WARNING

Diclofenac topical gel is commonly used for arthritis pain relief, but like any medication, it carries certain risks. Here’s a brief overview:

• Skin Irritation: Diclofenac gel can cause skin irritation, redness, itching, or rash at the application site. It’s important to apply it only to intact skin and avoid sensitive areas.
• Systemic Absorption: While topical application reduces the risk of systemic side effects compared to oral forms, some amount of diclofenac can still be absorbed into the bloodstream, potentially leading to systemic side effects like stomach ulcers, bleeding, or kidney problems.
• Allergic Reactions: Some individuals may be allergic to diclofenac or other ingredients in the gel, leading to severe allergic reactions such as hives, difficulty breathing, or swelling of the face, lips, or throat. Seek immediate medical attention if you experience these symptoms.
• Interaction with Other Medications: Diclofenac gel can interact with certain medications, such as blood thinners or other NSAIDs, increasing the risk of side effects or reducing effectiveness. Always inform your healthcare provider about all medications you are taking.
• Cardiovascular Risk: Long-term or high-dose use of diclofenac may increase the risk of heart attack or stroke, especially in individuals with pre-existing cardiovascular conditions.
• Gastrointestinal Effects: Although topical application reduces the risk of gastrointestinal side effects compared to oral NSAIDs, some individuals may still experience stomach pain, indigestion, or nausea.

Always use diclofenac gel as directed by your healthcare provider, and discuss any concerns or potential risks with them. Avoid using it on broken or infected skin, and discontinue use if you experience any severe side effects.

Why is this medication prescribed?

Diclofenac topical gel is prescribed for the relief of pain and inflammation associated with arthritis, particularly osteoarthritis and rheumatoid arthritis. It belongs to a class of medications called nonsteroidal anti-inflammatory drugs (NSAIDs), which work by reducing inflammation and pain at the site of application.

How should this medicine be used?

Here’s how diclofenac topical gel should be used:

• Clean the Area: Before applying the gel, wash and dry the affected area thoroughly to remove any dirt or sweat.
• Apply a Thin Layer: Squeeze a small amount of gel onto your hand and apply a thin layer to the affected joint(s) or area(s). Massage the gel gently into the skin until it is absorbed.
• Dosage: The recommended dosage varies depending on the severity of the pain and the size of the affected area. Typically, the gel is applied 4 times daily to the affected joint(s), but your healthcare provider may adjust the dosage based on your individual needs.
• Avoid Contact: Avoid getting the gel in your eyes, mouth, nose, or on broken or irritated skin. Wash your hands thoroughly after applying the gel to prevent accidentally spreading it to other parts of your body.
• Do Not Bandage: Do not cover the treated area with bandages or tight clothing unless directed by your healthcare provider.
• Use as Directed: Use diclofenac topical gel exactly as prescribed by your healthcare provider. Do not use more than the recommended amount or apply it more frequently than directed, as this can increase the risk of side effects.
• Monitor for Side Effects: While using diclofenac gel, monitor for any signs of skin irritation, allergic reactions, or systemic side effects. If you experience severe or persistent side effects, contact your healthcare provider.
• Duration of Use: Use diclofenac gel for the shortest duration necessary to relieve your symptoms. Do not use it for longer than recommended unless instructed by your healthcare provider.

Always follow your healthcare provider’s instructions carefully when using diclofenac topical gel to ensure safe and effective treatment of your arthritis pain.

Other uses for this medicine

• Soft Tissue Injuries: It can be used to alleviate pain and inflammation associated with conditions like sprains, strains, and tendonitis.
• Localized Pain: Diclofenac gel may be applied to localized areas of pain, such as back pain, neck pain, or shoulder pain.
• Sports Injuries: Athletes may use diclofenac gel to manage pain and inflammation resulting from sports injuries like muscle pulls or overuse injuries.
• Osteoarthritis of the Knee: Diclofenac gel is sometimes prescribed specifically for osteoarthritis of the knee, providing targeted relief to the affected joint.

What special precautions should I follow?

Regarding special precautions for diclofenac topical gel, consider the following:

• Avoid Contact with Eyes and Mucous Membranes: Ensure that the gel does not come into contact with your eyes, mouth, nose, or any other mucous membranes. If accidental contact occurs, rinse thoroughly with water.
• Do Not Apply to Broken or Infected Skin: Avoid applying diclofenac gel to areas of broken, damaged, or infected skin, as this can increase the risk of systemic absorption and adverse effects.
• Wash Hands After Application: After applying diclofenac gel, wash your hands thoroughly to prevent accidental transfer to other parts of your body or contact with mucous membranes.
• Use Caution in Certain Populations: Exercise caution when using diclofenac gel in elderly individuals, those with a history of gastrointestinal ulcers or bleeding, individuals with kidney or liver impairment, and those with heart disease or high blood pressure. Consult with a healthcare professional before use in these populations.
• Monitor for Side Effects: Be vigilant for any signs of skin irritation, allergic reactions, or systemic side effects while using diclofenac gel. If you experience severe or persistent side effects, discontinue use and consult a healthcare provider.
• Drug Interactions: Inform your healthcare provider about all medications you are taking, including over-the-counter drugs and supplements, as diclofenac gel may interact with certain medications, increasing the risk of side effects or reducing effectiveness.

By following these precautions and guidelines, you can use diclofenac topical gel safely and effectively for arthritis pain relief or other approved indications.

What special dietary instructions should I follow?

As for special dietary instructions, there are no specific dietary restrictions associated with diclofenac topical gel. However, it’s generally advisable to maintain a balanced diet and stay hydrated while managing arthritis or any other painful condition. Some individuals may find that certain foods or beverages exacerbate their arthritis symptoms, so it can be helpful to pay attention to how your diet affects your pain levels and adjust accordingly.

What should I do if I forget a dose?

If you forget to apply a dose of diclofenac topical gel, apply it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not apply extra gel to make up for a missed dose, as this can increase the risk of side effects. If you have any concerns or questions about missed doses, consult your healthcare provider for guidance.

What side effects can this medication cause?

Diclofenac topical gel, like any medication, can cause side effects, although not everyone will experience them. Some common side effects associated with diclofenac topical gel include:

• Skin Irritation: This can manifest as redness, itching, rash, or burning sensation at the application site. It’s essential to apply the gel only to intact skin and avoid sensitive areas.
• Allergic Reactions: Some individuals may be allergic to diclofenac or other ingredients in the gel, leading to severe allergic reactions such as hives, difficulty breathing, or swelling of the face, lips, or throat. Seek immediate medical attention if you experience these symptoms.
• Systemic Absorption: While topical application reduces systemic side effects compared to oral forms, some diclofenac can still be absorbed into the bloodstream, potentially leading to systemic side effects like stomach ulcers, bleeding, or kidney problems.
• Gastrointestinal Effects: Though less common with topical application compared to oral NSAIDs, some individuals may still experience stomach pain, indigestion, nausea, or diarrhea.
• Cardiovascular Risk: Long-term or high-dose use of diclofenac may increase the risk of heart attack or stroke, especially in individuals with pre-existing cardiovascular conditions.
• Liver and Kidney Effects: In rare cases, diclofenac can affect liver or kidney function, leading to liver damage or kidney problems.
• Headache and Dizziness: Some individuals may experience headaches, dizziness, or drowsiness while using diclofenac gel.
• Fluid Retention and Swelling: Fluid retention and swelling in the legs, ankles, or feet may occur in some individuals.

It’s essential to monitor for any signs of side effects while using diclofenac topical gel and to contact your healthcare provider if you experience any severe or persistent symptoms. They can provide guidance on managing side effects and may recommend adjusting your treatment plan if necessary.

What should I know about storage and disposal of this medication?

When it comes to the storage and disposal of diclofenac topical gel, here are some important points to keep in mind:

• Storage: Store diclofenac topical gel at room temperature, away from heat, moisture, and light. Keep the container tightly closed when not in use. Avoid storing it in the bathroom or near the kitchen sink, where it could be exposed to moisture.
• Disposal: Dispose of diclofenac topical gel properly according to local regulations or as instructed by your healthcare provider or pharmacist. Do not flush it down the toilet or pour it down the drain unless instructed to do so. If you have unused or expired gel, consult your pharmacist or local waste disposal facility for guidance on proper disposal methods.

In case of emergency/overdose

In case of accidental ingestion or overdose of diclofenac topical gel, contact your local poison control center or emergency room immediately. If possible, bring the gel container or packaging with you to the emergency room for reference. Symptoms of overdose may include nausea, vomiting, stomach pain, drowsiness, or difficulty breathing.

What other information should I know?

• Other Information: Before using diclofenac topical gel, inform your healthcare provider about any allergies you have, as well as any medical conditions you may have, including kidney or liver disease, heart disease, high blood pressure, or asthma. Also, inform them about all medications you are taking, including prescription drugs, over-the-counter medications, vitamins, and supplements, to avoid potential interactions.
• Pregnancy and Breastfeeding: It’s essential to discuss the risks and benefits of using diclofenac topical gel during pregnancy or breastfeeding with your healthcare provider. While topical application may result in lower systemic absorption compared to oral forms, there may still be some risk to the fetus or nursing infant.
• Sun Exposure: Avoid prolonged exposure to sunlight or artificial UV rays (e.g., sunlamps, tanning beds) while using diclofenac topical gel, as it may increase the risk of sunburn or skin irritation.
• Keep Out of Reach of Children: Store diclofenac gel out of reach of children and pets to prevent accidental ingestion or misuse.

By following these guidelines and consulting with your healthcare provider as needed, you can use diclofenac topical gel safely and effectively for arthritis pain relief or other approved indications.