Finalgon ointment: instructions for use, indications, analogues

Often in medical practice, Finalgon ointment is used. This is an effective drug with a complex effect. In a short time, it increases blood flow, significantly reduces pain, inflammation, eliminates spasm of smooth muscles, warms up the musculoskeletal system, and 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. At the same time, the vessels that deliver oxygen and other useful nutrients necessary for the normal functioning of the joints and tissue repair are narrowed or squeezed. Deterioration of blood circulation and metabolic disorders lead to the development of pathology, degenerative-dystrophic changes, increased pain sensation, numbness, and 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. This:

• Nonivamide is a phenolic compound, an analogue of the alkaloid capsaicin, which is contained in various types of 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. Influencing the terminal structures of nerve fibers (skin receptors) that respond to pain stimuli, nonivamide has an irritating effect, which is accompanied by the transmission of nerve impulses from the peripheral part of the body to the central nervous system. The centers of the brain and spinal cord launch coordination activity, activating various systems, which ultimately leads to the development of a characteristic local reaction in the zone of action of Finalgon.
• 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 of vascular origin, synthesized by smooth muscle and endothelial cells, it 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 of the vascular system, reduces the tone of the vascular wall. In this case, an increase in the amount of circulating blood occurs, and a sufficient level of tissue saturation with oxygen and essential microelements is ensured. The effect is pronounced, achieved mainly due to the direct vasodilating action of nocoboxyl;
• analgesic effect - relieves pain, relieves pain in the area of ​​\u200b\u200baffected tissues. 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 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 arterial blood flow, which is accompanied by a characteristic reddening of the epidermis immediately after applying the ointment.

Composition, release forms

The holder of the 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 the trade name Finalgon, a single dosage form is produced for dermal use. 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 (a mixture of soft white, completely purified paraffinic hydrocarbons) - fatty base, prevents moisture loss, softens and protects the skin;
• silicon dioxide in colloidal form (polysorb) - binds and eliminates endogenous and exogenous aggressive substances (toxins of various 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 help 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 is 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 the local treatment of pain and inflammation in musculoskeletal pathologies of various origins. In such cases, Finalgon is usually used as part of a complex treatment, together with other medications and physiotherapy methods, 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 conditions 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 consider 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 response.

For some patients, a very small dose of Finalgon is sufficient for the desired result, while 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.
• The use of wrapping, warming dressings (any warm cloth over the treated area of ​​the body) will help enhance the therapeutic effect. 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 the irritating effects of the active ingredients of Finalgon decreases somewhat, 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 of the drug is possible, which can manifest itself:

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

The instruction recommends removing excess ointment with cotton balls, cosmetic discs, wipes moistened with 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 of the drug and at the age of less than 12 years.

1. Highly specialized studies that allow asserting the safety of the drug Finalgon during pregnancy or the absence of a negative effect on the possibility of conception, were not carried out. Therefore, this category of patients is prohibited from undergoing ointment therapy.
2. 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 treatment of a large body area with ointment, various negative effects may occur. Often they form at the site of application and are caused by skin contact with the irritant nonivamide. Possible side effects of a systemic nature are mainly associated with the 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 other drugs for internal or external use have 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 the pricing policy of the pharmacy chain.

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.