SPD Gel should only be used externally as directed by your doctor Gently apply a thin layer of the medication to the affected areas using clean and dry hands Avoid contact with your eyes nose or mouth If accidental contact occurs rinse with cold water While SPD Gel is generally safe with minimal side effects some individuals may experience temporary redness tingling prickling numbness rash or itching at the application site If these symptoms persist or worsen inform your doctor They may be able to offer suggestions on how to alleviate or prevent these symptoms Before using SPD Gel inform your doctor if you are currently using or have recently used any other medications for the same condition or other illnesses Pregnant and breastfeeding women should consult their doctor before using this medication to ensure its safety