May also be used in the treatment of ankylosing spondylitis (a form of spinal arthritis). Stomach-related side effects such as indigestion, belching, heartburn, and bleeding.
People of an older age, taking other medicines that affect the stomach, or who drink more than 3 glasses of alcohol per day may be more at risk. Other side effects including tinnitus (ringing in the ears) have also been reported.
Most NSAIDs have been associated with an increased risk of serious cardiovascular events including stroke or heart attack. May increase bleeding time especially if given with other medicines that also delay blood clotting.
May interact with some other medicines such as warfarin, SSRIs, ACE inhibitors, and diuretics. Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects.
Time to peak effect varies from 30 minutes to 3-5 hours depending on the formulation of Voltaren taken. ACE inhibitors or Arms, such as captopril, enalapril, or losartan antibiotics, such as ciprofloxacin or vancomycin anticoagulants (blood thinners) such as apixaban, dabigatran, fondaparinux, heparin, or warfarin antidepressants, such as citalopram, Escitalopram, fluoxetine, or fluoxetine antifungals, such as voriconazole beta blockers, such as acebutolol, atenolol, bisoprolol, or carvedilol bisphosphonates, such as alendronate diuretics (water pills), such as chlorthalidone, chlorothiazide, or hydrochlorothiazide HIV medications (e.g., Sterile, tenofovir) other non-steroidal anti-inflammatories (NSAIDs), such as celecoxib, eidola, ibuprofen, Motorola, meloxicam, nabumetone, or naproxen sulfonylureas (a type of diabetes medication), such as glimepiride, glyceride, or glipizide supplements, such as glucosamine, omega-3 fatty acids, vitamin E others, such as cyclosporine, lithium, methotrexate, penetrated, pirfenidone, or tacrolimus.
Drinking alcohol while taking Voltaren may increase the risk of gastrointestinal-related side effects or kidney damage. Note that this list is not all-inclusive and includes only common medications that may interact with Voltaren.
You should refer to the prescribing information for Voltaren for a complete list of interactions. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Generic Name: Diclofenac Gel (1%) (dye KLEE fen AK) Brand Name: Dictator, Voltaren The risk can happen within the first weeks of using Voltaren (diclofenac gel (1%)) and may be greater with higher doses or long-term use.
Do not use Voltaren (diclofenac gel (1%)) right before or after bypass heart surgery. This medicine may raise the chance of severe and sometimes deadly stomach or bowel problems like ulcers or bleeding.
If you have any of these health problems: Dehydration, GI (gastrointestinal) bleeding, heart failure (weak heart), kidney disease, or liver disease. Do not take Voltaren (diclofenac gel (1%)) if you are in the third trimester of pregnancy.
You may also need to avoid Voltaren (diclofenac gel (1%)) at other times during pregnancy. Talk with your doctor to see when you need to avoid taking Voltaren (diclofenac gel (1%)) during pregnancy.
This is not a list of all drugs or health problems that interact with Voltaren (diclofenac gel (1%)). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems.
You must check to make sure that it is safe for you to take Voltaren (diclofenac gel (1%)) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
Tell all of your health care providers that you take Voltaren (diclofenac gel (1%)). Have your blood pressure checked as you have been told by your doctor.
People taking drugs like this one after a first heart attack were also more likely to die in the year after the heart attack compared with people not taking drugs like this one. If you are taking aspirin to help prevent a heart attack, talk with your doctor.
If Voltaren (diclofenac gel (1%)) is swallowed, call a doctor or poison control center right away. If you are 65 or older, use Voltaren (diclofenac gel (1%)) with care.
NSAIDs like Voltaren (diclofenac gel (1%)) may affect egg release (ovulation) in women. This goes back to normal when Voltaren (diclofenac gel (1%)) is stopped.
This medicine may cause harm to the unborn baby if you take it while you are pregnant. Voltaren (diclofenac gel (1%)) as ordered by your doctor.
Do not take Voltaren (diclofenac gel (1%)) by mouth. If you get Voltaren (diclofenac gel (1%)) in your eyes, wash right away with water.
If you have eye irritation that lasts or a change in eyesight, call your doctor. Put a thin layer on the affected skin and rub in gently.
Do not use sunscreen, insect repellant, or other drugs on affected part. Let the drug dry for at least 10 minutes before you cover it with clothes or gloves.
Do not bathe, shower, or swim for 1 hour after putting on. WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug.
Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: Signs of an allergic reaction, like rash; hives ; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
Shortness of breath, a big weight gain, or swelling in the arms or legs. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
A very bad skin reaction (Stevens-Johnson syndrome / toxic epidermal necrosis) may happen. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
Call your doctor right away if you have signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes. Call your doctor for medical advice about side effects.
If you think there has been an overdose, call your poison control center or get medical care right away. If your symptoms or health problems do not get better or if they become worse, call your doctor.
This medicine comes with an extra patient fact sheet called a Medication Guide. Read it again each time Voltaren (diclofenac gel (1%)) is refilled.
If you have any questions about Voltaren (diclofenac gel (1%)), please talk with the doctor, pharmacist, or other health care provider. If you think there has been an overdose, call your poison control center or get medical care right away.
Any specific brand name of this medication may not be available in all the forms or approved for all the conditions discussed here. Your doctor may have suggested this medication for conditions other than those listed in these drug information articles.
Voltaren ® Emerged Each tube of whitish, soft, homogenous, cream-like oil-in-water topical emulsion contains diclofenac dimethylamine 1.16% w/w. Nonmedicinal ingredients: caromed, cool caprylocaprate, dimethylamine, isopropyl alcohol, liquid paraffin, macro cetostearyl ether, perfume, propylene glycol, and purified water.
Voltaren ® Emerged Extra Strength Each tube of whitish, soft, homogenous, cream-like oil-in-water topical emulsion contains diclofenac dimethylamine 2.32% w/w. Nonmedicinal ingredients: butylhydroxytoluene, carolers, cool caprylocaprate, dimethylamine, isopropyl alcohol, liquid paraffin, macro cetostearyl ether, oral alcohol, perfume, propylene glycol, and purified water.
Voltaren ® Emerged Joint Pain Extra Strength Each tube of whitish, soft, homogenous, cream-like oil-in-water topical emulsion contains diclofenac dimethylamine 2.32% w/w. Nonmedicinal ingredients: butylhydroxytoluene, carolers, cool caprylocaprate, dimethylamine, isopropyl alcohol, liquid paraffin, macro cetostearyl ether, oral alcohol, perfume, propylene glycol, and purified water.
Diclofenac topical gel is applied over the affected area 3 or 4 times a day and gently rubbed into the skin. Diclofenac extra strength topical gels 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.
Avoid getting this medication into the eyes or other mucous membranes (e.g., nose, mouth, vagina, anus). Diclofenac topical gel should not be used for longer than 7 days for muscle or joint injuries unless recommended by your doctor.
A side effect is an unwanted response to a medication when it is taken in normal doses. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
Application site irritation (e.g., redness, itching) increased sensitivity of the skin to sunlight Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Signs of a serious allergic reaction (e.g., hives, difficulty breathing, or swelling of the face and throat) skin rash with blistering symptoms of bleeding in the stomach or intestines (black, tarry stools; stomach pain; vomit with a coffee-grind appearance or vomiting blood; weakness or fainting) symptoms of an asthma flare-up (e.g., wheezing, shortness of breath or chest tightness) Check with your doctor if you notice any symptom that worries you while you are taking this medication.
Absorption: Diclofenac gel is intended to be used on the surface of intact, uninfected 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. If you have any unusual difficulty breathing while using this medication, contact your doctor immediately.
Drowsiness/reduced alertness: Some people have reported headache, dizziness, lightheadedness, and confusion while using this medication. Avoid operating motor vehicles and doing other potentially hazardous activities until you have determined the effect this medication has on you.
If you experience sunburn with itching, swelling, and blistering, stop using this medication and contact your doctor. If you notice vision changes, stop using the medication and check with your doctor.
Acetylsalicylic acid (ASA) aliskiren angiotensin converting enzyme inhibitors (Aces; captopril, enalapril, April) angiotensin receptor blockers (Arms; e.g., candesartan, irbesartan, losartan) beta-adrenergic blockers (e.g., atenolol, propranolol, stall) 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 Balboa, garlic, ginger, ginseng, glucosamine) lithium medications that affect blood clotting (e.g., acetylsalicylic acid (ASA, Aspirin®), apixaban, dabigatran, enoxaparin, dalteparin, heparin, erasure, tinzaparin, or warfarin) melamine methotrexate other non-steroidal anti-inflammatory drugs (NSAIDs; e.g., ibuprofen, naproxen, Motorola) other products containing diclofenac pentoxifylline sulfasalazine tacrolimus voriconazole warfarin 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.