The mechanism of action of the drug
Most of manufacturers in the field of pharmaceutics diclofenac sodium is manufactured, but can sometimes be found and potassium diclofenac. These two substances have the same efficiency, so it does not matter which one is used.
The medicament is an analgesic anti-inflammatory drug belonging to the nesteroidam. It suppresses the inflammatory process that relieves pain, removes a high body temperature. Therefore, it is prescribed and to get rid of pain in the joints and muscles.
When "Diclofenac" starts its action diminishes pain, reduced muscle stiffness, the process of inflammation is reduced. Man has the ability to move again in full. For proof of the therapeutic effect is necessary to use means for at least 8-10 days.
The course of treatment often start with "Diclofenac" injections are administered intramuscularly. Then a transition to tablets, ointments, and other forms of pain in the lumbar spine, if the patient's condition allows it. In some cases, the doctor may prescribe "Diclofenac" in several forms, but that is not exceeded the daily dosage of the drug.
When prescribers?
If a person is concerned about severe back pain that lasts for 3-4 hours, then you need to visit a doctor. Ignore this symptom, or treat yourself should not be.
The doctor will conduct examination of the patient in order to identify the causes of pain in the lower back. If nothing serious, the doctor will advise you to take antispasmodics to eliminate discomfort. If the problem is in the spine, it will be assigned injections "Diclofenac" with lumbar pain.
Indications for use of the medicament are the following pathologies:
- rheumatism
- destruction of bones, joints, for example, low back pain lumbar
- ankylosing spondylitis
- damage to motor organs as a result of injuries
- autoimmune disorders of bone system
- inflammation of muscle tissue and joints, which cause severe pain in the lower back
- after surgery pain during the rehabilitation period
- neuralgic pain in the lower back.
How to inject?
Injections "Diclofenac" is prescribed, if necessary the use of potent drugs for low back pain. Doctors prefer injections because, unlike pellets, they have an effect much faster. This is due to the fact that the active substance is absorbed directly into the bloodstream, bypassing the digestive tract.
Prick yourself injections can be, but to determine the dosage and duration of therapy should only doctor. Typically, the duration of treatment of back pain "Diclofenac" is 10 days. This time is enough to eliminate the pain.
At night you can chop only one vial of medication. Before you start to inject "Diclofenac" from back pain, you need to be aware of the following important points:
- Stabbing tool can only be in one part of the body, which has a bulky muscles, ie the buttock. Selection of such a place is associated with the fact that the drug in unacceptable penetration of blood vessels.
- Injections with pain in the lower back is usually made within a few days. Once the symptoms recede, other dosage forms are assigned to achieve the final effect.
- Necessary to alternate buttocks during therapy.
- The number of "Diclofenac" for low back pain is appointed doctor. In any case can not exceed the daily dosage: adults - 150 mg per day, children from 6 years - 2 mg per 1 kg of body weight.
To ensure proper injection "Diclofenac" is necessary to follow a sequence of actions:
- Hold the vial in hands a few minutes to the solution reached the temperature of the human body;
- Wash hands, then disinfect them by any antiseptic;
- Place the patient in the position that is most convenient. You can on his stomach or side. Then bare buttocks that nothing prevented the injection;
- To disinfect the injection site with a cotton swab soaked in rubbing alcohol;
- Gently break ampoule, a syringe type means, to get rid of bubbles therein with a piston and a needle penetration test, gently pressing on the piston;
- To select the right location for injection is necessary to visually divide the buttock into four equal squares. In the top of them to choose a place in the middle;
- A little pinch the buttocks with one hand, while the second quickly stick a needle to enter medicine and clamp the injection site with a cotton swab dipped in rubbing alcohol.
After the injection, "Diclofenac" the patient should lie down, completely relaxed. If next to the patient are no people who could do the injections, it is better to outsource it to a nurse.
Adverse reactions and contraindications
When pain "Diclofenac" waist helps you quickly and efficiently. But do not forget that this drug has its side effects. They may occur if the patient does not comply with all the rules of its use, and the recommendations of your doctor.
"Diclofenac" of lumbar pain in the lower back can cause these unpleasant reactions of the body:
- dizziness
- sleep disorders
- pain in the head
- failure of the kidneys
- occurrence of bleeding from the nose
- rashes on the skin
- Disorders of the digestive organs
There are the "Diclofenac" and its contraindications that prevent to use the drug to certain categories of patients. These include:
- Children up to 6 years;
- Women bear a child, especially in the later stages;
- People suffering from blood abnormalities, as "Diclofenac" promotes deterioration of blood clotting by reducing the number of platelets therein;
- patients with hemorrhoids, stomach ulcer, Proctitis.
Also instructions for use to diclofenac He calls relative contraindications to the use of the drug, which should be considered when assigning "Diclofenac". These include:
- over age 70
- hypertension
- heart and vascular diseases
- allergic reaction, asthma
- renal disease, liver and digestive organs
When assigning this drug doctor must evaluate the difference between the potential harm to the health consequences of the application and in case of non-reception.
When "Diclofenac" therapy waist and the back should be aware that this tool is best to take short duration courses, taking breaks. And do not self-medicate. Only strict adherence to all recommendations of your doctor will help cope with the painful sensations in the back.
Other forms of medication
After the therapy, injections, or instead of them can be assigned to other dosage forms "Diclofenac". It can be a tablet for oral administration, suppositories for rectal administration, gels for local treatment.
Pills
When the need to achieve a rapid effect take "Diclofenac" is necessary for 30 minutes before eating. In other cases, you can take pills like after a meal and during it with water.
Doctors usually prescribe the following dosage "Diclofenac":
- Adults, teenagers - not more than 25-50 mg 3 times a day, a day may be the maximum 150 mg. Once there is a positive trend, the dose is reduced to 50 mg per day.
- Children 6-7 years - 25 mg once a day, 8-11 years - 25 mg 3 times a day, 12-14 years - 25-50 mg up to 4 times a day.
candles
They may also be administered rectal candles "Diclofenac". You need to enter them after complete emptying of the bowel. On the day of use should be 2 times 50 mg candle or candle only one 100 mg. The daily dose should not exceed 150 mg.
Duration of therapy "Diclofenac" is determined by the doctor on an individual basis. Suppositories administered must be completely without sharing part. Otherwise, the desired concentration of the medicament can not enter the body.
Gel
For the topical treatment gel is applied "Diclofenac". Apply it should be with clean hands, evenly distributing agent of the affected area. Produced gel 1% and 5%. Means 1% by 2-4 g designed for disposable use.
Gel 5% may be used no more than 2 g 2-4 times a day. Children from 6 to 12 years 'Diclofenac' 1% may be applied no more than 2 g twice a day, 5% of the drug - not more than 1 g per day. The duration of therapy is determined by the attending physician.
"Diclofenac" is well able to help with back pain, and eliminating inflammation, swelling. Independently conduct treatment should not, as the drug has certain contraindications and side effects. To select an optimal scheme of therapy should the attending physician.
sources:
Vidal: https://www.vidal.ru/drugs/diclofenak__11520
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 5d8a978b-56fd-4465-bfa0-907ab6103f33 & t =
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