Lidocaine cream is WAY less expensive than the patches. It's stronger and works faster, but wears off faster IMO.

I also find Lidoderm patches work best if used infrequently. After a few weeks in the same spot they stop be as effective for me in areas that I've had RSD for years. I use them for special occasions like traveling more than 15 miles from home, etc. The BEST application is to use them on new areas of flare.

A generic version of Lidoderm should be available in the next few years. http://www.drugs.com/availability/generic-lidoderm.html