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From the 2002 Drug Guide
If your pain is mild, if you have only a few joints affected or if oral medications don't completely control your pain, you may find a topical
analgesic useful. Available as creams, gels or salves, topical analgesics generally work due to one or more of the following ingredients.
Capsaicin - A natural ingredient found in cayenne peppers available under the brand names Zostrix, Zostrix HP, Capzasin-P and more.
Capsaicin works by blocking the transmission of a pain-relaying substance, called substance P, to the brain.
Counter-irritants - Substances, such as menthol, oil of wintergreen, camphor, eucalyptus oil and turpentine oil, that fool pain by
creating a feeling of cold or heat over sore muscles. Brands include
ArthriCare, Eucalyptamint, Icy Hot and Therapeutic Mineral Ice.
(Menthacin includes capsaicin and counter-irritants.)
Salicylates - Compounds that inhibit pain and inflammation by seeping through the skin. Available in products like
Aspercreme, BenGay,
Flexall, Mobisyl and Sportscreme.
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