Cream
To relieve neuralgia--pain in the nerve endings near the surface of the skin. Capsaicin is commonly prescribed for neuralgia associated with shingles, an acutely painful condition caused by infection with the varicella zoster virus, the same organism that causes chicken pox. Capsaicin is also used to relieve mild to moderate arthritis, Diabetic neuropathy (pain caused by nerve cell damage that occurs as a complication of diabetes), and postoperative pain.
When applied topically, capsaicin (a derivative of hot peppers) appears to reduce the amount of a natural chemical known as substance P, which is present in painful joints. Substance P is believed to be involved in two processes central to arthritis: the release of enzymes that produce Inflammation and the transmission of pain impulses from the joints to the central nervous system. By blocking the production and release of substance P, capsaicin can reduce the pain associated with arthritis as well as dampen the transmission of pain messages to the brain.
Apply a small amount to the affected area up to 4 times a day. Do not apply to broken or irritated skin. If the use of a bandage is recommended, do not apply it too tightly.
Therapeutic pain response is usually achieved in 1 to 2 weeks but may take as long as 4 weeks.
Up to 6 hours.
This medication can be used without regard to diet.
Store in a tightly sealed container away from heat and direct light.
Apply it as soon as you remember. If it is near the time for the next dose, skip the missed dose and resume your regular dosage schedule. Do not double the next dose.
Pain relief will last only as long as capsaicin is used regularly. If you discontinue using the medication and the pain returns, it is safe to resume treatment.
No special problems are expected. Burning and stinging sensations upon application frequently subside with prolonged use. If your condition worsens or does not improve after 1 month, discontinue using capsaicin and consult your doctor.
No special problems are expected.
No problems are expected.
No special precautions are necessary.
No problems have been reported.
No problems are expected.
Not recommended for use on children under the age of 2. No problems are expected in older children.
You may not be able to use capsaicin if you are allergic to it or if you have ever had an allergic reaction to hot peppers. Wash your hands thoroughly after applying the cream; if you are using it for arthritis of the hands, wait 30 minutes before washing. It can cause a burning sensation if even small amounts get into the eyes or on other sensitive areas of the body. If you wear contact lenses, be especially cautious. If it does get into your eyes, flush them with water. On other sensitive areas of the body, wash the area with warm (but not hot) soapy water. After applying capsaicin cream, avoid contact with children and pets until you have thoroughly washed your hands.
No cases of overdose have been reported.
An overdose is unlikely to be life-threatening. However, if someone applies a much larger dose than prescribed, suffers adverse side effects, or accidentally ingests it, call your doctor or the nearest poison control center for advice.
Capsaicin may alter the action of some drugs or trigger unwanted side effects. Consult your doctor about any other drugs that you take, including over-the-counter medications.
None are known.
Consult your doctor if you have broken or irritated skin, or conditions that may result in broken skin, on the area to be treated.
