Topical pain-relieving drugs are preparations applied to the skin as a cream, ointment, gel, or spray. Topical 'drug' applications are used to help reduce inflammation below the skin surface and alleviate nerve pain. Some of these drugs are available only with a doctor's prescription and others can be purchased over-the-counter (OTC).
Spine specialists may recommend the use of a topical pain-reliever to help relieve the symptoms of osteoarthritis, rheumatoid arthritis, neck or low back sprain/strain, whiplash, muscular and joint pain, and some types of nerve pain. Two common types of topical pain relievers are local anesthetics and analgesics.
Local anesthetics are substances used to reduce or eliminate pain in a limited area of the body. These work by blocking the transmission of nerve impulses. One type of local anesthetic combines lidocaine and prilocaine (EMLA®). It numbs the skin for a period of two to three hours and is helpful to reduce pain prior to injection or insertion of an intravenous line (IV).
Analgesics are non-steroidal anti-inflammatory drug (NSAIDs) preparations in cream, ointment, or gel form. Topical analgesics are used to reduce swelling and ease inflammation that can cause pain.
The use of topical pain-relieving agents is not a new concept. Products such as Lanacane® or Solarcaine® , both available OTC, have been used for years to treat minor sunburn, abrasions, and cuts.
CorprofenT pain relief cream, BenGay® and IcyHot® are examples of OTC drugs used to help relieve joint pain commonly associated with arthritis. These preparations work primarily as local anesthetics without analgesic compounds added. Aspercreme®, Sportscreme®, and Myoflex® - available OTC, contain a type of salicylate; a chemical substance similar to, but not aspirin.
Newer types of topical pain-relieving creams, ointments, and gels have become available and contain NSAIDs such as ibuprofen and dilofenac (Voltaren® Emugel). These topical preparations work to reduce swelling and inflammation of soft tissues (tendons, ligaments, muscles) caused by trauma or disorders such as osteoarthritis and rheumatoid arthritis.
Another type of topical preparation contains Capsaicin (Zostrix®, Dolorac®). These prescription preparations work by reducing the levels of the chemical substance P, which is involved in transmitting pain impulses to the brain.
Whether the topical preparation to be used is purchased OTC or prescribed, keep in mind the substance is a drug. That is why it is important that the patient discloses their medical history, including prescription, OTC, supplements (e.g. vitamins, herbs), and allergies to their treating medical professional.
Other medical conditions may affect the use of a topical pain-relieving medication. These conditions include:
Broken or inflamed skin, burns, open wounds
Atopic dermatitis or eczema (skin disorders)
Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency (a type of anemia)
Severe liver or kidney disease
Methemoglobinemia (defective iron in the red blood cells; inhibits oxygen delivery to tissues)
Intolerance to certain oral medications
Safe and effective use of a topical pain-relieving agent involves many of the same considerations as if taking an oral medication.
When used appropriately, topical preparations can help reduce or alleviate pain caused by osteoarthritis, rheumatoid arthritis, and soft tissue trauma. Patients whose pain is relieved using topical agents require lower doses of oral medications. This means they can avoid many of the harmful side effects associated with oral drugs.
Doctor Recommended CorprofenT is a topical pain relieving cream that can be safely used to temporarily provide pain relief for painful symptoms of osteoarthritis, rheumatoid arthritis, fibromyalgia, neck and low back strain or sprain, whiplash, muscular and joint pain, and some types of nerve pain.
CorprofenT was developed by an orthopedic surgeon interested in providing his patients with an easy to use pain relieving product available over-the-counter to help alleviate inflammation, pain, and stiffness. During pre-clinical assessments of CorprofenT, many patients who used CorprofenT cream for pain relief required lower doses of oral medications.
A key difference between CorprofenT and other topical pain-relieving creams is CorprofenT contains real medicine:
However, unlike oral drug medications taken to treat pain, CorprofenT pain relief cream bypasses the gastrointestinal tract and is less likely to cause stomach upset, ulcer, and bleeding. The formula used in CorprofenT is non-narcotic and does not present an associated risk for addiction.
A portion of the profits from CorprofenT is donated to non-profit associations dedicated to the advancement of medicine such as the Miami Project to Cure Paralysis.