Voltaren Emulgel Extra Strength (Diclofenac Sodium)

Description

Diclofenac sodium topical gel, 1% is a non-steroidal anti-inflammatory drug (NSAID) used to manage pain due to osteoarthritis of joints in the knees and hands. 

Directions

Diclofenac sodium gel, 1% should be used only on the skin. Do not get the gel in your mouth, nose, or eyes. 

A dosing card should come with your prescription. The dosing card is used to help you estimate the appropriate amount of gel to apply. 

Dosing

No more than 32 grams total a day should be applied.

Dosing for lower extremities:

Using the dosing card, measure out 4 grams and apply to the affected area four times a day. More than 16 grams should not be applied to any one affected joint per day.

Dosing for higher extremities: 

Apply 2 grams to the affected site four times a day. More than 8 grams should not be applied to any one affected joint per day.

Ingredients

The active ingredient in diclofenac sodium gel is diclofenac sodium, 1%. 

Contraindications

Avoid using diclofenac sodium gel if you have any allergies to diclofenac, aspirin, or other NSAIDs.

Avoid using diclofenac sodium gel if you have a history of experiencing asthma, hives, or any other allergic reaction after taking aspirin or other NSAIDs.

Avoid using diclofenac sodium gel before coronary artery bypass graft surgery. 

Cautions

• Before you begin using diclofenac sodium gel, 1%, you and your doctor should discuss: 
• If you have any allergies
• Any medications you take, including prescription and non-prescription medicines
• Your medical conditions and medical history
• If you are pregnant or plan to become pregnant
• If you are currently breastfeeding or plan to breastfeed
• Severe and potentially fatal cardiovascular thrombotic events, heart attack, and stroke can be caused by NSAIDs. If you are at risk for cardiovascular disease, use the lowest dose of diclofenac sodium gel.
• Gastrointestinal inflammation, bleeding, ulceration, and perforation can be caused by NSAIDs. Let your doctor know if you have ever had ulcer disease or gastrointestinal bleeding.
• Abnormal liver tests can be caused by using diclofenac gel. If you have abnormal liver tests that worsen or won't go away, your doctor may discontinue the use of diclofenac gel. 
• Continual use of NSAIDs can cause kidney problems. Caution should be used in elderly patients, patients with kidney problems, heart problems, and liver problems, and patients who take fluid pills and certain blood pressure medications. 
• High blood pressure can be caused by NSAIDs. 
• The retention of fluid can be caused with the use of NSAIDs. Caution should be used if you have heart problems or if you are retaining fluid.
• Skin reactions that can be serious and fatal can be caused by NSAIDs. Get medical attention immediately if you develop a rash or other signs of a skin reaction.

Side Effects

Skin irritation is the most common side effect of diclofenac sodium topical gel, 1%. 

Immediately inform your doctor if you experience troublesome or continuous side effects. 

Reference:

Voltaren Gel Prescribing Information. Parsippany, NJ: Novartis Consumer Health, Inc.; 2009.

About Dr. Savannah Muncy (Page Author)

Dr. Muncy (PharmD) studied science and education as an undergraduate before attending the Appalachian College of Pharmacy where she completed her PharmD in three years. She is currently using her pharmacy and healthcare expertise to write medical content for clients all around the world. She is focused on delivering the most current, accurate, and engaging information to healthcare professionals and patients. Read More....