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Can Voltaren Be Used With Blood Thinners

author
Ava Flores
• Tuesday, 29 December, 2020
• 7 min read

Yes:The topical administration of Voltaren (diclofenac) gel does not produce a high blood level of diclofenac. Asked 31 May 2018 by Tama123 Updated 1 June 2018 Topics Voltaren, osteoarthritis, pain, diclofenac, blood disorders, Carlo, blood thinners, blood, neck, blood disorder, ankle Mod to severe joint pain in neck hips and ankles.

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Contents

Bestpup 1 Jun 2018 Hi Tama123I understand you're in a considerable amount of pain. Also, you might try using either an ice pack or a heating pad. Lastly, despite the pain don't stop talking the Carlo abruptly.

My mom takes a blood thinner and was given Voltaren for localized pain. Diclofenac helps to relieve pain and inflammation by blocking the effects of cyclooxygenase (COX) enzymes.

Voltaren belongs to a class of medicines known as NSAIDs (non-steroidal anti-inflammatory drugs). 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.

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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.

Blood counts and liver enzymes may need monitoring periodically. 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. Your healthcare provider may need to adjust your dose of these drugs and monitor the level of lithium in your blood.

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Do not combine Voltaren Gel with such medications without your healthcare provider's approval and supervision. Voltaren Gel may increase the risk of methotrexate toxicity.

Several herbal and nutritional supplements can also interact with Voltaren Gel and may increase the risk of bleeding. If you are taking any natural or herbal supplements, discuss this with your healthcare provider before starting Voltaren Gel therapy.

non-steroidal anti-inflammatory drugs (NSAIDs) are among the most popular pills in the drugstore. People can buy them without a prescription and use them to treat nearly any type of pain.

I can ’t use oral NSAIDs because I take Eliquis, but my primary care physician says I can use the diclofenac sodium topical gel (1%) for as long as I need it. You are right to avoid oral pain relievers such as ibuprofen or naproxen, since these NSAIDs can cause gastrointestinal irritation.

In addition, naproxen also enhances the absorption of Eliquis, increasing its blood levels (Frost et al., British Journal of Clinical Pharmacology, Oct. 2014). John Horn and Philip Hansen have written about NSAID and anticoagulant interactions.

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They note that About the Author Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology.

Terry is one of the country's leading authorities on the science behind folk remedies. 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).

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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.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma, aspirin -sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), liver disease, stomach /intestine problems (such as bleeding, ulcers), heart disease (such as previous heart attack), high blood pressure, stroke, swelling (edema, fluid retention), blood disorders (such as anemia), bleeding/clotting problems, growths in the nose (nasal polyps). 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).

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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.

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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. Consult your pharmacist or local waste disposal company. Information last revised August 2020.

More Resources for Voltaren Gel Find Lowest Prices on Check Interactions Read Reviews (124) Selected from data included with permission and copyrighted by First Data bank, Inc.

This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. 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.

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