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REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING

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About the medicine

How to use REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Reflex Spray Cutaneous Spray Solution

Read the entire package leaflet carefully before starting to use this medication, as it contains important information for you.

Follow the administration instructions for the medication contained in

this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this package leaflet. See section 4.
  • You should consult a doctor if it worsens or does not improve after 7 days of treatment.

Package Leaflet Contents:

  1. What Reflex Spray is and what it is used for
  2. What you need to know before starting to use Reflex Spray
  3. How to use Reflex Spray
  4. Possible side effects
  5. Storage of Reflex Spray
  6. Package Contents and Additional Information

1. What Reflex Spray is and what it is used for

Reflex Spray is a cutaneous spray solution for application to the skin.

This medication belongs to the group of topical anti-inflammatory drugs.

  • It is indicated in adolescents from 12 years of age and in adults, for the relief of muscle and joint pain in: bruises, sprains, strains, trauma (blows) without open wounds, muscle cramps, torticollis, back pain, and lumbalgia (lower back pain).

You should consult a doctor if it worsens or does not improve after 7 days of treatment.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before starting to use Reflex Spray

Do not use Reflex Spray:

  • If you are allergic to turpentine, camphor, menthol, methyl salicylate, or any of the other components of this medication (listed in section 6).
  • If you are allergic to salicylates, acetylsalicylic acid (aspirin), or other non-steroidal anti-inflammatory drugs (such as ibuprofen)
  • If the skin of the area to be treated is wounded or damaged.
  • In children under 12 years of age.
  • If you have allergic asthma: asthmatic patients with any type of allergy that may increase with the use of an aerosol.
  • During the third trimester of pregnancy and breastfeeding.
  • If you have active peptic ulcer or a history of peptic ulcer.

Warnings and Precautions

Consult your doctor or pharmacist before starting to use Reflex Spray.

  • This medication is for external use only, do not ingest.
  • Apply Reflex Spray to intact skin, without wounds.
  • Avoid contact of the medication with the face, mucous membranes (nose, mouth), eyes, and other sensitive parts of the body.
  • Do not apply Reflex Spray to very large areas of skin, or with tight bandages, or if you are going to exercise or apply heat to the area where it is used. If you cover the area where you have used Reflex Spray, do so in a way that the garment covering the treated area is slightly loose.
  • Suspend the use of Reflex Spray if you experience irritation or excessive discomfort or if you develop sensitivity.
  • You should consult your doctor before using it during the first or second trimester of pregnancy.
  • You should consult a doctor if it worsens or does not improve after 7 days of treatment.

Children

Reflex Spray is contraindicated in children under 12 years of age. Children are especially sensitive (mainly infants) to some components of Reflex Spray: application to the skin can cause a drop in blood pressure, choking, bluish discoloration of the skin, and convulsions.

Elderly Patients

No dose adjustment is necessary in elderly patients. However, caution is recommended due to the possibility of increased absorption since the skin may be thinner.

Using Reflex Spray with Other Medications

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medication.

Do not use this medication excessively or chronically, especially if you are being treated with warfarin (a medication used to prevent blood clots) since this medication contains methyl salicylate and menthol, and may increase the risk of bleeding from warfarin.

It is not recommended to apply it simultaneously with other topical medications that also contain analgesics and rubefacients, as this may potentiate the adverse effects of both medications.

This medication contains methyl salicylate, which may interact with other keratolytic agents, potentiating its effect.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, or think you may be pregnant or plan to become pregnant, consult your doctor or pharmacist before using this medication. Reflex Spray is contraindicated during the third trimester of pregnancy and you should consult your doctor before using it during the first and second trimester of pregnancy.

In case of use, limit the dose and duration of treatment to a minimum.

One of the active principles of Reflex Spray, salicylate, passes into breast milk in low concentrations, and in rare cases, adverse effects have been observed in newborns and breastfed children. Therefore, the use of Reflex Spray is not recommended during breastfeeding.

Driving and Using Machines

The influence of this medication on the ability to drive and use machines is nil or insignificant.

Reflex Spray contains dimethyl sulfoxide and benzyl alcohol.

This medication may cause skin irritation because it contains dimethyl sulfoxide.

This medication contains 13 mg of benzyl alcohol per milliliter. Benzyl alcohol may cause allergic reactions. Benzyl alcohol may cause moderate local irritation.

3. How to Use Reflex Spray

Follow the administration instructions for this medication contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubts, ask your doctor or pharmacist.

The recommended dose in adolescents from 12 years of age and in adults is 1 spray per application, as needed, every 6-8 hours, 3-4 times a day. It can be repeated up to a maximum of 4 applications per day.

How to use

Cutaneous use, exclusively on intact skin.

Apply directly to the area to be treated and without rubbing

Wash your hands after each application.

Keep the spray about 20 centimeters from the skin and press the valve, keeping the container in a vertical position for a few seconds, and wait for it to evaporate, without rubbing or massaging. Wash your hands after each application.

Use in Children

Reflex Spray is contraindicated in children and adolescents under 12 years of age.

If symptoms persist, do not improve, or worsen after 7 days of treatment, consult your doctor.

If you use more Reflex Spray than you should

If you have applied more Reflex Spray than you should, skin problems may occur.

Due to its camphor content, excessive use can cause skin irritation.

If you have ingested (swallowed) it, go immediately to a medical center, even if you do not notice symptoms, as they may appear after 2 hours of ingesting the medication. Accidental ingestion may cause a series of symptoms due to its camphor content, such as characteristic camphor breath odor, mouth heat, thirst, sweating, nausea, vomiting, colic, headache, dizziness, delirium, nervousness, epileptic convulsions, excitement or depression of the central nervous system, and coma. The treatment of accidental poisoning with camphor is symptomatic. Do not induce vomiting.

Due to its turpentine, menthol, and methyl salicylate content, if you have ingested it, you may notice the following symptoms: stomach burning, abdominal pain, intestinal discomfort, nausea, vomiting, pulmonary edema, hyperventilation, ketosis, and respiratory alkalosis, metabolic acidosis, excitement, sweating, tinnitus, dizziness, sweating, lethargy (lack of energy), tachypnea (increased respiratory rate), psychiatric disorders, confusion, deafness, somnolence, inability to coordinate movements (ataxia), excitement or depression of the central nervous system that can lead to coma, cardiovascular collapse, and respiratory failure; fever, tachycardia, liver damage, blood in the urine.

In case of application of camphor or menthol to the nasal passages, oropharyngeal burning, central nervous system depression, respiratory arrest, and immediate collapse may occur in children.

In case of overdose or accidental ingestion, go immediately to a medical center or call the Toxicology Information Service, phone 915 620 420, indicating the medication and the amount ingested.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone may experience them.

During the period of use of the combination of the active ingredients of this medication, the following side effects have occurred with the following frequencies:

Very rare (may affect up to 1 in 10,000 people):

  • Hypersensitivity (including urticaria, anaphylaxis, angioedema, and erythema)
  • Dermatitis, urticaria, vesicular eruption (which usually disappear after discontinuing treatment)

Frequency not known (frequency cannot be estimated from available data):

  • Asthma, bronchospasm
  • Contact dermatitis, reactions at the application site, burning at the application site (in case of severe hypersensitivity or occlusive dressing. Treatment should be discontinued immediately.)

Reporting Side Effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medications: www.notificaRAM.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Reflex Spray

Keep this medication out of the sight and reach of children.

No special storage conditions are required.

Pressurized container. Protect from sunlight and avoid exposure to temperatures above 50°C. Do not spray towards a flame or incandescent body. Do not pierce or burn, even after use. Keep away from any flame or spark source. Do not smoke. Extremely flammable.

Do not use this medication after the expiration date shown on the box after CAD. The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the containers and medications you no longer need at the SIGRE point in the pharmacy. Ask your pharmacist how to dispose of the containers and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Reflex Spray Composition

  • The active ingredients per milliliter are: 65 mg of turpentine, 40 mg of camphor, 40 mg of menthol, 25 mg of methyl salicylate.
  • The other components (excipients) are: isopropyl alcohol, dimethyl sulfoxide, benzyl alcohol (E-1519). Propellant gas: carbon dioxide.

Product Appearance and Package Contents

Reflex Spray is presented in a pressurized aluminum container with a valve. It is a cutaneous spray solution (colorless liquid in aerosol for application to the skin).

Containers with 50 milliliters and 130 milliliters.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

Reckitt Benckiser Healthcare, S.A.

C/Mataró, 28

08403 Granollers

Barcelona

Manufacturer:

Chemineau

93, Route de Monnaie (Vouvray) F-37210

France

Date of the last revision of the package leaflet: June 2022

Detailed information about this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.gob.es/)

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Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Areas of medical expertise:

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  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
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  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
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Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
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  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
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Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

  • preventive check-ups and monitoring of growth and development;
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  • assessment of psychomotor, emotional, and physical development;
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Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

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  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
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  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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Additional care areas:

  • Preventive consultations and check-up planning.
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  • Structured support for undiagnosed complaints.
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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Lisa Drigo

Paediatrics 34 years exp.

Dr Lisa Drigo is an experienced paediatrician based in Italy with over 30 years of clinical practice. She graduated from Università Cattolica del Sacro Cuore in Rome and has spent decades working within the Italian healthcare system, supporting children and families with both acute care and long-term prevention.

She is well familiar with Italian paediatric standards, including local vaccination schedules, preventive check-ups, growth monitoring, and everyday medical issues faced by families living in Italy. This makes her consultations especially valuable for parents who want guidance that aligns with local medical practice.

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  • Digestive symptoms such as abdominal pain, nausea, diarrhoea or constipation.
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  • Vaccination advice according to Italian schedules.
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Dr Drigo communicates in a clear, calm, and reassuring way, helping parents understand what is happening and what steps to take next. Online consultations allow families to receive reliable paediatric guidance aligned with Italian medical practice, without unnecessary stress or waiting.

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Pedro Alvarez Guerrero

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Throughout his professional career, Dr. Alvarez Guerrero has sought to complement his medical training with psychotherapeutic tools that allow him to address mental health disorders from a comprehensive perspective. For this reason, he specialized in Brief Strategic Psychotherapy through the Spanish Society of Psychosomatic Medicine and Psychotherapy, an approach focused on targeted and effective interventions.

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He has also shown a particular interest in the field of legal psychiatry, completing an Official Master’s Degree in Legal, Forensic and Criminological Psychopathology at the Universitat Internacional de Catalunya. This training has allowed him to acquire the necessary competencies for the preparation of psychiatric expert reports in judicial and medico-legal contexts, thereby broadening the scope of his professional activity.

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
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  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Frequently Asked Questions

Is a prescription required for REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING?
REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING?
REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING is manufactured by Reckitt Benckiser Healthcare S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to REFLEX SPRAY CUTANEOUS SOLUTION FOR SPRAYING?
Other medicines with the same active substance () include ALGESAL 10 mg/g + 100 mg/g CUTANEOUS FOAM, ALGESAL ACTIVATED 10 mg/g + 100 mg/g OINTMENT, MOVILAT 2 mg/g + 20 mg/g ointment. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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