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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Pain Relief Patches: Proper Use & Selection

Tape vs. poultice patches, cold vs. warm patches -- how to choose

Pain relief patches fall into two main generations.
First-generation patches use a warming or cooling sensation to soothe mild pain.
Second-generation (NSAID) patches contain anti-inflammatory medicine that absorbs through the skin to reduce swelling and pain. Even with a patch, the medicine is absorbed into the body, so it can burden the stomach and kidneys or trigger an asthma attack.
Patches also come in two forms: tape patches (thin, stay on well) and poultice patches (thick, contain moisture). You choose based on where you need to apply them.

1
Choose the generation based on the cause of pain

First-generation for mild pain; NSAID patches (second-generation) for pain with inflammation

2
Choose warm or cold based on acute vs. chronic pain

Cold patches for fresh bruises and sprains; warm patches for chronic shoulder stiffness or back pain

3
Choose the form based on where you apply it

Tape patches for joints (shoulder, elbow, knee); poultice patches for broad areas (back, lower back)

4
Consider your skin condition

If you have sensitive skin, choose a gentler option like felbinac tape

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Right after a bruise or sprain → Cold patch
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Shoulder stiffness or chronic back pain → Warm patch
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Knee or elbow pain → Tape patch (stays on well)
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Widespread lower back pain → Poultice patch (covers a large area)
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Strong inflammatory pain → NSAID patch (e.g. Loxonin Tape, Mohrus Tape)
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Loxonin Tape
Contains loxoprofen. Low risk of sun sensitivity, widely usable. Replace once a day
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Mohrus Tape
Contains ketoprofen. Watch for photosensitivity (block UV light while using it and for at least 4 weeks after removal). Must not be used if you have had a photosensitivity reaction, have aspirin-induced asthma, or are in late pregnancy
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Felbinac Tape
Contains felbinac. Gentle on skin, good for people with sensitive skin
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Cold Patch (1st Gen)
Menthol provides a cooling sensation. Good for early-stage bruises and sprains. Mild pain relief
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Warm Patch (1st Gen)
Capsaicin provides warmth. Good for shoulder stiffness and chronic back pain. Promotes blood flow
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Tape vs. Poultice
Tape patches are thin and good for moving joints. Poultice patches are thick with moisture, good for broad areas

Follow these 4 rules for the best results

1. Clean the skin before applying. 2. How often to replace a patch depends on the product (Loxonin Tape and Mohrus Tape once a day; felbinac and similar patches twice a day). 3. Remove before bathing; after bathing, dry skin thoroughly before applying a new patch. 4. Stop using and see a doctor if redness, itching, or blistering occurs. Leaving a patch on too long can cause skin irritation.

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Watch out for photosensitivity with Mohrus Tape!
While using Mohrus Tape (ketoprofen), keep the treated area covered with clothing or a supporter to block UV light regardless of the weather (white or thin fabrics let UV through). The same care is needed for at least 4 weeks after you remove the patch, and a reaction can appear anywhere from a few days to several months later. It must not be used by anyone who has had a photosensitivity reaction before, anyone with aspirin-induced asthma, or anyone in late pregnancy. Loxonin Tape has almost no risk of this.

💡 Key Points to Remember

  • Cold patches for acute injuries; warm patches for chronic pain
  • With Mohrus Tape, keep the treated area covered with clothing to block UV light while using it and for 4 weeks after removal - on cloudy days too
  • Talk to your doctor before combining patches with oral pain medication
  • Some patches cannot be used if you have asthma triggered by pain or fever medicine, or if you are pregnant. Always tell your doctor or pharmacist
  • If pain does not improve with patches, have the cause examined and get proper treatment