Camphor is a mild pain reliever.

Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.

Methyl salicylate is a nonsteroidal anti-inflammatory drug (NSAID) in a group of drugs called salicylates (sa-LIS-il-ates). This medicine works by reducing substances in the body that cause pain and inflammation.

Camphor, lidocaine, and methyl salicylate topical (for the skin) is a combination medicine used to provide temporary relief of mild to moderate aches and pains of the muscles and joints. This medicine may be used for pain caused by muscle stiffness or bruising, arthritis, sprains or strains, backaches, and sore or bruised muscles.

Camphor, lidocaine, and methyl salicylate may also be used for purposes not listed in this medication guide.

This medicine contains methyl salicylate, which is an NSAID. An NSAID can increase your risk of fatal heart attack or stroke, especially if you use it long term, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while using an NSAID.

Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

An NSAID may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using and NSAID, especially in older adults.

You should not use this medicine if you are allergic to camphor, lidocaine, or methyl salicylate.

Ask a doctor or pharmacist if this medicine is safe to use if you have ever had:

• high blood pressure or heart disease;
• a stomach ulcer or bleeding problems;
• a habit of drinking 3 or more alcoholic drinks per day;
• kidney disease;
• an allergy to any skin products; or
• an allergy to any NSAID (aspirin, ibuprofen, celecoxib, diclofenac, indomethacin, meloxicam, naproxen, Advil, Motrin, Aleve, and others).

Ask a doctor before using this medicine if you are pregnant or breast-feeding.

Using methyl salicylate during the last 3 months of pregnancy may harm the unborn baby, or cause bleeding in the mother or the baby during delivery.

This medicine is not approved for use by anyone younger than 12 years old.

Use Viva (Camphor, Lidocaine, And Methyl Salicylate (Topical)) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Remove the skin patch and get emergency medical help if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.

Serious side effects are unlikely when camphor, lidocaine, and methyl salicylate is applied to the skin, but can occur if the medicine is absorbed into your bloodstream.

Stop using this medicine and call your doctor at once if you have:

• worsening of your muscle pain;
• skin rash, itching, or irritation;
• a light-headed feeling, like you might pass out;
• new or worsening stomach pain; or
• signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Do not expose treated skin to heat from a hot tub, heating pad, or sauna. Heat can increase the amount of drug absorbed through your skin and may cause harmful effects.

Rinse with water if the medicine gets in your eyes.