Salsa Analgesica:
Recurring Themes
In the days since Xitaxlican would have used homemade chili pepper and honey remedies to relieve
mouth pain, scientists have figured out that the pain relief is caused by capsaicin, the very
same compound that gives peppers their fire. Now that capsaicin has been identified as the
active substance in the old remedies used by Mesoamericans centuries ago, scientists are trying
to figure out how to make modern drugs using capsaicin as the active ingredient. A few
over-the-counter ointments are even available that contain capsaicin for use in treating
arthritis.
But there are a lot of treatments for mild arthritis pain out there already. What's really
new is the possible use of capsaicin-based ointments to treat the severe foot pain that afflicts
people with diabetes, shingles, or HIV infection. This pain can be severe enough to
keep the sufferer from walking and is also often untreatable by traditional painkillers.


Capsaicin is very safe when used in the small doses that one gets from a chili pepper or an over-the-counter arthritis ointment. But treating severe pain requires very high dosages, and capsaicin can have toxic effects at high dosages. Too much capsaicin can cause nervous system damage, bladder irritation, and some forms of cancer. As if that weren't enough, prostate irritation can occur in men.
Can you see the pattern here? Salicylic acid was long ago discovered in plants and found to be a pain reliever. But salicylic acid had its problems. Felix Hoffmann used his scientific skill and knowledge to devise a solution to this problem. In the case of salicylic acid, the solution was just to alter the molecular structure slightly, the result being acetylsalicylic acid. It's up to the scientists of today to do the same thing to make capsaicin into a more useful and safer pain remedy. No one knows what the answer will be yet. Maybe it will be altering the molecular structure of capsaicin, or maybe it will be using capsaicin with other compounds that lessen its side effects. But this is all for scientists of the future to figure out. Would you like to be among them? If so, you can start practicing making capsaicin pain remedies with an activity we call Painkilling Candy.
For more information, at other Web sites...
Life's Little Questions: Why Are Peppers Hot? — from Scientific American Frontiers.
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