TY  - JOUR
T1  - CApsaicin cream unpopular with patients
AU  - Reinharth D
Y1  - 2005/03/28
N1  - 10.1001/archinte.165.6.702
JO  - Archives of Internal Medicine
SP  - 702
EP  - 702
VL  - 165
IS  - 6
N2  - 
I found the recent article “Treatment Options in Knee Osteoarthritis”1 quite informative, particularly because it addressed a practical patient management issue. However, one key finding was discordant with my own experience managing this disease: in my practice, few patients have been willing to try treatment with capsaicin cream, and none has continued using it on a long-term basis. There are many barriers to the use of capsaicin: many patients prefer pills, 4 times daily dosing is difficult to comply with (this frequency is recommended for the first 2 weeks of use, as opposed to the 3 times daily “utility” the authors selected), and the cream burns (apparently ignored by the authors). It is my unscientific impression that my patients generally prefer treatment with acetaminophen (and cyclooxygenase-2 inhibitors before the recent troubles for this class of drugs) for their osteoarthritis.

SN  - 0003-9926
M3  - doi: 10.1001/archinte.165.6.702
UR  - http://dx.doi.org/10.1001/archinte.165.6.702
ER  -