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\n<\/p><\/div>"}. Diclofenac sodium is a benzeneaceticacid derivative. Based on available data, it is unclear that the risk for CV thrombotic events is similar for all NSAIDs. Concomitant use of VOLTAREN GEL and cyclosporine may increase cyclosporine's nephrotoxicity. Use Enclosed Dosing Card to Measure a Dose. pain, constipation, diarrhea, gas, heartburn, nausea, vomiting and dizziness. hands, wrists, or elbows. >> over-the-counter NSAIDs for more than 10 days. help relieve arthritis pain in some of your joints. Meera Subash, MDBoard Certified Rheumatologist Diclofenac, as with any NSAID, is known to be substantially excreted by the kidney, and the risk of toxic reactions to VOLTAREN GEL may be greater in patients with impaired renal function. Before you use VOLTAREN
The 2 g line is 2.25 inches long. the 4 g area of the dosing card (see Figure E). For such patients, as well as those with active GI bleeding, consider alternate therapies other than NSAIDs. >> to feet, ankles, or knees: Step 2. /GSa 3 0 R Store
[1] If the gel application is on your hands, wait an hour before washing the area on your hands. serious skin reactions) to diclofenac or any components of the drug product [see, past history of stomach ulcers, or stomach or intestinal
Seek emergency help if an anaphylactic reaction occurs. Advise patients to report symptoms of ulcerations and bleeding, including epigastric pain, dyspepsia, melena, and hematemesis to their healthcare provider. . Find medical information for Voltaren Gel on epocrates online, including its dosing, contraindications, drug interactions, and pill pictures. After 21 days, patients should consult a physician before further use. Adverse reactions that led to the discontinuation of the study drug were experienced in 12% of patients. Additionally, 583 patients were exposed to VOLTAREN GEL in an uncontrolled, open-label, long-term safety trial in osteoarthritis of the knee. The dosing card containing VOLTAREN GEL can be used to apply the gel. If a serious GI adverse event is suspected, promptly initiate evaluation and treatment, and discontinue VOLTAREN GEL until a serious GI adverse event is ruled out. 3 0 obj In a study in which pregnant rats were orally administered 2 or 4 mg/kg diclofenac (approximately 1 and 2 times the MRHD based on bioavailability and BSA comparison) from Gestation Day 15 through Lactation Day 21, significant maternal toxicity (peritonitis, mortality) was noted. The gel should be rubbed into clean, dry skin. endobj entire affected hand, wrist, or elbow with the gel. Ask your healthcare provider or pharmacist if you are
Voltaren Gel has not been evaluated for use on the spine, hip, or shoulder. following an NSAID overdosage. X 12 0 obj NSAIDs are contraindicated in the setting of CABG [see CONTRAINDICATIONS]. Pregnancy Category C prior to 30 weeks gestation; Category D starting 30 weeks gestation. Data from observational studies regarding potential embryofetal risks of NSAID use in women in the first or second trimesters of pregnancy are inconclusive. Application site reactions, including application site dermatitis, were the most frequent reason for treatment discontinuation. Do not throw the dosing card away. In that open-label study, a higher incidence of borderline (less than 3 times the ULN), moderate (3-8 times the ULN), and marked (greater than 8 times the ULN) elevations of ALT or AST was observed in patients receiving diclofenac when compared to other NSAIDs. This effect has been attributed to NSAID inhibition of renal prostaglandin synthesis. ), VOLTAREN GEL should be discontinued immediately. If treatment site is the hands, patients should wait at least one (1) hour to wash their hands. Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals [see Warnings and Precautions (5)]. application include: Applying 2 grams (2 g) of VOLTAREN GEL
Systemic exposure (area under the concentration-time curve) and maximum plasma concentrations of diclofenac are significantly lower with VOLTAREN GEL than with comparable oral treatment of diclofenac sodium. NSAIDs, including diclofenac, cause serious gastrointestinal (GI) adverse events including inflammation, bleeding, ulceration, and perforation of the esophagus, stomach, small intestine, or large intestine, which can be fatal. Forced
/Title () any. not sure how to correctly measure your dose of VOLTAREN GEL. Instruct patients to minimize or avoid exposure of treated areas to natural or artificial sunlight [see WARNINGS AND PRECAUTIONS and DOSAGE AND ADMINISTRATION]. Voltaren Gel is a topical ointment that's used to help treat pain that comes along with osteoarthritis and joint problems, such as stiffness, aches, and swelling. One woman treated orally with a diclofenac salt, 150 mg/day, had a milk diclofenac level of 100 g/L, equivalent to an infant dose of about 0.03 mg/kg/day. Dosing Card [See the patient Instructions for Use] The dosing card can be found attached to the inside of the carton. Voltaren Arthritis Pain gel OTC dosing. Because serious GI bleeding, hepatotoxicity, and renal injury can occur without warning symptoms or signs, consider monitoring patients on long-term NSAID treatment with a CBC and a chemistry profile periodically [see WARNINGS AND PRECAUTIONS]. (2.3) VOLTAREN GEL should be measured onto the enclosed dosing card to the appropriate 2 g or 4 g . tube of VOLTAREN GEL. General information about the safe and effective use
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Apply the gel within the oblong area of the dosing card up to the 2 gram (2.25 inches) or 4 gram (4.5 inches) line. Hypertension, acute renal failure,
fingertips, rinse and dry. >> When VOLTAREN GEL is used in patients with preexisting asthma (without known aspirin sensitivity), monitor patients for changes in the signs and symptoms of asthma. Before you use a new tube of VOLTAREN GEL for the first
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