Topical OTC pain relievers

Be aware!

• Some topical products (e.g. creams or gels you apply to your skin or gums) are NSAIDs or contain salicylates. Salicylates are related to aspirin, and may have similar effects.

The table below lists some topical products of which people with asthma should be aware.

Table 2  Some over-the-counter topical products containing aspirin or non-steroidal anti-inflammatory medicine

Topical products Brand names* Diclofenac Dencorub Anti-inflammatory Gel,  Hexal Diclac Anti-inflammatory Gel, Voltaren Emulgel Ketoprofen Orudis Gel Ibuprofen Nurofen Gel Methylsalicylate rubs Dencorub, Methyl salicylate liniment/ointment Piroxicam Feldene Gel

• Some herbal products (such as feverfew or willow bark extracts) also contain salicylates, so always check the label first. Whenever consulting anyone about herbal products, make sure you tell them you have asthma.  If you are unsure if a product contains salicylates, try to find an alternative, or consult your doctor or pharmacist before taking the product.

• Some teething or dental gels contain salicylates, e.g. Bonjela, Herron Baby Teething Gel, Ora-Sed Jel, Seda-gel and SM33. These products should be used with caution by people who react to aspirin.