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Capsicum

Overview

Capsicum, also known as red pepper or chili pepper, is an herb. The fruit of the capsicum plant is used to make medicine. Capsicum is most commonly used for rheumatoid arthritis (RA), osteoarthritis, and other painful conditions. It is also used for digestion problems, conditions of the heart and blood vessels, and many other conditions, but there is no good scientific evidence for many of these uses. A particular form of capsicum causes intense eye pain and other unpleasant effects when it comes in contact with the face. This form is used in self-defense pepper sprays.

Uses & Effectiveness

  • Nerve pain in people with diabetes (diabetic neuropathy). Some research shows that applying a cream or using a skin patch containing capsaicin, the active chemical found in capsicum, reduces pain in people with diabetic neuropathy. A specific cream containing 0.075% capsaicin (Zostrix-HP, Link Medical Products Pty Ltd.) used 4 times daily is approved for treating this condition. Another patch containing 8% capsaicin (Qutenza, NeurogesX, Inc.), which is available by prescription only, has also been studied. But this patch is not approved for treating this type of nerve pain. Creams or gels that contain less capsaicin than 0.075% don't seem to work. Lotion used less frequently than 4 times daily also might not work.
  • Pain. Applying creams and lotions containing capsaicin, the active chemical in capsicum, can temporarily relieve chronic pain from several conditions, including rheumatoid arthritis, osteoarthritis, back pain, jaw pain, psoriasis, and other conditions.
  • Nerve damage caused by shingles (postherpetic neuralgia). Applying a patch containing 8% capsaicin (Qutenza, NeurogesX Inc.), the active chemical in capsicum reduces pain over 24 hours by 27% to 37% in people with nerve damage caused by shingles. This capsaicin patch is available by prescription only and must be applied by a health care provider.
  • Back pain. Some research shows that applying a plaster that contains capsicum to the back can reduce low back pain.
  • Cluster headache. Some research shows that applying capsaicin, the active chemical in capsicum, inside the nose reduces the number and severity of cluster headaches. It's best to apply capsicum to the nostril that is on the same side of the head as the headache.
  • Osteoarthritis. Some research shows that applying capsaicin 0.025%, the active chemical in capsicum, to the skin can improve symptoms of osteoarthritis.
  • Runny nose not caused by allergies or infection (perennial rhinitis). Research shows that applying capsaicin, the active chemical in capsicum, inside the nose can reduce runny nose in people without allergies or an infection. The benefits might last for 6-9 months.
  • Nausea and vomiting after surgery. Research shows that applying a plaster containing capsicum to specific points on the hand and forearm 30 minutes before anesthesia and leaving it in place for 6-8 hour daily for up to 3 days after surgery reduces nausea and vomiting after surgery.
  • Pain after surgery. Research shows that applying a plaster containing capsicum to specific points on the hand and forearm 30 minutes before anesthesia and leaving it in place for 6-8 hour daily for up to 3 days after surgery reduces the need for painkillers within the first 24 hours after surgery. Other research shows that applying a specific patch containing 8% capsaicin (Qutenza, NeurogesX, Inc.) one time can reduce pain for up to 12 weeks. However, it is not clear if this is due to a placebo effect. This product is available by prescription only.

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