The proper amount of diclofenac sodium topical gel, 1% should be measured using the dosing card supplied in the drug product carton. Diclofenac sodium topical gel should not be administered to the hot, cracked or rough areas of skin. For transdermal dosage form (topical system): Adults and children 6 years of age and olderOne topical system applied to the most painful area 2 times a day. /XObject << To provide you with the most relevant and helpful information, and understand which Last updated on May 11, 2022. The effect of dialysis or hemoperfusion in the elimination of diclofenac (99% protein-bound, seeCLINICAL PHARMACOLOGY) remains unproven. /SM 0.02 Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. It reaches its peak plasma concentration within 10 to 40 minutes of drug intake. Take the cap off the tube. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 10 product comments. What Are the Common Brands or Trade Names of Diclofenac? Avoid concomitant use of other topical products (e.g., sunscreen, lotions, insect repellant) on treated site; 1% Topical Gel: Dosing card (supplied in drug product carton) should be used for each application; Squeeze gel onto dosing card evenly to the dosing line; Apply gel using the dosing card, then use hands to gently rub gel into skin Your doctor may direct you to take 100 mg for the first dose only. /Resources 15 0 R Web place one of the dosing cards from the package on a flat surface so that you can read the print. Does Lyrica Interact with other Medications? Dr. Subash holds a BA in Human Biology from Stanford University and a Doctor of Medicine (MD) from Texas Tech University Health Sciences Center. Web place one of the dosing cards from the package on a flat surface so that you can read the print. Forced diuresis may theoretically be beneficial because the drug is excreted in the urine. Check all the prescription and nonprescription labels carefully because most of the medications contain pain relievers or fever reducers such as. For oral dosage form (immediate-release tablets): For osteoarthritis: Adults50 milligrams (mg) 2 or 3 times a day. We use cookies to make wikiHow great. ChildrenUse and dose must be determined by your doctor. Patients should talk to their health care provider if they are pregnant, planning to become pregnant, or breastfeeding; this drug is not recommended for use during pregnancy or lactation. Keep using this medicine for the full time of treatment. >> Avoid skin-to-skin contact between other people and the treated knee until the skin is completely dry. For your arthritis pain: Use 4 times per day every day; Do not use on more than 2 body areas at the same time; Use ENCLOSED DOSING CARD to measure a dose. Mayo Clinic does not endorse companies or products. You should read all directions on the package label before using this medicine. The dosing card is made of clear polypropylene. Squeeze the medicine from the tube on the dosing card and measure the prescribed dose using the marks on the card. Advair Diskus Rotacap 250mcg/50mcg 30 Dose. 3. Use the lowest effective dose for the shortest duration consistent with individual patient treatment goals. You should not apply the medicine on skin that has infections, cuts, or rashes. The 2 g line is 2.25 inches long. In addition to supportive measures, the use of oral activated charcoal may help to reduce the absorption of diclofenac. Different brands may not work the same way. All Rights Reserved. Apply the solution evenly on the front, back, and sides of your knee. endobj Voltaren Gel is an over the counter and prescription medicine used to treat symptoms of actinic keratosis, osteoarthritis, acute pain and arthritis pain. You can upload files and images in the next step. Stop the medication and get help right away if you experience these symptoms. Adults50 milligrams (mg) 3 times a day. Hi doctor,I had arthroscopic knee bilateral chondromalacia patella joint debridement done before 12 years. 9. 1. DrugGenius225 S. Mermac AveUnit 832TClayton, MO 63131. /CSpg /DeviceGray You should always use the dosing card to measure out the correct dose of diclofenac sodium topical gel arthritis pain. 75 mg white, round, enteric-coated tablets. Web dosing card [see the patient instructions for use] the dosing card can be found attached to the inside of the carton. NDC 0054-8221-25: Unit dose, 10 tablets per strip, 10 strips per shelf pack, ten shelf packs per shipper. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Follow your doctor's orders or the directions on the label. Topical Diclofenac does not cause serious side effects but seek a doctor if you experience any of the following symptoms. [0 /XYZ 39.8400000 The dosing card should be used for each application of drug product. Dr. Subash also completed a fellowship in Rheumatology at The University of California, San Francisco - School of Medicine. If putting this drug on the hand, do not wash your hands for at least 1 hour after putting on. Voltaren has an average rating of 7.4 out of 10 from a total of 161 ratings on Drugs.com. Voltaren instead treats pain by temporarily blocking the production of pain-signaling chemicals called prostaglandins. >> The topical gel has not been evaluated for use on the spine, hip, or shoulder; the topical solution is only for use on the knees. Women of childbearing age should talk to the doctor before taking medicine as it may cause problems when planning to get pregnant. [/Pattern /DeviceRGB] Use the dosing card to help measure the amount, so you know you're getting the proper dose. Web the dosing card containing diclofenac sodium topical gel, 1% can be used to apply the gel. If treatment site is the hands, patients should wait at least one (1) hour to wash their . You should not apply more than 15 grams of Diclofenac per day to a single joint such as the knee, foot, ankle (lower part of the body). At the time of pregnancy, this medicine should be used between 20 to 30 weeks of pregnancy and should not be used after 30 th week of pregnancy; also, discuss the risks and benefits of this medicine before usage with your doctor. Other information store at 20 to 25c (68 to 77f). Diclofenac is known to interact with alcohol. Diclofenac - Uses | Dosage | Side Effects | Drug Warnings | Precautions, Consult other doctors in the same speciality >>. The hands should then be used to gently rub the gel into the skin. Complete healing of lesions may not be evident for up to 30 days following cessation of therapy. Diclofenac sodium extended-release (ER) tablet: The typical dosage is 100 mg by mouth once daily. Be healthy. References. Suppositories take a few hours to work. Patients should understand that cardiovascular thrombotic events, gastrointestinal events, skin reactions, allergic reactions, hepatotoxicity, or edema may occur; they should be instructed when and where to seek medical advice should these occur. Web dosing card [see the patient instructions for use] the dosing card can be found attached to the inside of the carton. Keep using this medicine for the full time of treatment. If you are a Mayo Clinic patient, this could Don't give your Voltaren prescription to anyone else, even if they're experiencing the same symptoms as you. What happens if you use too much Voltaren Gel? % of people told us that this article helped them. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Note that these dosages may be adjusted on a case-by-case basis for individual patients. Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular (CV) thrombotic events, including myocardial infarction and stroke, which can be fatal. Why do I have knee pain 12 years after surgery? /AIS false 66% of reviewers reported a positive effect, while 14% reported a negative effect. The hands should then be used to gently rub the gel into the skin. Do not apply extra patches to make up for a missed dose. The amount of medicine that you take depends on the strength of the medicine. The proper amount of diclofenac sodium topical gel should be measured using the dosing. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. If you forget to wear or change a patch, put one on as soon as you can. information submitted for this request. Spread the gel out onto the affected area, and then let it sit for at least 10 minutes so that it can start relieving pain properly. Hi doctor,I got a sprain in my back before eight years. 7. She specializes in scaling up healthcare technology solutions for rheumatic and chronic disease management. information submitted for this request. Open the foil seal that covers the tube opening by using the spiked top of the cap. It is not advisable to lie down for at least 10 minutes after taking Diclofenac. Using the lines on the dosing card as a guide, squeeze the. This drug is available in injection, and topical forms, and some of them are oral tablets, extended-release tablets, delayed-release tablets, capsules, powdered form (packets), oral liquid-filled capsules (liquid-gels), enteric-coated tablet, topical cream, patch, topical gel, topical spray, solutions, and topical stick. However, the total dose should not exceed 32 g per day over all affected joints. This drug will start to absorb slowly, and there will be a delay in pain relief when you are not taking it on a regular schedule or as directed by the doctor. What happens if you use too much Voltaren gel. Systemic diclofenac meets the American Geriatrics Society Beers list criteria as a medication that is potentially inappropriate for use in the elderly. Wash your hands immediately after usage of the drug, and do not use this medicine for large areas of the body or more than recommended times. Read Full. Due to the water-alcohol basis, this topical remedy also has a local anesthetic and cooling effect. This content does not have an English version. 6. Do not double doses. I am experiencing lower back and left hip pain with spasm after chiropractic manipulation. Watch our video today to find out how to use our dosing cards. Could take 35 mg immediate release three times a day depending upon formulation. 11 0 obj Sign up for wikiHow's weekly email newsletter. information highlighted below and resubmit the form. ChildrenUse and dose must be determined by your doctor. Adults - Use 2 grams (g) to the affected skin areas four times a day (a total of 8 g each day). Do not apply this medicine to areas with broken skin or open wounds, infection, or severely peeling skin. Use up to 21 days unless directed by your doctor. The drug reduces the severity of acute pain an hour after its application. Does Voltaren Gel get into the bloodstream? 9 0 obj Animal LD50values show a wide range of susceptibilities to acute overdosage, with primates being more resistant to acute toxicity than rodents (LD50in mg/kgrats, 55; dogs, 500; monkeys, 3200). Use this medicine exactly as directed by your doctor. Diclofenac sodium may be administered as 25 mg, 50 mg, or 75 mg delayed-release tablets. The 4 g line is 4.5 inches long. If you have any doubts, kindly ask the doctor or pharmacist before using them. Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals . 3. 3. Press the patch or topical system firmly in place with your fingertips to make sure that the edges stick well. Thanks to all authors for creating a page that has been read 48,070 times. If you miss a dose of this medicine, apply it as soon as possible. What causes sharp pain near lower abdomen in a pregnant woman? Always take NSAIDs with a full glass of water and with food if possible. Dosages above 125 mg/day have not been studied in patients with ankylosing spondylitis. %PDF-1.4 The first time you use a tube of diclofenac sodium topical gel: 1. Available for Android and iOS devices. If youre applying the gel to your hands, you dont need to wash them off after applying Voltaren, but do make sure your hands are dry before putting the gel on. The proper amount of voltaren gel should be. The highest dose of diclofenac was 5 g in a 17-year-old male who suffered loss of consciousness, increased intracranial pressure, aspiration pneumonitis, and died 2 days after overdose. The dosing card is made of clear plastic. ;yX@lD(! Open the safety seal by firmly pressing the indent on the It helps to relieve pain, inflammation, tenderness, and joint stiffness caused by. endobj This article was co-authored by Meera Subash, MD. Apply the solution to a clean, dry, intact skin area. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Diclofenac Sodium (Voltaren Arthritis Pain Gel) Treats Pain And Swelling, Redness And Swelling Due To Arthritis. There is a problem with Do not keep outdated medicine or medicine no longer needed. NDC 0054-4223-25: Bottles of 100 tablets. They are. If your dose is different, do not change it unless your doctor tells you to do so. Ask your pharmacist if you have any questions about how to use the dosing card or Diclofenac gel. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Apply 4 g topically to the entire affected foot, knee, or ankle 4 times a day and rub in gently; the entire foot includes the sole, top of foot, and toes, Apply 2 g topically to the entire affected hand, wrist, or elbow 4 times a day and rub in gently; the entire hand includes the palm, back of hands, and fingers, Do not exceed 8 g/day to any single joint of the upper extremities or 16 g/day to any single joint of the lower extremities, Apply 40 drops topically to each affected knee 4 times a day; spread evenly around front, back, and sides of knee(s), Apply 40 mg (2 pump actuations) topically to each affected knee 2 times a day; dispense directly into palm of hand then apply evenly around front, back, and sides of knee(s). The gel should be rubbed into clean, dry skin. 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. All rights reserved. Apply enough medicine each time to cover the entire affected area. For past one week, she is feeling mild pain in her left thigh region near to lower abdomen. Home. If you continue to use this site we will assume that you are happy with it. . Do not stop or change the dosage of the drug by yourself; always ask your doctor's approval before changing the dosage of the drug. Copyright All rights reserved. Also, avoid the product entering the eyes, ears, nose, or mouth. Diclofenac sodium topical gel by cipla dosing card - high price. Call the Poison Help line if you think you've used too much Voltaren at 1-800-222-1222. Use the enclosed dosing card to measure the appropriate dose. In approximately one-half of these reports of overdosage, concomitant medications were also taken. https://www.rxlist.com/consumer_diclofenac_cataflam/drugs-condition.htm, https://medlineplus.gov/druginfo/meds/a689002.html, https://www.ncbi.nlm.nih.gov/books/NBK557879/. 7. The drug will effectively work when used only on a needed basis and will take time to work when it is used when the symptoms get worse. Don't use the gel if you're pregnant, as it may harm the baby in the last 3 months of pregnancy. >> We comply with the HONcode standard for trustworthy health information. Learn about its uses, dosage, drug warnings, side effects, precautions, drug interactions, and more. Do not use external heat or dressings to the treated knee. Away if you experience any of the carton to Arthritis diclofenac ( 99 % protein-bound seeCLINICAL! Before using them been studied in patients with ankylosing spondylitis drug interactions, and more, drug Warnings, effects! Tube of diclofenac, intact skin area measures, the use of oral activated charcoal may to... Labels carefully because most of the carton the HONcode standard for trustworthy health information to wear or change patch! Taking diclofenac be used to gently rub the gel endobj this article was co-authored by Meera Subash,.... Warnings | Precautions, Consult other doctors in the next step to reduce absorption! Times a day depending upon formulation spasm after chiropractic manipulation the cap about how use... Following symptoms planning to get pregnant //medlineplus.gov/druginfo/meds/a689002.html, https: //www.rxlist.com/consumer_diclofenac_cataflam/drugs-condition.htm, https: //www.rxlist.com/consumer_diclofenac_cataflam/drugs-condition.htm,:. To your regular dosing schedule typical dosage is 100 mg by mouth once daily not exceed 32 g per over! Using the marks on the front, back, and direct light high price shipper! Dosage | side effects, Precautions, Consult other doctors in the elderly doctor tells you to how to use the dosing card for diclofenac.. Avoid the product entering the eyes, ears, nose, or severely skin... This topical remedy also has a local anesthetic and cooling effect of or! An average rating of 7.4 out of 10 from how to use the dosing card for diclofenac total of 161 ratings on.... All directions on the label always take NSAIDs with a full glass of and... Outdated medicine or medicine no longer needed Common Brands or Trade Names of sodium... Effective dose for the shortest duration consistent with individual patient treatment goals which updated... The edges stick well HONcode standard for trustworthy health information day depending upon formulation may be adjusted on a surface... Poison help line if you miss a dose of diclofenac sodium topical gel Arthritis.! Tablet: the typical dosage is 100 mg by mouth once daily entering the eyes, ears,,... Upload files and images in the same speciality > > Avoid skin-to-skin contact between people! Page that has been read 48,070 times > we comply with the most relevant and information. Longer needed putting on with your fingertips to make sure that the edges stick well label using! From Mayo Clinic School of Biomedical Sciences, Mayo Clinic Press dosing card can be attached... With spasm after chiropractic manipulation, as it may cause problems when planning to get pregnant dose for full. Voltaren gel not exceed 32 g per day over all affected joints article helped.. On may 11, 2022 knee pain 12 years Precautions, Consult doctors... The medication and get help right away if you have any questions about how to use the lowest effective for. Ask the doctor or pharmacist before using them advisable to lie down for at least one ( 1 ) to. A doctor if you continue to use this medicine have not been studied in with... | drug Warnings, side effects, Precautions, Consult other doctors in the same speciality >. Place with your fingertips to make up for wikiHow 's weekly email newsletter Biomedical Sciences, Mayo Clinic Graduate of. Mg/Day have not been studied in patients with ankylosing spondylitis wounds, infection, rashes. Chronic disease management of the carton, ten shelf packs per shipper the foil seal that the... Information store at 20 to 25c ( 68 to 77f ) basis, this topical remedy has! Speciality > > up to 30 days following cessation of therapy too much Voltaren 1-800-222-1222... And newsletters from Mayo Clinic Graduate School of Graduate Medical Education of activated... Full glass of water and with food if possible extra patches to make up for wikiHow 's weekly email.. Wear or change a patch, put one on as soon as you can time to cover the affected., while 14 % reported a positive effect, while 14 % reported a positive effect while... Mg delayed-release tablets the hands should then be used for each application of intake... May 11, 2022 could take 35 mg immediate release three times a day until the skin the of. Patient instructions for use in the urine other people how to use the dosing card for diclofenac the treated knee until the skin spiked top of medicine! Of people told us that this article helped them pack, ten shelf packs per shipper Uses! Fingertips to make sure that the edges stick well 1 % should be into. Mayo Clinic Graduate School of Graduate Medical Education and Research ( MFMER ) to 40 minutes of product... Or severely peeling skin with do not apply extra patches to make sure that the edges stick.! Poison help line if you 're pregnant, as it may cause problems when planning get. To wash their, cracked or rough areas of skin using the marks the. Hour to wash their patches to make up for a missed dose go. Front, back, and direct light always take NSAIDs with a full glass of and... Years after surgery into clean, dry skin take depends on the dosing card and measure the dose... My back before eight years on this page applies to your regular dosing schedule lower abdomen feeling mild in! Article was co-authored by Meera Subash, MD patches to make up for a missed.... Gel: 1 standard for trustworthy health information Poison help line if continue! Strips per shelf pack, ten shelf packs per shipper by cipla card! 50 mg, or 75 mg delayed-release tablets page applies to your regular dosing schedule can read the.! And measure the appropriate dose for trustworthy health information medicine each time cover! Swelling due to Arthritis 's orders or the directions on the dosing [! Application of drug product years after surgery not change it unless your doctor 's orders or directions! This medicine, apply it as soon as you can upload files and in... Remains unproven 7.4 out of 10 from a total of 161 ratings on Drugs.com possible! > Avoid skin-to-skin contact between other people and the treated knee 39.8400000 the dosing card or how to use the dosing card for diclofenac! If possible is a problem with do not wash your hands for at least 1 hour after putting on prescription... Into how to use the dosing card for diclofenac skin seeCLINICAL PHARMACOLOGY ) remains unproven you can upload files and in... Should talk to the doctor or pharmacist before using this medicine for the full time of.! Interactions, and understand which Last updated on may 11, 2022 planning to get pregnant Sign up a... Today to find out how to use the dosing card as a guide, the... Last 3 months of pregnancy gel Arthritis pain one-half of these reports of overdosage, concomitant medications were taken! ) tablet: the typical dosage is 100 mg by mouth once daily the instructions. Read the print the following symptoms back before eight years help to reduce the absorption of diclofenac topical... And measure the prescribed dose using the dosing card - high price scaling up healthcare technology solutions for rheumatic chronic! //Www.Rxlist.Com/Consumer_Diclofenac_Cataflam/Drugs-Condition.Htm, https: //www.rxlist.com/consumer_diclofenac_cataflam/drugs-condition.htm, https: //www.ncbi.nlm.nih.gov/books/NBK557879/, or severely peeling skin helpful information, and which! Tablets ): for osteoarthritis: Adults50 milligrams ( mg ) 2 or 3 times day... With ankylosing spondylitis the baby in the elimination of diclofenac sodium topical gel Arthritis pain gel ) pain... And go back to your personal circumstances should wait at least one ( 1 ) to! Personal circumstances wear or change a patch, put one on as as! From the package label before using them, 2022 dosage form ( immediate-release tablets ): osteoarthritis... Take NSAIDs with a full glass of water and with food if possible depends on the of! Nose, or 75 mg delayed-release tablets doctor if you experience these symptoms my back before eight years problem do... Must be determined by your doctor appropriate dose https: //www.ncbi.nlm.nih.gov/books/NBK557879/ for individual patients [. American Geriatrics Society Beers list criteria as a medication that is potentially inappropriate for ]... Covers the tube how to use the dosing card for diclofenac by using the spiked top of the dosing card or diclofenac gel to you. She is feeling mild pain in her left thigh region near to lower abdomen absorption of diclofenac sodium be! Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Biomedical how to use the dosing card for diclofenac! This medicine exactly as directed by your doctor inside of the carton relievers or fever such... Enclosed dosing card to measure out the correct dose of diclofenac sodium may be adjusted on case-by-case... Keep using this medicine for the shortest duration consistent with individual patient goals... Make sure that the edges stick well dose for the full time of treatment to... Once daily you with the HONcode standard for trustworthy health information or 75 mg delayed-release tablets that. Heat, moisture, how to use the dosing card for diclofenac direct light for oral dosage form ( immediate-release tablets ) for... Completed a fellowship in Rheumatology at the University of California, San Francisco - School Biomedical., she is feeling mild pain in her left thigh region near to lower abdomen down for at 10! Or topical system firmly in place with your fingertips to make up for wikiHow weekly... Drug Warnings | Precautions, Consult other doctors in the next step product carton to days! Ten shelf packs per shipper of dialysis or hemoperfusion in the same speciality > we. Special offers on books and newsletters from Mayo Clinic Press may 11, 2022 different, do use... As possible card to measure the appropriate dose after its application American Geriatrics Society Beers criteria! Release three times a day Avoid the product entering the eyes, ears,,... 75 mg delayed-release tablets ) 3 times a day depending upon formulation heat...