This medicine is a local anesthetic used to treat pain associated with shingles. It may also be used to treat other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. This medicine is only to be used on intact, clean, dry skin. DO NOT apply this medicine to broken, damaged, or inflamed skin. WASH YOUR HANDS before and immediately after using this medicine. Remove the liner on the patch. Apply the patch so that it covers the painful area. IF THE PAINFUL AREA IS LARGER THAN THE PATCH, apply the patch over the most painful area. Patches may also be cut into smaller sizes before removing the liner if desired. Be sure to discard the unused pieces of cut patches out of the reach of children and pets. IF IRRITATION OR BURNING OCCURS WHEN YOU APPLY THE PATCH, remove it. DO NOT reapply any patches until the irritation stops. Patches may be worn for up to 12 hours within a 24-hour period as directed by your doctor. Clothing may be worn over the area where the patch is applied. AFTER REMOVING A PATCH, fold it in half with the sticky sides together. Discard the patch out of reach of children and away from pets. DO NOT apply another patch to the same area of skin for 12 hours. STORE THIS MEDICINE at 77 degrees F (25 degrees C). Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep the child-resistant envelope sealed at all times when not in use. KEEP THIS MEDICINE out of the reach of children and away from pets. IF YOU MISS A DOSE of this medicine, use the dose when you remember. Continue to use it as directed by your doctor. Do not use this medicine for more than 12 hours in a 24-hour period. Do not use 2 doses sooner than 12 hours apart.
SOME MEDICINES MAY INTERACT with this medicine. TELL YOUR HEALTH CARE PROVIDER if you are taking any other medicines, especially any of the following: beta-blockers (eg, propranolol), cimetidine, antiarrhythmics (eg, amiodarone, mexiletine, tocainide), local anesthetics (eg, benzocaine). This may not be a complete list of all interactions that may occur. Ask your health care provider if this medicine may interact with other medicines you take. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including if you have broken, damaged, or inflamed skin at the application site; heart, liver, or kidney problems; a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to any anesthetic medicine (eg, benzocaine); very poor health; allergies; pregnancy; or breast-feeding. Tell your doctor if you are using another medicine that contains an anesthetic. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
SIDE EFFECTS that may occur while taking this medicine include: mild redness, swelling, burning, blisters, bruising, irritation, change in skin color, or numbness at the application site. If they continue or are bothersome, check with your doctor. SEEK MEDICAL ATTENTION RIGHT AWAY if any of these SEVERE side effects occur: chest, jaw, or left arm pain, numbness of an arm or leg, or sudden, severe headache; confusion; dizziness or lightheadedness; fainting; fast, slow, or irregular heartbeat; feeling of being unusually warm, cold, or numb; mood or mental changes; nervousness; ringing in the ears or hearing changes; seizures; shallow or slow breathing; shortness of breath; tremors or twitching; unusual drowsiness; vision changes; vomiting. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; or unusual hoarseness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected, contact your local poison control center or emergency room immediately. This medicine may be harmful if swallowed.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. After removing the used patch, fold over with the sticky side together. Discard the patch out of reach of children and pets.