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Nonivamide + nicoboxil is a fixed-dose topical rubefacient analgesic marketed as **Finalgon** in certain countries. Nonivamide is a synthetic capsaicinoid that activates transient receptor potential cation channel subfamily V member 1 on cutaneous nociceptive sensory neurons, producing local warmth, neurogenic vasodilation, and subsequent analgesic desensitization. Nicoboxil is a nicotinic-acid ester with prostaglandin-mediated vasodilatory activity that accelerates and intensifies local hyperemia. The combination has been used for musculoskeletal pain and was evaluated in completed Phase III studies for acute nonspecific low back pain. ([drugs.ncats.io](https://drugs.ncats.io/drug/GSD5B9US0W))
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