The neck area has alot of oils in the skin. The Lidoderm patches are an aqueous (water based) adhesive. The oils in the skin repel the water based layer delivering the drug.

So cleaning the neck area with soap and rinsing well, may help the patches stick there. Maybe even a little alcohol before.

Thanks, I'm sure that's a good part of the problem and no doubt my long hair is another. Also, I'm trying to get something around the occipital area as I have so much pain there. I "briefly" see Dr. Shwartzman while under ketamine tomorrow and may ask if he can prescribe a compound that may work better.

I've tried all sorts of crazy thing with the lidocaine patches tho and usually wind up with the all tangled up in my hair by morning!

I like the new Precise cream.....didn't find it greasy at all

I'm still waiting on a compounded cream, long story about insurance coverage.....

I found the Precise cream okay for aching joints, arthritis type symptoms. But it did nothing for me regarding burning pain. Precise also has high dose of methyl salicylate which is an aspirin type compound. This is probably the ingredient most helpful for arthritic type pain. Biofreeze does not have this ingredient at all.

Those of us with burning PN pain, want relief. Precise does not give that response for me with its very high menthol content.
But the lower % Biofreeze GEL...works instantly and lasts all night.

I think this is because of the base carrying the menthol alters the results.