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Voltaren Emulgel

Voltaren Emulgel

(diclofenac-topical)

Diclofenac belongs to the class of medications known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by reducing pain, swelling, and inflammation.

Available form

Dosage

Gel

1.16%, 2.32%

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Voltaren Emulgel information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

Diclofenac topical gel is applied over the affected area 3 or 4 times a day and gently rubbed into the skin. The amount needed will depend on the size of the area being treated. Usually, a strip of about 2 cm long will be enough to cover a 200 cm² area.

Diclofenac extra strength topical gel is measured to give an accurate dose. Use the dosing card supplied with the medication to measure 2 gram doses and apply the gel to the affected area 2 times a day only. Gently rub the gel into the skin.

After applying the gel, wash your hands, unless the area being treated is part of the hand. Do not apply Voltaren Emulgel (Diclofenac-topical) to infected, abraded, or open skin. Do not apply to skin rashes or Eczema. Do not use dressings that do not breathe (allow air to contact the skin) on top of Voltaren Emulgel (Diclofenac-topical). Voltaren Emulgel (Diclofenac-topical) is for external use only and should not be taken by mouth. Bandages to support strained joints or muscles may be used.

Avoid getting Voltaren Emulgel (Diclofenac-topical) into the eyes or other mucous membranes (e.g., nose, mouth, vagina, anus). If you accidentally get Voltaren Emulgel (Diclofenac-topical) in your eyes, rinse your eyes well with clean water and contact your doctor or pharmacist.

Diclofenac topical gel should not be used for longer than 7 days for muscle or joint injuries unless recommended by your doctor. If the condition does not improve within 7 days, or if it gets worse, contact your doctor.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is important to use Voltaren Emulgel (Diclofenac-topical) exactly as prescribed by your doctor. If you miss a dose, apply it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Voltaren Emulgel (Diclofenac-topical) at room temperature, protect it from direct sunlight, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

There may be an interaction between diclofenac topical gel and any of the following:

acetylsalicylic acid (Asa)
Aliskiren
angiotensin converting enzyme inhibitors (ACEIs; Captopril, Enalapril, Ramipril)
angiotensin receptor blockers (ARBs; e.g., Candesartan, Irbesartan, Losartan)
beta-adrenergic blockers (e.g., Atenolol, Propranolol, Sotalol)
bisphosphonates (e.g., Alendronate, etidronate, Risedronate)
calcium channel blockers (e.g., Amlodipine, Diltiazem, Nifedipine, Verapamil)
Celecoxib
corticosteroids (e.g., Dexamethasone, Hydrocortisone, Prednisone)
Cyclosporine
fluoroquinolone antibiotics (e.g., Ofloxacin, ciprofloxacin)
herbal medications that affect blood clotting (e.g., ginkgo biloba, garlic, ginger, ginseng, glucosamine)
lithium
medications that affect blood clotting (e.g., acetylsalicylic acid (ASA, Aspirin®), Apixaban, dabigatran, Enoxaparin, Dalteparin, Heparin, Prasugrel, Tinzaparin, or Warfarin)
Mesalamine
Methotrexate
other nonsteroidal anti-inflammatory drugs (NSAIDs; e.g., ibuprofen, naproxen, ketorolac)
other products containing diclofenac
Pentoxifylline
Sulfasalazine
Tacrolimus
Voriconazole
warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

stop taking one of the medications,
change one of the medications to another,
change how you are taking one or both of the medications, or
leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Voltaren Emulgel (Diclofenac-topical). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Voltaren Emulgel (Diclofenac-topical).

Absorption: Diclofenac gel is intended to be used on the surface of intact, uninfected skin. This minimizes the amount of diclofenac that may be absorbed into your body. Avoid covering the area with a bandage that does not allow air contact with the skin. Bandages that reduce air contact to the skin can increase the amount of medication that is absorbed. In addition, when diclofenac topical gel is used for longer than the recommended length of time, or applied to a large area of the body, enough medication may be absorbed to cause side effects similar to diclofenac that is taken by mouth.

Asthma: As with other anti-inflammatory medications, rarely, diclofenac gel can cause difficulty breathing. If you have asthma, discuss with your doctor how Voltaren Emulgel (Diclofenac-topical) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Voltaren Emulgel (Diclofenac-topical), and whether any special monitoring is needed. If you have any unusual difficulty breathing while using Voltaren Emulgel (Diclofenac-topical), contact your doctor immediately.

Drowsiness/reduced alertness: Some people have reported headache, dizziness, lightheadedness, and confusion while using Voltaren Emulgel (Diclofenac-topical). Avoid operating motor vehicles and doing other potentially hazardous activities until you have determined the effect Voltaren Emulgel (Diclofenac-topical) has on you.

Infection: Voltaren Emulgel (Diclofenac-topical) may mask some of the signs of infection, such as Fever.

Stomach ulcers: If you have stomach or intestinal ulcers or a history of them, discuss with your doctor how Voltaren Emulgel (Diclofenac-topical) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Voltaren Emulgel (Diclofenac-topical), and whether any special monitoring is needed.

Sun sensitivity: Voltaren Emulgel (Diclofenac-topical) may make your skin more sensitive to the sun. While you are using Voltaren Emulgel (Diclofenac-topical), avoid excessive sun exposure, including tanning beds and sun lamps. If you experience Sunburn with itching, swelling, and blistering, stop using Voltaren Emulgel (Diclofenac-topical) and contact your doctor.

Vision: Other medications in the same family as diclofenac may cause vision changes such as blurred or decreased vision. If you notice vision changes, stop using the medication and check with your doctor.

Pregnancy: Voltaren Emulgel (Diclofenac-topical) should not be used during pregnancy unless the benefits outweigh the risks. Avoid using diclofenac topical gel during the last trimester of pregnancy. If you become pregnant while using Voltaren Emulgel (Diclofenac-topical), contact your doctor immediately.

Breast-feeding: It is not known if diclofenac topical gel passes into breast milk. If you are a breast-feeding mother and are using Voltaren Emulgel (Diclofenac-topical), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using the lower strength of Voltaren Emulgel (Diclofenac-topical) have not been established for children less than 16 years of age. Children less than 18 years of age should not use the higher strength products.

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