Capsaicin + Diclofenac + Gabapentin + Methyl Salicylate

This is a combination of four medicines: Capsaicin, Diclofenac, Gabapentin, and Methyl Salicylate. Capsaicin is a plant derivative which activates certain receptors to cause prolonged desensitization of the local pain nerves. Diclofenac is a non-steroidal anti-inflammatory drugs (NSAIDs). It works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling). Gabapentin is an alpha 2 delta ligand which decreases pain by modulating calcium channel activity of the nerve cells. Methyl Salicylate is used as topical analgesic (pain reliever). It works by first cooling the skin then warming it up. This cooling and warming up action interferes with the pain signal transmission through nerves. Together, they relieve neuropathic pain (pain from damaged nerves).

Application site burning, Irritation