Medication Fact Sheets
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December 5, 2024

Methyl Salicylate and Menthol Explained: Fast Pain Relief

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Medically Reviewed by
Updated On
December 9, 2024

Whether it's sore muscles after a workout, stiff joints, or a lingering ache, pain can slow you down and make everyday tasks harder. Many people turn to over-the-counter creams and ointments for quick relief, and two popular ingredients in these products are methyl salicylate and menthol.

This article explains how methyl salicylate and menthol help relieve pain, what makes them such a powerful pair, and how they’re used in topical pain relief products.

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Understanding Methyl Salicylate and Menthol

Methyl salicylate and menthol are two common ingredients found in pain relief creams, gels, and ointments. They work together to provide fast and effective relief, but each one has unique characteristics and a distinct way of reducing discomfort. Let’s take a closer look at their individual roles.

What is Methyl Salicylate?

Methyl salicylate is a compound referred to as "oil of wintergreen." It is derived from plants like wintergreen leaves and birch bark, though it can also be made synthetically. It is commonly used in topical analgesics (pain-relieving products) because of its ability to ease muscle and joint pain.

How Does Methyl Salicylate Work?

Methyl salicylate acts as a counterirritant. This means it creates a warming sensation on the skin, which helps to distract the brain from the underlying pain. When applied to the skin, it boosts blood flow to the area, which can relax tense muscles and support faster recovery. It also belongs to a group of chemicals called salicylates, which have mild anti-inflammatory properties.

Where is Methyl Salicylate Found?

You’ll find methyl salicylate in many over-the-counter pain relief products like creams, gels, and patches. It’s especially common in treatments for:

  • Muscle aches and sprains
  • Joint pain associated with physical activity or aging
  • Minor back pain

Products containing methyl salicylate are often marketed as "warming" treatments because of the heat sensation they provide.

What is Menthol?

Menthol is a natural compound found in peppermint and other mint plants. Known for its signature cooling effect, menthol is widely used in pain relief products, as well as in items like cough drops, toothpaste, and chewing gum.

How Does Menthol Work?

Menthol produces a cooling sensation by interacting with TRPM8 receptors in the skin. These receptors detect cold temperatures, and menthol "tricks" them into signaling a cooling effect to the brain—even though the actual skin temperature doesn’t change. This sensation can help soothe sore muscles and reduce the perception of pain by creating a pleasant distraction.

Everyday Products Containing Menthol

Menthol is found in a wide range of products besides pain relief creams, including:

  • Vapor rubs for cough and cold relief
  • Lip balms and chapsticks for soothing dry lips
  • Mint-flavored dental products like toothpaste and mouthwash

In topical pain relievers, menthol is usually combined with other ingredients (like methyl salicylate) to amplify its pain-relieving effects.

The Synergy of Methyl Salicylate and Menthol

Methyl salicylate and menthol are a dynamic duo in pain relief products. They work together to ease discomfort more effectively than when used alone. Their unique actions—warming and cooling—create a complementary effect that soothes pain, reduces stiffness, and improves overall comfort.

When combined, methyl salicylate and menthol provide dual sensations that help distract the brain from pain signals. Methyl salicylate generates warmth, while menthol produces a cooling effect. This contrast creates a counterirritant response, where the brain focuses on the sensations rather than the underlying pain.

The warming sensation from methyl salicylate relaxes tight muscles and increases blood flow to the area, promoting circulation and helping the body deliver oxygen and nutrients to injured tissues. 

At the same time, menthol’s cooling effect soothes inflammation and interacts with cold-sensitive TRPM8 receptors in the skin, reducing the sensation of pain and swelling. Together, these effects numb the area and provide relief that encourages better mobility.

Safety, Side Effects, and Best Practices

While methyl salicylate and menthol are effective for pain relief, it's important to use them safely. Like any medication, these topical analgesics have potential side effects and guidelines to follow for proper use. Understanding how to use these products can help you get the most benefit while avoiding unnecessary risks.

Potential Side Effects

Using products with methyl salicylate and menthol is generally safe for most people, but some may experience side effects, including:

  • Skin Irritation: Redness, itching, or a rash may occur, especially if you have sensitive skin or an allergy to one of the ingredients.
  • Allergic Reactions: In rare cases, these products can trigger more serious reactions like swelling or difficulty breathing. If this happens, stop using the product immediately and seek medical help.
  • Overuse Risks: Applying too much or using these products too often can lead to systemic absorption of the active ingredients. This may cause symptoms like nausea, dizziness, or ringing in the ears. These risks are higher if large areas of the body are treated or if the skin is damaged.

Best Practices for Usage

To safely and effectively use products containing methyl salicylate and menthol, follow these guidelines:

  • Application: Only apply a thin layer to the affected area and gently rub it in. Most products recommend using them up to three to four times daily. Avoid covering the area with tight bandages or heating pads, as this can increase absorption and potentially cause irritation or other side effects.
  • Avoid Certain Areas: Never apply these products to open wounds, broken skin, or sensitive areas like the face, eyes, or mucous membranes. If accidental contact occurs, rinse thoroughly with water.
  • Wash Hands: Wash your hands thoroughly after applying the product to avoid accidentally transferring it to other parts of your body.

Who Should Avoid These Products?

Some individuals should avoid using methyl salicylate and menthol products or consult a healthcare provider before use:

  • Children: These products are typically not recommended for children under 12 years old due to the risk of skin sensitivity and accidental ingestion.
  • Pregnant Women: During pregnancy, consult your doctor before using these products, as methyl salicylate may be absorbed into the bloodstream in small amounts.
  • People with Allergies: Individuals allergic to salicylates (like aspirin) or menthol should avoid these products to prevent reactions.

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Key Takeaways

  • Methyl salicylate (warming) and menthol (cooling) are key ingredients in many topical pain relievers, working together to soothe sore muscles, reduce stiffness, and alleviate discomfort.
  • Methyl salicylate increases blood flow and creates a warming sensation that relaxes muscles, while menthol cools the area and distracts the brain from pain by stimulating cold-sensitive receptors.
  • Their combined effect as counterirritants provides fast and effective pain relief by creating dual sensations that divert focus from underlying pain signals.
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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Arthritis Formula Bengay, Bayer Muscle and Joint Cream (methylsalicylate/menthol topical) dosing, indications, interactions, adverse effects, and more. (n.d.). Reference.medscape.com. https://reference.medscape.com/drug/arthritis-formula-bengay-bayer-muscle-and-joint-cream-methylsalicylate-menthol-topical-999364

Cleveland Clinic. (n.d.). Menthol; Methyl Salicylate topical cream, lotion, or ointment. Cleveland Clinic. https://my.clevelandclinic.org/health/drugs/23757-menthol-methyl-salicylate-cream-lotion-or-ointment

Derry, S., Wiffen, P. J., Kalso, E. A., Bell, R. F., Aldington, D., Phillips, T., Gaskell, H., & Moore, R. A. (2017). Topical analgesics for acute and chronic pain in adults - an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews, 5(5). https://doi.org/10.1002/14651858.cd008609.pub2

Drugs. (2024). Menthol/methyl Salicylate Topical Side Effects: Common, Severe, Long Term. Drugs.com. https://www.drugs.com/sfx/menthol-methyl-salicylate-topical-side-effects.html

Farco, J. A., & Grundmann, O. (2013). Menthol--pharmacology of an important naturally medicinal “cool.” Mini Reviews in Medicinal Chemistry, 13(1), 124–131. https://pubmed.ncbi.nlm.nih.gov/23061635/

Higashi, Y., Kiuchi, T., & Furuta, K. (2010). Efficacy and safety profile of a topical methyl salicylate and menthol patch in adult patients with mild to moderate muscle strain: A randomized, double-blind, parallel-group, placebo-controlled, multicenter study. Clinical Therapeutics, 32(1), 34–43. https://doi.org/10.1016/j.clinthera.2010.01.016

Kamatou, G. P. P., Vermaak, I., Viljoen, A. M., & Lawrence, B. M. (2013). Menthol: A simple monoterpene with remarkable biological properties. Phytochemistry, 96, 15–25. https://doi.org/10.1016/j.phytochem.2013.08.005

Li, Z., Zhang, H., Wang, Y., Li, Y., Li, Q., & Zhang, L. (2022). The distinctive role of menthol in pain and analgesia: Mechanisms, practices, and advances. Frontiers in Molecular Neuroscience, 15. https://doi.org/10.3389/fnmol.2022.1006908

Methyl Salicylate - an overview | ScienceDirect Topics. (n.d.). Www.sciencedirect.com. https://www.sciencedirect.com/topics/chemistry/methyl-salicylate

Methyl Salicylate and Menthol | Memorial Sloan Kettering Cancer Center. (n.d.). Www.mskcc.org. https://www.mskcc.org/cancer-care/patient-education/medications/adult/methyl-salicylate-and-menthol

Methyl salicylate overdose: MedlinePlus Medical Encyclopedia. (2018). Medlineplus.gov. https://medlineplus.gov/ency/article/002683.htm

Methyl Salicylate topical cream. (n.d.). Cleveland Clinic. https://my.clevelandclinic.org/health/drugs/23680-methyl-salicylate-cream

PubChem. (2019). Methyl salicylate. Nih.gov; PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Methyl-salicylate

Runde, T. J., & Nappe, T. M. (2020). Salicylates Toxicity. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499879/

Salicylic Acid Methyl Ester - an overview | ScienceDirect Topics. (n.d.). Www.sciencedirect.com. https://www.sciencedirect.com/topics/medicine-and-dentistry/salicylic-acid-methyl-ester

Stanford, J. (2024, June 20). NSAIDs Fact Sheet: Uses, Benefits, Risks, and More. Rupa Health. https://www.rupahealth.com/post/nsaids-fact-sheet

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