 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  stop, or change the dosage of any medicines without your doctor's approval. Before using capsaicin products containing lidocaine or other local anesthetics, tell your doctor or pharmacist if you also take class I antiarrhythmic drugs (such as mexiletine, quinidine). Capsaicin is very similar to zucapsaicin. Do not use medications containing zucapsaicin while using capsaicin. Does Dermacinrx Circatrix 0.05 % Topical Cream interact with other drugs you are taking? Enter your medication into the WebMD interaction checker Check InteractionThe overdose of DermacinRx Circatrix Topical: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.  Notes Keep all medical and lab appointments.  Missed Dose If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use </s>