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What is Zostrix-HP

Capsaicin is the active ingredient in chili peppers that makes them hot. Capsaicin is used in medicated creams and lotions to relieve muscle or joint pain.
Capsaicin used on the body causes a sensation of heat that activates certain nerve cells. With regular use of capsaicin, this heating effect reduces the amount of substance P, a chemical that acts as a pain messenger in the body.
Zostrix-HP is used for temporary relief of muscle or joint pain caused by strains, sprains, arthritis, bruising, or backaches. Zostrix-HP is also used to treat nerve pain in people who have had herpes zoster, or "shingles."
Zostrix-HP may also be used for purposes not listed in Zostrix-HP guide.

Zostrix-HP side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Wash the skin and get medical attention right away if you have severe burning, pain, swelling, or blistering of the skin where you applied Zostrix-HP.
Stop using Zostrix-HP and call your doctor at once if you have a serious side effect such as:

Less serious side effects may include a mild burning sensation that can last for several hours or days, especially after your first use of Zostrix-HP.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)

Zostrix-HP dosing

Usual Adult Dose for Postherpetic Neuralgia:

Qutenza: Up to 4 patches applied to intact, non-irritated, dry skin, and allowed to remain in place for 30 minutes for the feet and 60 minutes for other locations
Comments:
-Treatment may be repeated not more frequently than every three months.
-The patch should be applied by a physician or by a health care professional under the supervision of a physician.
Use: Management of neuropathic pain associated with postherpetic neuralgia

Usual Adult Dose for Pain:

Salonpas(R)/Capsaicin(R)/Capzasin(R): Apply to affected area not more than 3 to 4 times a day
Uses: For the temporary relief of minor aches and pains of the muscles and joints associated with simple backache, strains, sprains, bruises, arthritis
Zostrix(R): Apply a thin film to the affected area two to four times daily, and gently rub in until fully absorbed
Comments: Unless being treated, hands should be washed thoroughly with soap and water immediately after use.
Uses: For the temporary relief of minor aches and pains of the muscles and joints associated with strains, sprains, bruises, arthritis

Usual Pediatric Dose for Pain:

Salonpas/Capsaicin(R):
-Adolescents 12 years and older: Apply to affected area not more than 3 to 4 times a day
Uses: For the temporary relief of minor aches and pains of the muscles and joints associated with simple backache, strains, sprains, bruises, arthritis

Select the most affordable brand or generic drug


StrengthQuantityPrice, USDCountry
0 .075%45 cream$48.94Canada, UK
0 .0025%60 g$19.79Australia, Canada, India, NZ, Singapore, Turkey, UK, USA
0 .0025%60 g$31.19Australia, Canada, NZ, Singapore, Turkey, UK, USA
0 .025%60 gram$20.57Barbados, Canada, NZ, UK

References

  1. Dailymed."Capsaicin: dailymed provides trustworthy information about marketed drugs in the united states. dailymed is the official provider of fda label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
  2. "Capsaicin". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).
  3. "Capsaicin". http://www.drugbank.ca/drugs/DB0677... (accessed August 28, 2018).

Zostrix-HP - Frequently asked Questions

Can Zostrix-HP be stopped immediately or do I have to stop the consumption gradually to ween off?

In some cases, it always advisable to stop the intake of some medicines gradually because of the rebound effect of the medicine.

It's wise to get in touch with your doctor as a professional advice is needed in this case regarding your health, medications and further recommendation to give you a stable health condition.

Who should not take Zostrix-HP?

Do not use this medication if you are allergic to chili peppers, or if you have ever had an allergic reaction to Zostrix-HP.

Ask a doctor or pharmacist about using Zostrix-HP if you have any allergies, or if you have a serious medical condition.

It is not known whether Zostrix-HP will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether Zostrix-HP passes into breast milk or if it could harm a nursing baby. Do not apply Zostrix-HP to your breast area if you are breast-feeding a baby.

Do not use this medication on anyone younger than 18 years old without the advice of a doctor.

What other drugs will affect Zostrix-HP?

It is not likely that other drugs you take orally or inject will have an effect on topically applied capsaicin. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

How should I take Zostrix-HP?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Make sure your skin is clean and dry before you apply the medicine.

Do not apply capsaicin to open wounds, or to skin that is sunburned, windburned, dry, chapped, or otherwise irritated.

When using the cream or lotion, apply a thin layer to the affected area and rub in gently until completely absorbed.

To use the liquid or stick, uncap the applicator and press it firmly on your skin to apply the medication. Massage gently onto the affected are until completely absorbed.

Zostrix-HP may be used up to 4 times daily or as directed on the medicine label.

To apply a Zostrix-HP skin patch, remove the liner and apply the patch to your skin over the area of pain. Press the edges firmly into place. Remove the patch and apply a new patch 1 or 2 times daily if needed.

Wash your hands with soap and water immediately after applying Zostrix-HP or handling the skin patch. If you have applied the medicine to your hands or fingers to treat pain in those areas, wait at least 30 minutes before washing your hands.

To keep the medication from getting on your fingers when you apply it, you may use a rubber glove, finger cot, cotton ball, or clean tissue to apply the medicine.

Capsaicin can cause a burning sensation wherever it is applied. This sensation is usually mild and should gradually lessen over time with continued regular use of the medicine.

If the burning sensation is painful or causes significant discomfort, wash the treated skin area with soap and cool water. Get medical attention right away if you have severe burning, pain, swelling, or blistering.

Do not cover treated skin with a bandage or heating pad, which can increase the burning sensation. You may cover the skin with clothing.

Do not get this medication in your mouth or eyes, or near your nose where you might inhale it. If it does get into any of these areas, rinse thoroughly with water.

Also avoid getting this medication on contact lenses, dentures, and other items that come into contact with sensitive areas of your body.

Avoid taking a bath or shower within 1 hour before or after you apply capsaicin to your skin. Also avoid swimming or vigorous exercise. Warm water or perspiration can increase the burning sensation caused by capsaicin.

It may take up to 2 weeks of using this medicine regularly before your symptoms improve. For best results, keep using the medication as directed. Pain relief should occur gradually as the substance P in your body is decreased in the nerve cells.

Call your doctor if your pain does not improve after using this medication for 7 days, or if your symptoms get worse or get better and then come back in a few days.

Store Zostrix-HP at room temperature away from moisture and heat, in a place where children and pets cannot get to it.

Zostrix-HP liquid is flammable. Do not use or store near fire or open flame.

Can Zostrix-HP be taken or consumed while pregnant?

Please visit your doctor for a recommendation as such case requires special attention.

Can Zostrix-HP be taken for nursing mothers or during breastfeeding?

Kindly explain your state and condition to your doctor and seek medical advice from an expert.

Reviews

Following the study conducted by gmedication.com on Zostrix-HP, the result is highlighted below. However, it must be clearly stated that the survey and result is based solely on the perception and impression of visitors and users of the website as well as consumers of Zostrix-HP. We, therefore, urge readers not to base their medical judgment strictly on the result of this study but on test/diagnosis duly conducted by a certified medical practitioners or physician.

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The information was verified by Dr. Vishal Pawar, MD Pharmacology