pronounced as (dye kloe' fen ak)
- Why is this medication prescribed?
- How should this medicine be used?
- Other uses for this medicine
- What special precautions should I follow?
- What special dietary instructions should I follow?
- What should I do if I forget a dose?
- What side effects can this medication cause?
- What should I know about storage and disposal of this medication?
- In case of emergency/overdose
- What other information should I know?
- Brand names
People who use nonsteroidal anti-inflammatory drugs (NSAIDs) (other than aspirin) such as topical diclofenac (Pennsaid, Voltaren) may have a higher risk of having a heart attack or a stroke than people who do not use these medications. These events may happen without warning and may cause death. This risk may be higher for people who use NSAIDs for a long time. Do not use an NSAID such as topical diclofenac if you have recently had a heart attack, unless directed to do so by your doctor. Tell your doctor if you or anyone in your family has or has ever had heart disease, a heart attack, or a stroke; if you smoke; and if you have or have ever had high cholesterol, high blood pressure, or diabetes. Get emergency medical help right away if you experience any of the following symptoms: chest pain, shortness of breath, weakness in one part or side of your body, or slurred speech.
If you will be undergoing a coronary artery bypass graft (CABG; a type of heart surgery), you should not use topical diclofenac (Pennsaid, Voltaren) right before or right after the surgery.
NSAIDs such as topical diclofenac (Pennsaid, Voltaren) may cause swelling, ulcers, bleeding, or holes in the stomach or intestine. These problems may develop at any time during treatment, may happen without warning symptoms, and may cause death. The risk may be higher for people who use NSAIDs for a long time, are 60 years of age or older, have poor health, smoke, or drink alcohol while using topical diclofenac. Tell your doctor if you have any of these risk factors and if you have or have ever had ulcers or bleeding in your stomach or intestines, or other bleeding disorders. Tell your doctor if you take any of the following medications: anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven); aspirin; other NSAIDs such as ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn); oral steroids such as dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos); selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), and sertraline (Zoloft); or serotonin norepinephrine reuptake inhibitors (SNRIs) such as desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), and venlafaxine (Effexor XR). If you experience any of the following symptoms, stop using topical diclofenac and call your doctor: stomach pain, heartburn, vomiting a substance that is bloody or looks like coffee grounds, blood in the stool, or black and tarry stools.
Keep all appointments with your doctor and the laboratory. Your doctor will monitor your symptoms carefully and will probably take your blood pressure and order certain tests to check your body's response to topical diclofenac (Pennsaid, Voltaren). Be sure to tell your doctor how you are feeling so that the doctor can prescribe the right amount of medication to treat your condition with the lowest risk of serious side effects.
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with prescription topical diclofenac and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) to obtain the Medication Guide.
Why is this medication prescribed?
Nonprescription (over-the-counter) diclofenac topical gel (Voltaren Arthritis Pain) is used to relieve pain from arthritis in certain joints such as those of the knees, ankles, feet, elbows, wrists, and hands. Prescription diclofenac topical solution (Pennsaid) is used to relieve osteoarthritis pain in the knees. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). It works by stopping the body's production of a substance that causes pain.
Diclofenac is also available as a 3% gel (Solaraze; generic) that is applied to the skin to treat actinic keratosis (flat, scaly growths on the skin caused by too much sun exposure). This monograph only gives information about nonprescription diclofenac topical gel (Voltaren Arthritis Pain) for arthritis and prescription topical solution (Pennsaid) for osteoarthritis of the knee. If you are using diclofenac gel (Solaraze, generic) for actinic keratosis, read the monograph entitled diclofenac topical (actinic keratosis).
How should this medicine be used?
Prescription topical diclofenac comes as a 1.5% topical solution (liquid) to apply to the knee 4 times a day and as a 2% topical solution (Pennsaid) to apply to the knee 2 times a day. Nonprescription (over the counter) topical diclofenac comes as a 1% gel (Voltaren Arthritis Pain) to apply to up to 2 body areas (e.g., 1 knee and 1 ankle, 2 knees, 1 foot and 1 ankle, or 2 hands) 4 times daily for up to 21 days or as recommended by your doctor. Apply diclofenac gel (Voltaren Arthritis Pain) or topical solution (Pennsaid) at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use topical diclofenac (Pennsaid, Voltaren Arthritis Pain) exactly as directed. Do not use more or less of it or use it more often or for a longer period of time than prescribed by your doctor. Do not apply the gel or topical solution to any area of your body that your doctor did not tell you to treat.
Apply diclofenac gel (Voltaren Arthritis Pain) or topical solution (Pennsaid) to clean, dry skin. Do not apply the medication to skin that is broken, peeling, infected, swollen, or covered with a rash.
Diclofenac gel (Voltaren Arthritis Pain) and topical solution (Pennsaid) are only for use on the skin. Be careful not to get the medication in your eyes, nose, or mouth. If you do get the medication in your eyes, rinse your eyes with plenty of water or saline. If your eye(s) are still irritated after one hour, call your doctor.
After you apply diclofenac gel (Voltaren Arthritis Pain) or topical solution (Pennsaid), you should not cover the treated area with any type of dressing or bandage and you should not apply heat to the area. You should not shower or bathe for at least 30 minutes after you apply the topical solution (Pennsaid) and for at least 1 hour after you apply the gel (Voltaren Arthritis Pain). Do not cover the treated area with clothes or gloves for 10 minutes after you apply the gel (Voltaren Arthritis Pain), or until the topical solution (Pennsaid) has dried if you are using the topical solution.
It may take up to 7 days before you feel the full benefit from nonprescription topical diclofenac gel (Voltaren Arthritis Pain). If you do not feel arthritis pain relief from this product after 7 days of use, stop use and contact your doctor.
To use topical diclofenac gel (Voltaren Arthritis Pain), follow these steps:
- Before you use a new tube of diclofenac gel (Voltaren Arthritis Pain) for the first time, open the safety seal that covers the tube and then puncture the opening of the tube using the spiked top of the cap. Do not open the seal with scissors or sharp objects.
- Place one of the dosing cards from the package on a flat surface so that you can read the print.
- Using the lines on the dosing card as a guide, squeeze the correct amount of gel onto the dosing card evenly. Make sure the gel covers the entire area marked for your correct dose depending if it is for the upper (hand, wrist, elbow) or lower (foot, ankle, knee) body. Put the cap back on the tube.
- Clean and dry the skin area where you will apply the medication. Do not apply to skin that has any cuts, open wounds, infections or rashes.
- Apply the gel to the directed skin areas, using the dosing card to help apply the gel to the skin to up to 2 body areas. Do not apply to more than 2 body areas. Use your hands to gently rub the gel into the skin. Make sure to cover the entire affected area with the gel. Do not apply in same area as any other product.
- Hold the end of the dosing card with your fingertips, and rinse and dry the card. Store the dosing card until next use, out of reach of children. Do not share the dosing card with another person.
- Wash your hands well after you apply the gel, unless you are treating your hands. If you are treating your hands, do not wash them for at least one hour after you apply the gel.
To use topical diclofenac 1.5 % topical solution, follow these steps:
- Clean and dry the skin area where you will apply the medication.
- Apply the topical solution to your knee 10 drops at a time. You can do this by dropping the topical solution directly onto the knee or by first dropping it onto the palm of your hand and then spreading it onto the knee.
- Use your hand to evenly spread the topical solution around the front, back, and sides of the knee.
- Repeat this step until 40 drops of topical solution have been applied and the knee is completely covered with the topical solution.
- If your doctor has told you to apply the topical solution to both knees, repeat steps 2 to 4 to apply the medication to your other knee.
- Wash and dry your hands well after you apply the topical solution. Avoid skin contact with other people and the treated knee area.
To use topical diclofenac 2% topical solution (Pennsaid), follow these steps:
- You will need to prime the pump that contains this medication before you use it for the first time. Remove the cap from the pump and hold the pump upright. Press down the top of the pump four times and catch any medication that comes out on a paper towel or tissue. Throw away the paper towel or tissue in a trash can.
- When you are ready to apply your medication, wash your hands well with soap and water.
- Hold the pump at an angle and press down the top of the pump to dispense the medication onto your palm. Press down the top a second time to dispense another pump of medication onto your palm.
- Use your palm to apply the medication evenly to the front, back, and sides of your knee.
- If your doctor told you to apply the medication to both knees, repeat steps 3-4 to apply the medication to your other knee.
- Wash your hands well with soap and water as soon as you finish applying the medication.
- Replace the cap on your pump and store the pump upright.
Other uses for this medicine
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
What special precautions should I follow?
Before using topical diclofenac,
- tell your doctor and pharmacist if you are allergic to diclofenac (Cambia, Flector, Voltaren Arthritis Pain, Solaraze, Zipsor, Zorvolex, in Arthrotec), aspirin, or other NSAIDs; any other medications; or any of the ingredients in topical diclofenac preparations. Ask your pharmacist or check the Medication Guide for a list of the ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention the medications listed in the IMPORTANT WARNING section and any of the following: acetaminophen (Tylenol, in other products); angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Prinivil, Zestril, in Prinzide and Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); angiotensin receptor blockers such as candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, in Micardis HCT, in Twynsta), and valsartan (in Exforge HCT); certain antibiotics, beta blockers such as atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), and propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); diuretics ('water pills'); lithium (Lithobid); medications for seizures,methotrexate (Otrexup, Rasuvo, Trexall) or pemetrexed (Alimta). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- you should know that you should not apply sunscreens, cosmetics, lotions, moisturizers, insect repellents, or other topical medications to areas treated with topical diclofenac. If you have been prescribed diclofenac topical solution (Pennsaid), wait until the area of application is completely dry before applying any of these products or other substances.
- tell your doctor if you have severe diarrhea or vomiting or think you may be dehydrated; if you drink or have a history of drinking large amounts of alcohol, and if you have or have ever had any of the conditions mentioned in the IMPORTANT WARNING section or asthma, especially if you have frequent stuffed or runny nose or nasal polyps (swelling of the lining of the nose); swelling of the hands, feet, ankles, or lower legs; heart failure; or kidney or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant; or are breast-feeding. Diclofenac may harm the fetus and cause problems with delivery if it is used around 20 weeks or later during pregnancy. Do not use diclofenac topical around or after 20 weeks of pregnancy, unless you are told to do so by your doctor. If you become pregnant while using diclofenac topical, call your doctor.
- you should know that this medication may decrease fertility in women. Talk to your doctor about the risks of using topical diclofenac.
- plan to avoid unnecessary or prolonged exposure to real or artificial sunlight (tanning beds or lamps, ultraviolet light) and to wear protective clothing to cover areas treated with topical diclofenac. Topical diclofenac may make your skin sensitive to sunlight.
What special dietary instructions should I follow?
Unless your doctor tells you otherwise, continue your normal diet.
What should I do if I forget a dose?
Apply the missed dose as soon as you remember it. However, if it is almost time for your next scheduled application, skip the missed dose and continue your regular dosing schedule. Do not apply extra diclofenac gel (Voltaren Arthritis Pain) or topical solution (Pennsaid) to make up for a missed dose.
What side effects can this medication cause?
Topical diclofenac may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- dryness, redness, itching, swelling, pain, hardness, irritation, swelling, scaling, or numbness at application site
- stomach pain
- numbness, burning, or tingling in the hands, arms, feet, or legs
Some side effects can be serious. If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:
- difficulty swallowing
- swelling of the face, throat, arms, or hands
- unexplained weight gain
- shortness of breath or difficulty breathing
- swelling in the abdomen, ankles, feet, or legs
- worsening of asthma
- yellowing of the skin or eyes
- extreme tiredness
- unusual bleeding or bruising
- lack of energy
- loss of appetite
- pain in the upper right part of the stomach
- flu-like symptoms
- dark-colored urine
- blisters on skin
- pale skin
- fast heartbeat
- excessive tiredness
Topical diclofenac may cause other side effects. Call your doctor if you have any unusual problems while using this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).
What should I know about storage and disposal of this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and keep it from freezing or excess heat.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.
In case of emergency/overdose
If someone swallows topical diclofenac, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Symptoms of overdose may include the following:
- lack of energy
- stomach pain
- bloody, black, or tarry stools
- vomiting a substance that is bloody or looks like coffee grounds
- slow, shallow, or irregular breathing
- difficulty breathing or swallowing
- loss of consciousness
What other information should I know?
Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
- Voltaren Arthritis Pain®
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Diclofenac Topical (arthritis pain): MedlinePlus Drug Information? ›
Prescription diclofenac topical solution (Pennsaid) is used to relieve osteoarthritis pain in the knees. Diclofenac is in a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs). It works by stopping the body's production of a substance that causes pain.Why is diclofenac no longer prescribed? ›
Ibuprofen is not as potent as diclofenac and is a safer choice for the general public, hence the decision to restrict the availability of diclofenac.
Diclofenac is the generic name for the active ingredient in Voltaren Arthritis Pain. Diclofenac is also available in oral formulations for a broader range of pain indications. Voltaren Arthritis Pain is made of a smooth, non-greasy formula that combines a gel and cream (Voltaren Emulgel™) for topical application.Is topical diclofenac good for arthritis? ›
Topical diclofenac relieves osteoarthritis (OA) pain and stiffness and improves physical function, at least to the same degree as some oral NSAIDs, with fewer systemic side effects. The topical route of administration may positively contribute to the perceived pain reduction in OA.Who should not use diclofenac gel? ›
You should not use this medicine if you are allergic to diclofenac (Voltaren, Cataflam, Flector, and others), or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID. Diclofenac topical is not approved for use by anyone younger than 18 years old.Why do doctors not like diclofenac? ›
Diclofenac tablets and capsules can cause an ulcer in your stomach or gut if you take them for a long time or in big doses, or if you're elderly or in poor general health. Your doctor may tell you not to take diclofenac if you have a stomach ulcer or have had one in the past.What was diclofenac replaced by? ›
Other prescription NSAIDs such as flurbiprofen and indomethacin may also be alternatives to diclofenac.What is better than diclofenac for arthritis? ›
Conclusion: Celecoxib 200 mg daily is as effective as diclofenac 150 mg daily for relieving signs and symptoms of OA of the knee, including pain, and has a rapid onset of action. However, celecoxib appears to have a superior safety and tolerability profile.What is stronger than diclofenac for arthritis? ›
In general, meloxicam is considered a stronger painkiller and requires a prescription from a healthcare provider. On the other hand, ibuprofen is available both over-the-counter (OTC) and by prescription for higher-strength products.Which is stronger lidocaine or diclofenac? ›
The effectiveness and strength of diclofenac gel vs. lidocaine cream will depend on the type of pain and the affected site. Diclofenac gel is most effective for arthritis-related joint pain, while lidocaine is most effective for burning, itching, irritation from hemorrhoids and anorectal conditions, and nerve pain.
Can I use diclofenac cream everyday? ›
Keep using this medicine for the full time of treatment. However, do not use this medicine more often or for a longer time than your doctor ordered. This medicine is not for long-term use.Why can't you use Voltaren gel on your shoulder? ›
It's a potent medication that is very effective for many people and is often used for arthritis pain. For superficial joints – like hands, wrists and even knees – it can be very effective. However, the joints of the cervical spine in the neck, and most of the shoulder joint, are deeper than the Voltaren can penetrate.Does topical diclofenac actually work? ›
Diclofenac gel is a safe and effective option for treating joint pain, especially in cases of arthritis. It can also be used to treat acute neck pain, back pain, tendonitis, and sprains and strains. It's particularly useful for people with high blood pressure or heart disease, for whom oral NSAIDs are not recommended.What are the dangers of taking topical diclofenac? ›
- dryness, redness, itching, swelling, pain, hardness, irritation, swelling, scaling, or numbness at application site.
- stomach pain.
- numbness, burning, or tingling in the hands, arms, feet, or legs.
You shouldn't take diclofenac with other NSAIDs, like ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn). Most NSAIDs work similarly and can cause comparable side effects. These can be mild, like heartburn. But they can also be serious, like stomach ulcers or kidney damage.What is the controversy with diclofenac? ›
Ecological effects. Use of diclofenac for animals is controversial due to toxicity when eaten by scavenging birds that eat dead animals; the medication has been banned for veterinary use in several countries.How long can you stay on diclofenac? ›
How long can you take diclofenac for? Diclofenac is typically prescribed as a long-term treatment. You'll take the medication for as long as it's safe and effective in treating symptoms of your condition. Diclofenac can sometimes be used short term if this works to treat symptoms of your condition.Is topical diclofenac safer? ›
The level of drug entering the bloodstream is much lower than when the NSAID is taken by mouth. For example, topical NSAIDs reduce the systemic exposure by almost 90 percent. This minimizes the risk of harmful side effects.Why was Voltaren taken off the market? ›
World's Most Popular Painkiller Raises Heart Attack Risk : Shots - Health News Diclofenac — sold under the brand names Voltaren, Cambia, Cataflam and Zipsor — raises the risk of a heart attack by about 40 percent.What is the American equivalent of diclofenac? ›
Diclofenac sodium's brand name is Voltaren.
When was diclofenac banned? ›
India, Pakistan, and Nepal banned the veterinary usage of diclofenac in 2006 to prevent further decline in vulture population.What is the difference between diclofenac and diclofenac? ›
There are two forms of diclofenac - diclofenac sodium and diclofenac potassium. The main difference between the two is that diclofenac potassium is absorbed into the body more quickly than diclofenac sodium.What is the strongest anti-inflammatory for arthritis? ›
Pills. NSAIDs are the most effective oral medicines for OA. They include ibuprofen (Motrin, Advil) naproxen (Aleve) and diclofenac (Voltaren, others). All work by blocking enzymes that cause pain and swelling.What is the safest anti-inflammatory drug for arthritis? ›
For example, celecoxib is considered safe for treating long-term arthritis pain. It's generally less damaging to the stomach than other NSAIDs.Can I take diclofenac everyday for arthritis? ›
When used for severe or continuing arthritis, this medicine must be taken every day as ordered by your doctor in order for it to help you. This medicine usually begins to work within one week, but in severe cases up to two weeks or longer may pass before you begin to feel better.What is the strongest diclofenac gel? ›
Contains a permeation enhancer to increase penetration of diclofenac through the skin. For patients looking for the relief of pain associated with acute, localized muscle or joint injuries such as sprains, strains or sports injuries.Which is better gabapentin or diclofenac? ›
although, gabapentin and diclofenac were effective without obvious side effects, gabapentin was found to be superior compared with diclofenac. This study also showed that the relief of symptoms with gabapentin persists longer than diclofenac.What is stronger ibuprofen 800 or diclofenac? ›
Both medicines are used as anti-inflammatory drugs to treat pain, swelling, and fever. Diclofenac is considered more potent, and is prescribed in smaller doses than ibuprofen.Who should not use Voltaren Gel? ›
You should not use Voltaren Arthritis Pain gel if you are allergic to diclofenac (Voltaren, Cataflam, Flector, and others), or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.Can diclofenac gel help with nerve pain? ›
Diclofenac sodium (DS), one of these NSAIDs, has a high specificity for arachidonic acid-degrading cyclooxygenase (COX)-2 enzymes. This drug can be used to relieve neuropathic pain.
What is equivalent to Voltaren gel? ›
Voltaren gel's active ingredient is diclofenac, a nonsteroidal anti-inflammatory drug (NSAID). It helps lower inflammation (swelling) around the area where you apply it. Aspercreme and Volteran gel are both available as brand-name medications. But you can also find them as lower-cost generics.Can you use too much diclofenac cream? ›
Taking too much diclofenac sodium does not usually cause serious problems. The person may have some stomach pain and vomiting (possibly with blood). However, these symptoms will likely get better.Does diclofenac gel get into the bloodstream? ›
As a topical gel, a smaller amount of diclofenac from Voltaren Arthritis Pain Gel reaches the bloodstream compared with the oral form of diclofenac. In a clinical study, the systemic exposure with Voltaren Arthritis Pain Gel was 6%, or 94% less than the systemic exposure with the oral NSAID diclofenac.Does diclofenac raise blood pressure? ›
We conclude that diclofenac and celecoxib increase systolic blood pressure at peak levels; however, these agents differ in their 24-hour effects.Is it OK to use Voltaren on your neck? ›
Voltaren Emulgel helps with the relief of localized traumatic inflammation and pain such as neck pain.How deep does diclofenac gel penetrate? ›
An aqueous solution of diclofenac has been shown to penetrate to a depth of around 3–4 mm into the underlying dermis and subcutaneous tissue56. Skin permeability and local tissue concentrations of non-steroidal anti-inflammatory drugs after topical application.What is the best medicine for arthritis in the back? ›
Doctors frequently recommend nonsteroidal anti-inflammatories (NSAIDs) as a first attempt to relieve back arthritis pain. Common examples of NSAIDs include aspirin and ibuprofen (Advil). Analgesic medication, such as acetaminophen (Tylenol), is available over the counter.Is diclofenac sodium topical gel 1% good for arthritis? ›
Diclofenac is used to treat pain and other symptoms of arthritis of the joints (eg, osteoarthritis), such as inflammation, swelling, stiffness, and joint pain. However, this medicine does not cure osteoarthritis and will help you only as long as you continue to use it.How long should I use diclofenac sodium topical gel? ›
How long can I use diclofenac sodium topical gel? Use diclofenac sodium topical gel 4 times a day every day for up to 21 days for treatment of arthritis pain or as directed by your doctor.How long does topical diclofenac stay in your system? ›
The medication typically reaches its highest level in the body roughly 10 to 14 hours after applying it. Diclofenac sodium (the medication in Voltaren gel) can stay in the body for nearly 3 weeks.
Does topical diclofenac affect kidneys? ›
There are also topical products for arthritis that affects only one or two joints. A gel form of the prescription NSAID diclofenac (Voltaren Gel) is one option. Only a very small amount of the drug gets into the bloodstream, so it may be safe for your kidneys.Can topical diclofenac cause kidney damage? ›
A. Nonsteroidal anti-inflammatory drugs (NSAIDs) like diclofenac, ibuprofen or naproxen can be hard on the kidneys. The official prescribing information for diclofenac warns that long-term administration could cause renal injury.Is diclofenac hard on your heart? ›
People who take nonsteroidal anti-inflammatory drugs (NSAIDs) (other than aspirin) such as diclofenac may have a higher risk of having a heart attack or a stroke than people who do not take these medications. These events may happen without warning and may cause death.What organ does diclofenac affect? ›
Diclofenac has been confirmed as a non-threshold multitargeted drug that causes alterations in different organs of the body, including the lung, stomach, kidney, liver, and heart.Why are doctors reluctant to prescribe diclofenac? ›
Official answer. Ibuprofen is not as potent as diclofenac and is a safer choice for the general public, hence the decision to restrict the availability of diclofenac.Why is diclofenac discontinued? ›
People will no longer be able to purchase diclofenac tablets, used to treat pain and inflammation, from pharmacies without a prescription from their doctor due to the small risk of heart problems.Can doctors still prescribe diclofenac? ›
Diclofenac is a slow-release NSAID (non-steroidal anti-inflammatory drug) used to treat chronic or moderate to severe pain. Whether you're suffering pain long-term or short-term, Diclofenac can provide pain relief for up to 4-5 hours. You can buy Diclofenac online from Prescription Doctor.What is the issue with diclofenac? ›
NSAIDs such as diclofenac may cause ulcers, bleeding, or holes in the stomach or intestine. These problems may develop at any time during treatment, may happen without warning symptoms, and may cause death.What is safer than diclofenac? ›
Ibuprofen is available over the counter and may be the safer treatment for pain and fever.Is there anything stronger than diclofenac for arthritis? ›
In general, meloxicam is considered a stronger painkiller and requires a prescription from a healthcare provider. On the other hand, ibuprofen is available both over-the-counter (OTC) and by prescription for higher-strength products.