Voltaren gel and injections - instructions for use

Voltaren is a vivid representative of a group of non-steroidal anti-inflammatory drugs. The drug effectively cures inflammatory processes, has analgesic and antipyretic effect. Due to the variety of forms of release, Voltaren can be taken orally, applied topically or used topically.

In therapeutic practice, medicament is included in the complex therapy of diseases of the musculoskeletal system, it is prescribed for pain syndrome of any origin and is used to eliminate edema and inflammatory processes after surgical interventions. What therapeutic effect is provided by Voltaren and how to apply it correctly for various pathologies, we will tell in this article.

Voltaren - description of the drug

Pharmacological action of Voltaren provides an active substance of a nonsteroidal structure - diclofenac sodium. Due to the inhibition of the synthesis of prostaglandins, which are mediators of inflammation, a pronounced anti-inflammatory, antipyretic and analgesic effect is achieved. With diseases of the musculoskeletal system of rheumatic nature, the use of Voltaren allows to reduce the morning stiffness and swelling of joints, eliminates pain in motion and at rest, improving the overall condition of patients.

For postoperative and post-traumatic inflammatory processes, the drug has an analgesic effect and reduces swelling. The use of Voltaren in the form of tablets or rectal suppositories allows the treatment of severe pains of non-rheumatic origin, and the administration of the drug in the form of intramuscular injections helps to quickly relieve the condition, relieving pain in a short period of time( 1 to 15 minutes).

In internal use, the drug is absorbed from the intestine into the systemic circulation. But the onset of the action of the tablets is slowed down by the enteric-soluble coat, so the highest plasma concentration is observed 2 hours after ingestion. In prolonged-release tablets, diclofenac is released even more slowly( 4 hours), but its therapeutic concentration persists longer( up to 24 hours).

When using rectal suppositories, the absorption of the drug is much faster and the greatest concentration of the active substance in the plasma is noted within 60 minutes after administration. After intramuscular injection, the absorption of the drug begins immediately.

The main dose of the drug( up to 60%) is excreted from the body with urine, the rest of the dose is excreted with bile.

Forms, composition

The drug is distinguished by a variety of dosage forms and is available in the following varieties:

• Tablets( Rapid) in an enteric coating with a dosage of 25 mg and 50 mg.
• Tablets( retard) 100 mg in a film coating of prolonged action.
• Solution for intravenous injections in ampoules - 25 mg / ml. Candle rectal, with a dosage of 25.50 and 100 mg.
• Voltaren Gel emulsifier( 1%) for external use.
• Voltaren Ofta eye drops( 0.1%).
• Spray in bottles of 15 and 30 ml.
• Transdermal patch, measuring 7x10 or 10x14cm.

Analogues, price

In the pharmacy network, the cost of the drug depends on the form of release and the manufacturer. Here are the average prices for different release forms:

• Voltaren Acti tablets - from 115 rubles
• Voltaren Rapid tablets - from 140 rubles
• Voltaren plaster( 7x10) - from 150 rubles
• Voltaren emulgel( 20gr) - from 170 rubles
• Voltaren candles 100 mg5 pcs.) - from 300 rubles
• Voltaren Spray( 15 ml) - from 340 rubles
• Voltaren ampoule 75mg / 3ml( 5pcs) - from 270 rubles

Voltaren has a number of structural analogues; if necessary, pharmacists can offer the following drugs as a substitute:

• Veral
• Diklak
• Diklovit
• Diclomax
• Diclorean
• Diclofen
• Diclofenac
• Naklofen
• Orthofen
• Feloran

The question of replacing the drug should be the attending physician, Analogues should only be after consultation with a specialist. To avoid undesirable complications, doing this yourself is not recommended.

When is Voltaren appointed?

The application of Voltaren in different forms is shown under the following conditions:

• Degenerative and inflammatory musculoskeletal disorders: rheumatism, arthritis rheumatoid, spondyloarthritis, spondylitis, osteoarthritis.
• Acute gout attacks
• Renal and biliary colic
• Pain syndrome with spine diseases, neuralgia, muscle pain
• Postoperative and post-traumatic pains accompanied by inflammation and edema
• Inflammatory gynecological diseases complicated by pain syndrome( andexitis, algodismenorrhea primary)
• Rheumatic disorders of extraarticular softtissues
• In the complex therapy for severe ENT infections, accompanied by severe pain symptoms(with pharyngitis, otitis, tonsillitis).
• When calming the migraine attacks

Voltaren does not prevent the progression of the disease, since the drug is only for symptomatic therapy( that is, reducing inflammation and pain).It is noted that for the reduction of inflammatory and degenerative processes at the very beginning, preference should be given to intramuscular injection of the drug. This will allow you to quickly eliminate pain and reduce inflammation activity.

Instruction for use

The use of the drug depends on the form of release, the severity of the symptoms and the clinical picture of the disease. The necessary dosage and duration of therapy is determined by the attending physician. Let us dwell in more detail on how different forms of the drug are used.

Voltaren tablets in the enteric coating

According to the instructions for use Voltaren, Rapid tablets should be taken whole before meals and washed down with a small amount of liquid. The initial dose for adults is 100-150 mg per day, it is divided into three doses. If the patient needs long-term therapy or the symptoms of the disease are poorly expressed, the daily dosage is reduced to 75-100 mg.

If you need to repair night pains or eliminate the morning stiffness of the joints, in addition to the tablets, the doctor may prescribe Voltaren suppositories, which are administered in the evening, before going to bed. In this case, the dose in the amount should not be above 150 mg.

For algodismorrhea to relieve severe pain during a monthly dose, Voltaren usually is 1-2 tablets per day, then during the next menstrual cycles, it should be brought to 3 tablets( 150 mg) per day. Take the pill when you have the first pain symptoms.

For children aged 12 months and older, the necessary dose of the drug is selected individually at the rate of 0.5-2 mg per 1 kg of the child's weight. The calculated dose is given to the baby in a 2 to 3 dose.

Extended-release tablets Voltaren in film coating

Retard tablets are swallowed whole during meals and washed down with a small amount of liquid. This form of the drug is not used to treat children. Adult patients are prescribed 1 tablet( 100 mg) per day.

The same dosage is recommended for use if the patient needs long-term treatment. If the pain syndrome is more pronounced at night or in the morning, the drug of prolonged action should be taken before bedtime.

Suppositories rectal Voltaren - instruction for use

For adults, the preparation in the form of suppositories is prescribed in a dosage of 100-150 mg per day, the procedure of administration is carried out 2-3 times a day. With a long course of treatment or mild symptoms, the dose is reduced to 75-100 mg per day.

You can simultaneously use candles and tablets Voltaren. This will help to effectively eliminate night pain and morning stiffness. Individual dosage should be selected by a doctor.

For the removal of painful symptoms with dysmenorrhea, the optimal dose is 50-100 mg per day, in the future it can be increased to 150 mg.

Candles can effectively take off migraine attacks. At the first symptoms, indicative of an approaching attack, prescribe candles in a dose of 100 mg. If there is a need, another suppository( 100 mg) can be applied on the same day. During the following days, the dose is increased to 150 mg per day, dividing it into several procedures.

In children, rectal supplements are used at the lowest dosage of 25 mg. The dose of the drug for children weighing more than 25 kg is calculated in a ratio of 0.5-2 mg per kilogram of body weight. This dose is administered for 2 to 3 treatments.

Voltaren solution for intravenous injections

Voltaren injection for injection is prescribed 1 ampoule( 75 mg) per day. The injection is made deep into the muscle, into the upper gluteal quadrant, this avoids nerve damage.

Instructions for use Voltaren does not recommend doing the procedure for more than 2 days. The injections can be used in combination with other forms of Voltaren( candles, tablets), not exceeding the daily dose of 150 mg. In severe cases, you can make a second injection in the opposite buttock in a few hours.

During an attack of migraine, the prick should be done as soon as possible, this will achieve a more effective result. On the same day you can use the suppository Voltaren in a dose of 100 mg. The dose of the drug in the amount should not be above 175 mg per day.

Voltaren emulsion

The gel is intended for external use. A single dose of the drug is about 4 g. The drug is applied to the painful areas up to 4 times a day and slightly rubbed until completely absorbed. The drug well eliminates pain and inflammation with radiculitis, arthritis, bruises, injuries of ligaments, tendons, facilitates the condition with neuralgia and myalgia.

The duration of treatment will depend on the effectiveness of the drug. To enhance the therapeutic effect, you can combine Voltaren emulsifier with other forms of the drug. To achieve a persistent positive result, it is sufficient to apply the gel for 2 weeks.

Spray Voltaren

Spray is applied to the skin in the affected area. Depending on the size of the affected area, you should make up to 5 clicks on the dispenser, which is equipped with a bottle with the drug. It should be remembered that with a single push, a dose containing 8 mg of diclofenac is released.

After spraying the spray should be rubbed into the skin and wait for a while until it is completely absorbed. After that you need to wash your hands with soap. The procedure is done 3 times a day, the maximum volume of the drug per day - no more than 15 doses / taps.

Voltaren Ofta eye drops

Before the surgery, prescribe the drug in a volume of 5 drops. They are instilled in the conjunctival sac by 1 drop every half an hour.

After the operation, prescribe 3-5 drops of the drug per day. With other ophthalmic diseases, the dose of the drug is selected individually.

Plaster Voltaren

Transdermal patch is applied to the painful area in the form of applications. The size is selected depending on the size of the affected area, the application is done once a day.

For the treatment of soft tissues the patch is used for 2 weeks, when treating joint and muscle diseases - no more than 3 weeks. If the positive effect is absent after 7 days of the drug, consult a doctor.

In pregnancy,

Voltaren is contraindicated in the 3rd and 3rd trimester of pregnancy because of the risk of complications during childbirth and adverse effects on the fetus. In the first and second trimester of pregnancy, the drug is prescribed only if the expected benefit from its use in the mother exceeds the possible risk to the fetus.

When breastfeeding, diclofenac is excreted in small amounts with mother's milk and may have an undesirable effect on the baby. Therefore, during the lactation Voltaren is not appointed. If there is a need for treatment with the drug, breastfeeding is temporarily stopped, the baby is transferred to artificial mixtures.

Contraindications

Voltaren is contraindicated in the following cases:

• For individual intolerance to diclofenac and other components of the preparation
• For ulcerative lesions of the digestive tract
• If a history of the patient had allergic manifestations or attacks of bronchial asthma associated with the use of other NSAIDs
• In severe renal and hepatic insufficiency
• In conditions associated with risk of bleeding
• With heart failure
• In pregnancy and lactation

It should not be administered to patients with severe lactase deficiency and intolerance to galactose. In children under 14 years of age, it is forbidden to use Voltaren tablets( 50 mg) in the enteric coating.

Side effects of

In therapy with Voltaren, side reactions from various body systems are quite common:

• The digestive system can respond to the reception of the drug with abdominal pain, the appearance of a loose stool, nausea, vomiting, flatulence. Patients report a lack of appetite, a decrease in body weight. In rare cases, symptoms of jaundice, hepatitis, gastritis, ulcerative gastrointestinal lesions develop, gastric bleeding, vomiting of blood are observed. Very rarely there is stomatitis, damage to the esophagus, colitis, pancreatitis, liver necrosis.
• From the CNS side, patients complain of dizziness, headache. In rare cases, there is drowsiness or insomnia, memory disorders, impaired sensitivity, depression, psychosis, cerebral circulation disorders.
• From the senses, blurred vision, hearing loss, tinnitus may occur.
• On the part of the genitourinary system, there are such manifestations as nephrotic syndrome, hematuria, kidney failure.
• Organs of hematopoiesis on the use of the drug may respond with changes in blood counts, symptoms of anemia.
• On the part of the cardiovascular system, in rare cases, there are chest pains, palpitations, increased blood pressure, symptoms of heart failure.
• Allergic reactions may occur when taking the drug, which is accompanied by the appearance of skin rash, itching, hives. Sometimes eczema, dermatitis, erythema multiforme develops, photosensitivity reactions appear. In rare cases, there is a sharp decrease in blood pressure, angioedema and anaphylactic reactions. Such conditions require urgent medical attention.

Side effects of the drug is pretty much, so you should not engage in self-medication. Voltaren should appoint a doctor, taking into account possible contraindications, the severity of the disease and the general condition of the patient. This approach will avoid undesirable complications. Patients should strictly follow the dosage and adhere to the recommended schedule and duration of treatment.

Feedback on the application of drugs Voltaren

Review No. 1

Several years of suffering from a severe headache. Attacks migraines literally exhausted, greatly complicated life, created problems in his personal life and work. Saw painkillers, but their effect was short-lived and soon the pain resumed.

The doctor advised to try the Voltaren candles, as a very effective anesthetic. And warned that they should be used at the first signs of an approaching attack. And really, a very good tool, quickly copes with pain, after just 10 minutes the head clears up, and the effect of the drug lasts a long time. Voltaren became my salvation.

Maria, SPB

Review No. 2

I fly my rheumatism with patches Voltaren. Well help, quickly cope with the pain, apply conveniently. Once a day, he put it on a sore spot and forgot. If the disease is strongly played out and accompanied by increased night pain and morning stiffness, the doctor additionally prescribes Voltaren tablets.

In the complex, the effectiveness of the drug increases, and the symptoms of the disease soon recede. A plaster inexpensive, is on sale in any drugstore without a prescription and very much helps or assists, saving from a pain. After treatment, the painful manifestations of rheumatism fade and may not disturb for a long time. I am grateful to this tool, with its help I can lead a habitual way of life, and not sit on the sick-list.

Vladimir, Novosibirsk

Review No. 3

Very much suffering from severe pain during menstruation. These days I could only lie, missed my studies, the pains were like spasms, sharp and strong. The usual painkillers did not help.

The gynecologist advised to be treated with Voltaren candles. I doubted whether rectal candles would help, but it turned out that my doubts were in vain. At the beginning of menstruation began to use candles according to the scheme recommended by the doctor and indeed, the pain retreated, it became much easier, I could live a normal life, and not spend these days in bed. Now this drug is constantly in my medicine cabinet.

Marina, Moscow