Nicoflex (Ointment) Instructions for Use
ATC Code
M02AB (Capsaicin and similar agents)
Clinical-Pharmacological Group
Drug with local irritant and analgesic action
Pharmacotherapeutic Group
Local irritant
Pharmacological Action
A combined drug that has a local irritant, analgesic, and absorbent effect. It contains substances that cause prolonged dilation of superficial vessels at the site of application, increase skin temperature, and cause a sensation of warmth.
The action is associated with the irritating and distracting effects of capsaicin, the analgesic and anti-inflammatory activity of glycol salicylate (international nonproprietary name recommended by Ph.Eur. – Hydroxyethyl salicylate (Vidal note)), and the absorbent capacity of ethyl nicotinate.
Indications
Contusions; sprains; arthrosis; myalgia; neuralgia; chronic neuritis; polyarthritis (chronic and subacute); sciatica; tenosynovitis (in the phase of incomplete remission); for warming up muscles before and after sports activities.
ICD codes
| ICD-10 code | Indication |
| M05 | Seropositive rheumatoid arthritis |
| M13.9 | Arthritis, unspecified |
| M15 | Polyosteoarthritis |
| M19.9 | Unspecified arthrosis |
| M54.1 | Radiculopathy |
| M54.3 | Sciatica |
| M54.4 | Lumbago with sciatica |
| M65 | Synovitis and tenosynovitis |
| M70 | Soft tissue disorders related to use, overuse, and pressure |
| M71 | Other bursopathies |
| M79.1 | Myalgia |
| M79.2 | Neuralgia and neuritis, unspecified |
| T14.0 | Superficial injury of unspecified body region (including abrasion, bruise, contusion, hematoma, bite of nonvenomous insect) |
| T14.3 | Dislocation, sprain and strain of joint and ligament of unspecified body region |
| ICD-11 code | Indication |
| 8B93.Z | Radiculopathy, unspecified |
| 8E4A.1 | Paraneoplastic or autoimmune diseases of the peripheral or autonomic nervous system |
| EH92 | Dermatoses provoked by friction or mechanical impact |
| EH92.1 | Blister due to friction |
| FA05 | Polyosteoarthritis |
| FA0Z | Osteoarthritis, unspecified |
| FA20.0 | Seropositive rheumatoid arthritis |
| FA2Z | Inflammatory arthropathies, unspecified |
| FB40.Z | Tenosynovitis, unspecified |
| FB50.1 | Bursitis associated with use, overuse or pressure |
| FB50.Z | Bursitis, unspecified |
| FB56 | Specified soft tissue diseases, not elsewhere classified |
| FB56.2 | Myalgia |
| ME84.20 | Lumbago with sciatica |
| ME84.3 | Sciatica |
| ND56.0 | Superficial injury of unspecified body region |
| ND56.3 | Dislocation, sprain or strain of unspecified body region |
Dosage Regimen
| The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen. |
Ointment
For external use. Wash the skin surface with warm water and soap beforehand, wipe dry, and then apply a thin layer of the ointment to it. It is applied to intact skin areas. Use 1-2 times/day.
For joint diseases – 1 time/day for 3 days, then – 2 times/day (morning and evening).
For warming up muscles in athletes during massage – a 3-5 cm long strip of ointment is thoroughly rubbed into the skin.
Adverse Reactions
Skin allergic reactions, irritation at the site of application.
Contraindications
Hypersensitivity; impaired skin integrity; children’s age (under 6 years); pregnancy; lactation period (breastfeeding).
With caution “aspirin” bronchial asthma, children’s age (6-12 years).
Use in Pregnancy and Lactation
The drug is contraindicated for use during pregnancy and lactation.
Pediatric Use
Contraindicated in children under 6 years of age.
With caution children’s age (6-12 years).
Special Precautions
After rubbing in the ointment, it is necessary to thoroughly wash your hands with warm water and soap.
Do not use with warming compresses.
In case of skin irritation, it is recommended to discontinue the drug.
Avoid contact with mucous membranes (including eyes), areas of skin irritation.
Drug Interactions
It enhances the absorption of other topical drugs when used simultaneously (due to reflex enhancement of blood flow).
Storage Conditions
Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.
Dispensing Status
Over-the-Counter
Important Safety Information
This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.
Medical DisclaimerBrand (or Active Substance), Marketing Authorisation Holder, Dosage Form
Ointment: tube 50 g
Marketing Authorization Holder
Reanal (Hungary)
Dosage Form
| Nicoflex | Ointment: tube 50 g |
Dosage Form, Packaging, and Composition
| Ointment | 50 g |
| Capsaicin | 7.5 mg |
| Hydroxyethyl salicylate | 4.5 g |
| Ethyl nicotinate | 1 g |
50 g – aluminum tubes (1) – cardboard packs.
Ointment for external use: tube 50 g
Marketing Authorization Holder
Medimex, LLC (Russia)
Manufactured By
Reanal (Hungary)
Dosage Form
| Nicoflex | Ointment for external use: tube 50 g |
Dosage Form, Packaging, and Composition
Ointment for external use white in color, homogeneous, with a specific odor.
| 100 g | |
| Natural capsaicin | 0.015 g |
| Ethyl nicotinate | 2 g |
| Hydroxyethyl salicylate | 9 g |
Excipients : propylparahydroxybenzoate – 0.03 g, methylparahydroxybenzoate – 0.07 g, lavender oil – 0.1 g, ethanol 96% – 0.735 g, sodium lauryl sulfate – 1.6 g, liquid paraffin – 8 g, cetearyl octanoate – 14.4 g, white petrolatum – 16 g, purified water – 48.05 g.
50 g – aluminum tubes (1) – cardboard boxes.
