Voltaren Emulgel for back pain, muscles and joints, gel 1% 75g

Composition of Voltaren gel

The medical product is produced in the form of a homogeneous 1% white or cream gel, packaged in aluminum tubes of 10, 20, 50 or 100 g. Instructions for use are included in each cardboard package. The second form of release is gel 2%, poured into tubes of 50 and 100 g with a detachable membrane. The active component is sodium diclofenac, belongs to the group of non-steroidal anti-inflammatory drugs. Features of the chemical composition of Voltaren gel:

Side effects

For the medicinal product Voltaren Emulgel, beware of possible side effects.

Infections and invasions

Rare (<1/10000): pustular viscera.

On the side of the immune system

Rare (<1/10000): hypersensitivity reactions (including kropivianka), angioneurotic swelling.

On the side of the respiratory system

Rarely (<1/10000): bronchial asthma.

On the side of the skin and rich fabrics

Parts (≥1/100; <1/10): rash, itching, eczema, erythema, dermatitis, including contact dermatitis.

Alone (≥1/10000; <1/1000): bullous dermatitis.

Rare (<1/10000): light sensitivity reactions.

If there are any side effects, you should seek treatment and go to the doctor.

Pharmacodynamics and pharmacokinetics

Voltaren emulgel is a representative of the pharmacological group of non-steroidal anti-inflammatory drugs (NSAIDs hereinafter). Diclofenac inhibits the synthesis of prostaglandins from arachidonic acid. When using the medication externally, according to the instructions, you can quickly eliminate visible swelling of soft tissues, restore the functions of damaged tendons and muscles, and get rid of pain of various origins - from injuries, bruises, sprains.

According to the instructions for use, Voltaren gel is partially adsorbed from the surface of soft tissues, absorbed into the bloodstream in a relatively low concentration, and binds to the plasma protein albumin by 99%. When applying a bandage over the medicinal composition, the therapeutic effect is significantly enhanced. Metabolism occurs due to glucuronidation of the unchanged molecule with conversion to conjugates. The half-life of phenolic metabolites (for example, methoxydiclofenac) is 1–3 hours. Diclofenac is excreted by the kidneys and urine.

Indications for use

Voltaren medicinal ointment is prescribed independently or as part of a complex treatment regimen. Instructions for use contain a complete list of medical indications:

• rheumatic diseases (bursitis, tendovaginitis, damage to periarticular tissues, wrist syndrome);
• damage to soft tissues, sports injuries (bruises, sprains and sprains, dislocations, hematomas);
• back pain of various origins (osteoarthrosis, radiculitis, rheumatoid arthritis, sciatica, lumbago);
• osteochondrosis of the cervical spine;
• inflammation of the periarticular bursa.

Directions for use and dosage

Gel Voltaren Forte is intended for external use. Before using the medicinal composition, it is necessary to rinse and dry the lesion. Then apply a “pea-sized” amount of the medication to the papules and vesicles and rub until completely absorbed. Then wash your hands. Carry out the procedure 2-4 times a day for 2 weeks. Afterwards you need to take a break and, if necessary, resume the course. If after a week of home treatment there is no positive dynamics at all, it is necessary to consult a doctor unscheduled and change the medicine, choose an analogue of Voltaren gel.

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Pharmacological authorities

Pharmacodynamics.

Diclofenac is a highly effective non-steroidal anti-inflammatory drug with pronounced anti-rheumatic, analgesic, anti-inflammatory and antipyretic effects. The main mechanism of the therapeutic effect of diclofenac is the inhibition of prostaglandin biosynthesis by cyclooxygenase-2 (COX-2).

Due to its hydroalcoholic base, the drug also has a local anesthetic and cooling effect.

Clinical data.

In case of inflammation and pain of traumatic or rheumatic gait, Voltaren Emulgel should be used to shorten the period of renewal of the damage to joints, ligaments, tendons and muscles. Clinical data show that Voltaren Emulgel changes acute pain within 1 year after initial application. The drug changes pain in Russia by 75% over two days. 94% of patients responded poorly to Voltaren Emulgel after 2 doses of treatment, equal to 8% who responded poorly to placebo. Relief from pain and renewed pain in the throat was achieved after 4 days of recuperation with Voltaren Emulgel.

Pharmacokinetics.

The amount of diclofenac that is absorbed through the skin is proportional to the level of application and is stored both as a final dose of the drug and at the stage of hydration of the skin. After locally applying 2.5 g of Voltaren Emulgel on a skin surface area of ​​500 cm2, the absorption rate of diclofenac becomes approximately 6%. Keep the occlusive dressing for 10 years until the absorption of diclofenac increases three times.

After applying Voltaren Emulgel to the skin of the joints of the hands and knees, diclofenac is detected in the blood plasma (where the maximum concentration is approximately 100 times lower than after oral administration), in the synovial membrane and synovial tissue. The other countryside. The binding of diclofenac to proteins is 99.7%.

Diclofenac accumulates at the skin, which serves as a reservoir, and as a result, the secretion of speech occurs at the adjacent tissue. It is important to take diclofenac from deeper tissues, such as tissues, and lower blood plasma. There it continues to act and is detected at concentrations up to 20 times higher than those in blood plasma.

Diclofenac is metabolized mainly by one or more stages of hydroxylation and further glucuronidation or glucuronidation of the whole molecule.

Diclofenac and its metabolites are excreted by section. The initial systemic plasma clearance of diclofenac is 263 ± 56 ml/min, and the terminal period of administration of blood plasma is 1-2 years. Several metabolites, including two active ones, have a short duration of 1-3 years, and one is much longer, but is practically inactive.

In case of liver or liver failure, the metabolism and elimination of diclofenac from the body does not change.

special instructions

When treating patients with impaired blood clotting and a tendency to bleeding, it is necessary to regularly perform laboratory tests of the specified biological fluid on the recommendation of a doctor. Other instructions for patients are described in the instructions for use:

1. The gel should not be applied to open wounds, weeping ulcers, burns, or areas with compromised skin integrity.
2. If allergic and local reactions occur, further use of Voltaren should be discontinued.
3. The medication is recommended for patients over 12 years of age; treating young children in this way is contraindicated.
4. The emulgel does not affect the patient’s ability to drive vehicles and complex mechanisms, and does not disrupt the functioning of the nervous system.
5. The presence of propylene glycol in the chemical composition causes local irritation on the skin. The presence of butylated hydroxytoluene, in addition to allergic reactions, provokes contact dermatitis, irritation of the mucous membrane and eyes.
6. The bandage applied to the affected area must be “breathable”, otherwise there is a high probability of local irritation of the skin.
7. When treated with laboratory methods, it is necessary to monitor kidney function and the degree of hydration.
8. When Voltaren Forte is swallowed, symptoms of intoxication develop. The patient needs to rinse the stomach and take sorbents.

Use of the drug Voltaren 2

For adults and children over 12 years of age, distribute the gel over the affected skin 2 times a day with an interval of 12 hours. Apply the product with light movements.

The required amount of medication is determined taking into account the affected area. A one-time dosage is 2-4 g, which will be enough to treat an area of ​​400-800 cm².

The duration of the therapeutic course is determined taking into account the type of pathology and the observed effect. The gel is not applied to the skin for more than 2 weeks for inflammation resulting from injury and rheumatic pathologies. If after 7 days of therapy no positive dynamics can be seen or the condition begins to worsen, then this is a reason to consult a doctor.

Voltaren during breastfeeding

The use of Voltaren during lactation is strictly contraindicated, since diclofenac can be excreted in breast milk. Otherwise, the nursing mother will have to temporarily transfer the infant to adapted formulas and interrupt lactation. Clinical studies of this category of patients have not been carried out, so it is better to protect the health of the infant.

Features of good stagnation

Use caution with oral non-steroidal anti-inflammatory drugs.

The potential for the development of systemic side effects (which occur when administering systemic forms of diclofenac) may be considered when the drug is administered on large areas of the skin or for more than three hours, which is not recommended. In such cases, care must be taken to treat patients with hepatic, cardiac or cardiac failure, as well as viral disease in the active stage.

Voltaren Emulgel is recommended to be applied only to intact, untreated parts of the skin, avoiding stains on singed, wounded or infected skin. There is no contact between the drug and the presence of mucous membranes. The drug cannot be used.

If any skin rashes appear, treatment with the drug must be administered. Voltaren Emulgel should not be sealed under a non-permeable occlusive dressing, but it may be sealed under a non-occlusive dressing.

Voltaren Emulgel contains propylene glycol and benzyl benzoate, which can cause mildly localized skin lesions.

Due to the possibility of sensitivity to light, it is necessary to avoid direct sleep changes and visits before the solarium, followed by a bath and 2 days after the bath.

Suspension during pregnancy or breastfeeding.

Clinical evidence of the stagnation of vagrant women's treatment. Like other non-steroidal contraindications, Voltaren Emulgel is contraindicated during the third trimester of pregnancy due to the possible development of weakness in labor, impaired fetal function. further low water intake and/or cardiac-lehenile toxicity with early closure of the arterial duct and pulmonary hypertension. Administration of the drug during the first two trimesters of gestation is allowed only if the soaked bark outweighs the potential risk for the fetus. In this case, women who plan to become pregnant during the first two trimesters of pregnancy are advised to reduce the dosage to the minimum possible level and the speed of the bathing term.

It is unknown if diclofenac is present in breast milk when it is still congealed, so condensation of Voltaren Emulgel during the period of one year of breastfeeding is allowed only if the bark is soaked and outweighs the potential risk for numbness. If there are any suitable conditions for the drug to harden during the breastfeeding period, the drug should not be applied to the breasts or large portions of the skin and should not be hardened in large quantities or for more than three hours, I recommend that Yes.

This is due to the impact of diclofenac on human fertility during this current stagnation period.

Side effects

Voltaren Forte gel is not absorbed into the bloodstream, therefore it is well tolerated by the body and rarely causes side effects. These have a temporary effect, often disappear immediately after discontinuation of the specified medication. Side effects:

• allergic reactions: urticaria, small rash, erythema, hyperemia, swelling and burning at the site of contact with the gel, pustular and bullous rashes;
• hypersensitivity, angioedema;
• bronchial asthma;
• asthma attacks, bronchospastic reactions;
• photosensitivity, eczema;
• allergic rhinitis;
• contact dermatitis.

Contraindications

The drug Voltaren gel is not approved for use by all patients. Detailed instructions contain a list of medical contraindications:

• impaired blood clotting, bleeding tendency, hemophilia;
• increased sensitivity of the body to diclofenac;
• ulcerative skin lesions, open wounds, ulcers;
• pregnancy, lactation;
• recurrent gastric and duodenal ulcers;
• bronchial asthma;
• tendency to allergic reactions;
• children's age up to 12 years.

Analogues of Voltaren

If a medication is ineffective or causes side effects, it must be replaced with an analogue. Reliable medications with an identical principle of action on the lesion:

1. Artrosilene. These are tablets, injections and ointments with anti-inflammatory and analgesic properties. The gel is prescribed for muscle pain, rheumatic lesions in full course. Apply the composition to the affected areas, rub in, do not rinse with water.
2. Artrum. These are tablets, solution, gel and suppositories, which belong to the pharmacological group of NSAIDs. The gel is prescribed for pain of various origins and is used externally for a full course.
3. Dicloran Plus. This is a gel recommended against inflammatory processes of the musculoskeletal system. The composition should be applied in a thin layer up to 2 times a day for 10–14 days.
4. Deep Relief. Combined drug for the treatment of ligaments, muscles, joints. Available in gel form. The active ingredient is ibuprofen with analgesic, antipyretic, and anti-inflammatory effects.
5. Indomethacin. The drug in the form of a gel is applied to the site of pathology and rubbed in. The procedure is repeated 2–4 times a day for 7 days without a break. The second form of release is tablets for oral use.
6. Indovazin. Ointment from the NVPS group for external use. Used in the absence of side effects with 2-4 daily doses. The doctor selects the course of treatment individually.
7. Ketonal. It is a chemical derivative of propionic acid with analgesic, anti-inflammatory and antipyretic effects in the body. In the form of a gel, it acts locally on the site of pathology.
8. Ketoprofen. A complete analogue of the medication described above, a representative of the NSAID group. Since the degree of adsorption is low when used externally, side effects are extremely rare.
9. Fastum. An analgesic and anti-inflammatory drug in gel form, recommended to eliminate the inflammatory reaction and pain syndrome in cases of damage to the structures of the musculoskeletal system.
10. Finalgel. The active substance – piroxicam – has a pronounced analgesic effect. The drug is used externally, the recommended number of daily procedures is 3–4. The course of treatment is selected individually depending on the diagnosis made by the doctor.

Reviews of Voltaren Emulgel

Reviews of Voltaren gel indicate that for most patients, this external remedy really helps relieve inflammation and local pain Also, patients using this drug note its rapid absorption, absence of odor and color.

Other patients for whom, due to some circumstances, Voltaren gel is not suitable, can be advised to use diclofenac in other external dosage forms (cream, ointment, etc.) or switch to other local drugs from the NSAID .

Voltaren price

The average cost of this medication is 400–500 rubles. The final price of Voltaren depends on the amount of medicine in the aluminum tube, the manufacturer, and the rating of the pharmacy chosen for purchase: