium, focused option in the supplement line, for the buyer who wants a concentrated clinical dose of diosmin specifically. It is made in the USA in an FDA-registered, GMP-certified facility and carries the same 120-day guarantee as the rest of the line.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
What Is Actually Different?
The plain version: Max is a seven-botanical blend; Ultra is 600mg of concentrated diosmin. Max gives you breadth, several vein-support ingredients working together. Ultra gives you depth, a clinical dose of the single most-studied hemorrhoid flavonoid in an enhanced-absorption form.
They do not share the same active profile. Max is hesperidin-led with supporting botanicals and contains no diosmin; Ultra is diosmin. So this is a real formula difference, not a strength tier, and the price gap is about $4.20 a month on subscription. Choose by approach: comprehensive botanical support, or a concentrated dose of the flavonoid with the strongest hemorrhoid research.
Which Should You Start With?
Start with HemRid Max if you want broad botanical vein support and the popular, proven flagship. It is the right default for most people.
Choose HemRid Ultra if you specifically want diosmin, prefer a focused single-active formula, or want the most clinically studied hemorrhoid flavonoid at a concentrated 600mg dose in an enhanced-absorption form.
Either way, the 120-day money-back guarantee means starting with the wrong one costs nothing to fix.
Can You Take Max and Ultra Together?
Unlike Max and Plus, these two do not share the same active. Max is a hesperidin-led botanical blend with no diosmin; Ultra is diosmin. Diosmin and hesperidin are, in fact, the two flavonoids that appear together in classic clinical vein formulas, so some people do layer Max and Ultra to get both broad botanical support and a concentrated diosmin dose. If you combine them, follow each label’s directions and check with your doctor or pharmacist, especially if you take other medications.
The Capsule Is One Layer of Four
Whichever formula fits, daily internal support works best inside the full routine:
- Cleanse with medicated wipes after every bowel movement
- Treat flares at the surface with HemRid Lidocaine Cream on pain days
- Support internally with your chosen HemRid formula, daily
- Prevent with daily fiber so straining stops restarting the cycle
The HemRid Complete Care Bundle packages the routine under the 120-day guarantee. Deciding between the everyday tiers instead? See HemRid Max vs HemRid Plus.
Frequently Asked Questions
What is the difference between HemRid Max and HemRid Ultra?
They are different formulas. HemRid Max is a seven-ingredient botanical blend (horse chestnut, hesperidin, witch hazel, butcher’s broom, bilberry, grapeseed, vitamin C) at $33.99 a month. HemRid Ultra is a single-active concentrate: 600mg of diosmin, the most clinically studied hemorrhoid flavonoid, in an enhanced-bioavailability form, at $38.21 a month.
Is HemRid Ultra stronger than Max?
It is not simply stronger; it is different. Ultra delivers a concentrated 600mg dose of one flavonoid, diosmin, with the deepest clinical evidence for hemorrhoids. Max delivers broad support from seven botanicals. Ultra is the focused, clinical single-active choice; Max is the comprehensive blend.
Which HemRid is best for severe or recurring hemorrhoids?
Both are reasonable. Max gives broad botanical vein support and is the popular flagship. Ultra concentrates on 600mg of diosmin, the flavonoid with the strongest hemorrhoid research, which some people prefer for a focused, clinical approach. If unsure, Max is the default; the 120-day guarantee lets you try either.
Is Ultra worth the extra cost?
It is about $4.20 more a month on subscription. Ultra is worth it if you specifically want diosmin, the single most-studied hemorrhoid flavonoid, in a concentrated, enhanced-absorption dose. If you prefer broad botanical coverage, Max delivers that at the lower price.
Can I take Max and Ultra at the same time?
You can. Unlike Max and Plus, these do not share the same active: Max is a hesperidin-led botanical blend with no diosmin, and Ultra is diosmin, so combining them adds a concentrated diosmin dose rather than doubling the same ingredient. Follow each label and check with your doctor if you take other medications.
How long until I notice results?
Oral vein-support ingredients build with consistent daily use; research on citrus flavonoids like hesperidin measures outcomes over days to weeks. Plan on several weeks, use topicals for immediate relief in the meantime, and let the 120-day guarantee absorb the risk of the trial.
Are both made in the USA?
Yes. Both are manufactured in an FDA-registered, GMP-certified facility in the United States.
Our most popular formula · or step up to Ultra · 120-day guarantee
Sources
- Product labels: HemRid Max, HemRid Ultra
- Cochrane Database of Systematic Reviews: Phlebotonics for haemorrhoids
- Pittler MH, Ernst E. Horse chestnut seed extract for chronic venous insufficiency