Qutenza® (capsaicin) 8% patch

Your Pain Profile Tool

Post-shingles pain (postherpetic neuralgia) presents itself differently for everyone. Your doctor needs to examine you and fully understand your pain to be able to deliver optimal treatment.

The Pain Profile Tool below will help you map your pain and then have a meaningful discussion about how you are feeling, as well as what you've already tried in the past for pain relief. After you're done, you can print your pain profile to take with you to your doctor appointment.

And the tool is simple to use. All you have to do is:

  1. Point and click on the area(s) where you are experiencing pain.
  2. Check the box with the word(s) that best describe your pain.
  3. Use the sliding scale to rate the severity of your pain.
  4. Fill in any additional information, such as what you've tried in the past for relief.
  5. Click the "Done" button to print your personalized pain profile to take to your doctor.

Don't forget to call your doctor to make an appointment right away.

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Roll your mouse over the body image and click the areas where you feel pain. Then select the words that best describe your pain in that area. Your image will display on your pain profile printout.

      On a scale of 0 to 10, with 10 being the most severe pain, slide the selector to indicate how severe your pain is.

      NoneModerateAs bad as I can imagine

      012345678910

      Fill in any additional information about yourself that would be helpful for your doctor to know:

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      How long have you or the person you are caring for been experiencing post-shingles pain?
      Please describe your pain level or the pain level of the person you're requesting information for. Select a number from 0 to 10 on a pain scale thermometer, with 0 being no pain and 10 being the most severe.

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