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NICE clinical guideline 177 – Osteoarthritis: Paracetamol and/or topical NSAIDs should be offered to patients with knee or hand osteoarthritis before considering oral NSAIDs, COX-2 inhibitors or opioids.
Treatment should be reviewed after two weeks and stopped if not effective.
(including topical products containing nicotinate compounds, salicylate compounds, essential oils and camphor)
Not recommended for use due to lack of evidence of efficacy. Click here for more information. Prescribers should not initiate rubefacients for any new patient. Click the following link for a patient information leaflet to support deprescribing
Home > Formulary > Chapters > 10. Musculoskeletal & joint diseases > 10.3 Drugs for the treatment of soft-tissue disorders and topical pain relief > 10.3.2 Rubefacients, topical NSAIDs, capsaicin, and poultices