Lidocaine patches sold over the counter are commonly marketed for the discomfort of muscular backache. Below are products labeled for that use, ordered by popularity on Amazon. Evidence for topical lidocaine in non-specific low back pain is mixed — see our back pain guide for the trial-level picture.
Image: Aspercreme
Aspercreme
The U.S. category leader in a fragrance-free fabric patch.
10k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Up to 12 hours of wear per patch
- 5 patches per box; fragrance-free fabric backing
- Manufacturer claims #1 topical lidocaine brand in the U.S. among OTC topical analgesics
Aspercreme's lidocaine 4% patch sits atop category bestseller lists. The manufacturer claims it is the #1 topical lidocaine brand in the U.S. among OTC topical analgesics. The flexible fabric backing is fragrance-free and moves with your body, and the label permits wear for up to 12 hours. Five patches per box. Apply to clean, dry, unbroken skin and keep away from the eyes. Patch size is not specified on the listing.
Label says: “For the temporary relief of pain.”
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Image: Aspercreme
Aspercreme
The 12-count Aspercreme fabric patch for longer supply.
5k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Up to 12 hours of wear per patch
- 12 patches per box; fragrance-free flexible fabric
- Slim profile — wearable under clothing
The 12-count Aspercreme option gives you more than double the supply of the 5-count box at a lower per-patch cost. The flexible, fragrance-free fabric backing is slim enough to wear discreetly under clothing, and the label permits wear for up to 12 hours per patch. Lidocaine 4%, the maximum OTC strength. Apply to clean, dry, unbroken skin. Patch size is not specified on the listing.
Label says: “For the temporary relief of pain.”
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Image: Salonpas / Hisamitsu
Salonpas
Salonpas 15-count gel-patch box — best-value Salonpas count.
5k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Hydrogel-based patch; 3.94" x 5.50"
- 15 patches per box — highest single-box Salonpas count
- Up to 8 hours of wear per patch; unscented
The 15-count Salonpas Lidocaine Gel-Patch box is the highest single-box patch count in the Salonpas line offered here. Patch size is 3.94" x 5.50", hydrogel-based construction, and the label covers sore backs, necks, shoulders, knees, and elbows. Wear time is up to 8 hours per the label. Unscented. Lidocaine 4%, maximum OTC strength. If you already use Salonpas gel-patches and want the largest available box, this is the one.
Label says: “For temporary relief of pain associated with sore back, neck, shoulders, knees and elbows.”
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Amazon Basic Care
Amazon Basic Care 15-count value patch — formerly sold as HealthWise.
10k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 3.9" x 5.5"; 15 patches per box
- Up to 12 hours of wear per patch
- Label covers arthritis, backaches, strains, sprains, and bruises
Amazon Basic Care rebranded the HealthWise lidocaine 4% patch under its own private-label line. At 3.9" x 5.5" and 15 patches per box, the count-to-size ratio is competitive. Wear time is up to 12 hours per the label, which is longer than many gel-patch competitors at 8 hours. The label language is notably specific, covering arthritis, simple backaches, strains, sprains, and bruises. If you're comfortable with Amazon private-label products, this is one of the higher-count 12-hour options in the catalog.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with arthritis, simple backaches, strains, sprains and bruises.”
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Image: Sumifun
Sumifun
Sumifun 30-count individually packed gel patch at 3.9" x 5.5".
5k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Gel-patch format; 3.9" x 5.5"; individually packed
- 30 patches per box
- Up to 8 hours of wear per patch
The Sumifun 30-count is a gel-patch format at 3.9" x 5.5", with each patch individually packed — useful for portability or for keeping unused patches protected. The label covers minor aches and pains of muscles and joints, including simple backaches, strains, and sprains. Wear time is up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. At 30 patches, this is a mid-size bulk option compared with Sumifun's larger 36- and 54-count boxes.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with simple backaches, strains and sprains.”
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Image: Sumifun
Sumifun
Sumifun 36-count individually packaged patch at 3.9" x 5.5".
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 3.9" x 5.5"; individually packaged
- 36 patches per box
- Up to 8 hours of wear per patch
Sumifun's 36-count option steps up from the 30-count at the same 3.9" x 5.5" patch size. Each patch is individually packaged. The label covers minor aches and pains of muscles and joints, including simple backaches, strains, and sprains. Wear time is up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. If you're comparing Sumifun counts, the 36-count sits between the 30-count and the 54-count bulk pack.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with simple backaches, strains and sprains.”
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Image: Sumifun
Sumifun
Sumifun 54-count individually packaged bulk pack.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- 54 patches per box — largest single-item count in this catalog
- Patch size: 3.9" x 5.5"; individually packaged
- Up to 8 hours of wear per patch
The 54-count Sumifun box is the largest count offered in this catalog from any single brand. Each patch is individually packaged at 3.9" x 5.5". The label covers minor aches and pains of muscles and joints, including simple backaches, strains, and sprains. Wear time is up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. At this count, the per-patch cost is among the lowest in the catalog if you're willing to buy in quantity.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with simple backaches, strains and sprains.”
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Sumifun
Sumifun 12-count large patch that can be trimmed to fit.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 3.9" x 5.5"; can be trimmed to fit
- 12 patches per box
- Up to 8 hours of wear per patch
The Sumifun 12-count uses the same 3.9" x 5.5" large-format patch as the brand's other sizes, but the listing highlights that patches can be trimmed to fit smaller target areas such as knees, neck, or shoulders. If you want the flexibility to cut patches to size, that sets this listing apart from most others in the catalog. Twelve patches per box. Wear time is up to 8 hours per the label. Lidocaine 4%, maximum OTC strength.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with simple backaches, strains and sprains.”
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Image: Curist
Curist
Curist 120-patch six-pack bulk — fabric construction, 3" x 5".
5k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Fabric patch; 3" x 5"; 120 patches (6 packs of 20)
- Up to 8 hours of wear per patch
- Lower per-patch cost at bulk quantity
Curist's largest bundle packs 120 patches across six boxes of 20. At 3" x 5", the Curist patch is slightly narrower than the 3.9" x 5.5" gel-patch competitors. The construction is fabric rather than hydrogel. Wear time is up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. At 120 patches, this is a strong option if you need a long-term supply and prefer per-patch cost over a smaller buy-in. Label covers minor aches and pains of muscles and joints.
Label says: “For temporary relief of minor aches and pains of muscles and joints.”
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Image: Curist
Curist
Curist 40-count clear patch in a two-pack bundle, 3" x 5".
5k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Clear patch construction; 3" x 5"
- 40 patches total (2 packs of 20)
- Up to 8 hours of wear per patch
This listing packages two boxes of 20 Curist patches — 40 clear patches total. The clear construction is the differentiating factor from the fabric-based Curist options: a clear patch is less visible under lighter clothing or on skin. Patch size is 3" x 5". Wear time is up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. The two-pack also lowers the per-patch cost. Label covers minor aches and pains of muscles and joints.
Label says: “For temporary relief of minor aches and pains of muscles and joints.”
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Image: WELMATE / Wellspring Meds
WELMATE
WELMATE 40-count unscented patch — individually wrapped.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- 40 patches per box; individually wrapped
- Unscented
- Up to 8 hours of wear per patch
The WELMATE 40-count steps up from the 30-count in the same line. Individually wrapped patches, unscented formulation, wear time up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. Patch size is not confirmed in the listing. At 40 patches, this is one of the higher counts in the WELMATE line. The individually wrapped packaging keeps patches protected between uses. Label covers temporary relief of pain.
Label says: “For temporary relief of pain.”
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CARELAND
CARELAND XL patch — 9.8" x 5.5", the largest format in this catalog.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- XL patch size: 9.8" x 5.5" — largest patch footprint in this catalog
- 6 patches per box; flexible fabric; unscented
- Up to 8 hours of wear per patch
CARELAND's XL patch measures 9.8" x 5.5", which the manufacturer describes as approximately 150% larger than a standard patch. That makes it the largest single-patch footprint in this catalog. The flexible fabric construction is unscented, and the label permits up to 8 hours of wear. Six patches per box. Lidocaine 4%, maximum OTC strength. If full lower-back coverage or wide-shoulder application is your goal, the 9.8" width is a meaningful differentiator.
Label says: “For temporary relief of pain.”
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Image: Rugby (Major Pharmaceuticals)
Rugby
Rugby 5-count individually wrapped odor-free patch at 3.93" x 5.51".
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 3.93" x 5.51"; 5 patches; individually wrapped
- Up to 12 hours of wear per patch; odor-free
- Label covers arthritis, backaches, strains, sprains, and bruises
Rugby is a generic-pharmaceutical brand under Major Pharmaceuticals. The 5-count box offers individually wrapped, single-use patches at 3.93" x 5.51" (10 cm x 14 cm). Odor-free, flexible fabric. Wear time is up to 12 hours per the label, which is among the longer options in this catalog. The label covers arthritis, simple backaches, strains, sprains, and bruises. Lidocaine 4%, maximum OTC strength. A pharmacy-branded alternative to consumer-facing brands at a similar specification.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with arthritis, simple backaches, strains, sprains and bruises.”
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Image: Rugby (Major Pharmaceuticals)
Rugby
Rugby 30-count bulk pack — individually wrapped, 12-hour wear.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 3.93" x 5.51"; 30 patches; individually wrapped
- Up to 12 hours of wear per patch; unscented
- Label covers arthritis, backaches, strains, sprains, and bruises
Rugby's 30-count pack is individually wrapped patches at 3.93" x 5.51" (10 cm x 14 cm), unscented, flexible fabric. Wear time is up to 12 hours per the label. Lidocaine 4%, maximum OTC strength. The label covers arthritis, simple backaches, strains, sprains, and bruises. At 30 patches with a 12-hour wear time, this is a reasonable bulk choice under the Rugby generic-pharmaceutical brand. The per-patch cost at this count is lower than the 5-count single box.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with arthritis, simple backaches, strains, sprains and bruises.”
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Image: Rugby (Major Pharmaceuticals)
Rugby
Rugby 100-count institutional bulk pack — fragrance-free, 12-hour wear.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- 100 patches per box — largest count in this catalog
- Patch size: 3.93" x 5.51"; fragrance-free; flexible fabric
- Up to 12 hours of wear per patch
Rugby's 100-count box is the largest patch count in this entire catalog. At 3.93" x 5.51" (10 cm x 14 cm) per patch, fragrance-free, flexible fabric, and up to 12 hours of wear per the label, it is a practical choice for anyone who uses lidocaine patches regularly and wants to minimize repurchase frequency. Lidocaine 4%, maximum OTC strength. The label covers arthritis, simple backaches, strains, sprains, and bruises. Note that patch size and wear time are identical to the 5- and 30-count Rugby options.
Label says: “For temporary relief of minor aches and pains of muscles and joints associated with arthritis, simple backaches, strains, sprains and bruises.”
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Image: Thera|Care / Veridian Healthcare
Thera|Care
Thera|Care 5-count hydrogel patch at 3.9" x 5.5" — individually wrapped.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Hydrogel patch; 3.9" x 5.5"; individually wrapped
- 5 patches per box
- Up to 12 hours of wear per patch
Thera|Care's 5-count listing uses a hydrogel patch at 3.9" x 5.5", individually wrapped, with a 12-hour wear time per the label. The hydrogel construction differs from fabric-backed patches and may feel different on skin. Five patches per box. Lidocaine 4%, maximum OTC strength. The label covers temporary relief of pain. If you want to try Thera|Care's hydrogel format in a small initial supply, the 5-count is the lower-commitment entry.
Label says: “For temporary relief of pain.”
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Image: Thera|Care / Veridian Healthcare
Thera|Care
Thera|Care 6-count hydrogel patch at 3.9" x 5.5" — individually wrapped.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Hydrogel patch; 3.9" x 5.5"; individually wrapped
- 6 patches per box
- Up to 12 hours of wear per patch
The Thera|Care 6-count is one patch more than the 5-count in the same line, with identical construction: hydrogel at 3.9" x 5.5", individually wrapped, wear time up to 12 hours per the label. Lidocaine 4%, maximum OTC strength. The choice between 5 and 6 count will typically come down to price per patch at a given time. Label covers temporary relief of pain. Apply to clean, dry, unbroken skin.
Label says: “For temporary relief of pain.”
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Image: JJ CARE
JJ CARE
JJ CARE 30-count bulk pack at 4" x 5.5" — individually wrapped.
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 4" x 5.5"; 30 patches; individually wrapped
- Up to 12 hours of wear per patch; non-greasy
- Consistent spec with the JJ CARE 6-count
JJ CARE's 30-count box scales up the same patch as the 6-count: 4" x 5.5", non-greasy, no-residue formula, individually wrapped, and wear time up to 12 hours per the label. Lidocaine 4%, maximum OTC strength. At 30 patches, this is a bulk option for regular JJ CARE users. Label covers minor aches and pains of muscles and joints. Apply to clean, dry, unbroken skin.
Label says: “For temporary relief of minor aches and pains of muscles and joints.”
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TenderGentle
TenderGentle 30-count unscented fabric patch at 3.9" x 5.5".
1k+ reviews on Amazon
- Active: Lidocaine 4% (maximum OTC strength)
- Patch size: 3.9" x 5.5"; 30 patches per box
- Unscented
- Up to 8 hours of wear per patch
TenderGentle is a smaller brand with a single listing in this catalog. The 30-count box uses a 3.9" x 5.5" patch, unscented, wear time up to 8 hours per the label. Lidocaine 4%, maximum OTC strength. Label covers minor aches and pains of muscles and joints. Detailed brand information beyond the listing data is limited. The patch specification is comparable to other unscented 3.9" x 5.5" competitors in the 8-hour wear category.
Label says: “For temporary relief of minor aches and pains of muscles and joints.”
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