Capsaicin Topical Dosage

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Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Diabetic Neuropathy

Apply a thin film of capsaicin topical to the affected area two to four times daily, and gently rub in until fully absorbed. Applications fewer than two times a day may cause the burning sensation to persist longer and may not provide optimum pain relief.

Capsaicin patches 8% marketed under the trade name Qutenza (TM) should be applied for 60 minutes every 3 months or as warranted by the return of pain (no more frequently than every 3 months) and should only be applied by a physician or other health care provider under the close supervision of a physician. The health care provider should use only nitrile (not latex) gloves when handling the patches and when cleaning treatment areas. The physician should identify and mark the painful area, including areas of hypersensitivity and allodynia, and apply a topical anesthetic before treatment. The patch should be applied by placing on the skin while slowly removing the release liner from underneath. Patches should be removed by gently and slowly rolling them inward. After patch removal, Cleansing Gel should be applied to the treated area for one minute and then removed with a dry wipe.

Usual Adult Dose for Postherpetic Neuralgia

Apply a thin film of capsaicin topical to the affected area two to four times daily, and gently rub in until fully absorbed. Applications fewer than two times a day may cause the burning sensation to persist longer and may not provide optimum pain relief.

Capsaicin patches 8% marketed under the trade name Qutenza (TM) should be applied for 60 minutes every 3 months or as warranted by the return of pain (no more frequently than every 3 months) and should only be applied by a physician or other health care provider under the close supervision of a physician. The health care provider should use only nitrile (not latex) gloves when handling the patches and when cleaning treatment areas. The physician should identify and mark the painful area, including areas of hypersensitivity and allodynia, and apply a topical anesthetic before treatment. The patch should be applied by placing on the skin while slowly removing the release liner from underneath. Patches should be removed by gently and slowly rolling them inward. After patch removal, Cleansing Gel should be applied to the treated area for one minute and then removed with a dry wipe.

Usual Pediatric Dose for Pain

Children greater than 2 years and Adolescents: Pain relief: OTC labeling: Lotion, topical (DiabetAid Tingling and Pain Relief [R]): Apply to affected area 3 to 4 times a day

Adolescents 12 years and older: Pain relief: OTC labeling: Patch (Salonpas [R]-Hot): Apply patch to affected area up to 3 to 4 times a day for 7 days. Patch may remain in place for up to 8 hours.

Renal Dose Adjustments

Data not available

Liver Dose Adjustments

Data not available

Precautions

When using capsaicin topical products, a burning sensation often occurs initially at the site of application, but generally diminishes or disappears with regular use as directed.

Capsaicin topical products should not be applied to wounds, or to damaged or irritated skin.

Disposable plastic gloves should be worn when applying capsaicin topical in order to reduce the chance of transferring residual cream to eyes, mucous membranes or other areas of the body. Wash hands thoroughly with soap and water immediately after applying capsaicin topical. If contact with mucous membranes, eyes, or contact lenses occurs, the affected area should be thoroughly rinsed with cool water.

Capsaicin patches 8% marketed under the trade name Qutenza (TM) should only be applied by a physician or other health care provider under the close supervision of a physician. The health care provider should use only nitrile (not latex) gloves when handling the patches and when cleaning treatment areas.

Treating acute pain from capsaicin patches during and following the procedure should be done with local cooling and/or analgesics.

Capsaicin patches and other treatment materials should be disposed of immediately after use in accordance with local biomedical waste precautions.

Safety and effectiveness have not been established in pediatric patients (less than 18 years of age).

Dialysis

Data not available

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