Do not use a product like this if you have any of the following:

• broken skin
• irritated skin
• an unusual or allergic reaction to capsaicin, hot peppers, other medicines, foods, dyes, or preservatives
• breast-feeding
• pregnant or trying to get pregnant

Follow the directions on the label. Capsaicin should be used 3 to 4 times per day. Less frequent use will decrease the effect of capsaicin. Rub the cream or gel into the painful area until there is little or no visible cream (or gel) left on the skin surface. Unless you are using capsaicin for arthritis of the hands, you should wash your hands after you apply the cream or gel. If you are using capsaicin for arthritis of the hands, do not wash your hands for at least 30 minutes after using this medicine.

• Wear gloves when applying capsaicin cream
• Do not apply it immediately after a hot bath or shower or use it with a heating pad
• Avoid getting capsaicin cream in eyes and other mucus membranes or broken skin
• The safety of capsaicin cream in pregnant or nursing women hasn't been established

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

Do not use a product like this if you have any of the following:

• broken skin
• irritated skin
• an unusual or allergic reaction to capsaicin, hot peppers, other medicines, foods, dyes, or preservatives
• breast-feeding
• pregnant or trying to get pregnant

A Note of Caution - At least one article in the scientific literature indicates that there have been no large scale studies of long term effects of capsaicin in the digestive tract of patients whose health has been compromised by surgery or long term neuropathy. An article summarized in Science/Health Abstracts Vol. 5, No. 3, indicates that capsaicin can have significant toxic effects within the body.

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

Side Effects

Side effects that you should report to your prescriber or health care professional as soon as possible:

• breakdown of your skin
• cough

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• burning or stinging of skin at site of application
• warm sensation at site of application

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

There are no known drug interactions with capsaicin.