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Viva (topical).

Generic name: camphor, lidocaine, and methyl salicylate (topical) [KAM-for, LYE-doe-kane, METH-il-sa-LIS-i-late-TOP-ik-al]

Brand name: Viva
Drug Class: Topical Anesthetics

What is Viva?

Camphor relieves mild pain.Lidocaine works as a local anesthetic. It blocks nerve signals within your body.Methyl salicylate belongs to a class of nonsteroidal antiinflammatory drugs (nsaids) called salicylates. Viva reduces substances that cause inflammation and pain in the body.

This combination medicine is used to temporarily relieve mild to moderate muscle and joint pain. This medicine can be used to treat pain from muscle stiffness, bruising, or arthritis. It may also be used to treat back aches and muscles that are sore or bruised.This medication guide does not list all possible uses of Viva.

Viva side effects

If you experience any of the following signs and symptoms of an allergic reaction: hives, difficulty breathing or swelling of lips, face, tongue or throat. Seek medical assistance immediately.

If you experience any of these symptoms, remove the patch and seek emergency medical attention.Viva can have serious side effects if absorbed through the bloodstream.

This medicine can cause serious side effects. If you experience:

  • Your muscle pain will worsen.
  • Itchy skin or rash
  • A feeling of lightheadedness, as if you could pass out.
  • If you have new or worsening abdominal pain,
  • Signs of stomach bleeding include bloody stools, vomiting that looks like coffee grounds, or coughing up blood.

There may be other side effects. For medical advice on side effects, call your doctor. The FDA can be contacted at 1-800-FDA-1088 to report side effects.

Warnings

Please read all the instructions on the label or package of your medication. Inform your healthcare provider about your medical conditions, allergies, and medicines.

Before you take this drug

Viva is an NSAID. Nsaids can increase the risk of a fatal stroke or heart attack, particularly if they are used long-term or if there is heart disease. Even those without heart disease or who have no risk factors for heart disease can suffer a heart attack or stroke when taking an NSAID.Use this medication only after heart bypass surgery.

An NSAID can also cause fatal stomach or intestinal bleeding. These conditions may occur suddenly, even in the elderly, when you use an NSAID.This medicine should not be used if you have an allergy to camphor or lidocaine.

If you have had any of the following:

  • Heart disease or high blood pressure
  • A stomach ulcer, or bleeding problems.
  • A habit of drinking three or more alcoholic beverages per day.
  • Kidney disease
  • An allergic reaction to skin products
  • An allergy to any NSAID, including Advil, Motrin, and Aleve

If you are pregnant or breastfeeding, consult your doctor before taking this medication.Use of methyl salicylate in the last three months of pregnancy can harm the unborn child or cause bleeding to the mother or baby during birth.

The use of this medicine by children under 12 is not recommended.

How to take Viva?

Follow the instructions on the label or those prescribed by your doctor.This medicine is a skin patch.Avoid getting the patch in your eyes, nose, or mouth.Before applying and removing a skin patch, wash your hands.Please read and follow all instructions for use that come with your medication. If you don't understand the instructions, ask your doctor or pharmacist.Apply the patch only to open wounds, sunburned or windburned skin, damaged, or irritated areas. The skin patch should not be applied to the face or genitals.

Wearing more than one patch at a given time will not increase the effectiveness of your medicine and may even increase your risk for a heart attack or stroke.Wearing the skin patch may take several hours to provide pain relief.After 8–12 hours, remove the skin patch and replace it if necessary.If your symptoms don't improve or worsen while taking this medication, call your doctor.

After removing the skin patch, fold it in half with the sticky side facing out. Throw it away somewhere where pets and children cannot reach it.Store skin patches that have not been used at room temperature, away from heat, moisture, and sunlight. Each patch should be kept in its foil pouch until it is ready to be used. You must use skin patches within seven days after opening the pouch.

What happens if I miss the dose?

You may not have a schedule for Viva, as it is only used when necessary. If it is almost time for the next dose, skip any missed dose. Use no more than two skin patches within a 24-hour period.

What happens if I overdose?

If a child puts a skin patch in his mouth, seek emergency medical care or call Poison Help at 1-800-222-1222.

What should be avoided?

Avoid exposing treated skin to the heat of a sauna, hot tub, or heating pad. Heat can cause adverse effects and increase the amount that is absorbed by your skin.If the medication gets into your eyes, rinse with water.

Interaction with other drug

Before using any other medication, ask a pharmacist or doctor.

  • A diuretic, or "water pill".
  • A blood thinner: warfarin Coumadin Jantoven
  • Nsaids are aspirin, ibuprofen, naproxen, celecoxib, and other nsaids.

This list is incomplete. Other drugs, such as vitamins and herbs, may also affect Viva. This list does not include all possible drug interactions.