Cream finalgon instructions for use. Finalgon: composition and form of release, therapeutic efficacy, features of pharmacodynamics

Today, one of the most popular remedies for the treatment of problems with musculoskeletal system is the finalgon ointment. It simultaneously has irritating, warming and analgesic effects. The drug is intended for external use. It normalizes blood circulation in the damaged area, dilates blood vessels, thereby relieving pain. Finalgon quickly penetrates into the deep layers of the epithelium, due to which it begins to act 10-15 minutes after it is applied to the skin.

According to doctors, Finalgon can be attributed to drugs that improve and stimulate the functioning of receptors in mucous membranes and tissue cells. The main components underlying the ointment are nicoboxyl and nonivamide. These are natural alkaloids extracted from plants. They have a mild effect and are not able to somehow irritate or injure the surface of the skin.

Important: the safety of nonivamide has been proven by its use in cooking, as a spicy spice.

The ointment is distributed in tubes of 20 or 50 grams, and has brown shade. It has a soft, homogeneous texture. Inside should not come across various pieces or flakes. The drug must be completely homogeneous. A little more about the main components should be said:

Nonivamide. It is an analogue of capsacin, made from synthetic materials. Due to penetration into the deep epithelium, it has an analgesic effect. With multiple application, its effect increases. It is applied as vasodilator drug, which manifests itself in the thermal effect.
Nikoboxil. This component is a chemical extract from nicotinic acid. Its main property is vasodilation. Sometimes its action is manifested as redness on top layer skin (hyperemia).

In addition to these substances, the composition of the ointment includes some other substances that complement and enhance the action of the main components. These include:

Medical vaseline;
Water;
Emulsifier;
Citronella oil;
Paraffin;
Sorbic acid;
Cromadol.

They perform mainly a binding effect and cannot have a significant effect on the human body. However, they reinforce overall influence the drug on the body, as a result of which it begins to actively act after 20-30 minutes.

Indication for use

Ointment Finalgon. What helps? The answer to this question is of most interest to buyers of this tool. The drug is mainly used for most degenerative, dystrophic and inflammatory diseases of the musculoskeletal system. Doctors often recommend using this remedy for removal pain. What is Finalgon used for?

Myalgia or otherwise muscle pain caused by various causes, including excessive physical exertion.
Neuritis, inflammation of the nerves, resulting in pain in the joints.
Rheumatism and arthralgia are joint pains of rheumatic origin.
Inflammation of the articular bag.
Ishalgia is inflammation of the sciatic nerve.
Joint pain caused by damage to the ligaments, bruises and injuries.
Circulatory disorders

The ointment dilates blood vessels and penetrates into the deepest layers of the epithelium, relieving pain for the most a short time. It mainly produces an analgesic effect. The drug improves blood circulation. This may be accompanied by not the most pleasant sensations, such as burning and redness. The ointment improves cellular nutrition and relieves muscle spasms, which has a beneficial effect on the state of cartilage joints. The tool relieves tension and promotes rapid relaxation of tissues, starting the regeneration process. With regular use, the joints will be able to regain their mobility in the shortest possible time.

Important: Finalgon ointment is often used by athletes to warm up muscles before training.

To effectively use Finalgon ointment, instructions for use are provided in each package. First of all, it should be remembered that this drug is intended for external use. Before it, you need to make sure that the surface of the skin is dry. A little ointment is taken and rubbed on the inflamed area. The product is applied with a special applicator. The column of ointment should not exceed 5 centimeters. The drug is rubbed into the skin massage movements. When it long-term use the effect may drop. If this happens, you should increase the dosage of this remedy.

Ointment Finalgon is used 2-3 times a day. As a warming agent, it must be applied 30 minutes before the start of exercise. If the ointment did not have the desired effect, it is recommended to contact qualified specialist for a consultation.

Some are interested in the question of whether finalgon can be used during pregnancy. In this case, you should check for individual intolerance some components of this warming agent. However, in general, Finalgon is not recommended during this period. No tests have been conducted on the effects of Finalgon on the body of a pregnant woman and fetus, so it is better to refrain from using it.

Contraindications and side effects

Usually Finalgon ointment does not cause any side effects, however, possible negative reactions from some systems human body. Ointment can cause the following reactions:

Shortness of breath
Cough;
Loss of skin sensitivity;
All kinds of rashes that can be attributed to allergic reaction.

AT rare cases it can lower blood pressure and anaphylactic shock. Due to an overdose, severe hyperemia, swelling may develop on the skin, a reaction from the body systems may appear, for example, a change in pressure and redness upper half body. In such cases, you should immediately consult a doctor.

How to wash off the skin

During use, you must adhere to some rules in order to isolate yourself from undesirable consequences. It should be remembered that Finalgon burns quite strongly, so it should not be allowed to get on the mucous membranes and eyes. After applying the ointment, wash your hands with soap and water. Do not shower before or after applying the drug to the skin. In the event that the product still gets into the eyes, you need to remove it from the surface as soon as possible with Vaseline.

Analogues

To date, Finalgon corresponds in its properties to similar cheap drugs, such as Betanycomylon, Betalgon and many others. With osteochondrosis, you can use Chondroxide and Teraflex. For bruises, injuries and inflammations, Kapsikam is also often used, which, in its pharmacological properties, coincides with Finalgon. In addition, they are largely similar in their qualities and properties. In case of muscle strain and damage, Finalgon can be replaced with Fastum gel.

In the intense rhythm of our lives, situations arise when it is urgent to eliminate sudden pain in the back or joints. An excellent remedy for such a case is the drug finalgon. It belongs to the group of local irritant and analgesic action.

Main components

Finalgon contains two active substances and a few ancillaries. Active substances include:

nonivamide (4 mg);
nicoboxyl (25 mg).

To auxiliary components relate:

diisopropyl adipate (120 mg);
silicon dioxide (20 mg);
vaseline (822 mg);
sorbic acid (2 mg);
citronella oil (2 mg);
purified water (5 mg).

Release form

Finalgon is produced in the form of a colorless or slightly brownish ointment, transparent or translucent, uniform and homogeneous texture. The amount of ointment depends on the packaging: 20 or 50 grams in an aluminum tube, in a cardboard box. The kit includes an applicator for applying ointment.

Pharmacology of the drug

Nonivamide is a synthetic analogue natural substance called capsaicin. He is in in large numbers contained in hot pepper and has an analgesic property, which manifests itself with a gradual penetration into tissues and nerve fibers. Nonivamide also has a vasodilating effect, accompanied by a prolonged and intense thermal sensation. This occurs when the afferent nerve roots in the thickness of the skin are stimulated.

Nocoboxyl is a substance derived from nicotinic acid. It has a vasodilating effect that causes hyperemia of the skin areas much faster than nonivamide.

In combination, these two substances have complementary properties, these are:

vasodilation;
skin hyperemia;
increase in the rate of enzymatic processes;
activation of metabolism.

Finalgon begins to act immediately after application to the skin and penetration of active substances, which manifests itself in an increase in the temperature of the area and the appearance of hyperemia. The local action of Finalgon becomes maximum after half an hour.

Application dose

Finalgon is used initially in small doses on small areas of the skin to evaluate individual tolerance and eliminate the possibility of an allergic reaction. For different people, the intensity of reactions may differ, so for some, a small amount of ointment will be enough for the necessary warming effect.

With the attached applicator, a strip of the drug is applied, no more than half a centimeter, to the desired area of \u200b\u200bthe skin with the help of light rubbing movements. In order to enhance the effect of Finalgon, you can wrap the place of application with a warm cloth.

If you use the ointment repeatedly, healing effect may decrease and dose increase may be required. As needed, the ointment is applied two to four times a day.

Finalgon ointment is used by athletes as a warming agent before training. The recommendation for use in this case is that you need to apply the drug half an hour before training.

If, when applying the drug to the skin, it gets on your hands, you should thoroughly wash it off. warm water with soap.

If after ten days of using Finalgon there is no desired effect, then its use should be stopped.

Overdose symptoms

Like any medicine, the drug has its contraindications. If too intense and prolonged use overdose may occur. Her symptoms are as follows:

redness of the upper parts of the body;
elevated temperature;
soreness of the areas where the ointment was applied;
low blood pressure.

If you use an excessive amount of ointment, or apply despite the existing contraindications, vesicles or pustules may occur at the site of its application.

Conditions in which the use of Finalgon is indicated

arthritis;
arthralgia and myalgia of rheumatic origin;
sports injury, bruise and injury ligamentous apparatus;
myalgia, as a result of excessive physical exertion;
neuritis;
ischalgia;
bursitis and tendovaginitis;
violation of peripheral circulation;
as a muscle warming agent to protect against sprains and injuries during sports activities.

All these conditions are manifested by painful sensations in muscle tissue that help eliminate the drug.

Contraindications for use

The drug does not have special contraindications, Besides:

children's age up to 12 years;
hypersensitivity to nicoboxil, nonivamide or allergy to excipients of the ointment.

How to wash off the ointment from the surface of the skin

In order to wash off the ointment, you can use the following methods:

Moisten a cotton pad with vegetable oil and wipe the area of \u200b\u200binflammation with wiping movements. Change the cotton pad often to remove the ointment more effectively. You can also apply vegetable oil to the affected area, wait one minute, then wipe it off with a soft cloth.
Spread a fat cream on the inflamed area of the skin, rub lightly, then rinse with wiping movements with cotton wool or a soft cloth. try not to transfer the ointment to nearby areas of the skin.
Get rid of itching and unbearable pain can be done with milk. Milk with as much fat content as possible will help wash off the finalgon. They lubricate the affected areas or get wet with a cotton pad and wipe the ointment.
Another effective remedy to eliminate pain and burning of the skin, this is sour cream. To wash off the ointment from the site of inflammation, apply fatty sour cream in a thick layer and leave for a while. With wiping movements, remove the sour cream with a napkin.
Foam for washing can also wash off Finalgon if an overdose or an allergic reaction occurs. She needs to apply to the inflamed area, lightly rubbing into the skin, then collect with a napkin. After the area is treated with foam, you need to apply a little oil, any vegetable oil, such as sunflower oil, will do.
In order to wash off the ointment, you can also use ordinary soap, best for children, as it is hypoallergenic. After lightly lathering your hand, apply the resulting foam to the skin with massaging movements. Only then is skin contact with water possible. Rinse under running warm water.
Carrots have proven to be effective folk remedy, it will help relieve pain and inflammation in the affected area. It should be used as a compress. To do this, grate one carrot on a fine grater and put it on the skin, cover it with a cotton cloth on top. Wash off after a while.

The advantage of all these products is the content of fat, which helps fight burning and pain. But the means that are used in the first place, despite their inefficiency. Most often they try to wash off Finalgon:

water;
alcohol;
various emulsions based on water;
alcohol based lotions.

All this will not only not help in the fight against the problem, but can even aggravate the situation, contributing to the penetration of the drug even deeper.

N015513/01-130215

Trade (non-proprietary) name:

Finalgon

International non-proprietary name:

Nicoboxil + Nonivamide

Dosage form:

ointment for external use

Compound

1 g of ointment contains:
Active substances:

nonivamide (nonylic acid vanillylamide) (PSVA) 4 mg
nicoboxyl (nicotinic acid butoxyethyl ester) (NSBE) 25 mg
Excipients: Diisopropyl adipate (Crodamol) 120 mg; silicon dioxide colloidal 20 mg; petroleum jelly (paraffin, soft white) 822 mg; sorbic acid 2 mg; citronella oil 2 mg; purified water 5 mg.

Description

Almost colorless or slightly brownish, transparent or translucent, homogeneous homogeneous ointment.

Pharmacological group:

local irritant

ATX code:

M02AX10

Pharmacological properties

Nonivamide

It is a synthetic analogue of capsaicin and has analgesic properties that appear as a result of the gradual penetration of the substance into peripheral nociceptive C-fibers and A-delta nerve fibers when the drug is repeatedly applied to the skin
Nonivamide has a vasodilating effect, which is accompanied by an intense prolonged sensation of heat, due to the stimulation of afferent nerve endings in the skin.
Nikoboxil

It is a derivative of nicotinic acid, which has vasodilating properties with the participation of prostaglandins I2 and E2. The hyperemic effect of nicoboxyl (nicotinic acid butoxyethyl ester) develops faster and has a greater intensity than the hyperemic effect of nonivamide.
Combined action

Nonivamide and nicoboxyl have complementary vasodilating properties, cause skin hyperemia, increase the rate of enzymatic reactions, and activate metabolism.
The appearance of redness and an increase in skin temperature within a few minutes after application indicate rapid penetration. active ingredients drug into the skin. The action of Finalgon manifests itself locally.
The effect of the drug develops within a few minutes maximum effect comes in 20-30 minutes.
The analgesic effect of a combination of nonivamide 0.4% and nicoboxil 2.5% was demonstrated in an efficacy study in patients with acute non-specific low back pain.
It was found that in patients who used the drug Finalgon (2 cm of ointment per application and used the drug up to 3 times a day for 4 days), there was a clinically significant decrease in the intensity of pain in the lower back as early as 4 hours after the first application; on the last day of treatment, determined individually, there was also a clinically significant reduction in pain. In a clinical study, it was found that pain relief began after 1-2 hours.

Indications for use

Arthritis rheumatic pain in the joints and muscles, sports injuries, bruises and damage to the ligamentous apparatus, muscle pain caused by excessive physical exertion, lumbago, neuritis, sciatica. bursitis, tendovaginitis. acute non-specific pain in the lower back.
For preliminary "warming up" of muscles before physical exercises, sports competitions.
As part of complex vasodilating therapy for peripheral circulatory disorders.

Contraindications

Hypersensitivity to nicoboxil. nonivamide or excipients drug.
Do not apply ointment to sensitive skin open wounds, inflamed skin areas, skin areas with increased permeability: neck, inner lower abdomen, side of the thighs.
Childhood up to 18 (due to insufficient data on efficacy and safety for this group of patients).

Pregnancy and breastfeeding period

Special studies of the drug FINALGON during pregnancy and during breastfeeding have not been conducted. Do not use the drug during pregnancy and breastfeeding.
Studies of the effect of the drug on fertility have not been conducted

Dosage and administration

Treatment should begin with the application of a small amount of the drug to a small area of skin to assess the individual response. Individual reaction on the drug can vary significantly: for some people it will be enough to apply a small amount of ointment in order to cause the necessary warming effect, while for others there will be little or no warming effect.
It is necessary to start the application with the smallest dose of the drug. To do this, using the attached applicator, a column of the drug no larger than 0.5 cm is applied to the corresponding area of \u200b\u200bthe skin the size of a palm with light rubbing movements. To enhance the therapeutic effect, the area of \u200b\u200bthe skin on which the drug is applied can be covered with a woolen cloth.
With repeated use, the reaction to the ointment may decrease, which requires an increase in the dose, which is selected individually. The maximum recommended dose of application of the drug is no more than 1 cm on an area the size of a palm (about 10 cm x 20 cm)
If necessary, the ointment is used up to 3 times a day.
To pre-warm up the muscles before physical exercises, sports competitions, it is recommended to rub in about 30 minutes before they start.
In the absence of the desired effect within 10 days, you should contact a specialist.
After applying the drug to the skin, wash your hands thoroughly with soap and water.

Side effect

In the course of clinical studies and long-term use of the drug, the following side effects were identified:
From the immune system: anaphylactic reactions, hypersensitivity.
From the side of the nervous system: paresthesia, burning sensation.
From the side of the respiratory system: cough, shortness of breath.
From the skin and subcutaneous tissues: vesicles or pustules at the site of application, erythema, local skin reaction(eg, contact dermatitis), itching rash, swelling of the face, urticaria, feeling of heat at the site of application.

Overdose

Symptoms

The effect of skin flushing and the severity of dose-dependent side effects may be aggravated after the use of an excessive amount of FINALGON ointment.
The use of excessive amounts of the drug may lead to the appearance of vesicles or pustules at the site of application of the ointment.
An overdose of the drug can cause systemic reactions (redness of the upper body, fever, flushing, painful hyperemia, lowering blood pressure), because. nicotinic acid esters have good transdermal absorption.
Treatment

When using an excess amount of the drug, the effect can be reduced if the ointment is removed from the skin surface with vegetable oil or a fatty-based cosmetic cream from the mucous membrane of the eye (in case of accidental contact with medical vaseline. If necessary, symptomatic treatment should be carried out.

Interaction with other drugs

Interactions with other drugs used topically or systemically have not been identified.

special instructions

The drug causes flushing of the skin, resulting in redness, a feeling of warmth, itching and burning at the site of application. These symptoms may be more pronounced when applying an excess amount of the drug or in case of intensive rubbing on the skin surface. The use of excessive amounts of the drug or intensive rubbing on the surface of the skin can lead to the appearance of vesicles or pustules at the site of application of the ointment.
After using Finalgon, you should immediately wash your hands with soap and water.
Care must be taken to avoid accidental contact of the drug with other areas of the skin or contact of the drug with another person.
Avoid accidental contact with the face, eyes, nose or mouth. This can lead to temporary swelling of the face, pain in the facial area, inflammation of the conjunctiva, redness of the eyes, burning eyes, blurred vision, discomfort in the oral cavity and stomatitis.
Before or after applying the drug to the skin should not be taken hot bath or shower.
The release of sweat or the application of heat to the site of application of the drug may cause reddening of the skin and an intense sensation of warmth even several hours after Finalgon application.
The composition of the drug contains sorbic acid, which can cause local skin irritation (for example, contact dermatitis).

Influence on the ability to drive a car or operate machinery

Special clinical studies of the effect of the drug on the ability to drive a car and mechanisms have not been conducted. However, during the use of the drug when driving and working with mechanisms, caution should be exercised.

Release form

Ointment for external use. 20 g or 50 g in an aluminum tube, closed with a plastic cap with a punch for the membrane. Each tube with an applicator and instructions for use will be placed in a cardboard box.

Best before date

4 years.
Do not use after the expiration date.

Storage conditions

At a temperature not exceeding 25 ° C, out of the reach of children.

Terms of dispensing from pharmacies

Without recipe.

Name and address of the legal entity in whose name the registration certificate was issued

Boehringer Ingelheim International GmbH, Bingerstrasse 173,
55216 Ingelheim am Rhein, Germany

Manufacturer

Haupt Pharma Wolfratshausen GmbH, Pfaffenrieder Strasse 5,
D-82515 Wolfratshausen, Germany,
or Globofarm Pharmaceutical Productions und Handelsgesellepaft mbH, Breitenfurterstrasse 251,
A-1230 Vienna, Austria

For more information about the drug, as well as to send your claims and information about adverse events, please contact the following address in Russia

OOO Boehringer Ingelheim
125171, Moscow,
Leningradskoe highway, 16A, building 3

In some cases, for the relief of symptoms of lesions of the muscles and joints, it is enough to activate the blood flow.

Increased supply of oxygen and nutrients accelerates regeneration processes, normalizes metabolism, promotes rapid elimination of inflammatory toxins.

Ointment Finalgon is largely known for the rather specific sensations that occur at the site of application. However, such discomfort indicates the activity of the main ingredients of the drug, and after some time the pain disappears without a trace.

According to pharmacological systematics, Finalgon belongs to the class of local irritants. The composition of the drug includes two active ingredients: nonivamide and nicoboxyl. In addition to maintaining rheological properties and the consistency of the preparation, it contains soft paraffin, silicon dioxide, purified water and other ingredients.

Nonivamide is a synthetic analogue of the main alkaloid of various types capsicum, which belongs to the Capsicum family - capsaicin. It is thanks to this substance that this vegetable, when eaten, causes severe burning in oral cavity. Wide application in medicine, capsaicin was obtained due to its interaction with specific receptors located in the thickness of the epidermis. AT medical literature They are called so - capsaicin - sensitive. The effect of nonivamide on nerve endings leads to their blocking and inhibition of pain impulses. Stimulation of these same fibers causes local rapid expansion of blood vessels.

The effect of this component of the Finalgon ointment is enhanced by the second ingredient, a synthetic derivative of nicotinic acid, which is also known as vitamin B5. After penetration into the thickness of tissues, this compound helps to relax the smooth muscle walls of blood vessels and activate blood flow.

Finalgon is produced by a well-known pharmaceutical company with a long history of Beringer Ingelheim, Germany, in the form of an ointment containing 25 and 4 mg of nicoboxyl and nonivamide per 1 g of the drug, respectively (a photo of the package with the medication can be found in a matter of minutes on request on the Internet). The action of the drug is based on a combination of the effects of its main components.

When applied, Finalgon exhibits the following therapeutic activity:

warming up;
anti-inflammatory;
vasodilating;
antispasmodic;
analgesic.

Due to the intensive blood flow, the active ingredients of the Finalgon ointment quickly penetrate into the lesion. The beginning of the therapeutic effect is accompanied by a feeling of heat or burning on the skin in the area of application. In accordance with the information specified in the instructions for use, discomfort is replaced by pleasant warmth.

The drug eliminates muscle spasm, which is especially pronounced in osteochondrosis, this contributes to additional blood flow to the affected joint. Local activation cellular immunity helps reduce intensity inflammatory process. Sufficient quantity oxygen and nutrients ensures cell regeneration cartilage tissue and restoration of the physicochemical properties of the synovial fluid.

Activation of blood flow in the vessels surrounding the joint contributes to the rapid "delivery" of the medicinal ingredients of other medicines used in the treatment of diseases of the musculoskeletal system. Despite the pronounced clinical effect, Finalgon ointment does not have a systemic effect. The components of the drug enter the general circulation in such a minimal amount that data on the pharmacodynamics of the drug are neither in the annotation nor in other documents describing the experience of using Finalgon ointment in clinical practice, No.

However, the use of the drug is limited during pregnancy and breastfeeding, since, for obvious reasons, the effect of the drug on fetal development has not been properly evaluated. An overdose of Finalgon ointment is also manifested by skin reactions.

The advantage of the drug is the absence of analogues in composition. Its price in pharmacies is relatively high, but on the other hand, daily use requires minimal amount cream, and the course of treatment rarely lasts more than 10-14 days. According to experts, cheaper analogues act much more slowly, and to a lesser extent affect the processes of activating blood flow and accelerating cell regeneration.

Ointment Finalgon: what helps, indications and limitations for use, undesirable effects and complications

The drug is used not only for the treatment inflammatory lesions joints. It is shown at various diseases and soft tissue injuries, regardless of etiology. The medication is recommended even to professional athletes for the prevention of sprains during physical training and the preparation of muscles for stress.

The spectrum of indications for Finalgon ointment includes the following conditions:

pain in the joints and muscles, regardless of the cause of its occurrence (arthritis, arthrosis, osteochondrosis, osteoarthritis and others similar diseases);
injuries, bruises, sprains and tendons;
muscle strength after training;
neuritis and neuralgia;
acute pain in the back, provoked by pinching of the sciatic or other nerve;
rheumatic lesions joints;
myalgia and myositis;
bursitis;
discomfort associated with sciatica, sciatica, lumbago;
nonspecific back pain;
inflammatory processes in the tendons.

In some cases, doctors prescribe the drug in combination with other drugs to oral intake in the treatment of peripheral circulatory disorders.

But in alternative medicine, the scope of Finalgon ointment is somewhat wider. It is also recommended to use it to eliminate the symptoms of cellulite, some daredevils treat prostatitis with it. Sometimes healers advise applying ointment to the feet as a distraction for diseases of the ENT organs and the respiratory tract.

In addition to the period of pregnancy and breastfeeding, the use of the drug is limited to:

hypersensitivity or intolerance to the ingredients of the ointment or capsaicin;
in early age(due to the lack of data on the safety of the use of the drug);
in the presence of open wounds, burns, dermatoses, inflammatory lesions of the epidermal cover in the area of application of the ointment.

The most frequent side effect is a severe skin reaction. It manifests itself in the form of a sensation of severe burning, redness and local hyperthermia, loss of tactile sensitivity.

But these reactions disappear some time after the use of the drug. Sometimes when treating too large an area, there is a risk of shortness of breath and coughing. Rest adverse reactions associated with a violation of the rules for the use of ointment. To protect the sensitive skin of the hands, there is an applicator in the packaging with a tube of Finalgon.

This ensures easy application of the drug, and the relief protrusions on its plastic surface additionally provide massage effect and promote faster absorption of the ointment into the skin. But in the presence of an allergic reaction, the development of a severe form of Quincke's edema is possible.

Finalgon: instructions for use, overdose symptoms and combination with other drugs

The principle of action of the drug is associated with its effect on specific receptors and nerve endings. However, their sensitivity is individual for each patient. Therefore, to determine the dosage of Finalgon ointment, the instructions for use recommend a preliminary test.

The minimum amount of the drug is applied to a small area of skin in the area outer side forearm. The occurrence of symptoms of an acute allergic reaction is a contraindication to the further use of the drug, a slight burning sensation indicates the normal tolerance of Finalgon, and the absence of a result indicates that the drug should be used three times a day.

You can apply the medicine only with the help of the applicator.

If the results of the preliminary skin test were satisfactory, a strip of cream about half a centimeter long is squeezed out of the tube onto the applicator. After that, with light massaging movements, rub the ointment into the skin over the painful area. If there is no result, the amount of Finalgon is doubled.

When we are talking about means for external use, it is rather difficult to determine a single or maximum dosage. Therefore, in this case, the manufacturer operates with more understandable terms.

For the “unit” of the treated skin surface, an area of approximately 20 × 10 cm in size is taken, and the maximum possible amount of ointment is a strip 1 cm long. It is usually recommended to apply the drug 2-3 times a day. For amplification therapeutic activity medication, the treated area of \u200b\u200bthe skin can be covered with a woolen scarf or flannel diaper.

The use of the ointment is continued until the pain, stiffness and other symptoms disappear. However, if the treatment does not bring results within 10 days, you should consult a doctor for additional advice.

When used to prepare for exercise Ointment Finalgon instructions for use recommends applying 20-30 minutes before the start of the workout. With hematomas, krepatura and bruises, Finalgon lubricates the affected area of the skin once a day. To get rid of cellulite and body fat in problem areas, it is recommended to mix the drug with any cosmetic cream or body milk.

It should be rubbed 2-3 times a week after a shower. According to reviews, the result is noticeable after 10-12 such procedures.

The occurrence of overdose symptoms is usually associated with exceeding the recommended amount of the drug or the frequency of its use. Redness and blisters appear on the skin, resembling the effects of a burn.

Also similar condition accompanied by severe pain in the application area, itching, intense redness. General systemic reactions are also possible in the form of flushing of the face and torso, fever, chills and shortness of breath, and a drop in blood pressure.

In this case, it is necessary to remove the remnants of the ointment from the skin as soon as possible. Ordinary water is not suitable for these purposes. Finalgon is removed with a cotton pad using petroleum jelly or any other oily cream, vegetable oil is also suitable. Then you need to see a doctor to prescribe symptomatic therapy.

When using Finalgon ointment, the instructions for use do not describe possible complications when combined with other drugs. Subject to the right dosage the active ingredients of the drug do not enter the systemic circulation, therefore, do not affect the pharmacodynamics of other drugs. But at simultaneous reception oral forms chondroprotectors Finalgon enhances their activity. To avoid adverse reactions, the ointment should not be used in combination with other healing creams and gels for external use.

Finalgon: analogues, special instructions during treatment, cost

This drug does not apply to acutely deficient drugs, nor to potent and dangerous drugs, so you can buy it at any pharmacy. Store in a place protected from children's access at a temperature not exceeding 25ºС. Shelf life - 4 years. After this time, the ointment exfoliates, and its components lose their activity.

The ingredients of Finalgon have a pronounced irritant effect, therefore, when using the medicine, certain safety measures must be observed. It:

do not apply the product on sensitive skin in the abdomen, inner thighs, back of the wrists, elbows, neck, etc.;
avoid getting the ointment on the mucous membranes of the genital organs, oral and nasal cavities, eyes, as this can cause serious burns;
after applying the drug, even with the help of an applicator, you must thoroughly wash your hands with soap and water;
it is undesirable to take a shower for about half an hour before using the ointment and for 1-2 hours after;
sweat or excessive tight clothing may provoke the appearance of pain in the area of application of Finalgon;
not to allow a situation for another person, and even more so for a child, to come into contact with the skin treated with ointment.

If the product gets on the mucous membrane or in the eyes, it is also removed with a greasy cream or petroleum jelly. If pain, burning, redness and swelling persist, vision worsens, you should consult a doctor.

When prescribing Finalgon ointment, it is quite difficult to choose analogues, since this drug has unique composition. Therefore, it is possible to replace the drug only with medicines similar in therapeutic activity for external use.

For example:

Deep Hit (Great Britain), contains methyl salicylate and a complex of essential oils;
Alvipsal (Russia) based on viper venom, turpentine and others natural ingredients vegetable and animal origin;
Kapsikam (Latvia), a rather interesting drug that can be compared in effectiveness with Finalgon. It also contains nonivamide, but nicoboxyl, this ointment contains another derivative of nicotinic acid, benzyl nicotinate. Enhance the action of the main components of turpentine and camphor, and dimethyl sulfoxide provides rapid penetration medicinal substances through the pores of the epidermis;
Karmolis (Switzerland), the gel contains more than ten different essential oils;
Apizartron (Germany), containing bee venom and anti-inflammatory methyl salicylate;
Nizhvisal (Russia), domestic analogue Capsicama;
Espol (Russia) based on natural capsaicin and essential oils.

Children and adolescents under 18 years of age, as well as during the period of childbearing (regardless of the term) and breastfeeding, Finalgon, whose analogues have the same contraindications, are not used.

Negative feedback from patients is mainly associated with discomfort that occurs when using the drug. For this reason, some patients do not complete the course of treatment or do not observe the frequency of use of the drug throughout the day.

It is quite clear that therapeutic effect in this case will be weakly expressed. Experts are convinced that Finalgon's analogues in terms of composition on pharmaceutical market missing. The cost of 20 g of a tube of ointment is 280 rubles.

Often in medical practice use Finalgon ointment. it effective drug, possessing complex action. In a short time, it increases blood flow, significantly reduces pain, inflammation, eliminates spasm of smooth muscles, warms up musculoskeletal system improves mobility. In more detail about the properties, the mechanism of action and the rules for using Finalgon ointment, the instructions for use will tell.

Various injuries, damage to the ligamentous apparatus and diseases that provoke joint or muscle pain often lead to swelling, joint deformity, and nerve compression. In this case, the vessels that deliver oxygen and other useful nutrients necessary for the normal functioning of the joints and tissue repair are narrowed or squeezed. Impaired blood circulation and metabolic processes lead to the development of pathology, degenerative-dystrophic changes, increased sensation of pain, numbness, vascular spasms. To combat this problem, drugs from the group of local irritants are intended.

Pharmacological properties of the drug

The therapeutic effect of Finalgon is due to the unique combination of two active ingredients that complement and enhance each other's action. It:

Nonivamide is a phenolic compound analogous to the alkaloid capsaicin found in various types red capsicum (hot) pepper and is responsible for its irritating effect. This organic substance is otherwise called vanillylnonamide. It is usually produced synthetically, making it more heat resistant than naturally occurring capsaicin. By acting on the terminal structures of nerve fibers (skin receptors) that respond to pain stimuli, nonivamide has an irritating effect, which is accompanied by transmission nerve impulses from the peripheral part of the body to the parts of the central nervous system. Head and spinal cord launch coordination activity, activating various systems, which ultimately leads to the development of a characteristic local reaction in the Finalgon impact zone.
Nocoboxyl is a derivative of nicotinic acid (niacin, vitamin B group), butoxyethyl ester. Accelerates enzymatic reactions, participates in the metabolism of lipids and carbohydrates, the formation of protein molecules, biosynthesis processes. With the participation of prostaglandins vascular origin, synthesized by smooth muscle and endothelial cells, causes the expansion of small blood vessels.

Against the background of local tissue irritation and the occurrence of response reflex reactions, various pharmacological effects develop.

So, in accordance with the instructions, Finalgon provides:

vasodilating effect - normalizes the work vascular system, reduces the tone of the walls of blood vessels. In this case, an increase in the amount of circulating blood occurs, a sufficient level of oxygen saturation of tissues is ensured and essential trace elements. The effect is pronounced, achieved mainly due to the direct vasodilating action of nocoboxyl;
analgesic effect - relieves pain, weakens pain in the affected tissue. Anesthesia is achieved due to the distracting action of nonivamide, which consists in switching the attention of the central nervous system from the source of pain in the pathological focus to other incoming signals from the site of skin irritation (background burning, tingling, tingling);
warming effect - provides a rush of blood to the treated area of the skin, activation of the process of transfer of thermal energy, increasing the permeability of capillaries, locally increasing the filling of blood vessels. The action is manifested by an intense, long-lasting sensation of warmth in the area treated with the ointment. The temperature of the skin increases by 1-2 degrees in a few minutes;
hyperemic effect - activates blood circulation, increasing blood flow arterial blood, which is accompanied by a characteristic reddening of the epidermis immediately after applying the ointment.

Composition, release forms

Holder registration certificate Finalgon is the global pharmaceutical corporation Sanofi, represented by JSC Sanofi Russia. The drug is produced at a factory in Germany or Austria.

Under trade name Finalgon produce the only dosage form intended for dermal application. This is an ointment packaged in 20 or 50 g tubes, which is a homogeneous, almost completely transparent substance. It is colorless or a slight shade of brown may be present.

An aluminum tube with ointment is closed with a plastic screw cap equipped with a punch (for piercing the protective membrane), and together with instructions and an applicator for applying the composition to the skin is placed in an individual cardboard box. The dosage of the active components that determine the therapeutic effect of the drug Finalgon: nocoboxil - 25 mg per 1 g of ointment, nonivamide - 4 mg.

The composition of Finalgon also includes a number of auxiliary ingredients:

diisopropyl adipate (Crodamol), petroleum jelly (mixture of soft white, perfectly purified paraffinic hydrocarbons) - fat base, prevents moisture loss, softens and protects the skin;
silicon dioxide in colloidal form (polysorb) – binds and eliminates endogenous and exogenous aggressive substances (toxins different nature);
sorbic acid is a natural preservative, antimicrobial agent;
citronella oil - fragrance, essential natural aroma oil with a herbaceous-floral scent;
highly purified water is a solvent.

How does Finalgon work?

The effectiveness of Finalgon is explained by the multidirectional mechanism of action of the components of the ointment. This external remedy provides fast and high-quality care to patients with acute pain. In the course of numerous clinical studies, a pronounced decrease in pain after 4 hours with the first use of the drug and 1-2 hours with a regular 4-day intake has been established.

It has been proven that the composition easily overcomes the upper layers of the skin, penetrates into the subcutaneous tissue and deep into the tissues, and acts at the cellular level. The patient immediately feels warm in this place, the maximum effect is achieved after 20-30 minutes. In what cases can Finalgon ointment be used and what helps indicated in the instructions.

So, the result of the course is:

expansion of the lumen of blood vessels in a limited area, increased blood circulation in the underlying tissues;
impoverishment of blood flow in the inflamed area, a decrease in swelling, fatigue, heaviness in the legs;
reduction of pain syndrome, intensity of the inflammatory process, reduction of spasm of damaged muscles;
improvement of the permeability of the skin, activation of metabolism, enzymatic reactions, local cellular immunity;
warming up the muscles before intense physical activity, improving the functioning of the ligamentous apparatus, protecting joints and ligaments from ruptures, pinching, and injuries;
rapid recovery of muscles in the area of treatment with ointment, acceleration of the regeneration of nearby damaged tissues.

Indications for admission

The ointment is indicated primarily for local therapy pain syndrome and inflammation in musculoskeletal pathologies various genesis. In such cases, Finalgon is usually used as part of complex treatment, together with other medications and physiotherapy techniques or as a first aid to alleviate the condition even before going to the doctor. Ointment is actively used in sports medicine.

A complete list of indications - for which the external remedy Finalgon is used, is given by the official instructions.

These are the following diagnosed diseases, physical states and cases:

Application instruction Finalgon ointment

The treatment regimen is prescribed individually, based on the purpose of the ointment, the expected effect, the nature of the damage and the severity of pain symptoms. The drug should be used at the lowest effective dose. But, it is important to take into account that each organism reacts to the active substances of the drug in different ways, therefore, before starting treatment, it is necessary to test the drug and evaluate the reaction.

For the desired result, some patients are quite enough small dose Finalgon, for others, such an amount will not lead to the proper positive effect. Having picked up the necessary dosage, proceed to treatment.

Apply the ointment to a small area of skin (approximately corresponds to the area of \u200b\u200bthe palm) in the area of maximum soreness. Distribute using the applicator included in the kit, performing light rubbing movements in a circle, until the composition is completely absorbed. If the applicator is not available, wear rubber gloves to perform the procedure. Avoid accidental contact of ointment particles with mucous membranes, face skin or other sensitive areas of the body (neck, inner thigh, lower abdomen). Do not treat the surface of the skin if it has open wounds, cuts, inflammation, ulcers, burns.
The average single dosage is a column of ointment with a maximum height of 0.5 cm. The frequency of administration is up to 3 times a day.
To warm up the muscle elements and ligamentous structures, Finalgon should be used half an hour before the intended load.
Strengthen therapeutic effect the use of wrapping, warming bandages (any warm cloth over the treated area of the body) will help. In order to avoid excessive redness, soreness of the skin and an increase in temperature, it is forbidden to apply a heat source or provoke sweating in this area for several hours after the treatment procedure.
You should refrain from taking a hot bath or shower immediately before and after applying the external agent.
With repeated treatment, the susceptibility of receptors to irritating effect the active ingredients of Finalgon are somewhat reduced, which will require an increase in the amount of ointment. The dose can be increased within the maximum allowable values - 1 cm column of ointment to cover a surface measuring 10x20 cm.
After completing the treatment session, thoroughly wash your hands with soapy water.
If, after systematic use for 10 days, there is no pronounced positive effect, stop the course of therapy and consult a doctor.

It is not recommended to exceed the dosage prescribed by the treating doctor or official instructions.

Otherwise, an overdose is possible. medicine which may appear:

local reaction in the form of the appearance on the surface of the skin of small fluid-filled sacs (vesicles) or inflamed pustules (pustules);
systemic reaction- an increase in body temperature, increased blood flow, a drop in pressure, reddening painful foci.

If an overdose is suspected, it becomes topical issue– how to remove the action of Finalgon?

The instruction recommends removing excess ointment with cotton balls, cosmetic discs, wipes moistened vegetable oil or cream with a greasy texture. To cleanse the mucous membrane, you must use medical vaseline. The ointment is contraindicated for use in patients with intolerance to the main or additional components medication and at the age of less than 12 years.

Highly specialized studies that allow asserting the safety of the drug Finalgon during pregnancy or lack negative impact on the possibility of conception, were not carried out. Therefore, this category of patients is prohibited from undergoing ointment therapy.
For the same reason, Finalgon is not advisable to use when breastfeeding. increased caution requires admission in adolescence (12-18 years).

Side effects

Clinical experience has shown that with prolonged use of Finalgon, especially in high doses and ointment treatment large area body, various negative effects may occur. Often they form in the focus of application and are due to contact of the skin with irritant nonivamide. Possible side effects of a systemic nature are mainly associated with good penetrating ability (transdermal absorption) of nocoboxyl.

The instruction warns of the following undesirable consequences:

hypersensitivity reaction (allergic response), incl. acutely developing anaphylactic;
skin sensitivity disorder, spontaneously arising sensation of tingling, burning, numbness, crawling;
violation of the depth and frequency of breathing, coughing;
vesicular rash, purulent acne, focal redness, inflammation of the skin, nettle fever, itching, swelling on the face.

Drug interactions with others medications for internal or external use has not been identified.

The cost of the drug, analogues

A doctor's prescription is not required to purchase the ointment. It should be stored in a tube with a tightly screwed cap at a temperature not exceeding 25 degrees. The drug is valid for 4 years. How much Finalgon costs in a pharmacy is affected by its location and price policy pharmacy network.

The cost of Finalgon tuba 20 g varies between 270-330 rubles. A synonym (analogous for active ingredients) is Betalgon and Betanikomilon ointment, but pharmacies no longer sell them. You can replace Finalgon with a drug with a different composition, but having a similar therapeutic effect.

Analogues of Finalgon the following ointments appear:

When choosing an analogue, one should proceed from personal preferences and characteristics of the body, the perception of one or another constituent component of the drug. If we compare, for example, Viprosal, Finalgon or Kapsikam - which is better, then we must take into account that instead of an analogue of hot red pepper, Kapsikam contains camphor and turpentine, and Viprosal contains viper venom. In some people, a strong burning sensation is felt from Kapsikam, in others - from Viprosal or Finalgon. Ointments do not have objective differences. The final choice is best left to an experienced specialist.