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. Voltaren may be associated with a higher risk compared with other NSAIDs, such as ibuprofen.
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. Taking Voltaren with food may help with stomach-related 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.
This side effect can occur without warning symptoms at any time while using diclofenac. Stop using diclofenac and get medical help right away if you notice any of the following rare but very serious side effects: black/ bloody stools, persistent stomach / abdominal pain, vomit that looks like coffee grounds, chest/jaw/left arm pain, shortness of breath, unusual sweating, confusion, weakness on one side of the body, sudden vision changes, trouble speaking.
Read the Medication Guide and Patient Instructions for Use provided by your pharmacist before you start using diclofenac and each time you get a refill. Gently rub the medication into the entire affected joint, usually 4 times daily or as directed by your doctor.
Do not shower, bathe, or wash any treated areas for at least an hour after applying the medication. Wait at least 10 minutes before covering the treated area with gloves or clothing.
Do not apply more than 16 grams of diclofenac per day to any single joint of the lower body (such as knee, ankle, foot). Do not apply more than 8 grams of diclofenac per day to any single joint of the upper body (such as hand, wrist, elbow).
No matter how many joints you are treating, do not use more than a total of 32 grams of diclofenac per day. For certain conditions (such as arthritis), it may take up to 2 weeks of using this drug regularly until you get the full benefit.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Check your blood pressure regularly and tell your doctor if the results are high.
Kidney problems can sometimes occur with the use of NSAID medications, including diclofenac. Problems are more likely to occur if you are dehydrated, have heart failure or kidney disease, are an older adult, or if you take certain medications (see also Drug Interactions section).
Daily use of alcohol and tobacco while using this medicine may increase your risk for stomach bleeding. Older adults may be at greater risk for stomach/intestinal bleeding, kidney problems, heart attack, and stroke while using this drug.
Before using this medication, women of childbearing age should talk with their doctor(s) about the benefits and risks (such as miscarriage, trouble getting pregnant). It is not recommended for use during the first and last trimesters of pregnancy due to possible harm to the unborn baby and interference with normal labor/delivery.
It is unknown if this form of diclofenac passes into breast milk. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: aliskiren, ACE inhibitors (such as captopril, lisinopril), angiotensin II receptor blockers (such as losartan, Alsatian), tenofovir, corticosteroids (such as dexamethasone, prednisone), lithium, methotrexate, other products applied to treated skin, water pills (diuretics such as furosemide). Check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (aspirin, NSAIDs such as ibuprofen, naproxen, or Motorola).
These drugs are similar to diclofenac and may increase your risk of side effects if taken together. However, if your doctor has directed you to take low-dose aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day), you should continue taking the aspirin unless your doctor instructs you otherwise.
Canada residents can call a provincial poison control center. Symptoms of overdose /swallowing may include: severe stomach pain, change in the amount of urine, slow/shallow breathing.
Laboratory and/or medical tests (such as blood pressure, complete blood count, liver and kidney function tests) should be performed periodically to monitor your progress or check for side effects. Lifestyle changes (such as weight loss if needed, strengthening/conditioning exercises) may help improve your flexibility and joint function.
If you are prescribed this drug on a regular schedule (not just “as needed”) and you miss a dose, use it as soon as you remember. Properly discard this product when it is expired or no longer needed.
CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
The gel is clear (unlike my beloved Mario Bases Drying Lotion, $24) which means the rest of the office is none the wiser when I have it on. Intrigued, I reached out to dermatologist Dr. Rite Gupta of Platinum Dermatology for the insider intel on how topical muscle relaxant zaps pimples, and whether you should consider ditching your go-to spot treatment for Emerged.
Emerged can be used on any skin type as it plays a slightly different role in spot-zapping than commonly used ingredients' salicylic acid and benzoyl peroxide which help to unclog pores and kill acne-causing bacteria respectively. One benefit to using the gel is that it won’t cause irritation or bleaching of the skin, which can (very rarely) occur with stronger concentrations of benzoyl peroxide.
Diclofenac works by reducing substances in the body that cause pain and inflammation. Voltaren Gel is used to treat joint pain caused by osteoarthritis in the hands, wrists, elbows, knees, ankles, or feet.
Voltaren Gel may not be effective in treating arthritis pain elsewhere in the body. These conditions can occur without warning while you are using Voltaren Gel, especially in older adults.
Voltaren Gel can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. You should not use Voltaren Gel if you are allergic to diclofenac (Voltaren, Catalan, Elector, and others), or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.
To make sure Voltaren Gel is safe for you, tell your doctor or pharmacist if you have: Read all patient information, medication guides, and instruction sheets provided to you.
Heat or bandaging can increase the amount of diclofenac you absorb through your skin. Wipe the card directly onto the treatment area and rub gently into the skin.
-The accompanying dosing card should be used for application; consult manufacturer product information for instructions. Use: For the relief of pain associated with osteoarthritis of the joints amenable to topical treatment, such as the knees and those of the hands; this drug has not been evaluated for use on the spine, hip, or shoulder.
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Do not use cosmetics, sunscreen, lotions, insect repellant, or other medicated skin products on the same area you treat with Voltaren Gel.
Avoid exposing treated skin to heat, sunlight, or tanning beds. Call your doctor if you have eye irritation that lasts longer than 1 hour.
Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen. Get emergency medical help if you have signs of an allergic reaction to Voltaren Gel (hives, sneezing, runny or stuffy nose, wheezing or trouble breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).
Although the risk of serious side effects is low when diclofenac is applied to the skin, this medicine can be absorbed through the skin, which may cause steroid side effects throughout the body. Stop using Voltaren Gel and seek emergency medical attention if you have signs of a heart attack or stroke: chest pain spreading to your jaw or shoulder, sudden numbness or weakness on one side of the body, slurred speech, feeling short of breath.
Skin redness, itching, dryness, scaling, or peeling where the medicine was applied. Other drugs may interact with diclofenac topical, including prescription and over-the-counter medicines, vitamins, and herbal products.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.