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Viva (topical)

Generic Name: camphor, lidocaine, and methyl salicylate (topical) (KAM for, LYE doe kane, METH il sa LIS i late TOP ik al)
Brand Name: Viva

What is Viva (camphor, lidocaine, and methyl salicylate topical)?

Camphor is a mild pain reliever.

Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.

Methyl salicylate is a nonsteroidal anti-inflammatory drug (NSAID) in a group of drugs called salicylates (sa-LIS-il-ates). This medicine works by reducing substances in the body that cause pain and inflammation.

Camphor, lidocaine, and methyl salicylate topical (for the skin) is a combination medicine used to provide temporary relief of mild to moderate aches and pains of the muscles and joints. This medicine may be used for pain caused by muscle stiffness or bruising, arthritis, sprains or strains, backaches, and sore or bruised muscles.

Camphor, lidocaine, and methyl salicylate may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Viva (camphor, lidocaine, and methyl salicylate topical)?

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

What should I discuss with my healthcare provider before using Viva (camphor, lidocaine, and methyl salicylate topical)?

This medicine contains methyl salicylate, which is an NSAID. An NSAID can increase your risk of fatal heart attack or stroke, especially if you use it long term, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while using an NSAID.

Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

An NSAID may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using and NSAID, especially in older adults.

You should not use this medicine if you are allergic to camphor, lidocaine, or methyl salicylate.

To make sure camphor, lidocaine, and methyl salicylate is safe for you, tell your doctor if:

  • you have high blood pressure or heart disease;

  • you have ever had a stomach ulcer or bleeding problems;

  • you drink 3 or more alcoholic drinks per day;

  • you have kidney disease;

  • you are allergic to any skin products; or

  • you are allergic to any NSAID (aspirin, ibuprofen, celecoxib, diclofenac, indomethacin, meloxicam, naproxen, Advil, Motrin, Aleve, and others).

Do not use this medicine without a doctor's advice if you are pregnant. Using methyl salicylate during the last 3 months of pregnancy may harm the unborn baby, or cause bleeding in the mother or the baby during delivery.

It is not known whether camphor, lidocaine, or methyl salicylate could pass into breast milk or harm a nursing baby. Do not use this medicine without a doctor's advice if you are breast-feeding a baby.

This medicine is not approved for use by anyone younger than 12 years old.

How should I use Viva (camphor, lidocaine, and methyl salicylate topical)?

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.

This medicine comes in a patch that you apply to your skin.

Keep the patch away from your mouth, nose, and eyes.

Wash your hands before applying a skin patch, and after removing it.

Open the foil pouch and remove one skin patch. Reseal the pouch to protect the remaining patches.

Remove the protective film from the sticky side of the patch. Apply the patch to clean and dry skin.

Do not apply the patch over open wounds or sunburned, windburned, damaged, or irritated skin. Do not apply the skin patch to your face or your genitals.

Do not wear more than one skin patch at a time. Using extra skin patches will not make the medicine more effective, and could increase your risk of heart attack or stroke.

It may take up to several hours before you notice pain relief while wearing the skin patch.

Remove the skin patch after 8 to 12 hours and replace it with a new one if needed. Do not use more than 2 skin patches in a 24-hour period.

Call your doctor if your symptoms do not improve, or if they get worse while using this medicine.

After removing a skin patch: fold it in half firmly with the sticky side in, and throw it away in a place where children and pets cannot get to it.

Store unused skin patches at room temperature away from moisture, heat, and sunlight. Keep each patch in the foil pouch until ready to use. After opening a pouch, you must use the skin patches within 7 days.

What happens if I miss a dose?

Since this medicine is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if a child has placed a skin patch into his or her mouth.

What should I avoid while using Viva (camphor, lidocaine, and methyl salicylate topical)?

Do not expose treated skin to heat from a hot tub, heating pad, or sauna. Heat can increase the amount of drug absorbed through your skin and may cause harmful effects.

Rinse with water if the medicine gets in your eyes.

Viva (camphor, lidocaine, and methyl salicylate topical) side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Remove the skin patch and get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.

Although the risk of serious side effects is low when medicine is applied to your skin, side effects can occur if the medicine is absorbed into your bloodstream.

Stop using this medicine and call your doctor at once if you have:

  • worsening of your muscle pain;

  • skin rash, itching, or irritation;

  • a light-headed feeling, like you might pass out;

  • new or worsening stomach pain; or

  • signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

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)

What other drugs will affect Viva (camphor, lidocaine, and methyl salicylate topical)?

Tell your doctor about all your current medicines and any you start or stop using, especially:

  • a diuretic or "water pill";

  • a blood thinner--warfarin, Coumadin, Jantoven; or

  • an NSAID--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete. Other drugs may interact with camphor, lidocaine, and methyl salicylate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

More about Viva (camphor / lidocaine / methyl salicylate topical)

Related treatment guides

Where can I get more information?

  • Your pharmacist can provide more information about camphor, lidocaine, and methyl salicylate.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 1.01.

Date modified: October 14, 2016
Last reviewed: August 31, 2016