Finalgon – reliable pain relief for back pain

The topical drug Finalgon is one of the most effective for various joint and muscle pathologies. Thanks to a combination of analgesic and irritating substances, it quickly relieves the painful symptoms of sciatica, lumbago, and relieves pain from bruises and sprains. The product has two convenient release forms for ease of application and does not cause adverse systemic reactions in the body.

Nosological classification (ICD-10)

• I73.9 Peripheral vascular disease, unspecified
• M13.9 Arthritis, unspecified
• M25.5 Joint pain
• M54.3 Sciatica
• M54.4 Lumbago with sciatica
• M54.5 Pain in the lower back
• M65 Synovitis and tenosynovitis
• M71 Other bursopathies
• M79.0 Rheumatism, unspecified
• M79.1 Myalgia
• M79.2 Neuralgia and neuritis, unspecified
• T14.0 Superficial injury to unspecified body area
• T14.3 Dislocation, sprain and damage to the capsular-ligamentous apparatus of a joint of an unspecified area of ​​the body
• T14.9 Injury, unspecified

Indications

It is recommended to use Finalgon to improve blood circulation, eliminate pain in muscles and joints, and in the complex treatment of damage and inflammation of the musculoskeletal system. Its scope of use includes:

• rheumatic processes;
• arthralgia;
• myalgia;
• consequences of ligamentous injuries;
• neuralgic manifestations;
• sciatica, lumbago;
• symptoms of osteochondrosis;
• sports overload of muscles and joints.

Finalgon helps prevent exacerbation of chronic inflammatory diseases after prolonged exercise or hypothermia. It restores peripheral blood circulation in vegetative vascular pathologies. Athletes sometimes use it to warm up and improve blood flow to muscles before long workouts. According to reviews, Finalgon cream promotes the resorption of cellulite in the subcutaneous tissue if used in combination with special massage procedures. The irritating effect of the components has the same mechanism as most cosmetic anti-cellulite products.

Compound

Analogues of Finalgon

Level 4 ATX code matches:
Dolobene

Nayatoks

Apizartron

Bee venom

Gavkamen

Dimexide

Menthol oil

Gum turpentine

Capsicam

Tizol

Camphor alcohol

Turpentine ointment

Formic alcohol

Mataren Plus

Dimethyl sulfoxide

Fast Relief

Betalgon and Betanicomylon ointments are synonyms and contain the same active ingredient. Analogues of Finalgon are similar in their mechanism of action to ointments Alvipsal , Vipralgon , Viprosal .

Pharmacodynamics

Nonivamide

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

Nicoboxil

It is a derivative of nicotinic acid, which has vasodilating properties with the participation of PGI2 and E2. The hyperemic effect of nicoboxil (nicotinic acid butoxyethyl ester) develops faster and is more intense than the hyperemic effect of nonivamide.

Combined action

Nonivamide and nicoboxil 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 of the active components of the drug into the skin. The action of Finalgon® occurs locally.

The effect of the drug develops within a few minutes, the maximum effect occurs after 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 nonspecific low back pain. It was found that patients who used the drug Finalgon® (2 cm of ointment per 1 application, up to 3 times a day for 4 days) experienced a clinically significant decrease in the intensity of pain in the lower back within 4 hours after the first use. On the last day of treatment, which was determined individually, a clinically significant reduction in pain was also observed. A clinical study found that pain relief began within 1–2 hours.

Side effects

In the course of clinical studies and long-term experience with the use of the drug, the following side effects were identified:

From the immune system: anaphylactic reactions, hypersensitivity.

From the nervous system: paresthesia, burning sensation.

From 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 (for example, contact dermatitis - due to the presence of sorbic acid in the composition), itching, rash, facial swelling, urticaria, feeling of heat at the site of application.

Before or after applying the drug to the skin, you should not take a hot bath or shower.

Sweating or applying heat to the application site may cause redness of the skin and an intense sensation of warmth even several hours after application of Finalgon®.

Directions for use and doses

Locally.

Treatment should begin by applying a small amount of the drug to a small area of ​​skin to assess the individual response. Individual reactions to the drug may 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 the warming effect will be insignificant or absent.

It is necessary to start using the drug with the lowest dose. To do this, using the supplied applicator, a column of the drug no larger than 0.5 cm in size is applied to the corresponding palm-sized area of ​​skin with light rubbing movements. To enhance the therapeutic effect, the area of ​​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 the drug is no more than 1 cm per palm-sized area (about 10x20 cm). If necessary, use the ointment up to 3 times a day. To pre-warm the muscles before physical exercise or sports competitions, it is recommended to rub in approximately 30 minutes before the start. If there is no desired effect within 10 days, you should contact a specialist. After applying the drug to the skin, wash your hands thoroughly with soap.

Sources

• Yasmeh S., Bernatz J., Garrard E., Bice M., Williams SK. Clinical and Radiographic Outcomes of Lateral Interbody Fusion for Adjacent Segment Degeneration. // Int J Spine Surg - 2021 - Vol15 - N1 - p.74-81; PMID:33900959
• Bennett AS., Gray CM., Ruchi R., Kumar S. Anterolateral intervertebral disc herniation presenting as visceral pain in a patient with renal keratinizing desquamative squamous metaplasia. // BMJ Case Rep - 2021 - Vol14 - N4 - p.; PMID:33893125
• Ponzio DY., Rothermel SD., Chiu YF., Stavrakis AI., Lyman S., Windsor RE. Does Physical Activity Level Influence Total Hip Arthroplasty Expectations, Satisfaction, and Outcomes? // J Arthroplasty - 2021 - Vol - NNULL - p.; PMID:33875289
• Nava-Mesa MO., Aispuru Lanche GR. . // Semergen - 2021 - Vol - NNULL - p.; PMID:33865694
• Morlion B., Finco G., Aldington D., Überall M., Karra R. Severe chronic low back pain: patient journey from onset of symptoms to strong opioid treatments in Europe. // Pain Manag - 2021 - Vol - NNULL - p.; PMID:33847146
• Moser M., Jost J., Nevzati E. Kyphoplasty versus percutaneous posterior instrumentation for osteoporotic vertebral fractures with posterior wall injury: a propensity score matched cohort study. // J Spine Surg - 2021 - Vol7 - N1 - p.68-82; PMID:33834130
• Stamenkovic A., Clark BC., Pidcoe PE., van der Veen SM., France CR., Russ DW., Kinser PA., Thomas JS. Distinguishing chronic low back pain in young adults with mild to moderate pain and disability using trunk compliance. // Sci Rep - 2021 - Vol11 - N1 - p.7592; PMID:33828171
• Zhou Z., Ni HJ., Zhao W., Gu GF., Chen J., Zhu YJ., Feng CB., Gong HY., Fan YS., He SS. Percutaneous Endoscopic Lumbar Discectomy via Transforaminal Approach Combined with Interlaminar Approach for L4/5 and L5/S1 Two-Level Disc Herniation. // Orthop Surg - 2021 - Vol - NNULL - p.; PMID:33821557
• Lo W.C., Tsai LW., Yang YS., Chan RWY. Understanding the Future Prospects of Synergizing Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery with Ceramics and Regenerative Cellular Therapies. // Int J Mol Sci - 2021 - Vol22 - N7 - p.; PMID:33807361
• Lin CY., Chang LC., Chen JC., Chen MS., Yu H., Wang MC. Pain-Administrable Neuron Electrode with Wireless Energy Transmission: Architecture Design and Prototyping. // Micromachines (Basel) - 2021 - Vol12 - N4 - p.; PMID:33806220

Overdose

Symptoms: skin hyperemia and increased severity of dose-dependent side effects, development of vesicles or pustules at the site of ointment application. Systemic reactions are possible - redness of the upper body, increased body temperature, flushing, painful hyperemia, decreased blood pressure, because Nicotinic acid esters have good transdermal absorption.

Treatment: remove the ointment from the surface of the skin using vegetable oil or fat-based cosmetic cream, from the mucous membrane of the eye (in case of accidental contact) - using medical Vaseline. If necessary, carry out symptomatic treatment.

Reviews about Finalgon

What is Finalgon ointment for? It is used for bruises, injuries, arthritis , pain in the joints and spine. The ointment contains two substances with an analgesic and vasodilating effect, which provide a quick effect - pain is eliminated in 20 minutes.

Reviews of Finalgon ointment reflect the effectiveness of the ointment for various diseases and situations, quick and long-lasting pain relief, and a distracting effect.

• “... It is used very economically, lasts a long time, and is effective. Quickly warms the joint and relieves pain.” “... Excellent for helping with injuries and bruises.”
• “... I’ve helped out more than once, this ointment helps a lot. You feel a pleasant warmth, the pain goes away, the movements in the joint improve.”
• “... It warms up quickly, the main thing is not to overdo it with the dose. I was running around with a “flaming” back, not knowing what to do. But it helped with myositis.”
• “... Don’t repeat my mistake - don’t apply too much! It burns strongly if applied in large quantities!”

How to wash off Finalgon from the skin if you accidentally applied a lot of ointment and unbearable burning pain appears?

Under no circumstances should you wash it off with water, as contact with it will intensify the burning sensation. Then how to wash off Finalgon? The ointment is removed from the surface of the skin using a cotton swab moistened with vegetable oil or rich cream - the burning sensation is significantly reduced and relief occurs.

And one more warning - use the drug according to indications. The sensational news that appeared on the Internet - “Finalgon against prostatitis” has no basis. Those cases when the ointment “helped” apparently had nothing to do with this disease. Most likely, there was a disease of the neuromuscular system of the perineum. Indications for the use of this drug do not include the treatment of prostatitis , which is caused by pathogenic microorganisms and the main treatment is antibiotic therapy.

special instructions

The drug causes hyperemia 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 excessive amount of the drug or in case of intensive rubbing over the surface of the skin.

Using excessive amounts of the drug or vigorous rubbing on the surface of the skin can lead to the formation 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 on other areas of the skin or contact of the drug with another person.

Avoid accidental contact of the drug with your face, eyes, nose or mouth. This can lead to temporary facial swelling, facial pain, conjunctival inflammation, eye congestion, burning eyes, blurred vision, oral discomfort and stomatitis.

Effect on the ability to drive a car or operate machinery. Special clinical studies on the ability to drive a car and operate machinery have not been conducted. However, caution should be exercised when using the drug when driving a car or operating machinery.

Manufacturer

Haupt Pharma Wolfratshausen GmbH, Pfaffenrieder Strasse 5, D-82515 Wolfratshausen, Germany or Globofarm Pharmazoitische Products und Handelsgesellschaft mbH, Breitenfurterstraße 251, A-1230 Vienna, Austria.

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.

You can obtain additional information about the drug, as well as send your complaints and information about adverse events to the following address in Russia: Boehringer Ingelheim LLC, 125171, Moscow, Leningradskoe Shosse, 16A, building 3

Tel; Fax.

Finalgon price, where to buy

You can buy the drug at any pharmacy. The price of Finalgon ointment in 20 g tubes ranges from 262 rubles. up to 456 rub.

• Online pharmacies in RussiaRussia
• Online pharmacies in UkraineUkraine
• Online pharmacies in KazakhstanKazakhstan

ZdravCity

• Finalgon ointment 20g Globofar Pharmaceutical Products
  383 RUR order
• Finalgon cream for external use. approx. tube 35gS.P.M. ContractPharma GmbH and Co. KG, Germany

  RUB 432 order

Pharmacy Dialogue

• Finalgon cream (tube 35g)Contract Pharma

  RUR 429 order

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• Finalgon ointment tube 20g Boehringer Ingelheim.

  405 rub. order

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Pharmacy24

• Finalgon 20 g ointment Globofarm Pharmaceuticals Productions und Handelsgesellschaft mbH/Boehringer Ingelheim Pharma GmbH i Co.
  90 UAH order

PaniPharmacy

• Finalgon ointment Finalgon ointment 20g Austria, Globopharm

  100 UAH order

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