Voltaren gel is a non-steroidal anti-inflammatory agent for external use. Additionally, the composition of the preparation, after application to the skin, allows to eliminate the symptom of pain, swelling and activates cell regeneration speeding the recovery process.
The drug, in contrast to oral medications, has a small list of contraindications and side effects. In order to achieve the desired therapeutic effect, it is important to adhere to the rules, which are described in the instructions.
The content of the article:
- 1 What is it needed for
- 2 Structure
- 3 In what form is available
- 4 pharmacodynamics
- 5 Pharmacokinetics
-
6 The use of the gel
- 6.1 For children up to 18 years
- 6.2 adult
- 6.3 For pregnant
- 6.4 for elderly
- 7 Contraindications
- 8 Overdose
- 9 Side effects
- 10 Combination with other drugs
- 11 Conditions and terms
- 12 Conditions of supply of pharmacies
- 13 analogs
- 14 Videos about Voltaren gel
What is it needed for
The gel is recommended by experts for use in the following cases:
- pain in the joints and spine different nature appearance (inflammation, injury, impaired tissue condition);
- muscle pain resulting from contusions, sprains or overvoltage tissues;
- increased development of edema or inflammation of the joints, spine or muscle tissue;
- to accelerate the resorption of hematomas;
- during surgery for pain relief and revitalization of tissue regeneration.
Voltaren also used in complex therapy for accelerating the recovery of joint or muscle tissue.
It is important Voltaren does not eliminate the causes of pain, inflammation or swelling, but only eliminates the symptoms.
Structure
Voltaren Gel (instruction manual describes the composition of the drug, by which we can determine how pronounced therapeutic effect of medication) consists of the following components:
The active ingredients and auxiliary gel | Description of the action | |
The active element | diclofenac sodium | Non-steroidal anti-inflammatory agent, anti-inflammatory and analgesic actions. Further promotes temperature reduction and prevents the increase of blood clotting. |
additional substances | Carbopol | It is a stabilizer. It gives the desired gel viscosity and fluidity. Means non-toxic and does not interact with other components. |
cetomacrogol | It is used as an emulsifier and improves absorption of the composition of the skin. | |
Tsetiol | It is used as a fat base gel. Mitigates the skin, facilitates application of the composition and its absorption, making the texture means more gentle. | |
diethylamine | A thickener and stabilizer. | |
isopropanol | Has alcohol base, is a powerful antiseptic. | |
fluid paraffin | Used for giving the desired texture of the drug. | |
cream flavor | It gives the gel a pleasant aroma, and also has antiparasitic properties due to being in the composition of benzyl benzoate. | |
propylene glycol | Used as a solvent for poorly soluble components. Additionally has analgesic and anti-inflammatory properties, its ability to draw excess moisture. | |
Distilled water | Is a solvent for making up components. |
Active ingredient (diclofenac) in the gel may contain 1% or 2%. 2% gel list auxiliaries more advanced, yet further contains:
- Oleyl alcohol. Is present as an emulsifier and contributes to mitigate the skin.
- Butylhydroxytoluene. Artificial analogue of vitamin E, an antioxidant (prevents destruction of the cells and the development of malignant tumors).
- Eucalyptus flavor. It improves the smell of the drug.
A cream flavor (which is part of a 1% gel) was absent.
In what form is available
Voltaren produced in two formulations:
- Gel. The composition contains 1% of active compound.
- Emulgel (emulsion and gel). The concentration of active substance of 2%.
The drugs have a uniform creamy white with a yellow tinge.
Packaged in aluminum or laminate tubes volume of 20.50 and 100 g
Price for the package of the drug, depending on the amount and form (in rubles.):
dosage form | Amount of agent in a tube (g) | ||
20 | 50 | 100 | |
Gel | 210 | 330 | 500 |
emulgel | 280 | 450 | 700 |
Tubes are protected by a special film, which can be open from the lid through tubes (her guest special projection for piercing and removing the film). This requires the tip to pierce the film and turn the cover.
Voltaren is also available for purchase in various dosage forms:
- Pills. They are used to address not only the joint and muscle pain, but also for menstrual, headache and toothache.
- Tablets sustained (prolonged) action. They are used for severe pain.
- Injection. Appointed physician to eliminate the severe pain or no effect on the use of oral and external funds.
- Eye drops. When an eye injury or surgery to them.
- Candles. Used in gynecology and pathology with accompanying pain in the rectum.
- Patch. It allows to achieve a longer therapeutic effect than the gel;
- Spray. Used externally, the gel when applying a complicated painful touch.
Depending on the dosage form release of diclofenac sodium concentration changes.
pharmacodynamics
Voltaren Gel (instruction manual also includes data on the effects of the drug components in the body) after application to the skin provides the following therapeutic effects:
- inhibits the action of the substances responsible for the development of inflammation, the appearance of pain and swelling;
- by eliminating inflammation, and because of the occurrence of the alcohol which has a cooling effect, the temperature drop characteristics;
- Voltaren Gel is not antipyretic;
- increases joint mobility, if the restriction was due to pain, inflammation, or swelling;
- normalized regeneration of cells, which promotes acceleration of tissue repair;
- mitigates and hydration of the epidermis due to its ability to retain moisture.
The action of the components has been gradual. Initially pain symptom is eliminated, then the temperature is reduced and finally reduced the severity of inflammation and edema.
Pharmacokinetics
The gel is allowed for external use only. The percentage of absorption of the drug by skin depends on the area of application means of gel layer thickness and the bandwidth of the epidermis. The use of occlusive (moisture-proof) dressing does not affect the absorption of the composition, but can increase the efficiency of Voltaren Gel 2 times.
After the suction means of the skin, its concentration in the blood, the lymphatic system, and joint tissues is observed not more than 6%. The main quantity of the active substance penetrates the blood plasma (99%), and further concentrated at sites of inflammation and tissue damage.
Active component is subjected to a metabolic process (mastering components to form decomposition products) and excreted from the body mainly by the kidneys.
The therapeutic effect was 15 minutes after applying the gel and can persist for up to 3 hours. During this time, most of the drug leaves the body in the urine. The remainder of the output during the day with stool. Voltaren Gel allocated ease of application, speed of absorption composition and persistent therapeutic effect after passing through the treatment course.
The use of the gel
Voltaren Gel (instruction for use describes the rules of application of the drug to the skin depending on the age, pathology and existing chronic conditions) you want to use, respecting the basic rules and nuances of the application:
- gel processing area must be clean and dry;
- composition applied to the skin without a light massage compressions;
- means not applied to healthy parts of the epidermis;
- after using the gel are well wash arm;
- If the gel is soaked for 15 minutes, remove the remains using a tissue or cotton pad;
- adhere to equal time intervals between the gel coats (especially when the active agent concentration 2%);
- not apply the gel a long time (more than specified in the instructions or determined by a doctor).
To enhance the effectiveness and extension of the funds approved for use bintovyh dressings.
For children up to 18 years
In children (from 12 to 18 years), the gel is used to reduce the dosage. It recommended consultation with a pediatrician for the selection of individual treatment.
remedy does not apply to 12 years.
Terms of use of funds, depending on the type of pathology:
The purpose of using the gel | The concentration of active substance in the gel | Rules applying composition | duration of use |
Inflammation in the joints or spine | 1% | Apply to 2 g of gel 2 times a day. | The course of treatment 7-10 days. |
The trauma of the spine or joints | 1% | Use 1-2 g of 2 means twice a day. | Prior to tissue repair, but not more than 14 days. |
Wear articular tissues or vertebral | 1% | Apply 2 g of 3-4 times a day. | The duration of treatment is chosen individually. |
Bruising muscle tissue | 1% | Apply the gel on 1-2 g of 2 times a day. | The course of 5-10 days. |
Stretching of soft tissues | 1% | Use of 1 g of 2 means twice a day. | Duration of therapy to 7 days. |
overstrain muscles | 1% | Is assigned to 1 g of the drug 1-2 times a day | Use 2-3 days. |
hematoma | 1% | 1 g of gel applied 1 time a day at bedtime. | Apply no more than 5 days. |
The postoperative period | 1% | Dosage and duration of use of the means chosen strictly individually. |
It is important in childhood at course using the gel state is necessary to more closely monitor the child, as the probability of adverse reactions higher than that of adults. In connection with this use bandage or gel with a concentration of active substance of 2%, it is not recommended.
adult
In the absence of chronic diseases Voltaren Gel is used in the following dosages:
The purpose of using the gel | The concentration of active substance in the gel | Rules applying composition | duration of use | notes |
Inflammation in the joints or spine | 1% | Apply to 2 g of gel, 3-4 times a day. | The duration of the application of the means of 10-14 days. | Voltaren is used in treatment. It is important to consider the interaction of medications. |
2% | Use 2 g means 2 times during the day. | Use the gel for 7-10 days. | ||
The trauma of the spine or joints | 1% | Applicable gel 2 g, 2 times a day. | This course is available to repair tissue but not more than 20 days. | The gel is allowed to use in the absence of disturbances of skin integrity resulting from trauma. |
2% | The composition applied to 1 g of 1-2 times per day. | Duration of treatment is not more than 14 days. | ||
Wear articular tissues or vertebral | 1% | Assigned 2-4 g of the drug 3-4 times a day | Voltaren should be applied 14-20 days. | With the doctor's permission can be applied bandage at night. |
2% | Apply the gel on 2-4 g of 2 times a day. | Course duration of 10-14 days. | ||
Bruising muscle tissue | 1% | Use of 2 g of 3 times a day. | The course of treatment 7-10 days. | The dosage can be adjusted by a physician depending on the degree of tissue damage. |
2% | Use of 1 g of 2 means twice a day. | Duration of treatment 5-7 days. | ||
Stretching of soft tissues | 1% | Apply the gel to 2 g of 2 times during the day. | Means use of 5-10 days. | The period of treatment is required to comply with rest the injured limb. |
2% | Ingredients used for 1 g, 2 times during the day. | The course of 5-7 days. | ||
overstrain muscles | 1% | The means used for 2 g 1-2 times a day | Enough of applications for 2 days. | Use Voltaren only when strongly expressed pain. |
2% | Apply the gel to 1 g of 2 times during the day. | |||
hematoma | 1% | The composition applied to the hematoma 1 time per day to 2 g in the evening. | Before elimination of bruises, but no more than 7 days. | Do not apply the gel if there are scratches and other violations of the integrity of the epidermis. |
2% | Use of 1 g of gel 1 time per day. | |||
The postoperative period | 1% | Is assigned by means of 2 g of 2 times during the day. | The duration of application of the gel for 3-5 days. | Voltaren should not be applied to the suture site. |
2% | The gel was applied to 1 g of 2 times a day. |
Adjustment of treatment is possible only by the attending specialist. Self not only will not give the desired effect, but may intensify side effects.
For pregnant
During childbearing use gel can only be prescribed by a doctor. In the 3rd trimester Voltaren is not used because of the negative impact on the tone of the uterus and the possible development of the pathology of the fetus.
If you must use the means to resolve the following dosage:
The purpose of using the gel | The concentration of active substance in the gel | Rules applying composition | duration of use |
Inflammation in the joints or spine | 1% | Is assigned by means of 2 g 2-3 times a day. | The course of 7-10 days. |
The trauma of the spine or joints | 1% | Apply the gel on 1-2 g of 1-2 times a day. | The duration of treatment 10-14 days. |
Wear articular tissues or vertebral | 1% | Use of 3 g of the drug 3 times a day. | The duration of therapy to 14 days. With the doctor's permission to use Voltaren possible up to 20 days. |
Bruising muscle tissue | 1% | Use of 2 g of gel 2 times a day. | Before elimination of symptoms, but not more than 10 days. |
Stretching of soft tissues | 1% | Is assigned by means of 2 g 1-2 times a day | The course of 3-5 days. |
overstrain muscles | 1% | ||
hematoma | 1% | Apply 1 g of the drug 1-2 times a day. | Prior to resorption of hematoma, but no more than 1 week. |
Occlusive dressings and gel concentrations 2% of active element is not used.
During breastfeeding Voltaren is not assigned or the period of treatment is required to temporarily relocate the child on artificial feeding.
for elderly
Due to the aging of the organism and metabolic disorders to use the gel after 60 years it is allowed only under the supervision of the attending specialist.
In the absence of an individual course assignment, use the following dosage:
The purpose of using the gel | The concentration of active substance in the gel | Rules applying composition | duration of use |
Inflammation in the joints or spine | 1% | Assigned to 2 grams 3 times per day. | Duration of treatment 1-2 weeks. |
The trauma of the spine or joints | 1% | Apply the gel on 1-2 g of 2 times a day. | The course of 1-3 weeks. |
Wear articular tissues or vertebral | 1% | Apply 2-3 g of the drug three times a day. | The duration of 14-20 days. |
Bruising muscle tissue | 1% | Use of 2 g of 2 means twice a day. | Duration of therapy to 7 days. |
Stretching of soft tissues | 1% | Assigned to 2 g of gel 1-2 times a day. | The course is 1 week. |
overstrain muscles | 1% | Apply 1-2 g of the drug 1-2 times a day. | Duration of 5-7 days. |
hematoma | 1% | Apply the product 1 g 1-2 times a day. | Use Voltaren 3-5 days. |
The postoperative period | 1% | Assigned to 2 g of gel 1-2 times a day. | The duration of use is chosen individually. |
In old age, in childhood and during the childbearing is particularly important to adhere to the assigned dose and rate in order to avoid occurrence of adverse reactions.
Importantly, the table shows the average dosage of the drug. When using the gel for therapeutic purposes and the use of foreign exchange, required medical consultation.
Contraindications
Voltaren Gel should not be used in the presence of contraindications, which are described in the instructions:
- gel intolerance or allergy to the components thereof;
- scratches, abrasions or abscesses at the site of application composition;
- due to the presence in the composition of propylene glycol used with occlusive bandage over the gel is prohibited. There is a growing irritation of the skin;
- pain in the muscles and joints of unknown nature;
- dermatological diseases, especially infectious nature;
- the presence of cancer formations;
- 3 trimester of pregnancy;
- Children up to age 12 years.
Precautions should apply the gel on the skin in the following cases:
- 1 and 2 trimester of pregnancy;
- lactation;
- after the age of 60 years;
- asthma and chronic rhinitis;
- violation of blood coagulation;
- disruption of the cardiovascular system;
- liver and kidney pathology in acute stage.
The gel should not be consumed orally and should be avoided by applying the composition of contact with mucous membranes. With the passage of a course of therapy with the gel vehicle driving and dangerous work is carried out without restrictions.
Overdose
When used correctly overdose gel composition was not observed even after prolonged use at high doses.
If you accidentally use the drug orally may:
- dizziness and headaches;
- diarrhea and vomiting;
- lowering the pressure indicator;
- respiratory failure;
- convulsions due to lack of oxygen;
- stomach ache.
In this case it requires immediate gastric lavage with subsequent application of sorbents (activated carbon, Polysorb). Apparatus blood purification is not effective due to the binding of the active substance to plasma proteins. If you feel unwell, you must call the emergency care.
Side effects
Voltaren Gel (instruction manual describes the possible adverse reaction after application to the skin) in rare cases, can cause:
- rash, swelling and peeling of the epidermis;
- exacerbation of dermatological diseases;
- slight burning sensation;
- weak headaches and dizziness;
- bronchospasm and shortness of breath;
- increased sensitivity to UV light.
The presence of these symptoms requires the abolition of the use of the gel and its replacement by analogs.
Combination with other drugs
When using the gel in the complex treatment is necessary to consider its compatibility with other medicines:
- You can not use Voltaren gel and other drugs that increase sensitivity to UV light;
- the simultaneous use of other drugs on the basis of diclofenac increases the likelihood of side effects;
- Voltaren may decrease the effectiveness of diuretic drugs;
- gel and blood thinners can provoke bleeding.
If necessary, the use of other medications required to withstand the external time interval at least 3 hours between coats.
Conditions and terms
Voltaren Gel (instruction manual contains information about the rules of storage of the drug) stores texture and therapeutic properties during storage at a temperature of 4-30 degrees in the dark place. When these conditions are met means a shelf life of 3 years. After opening the tube product must be used within 6 months.
Conditions of supply of pharmacies
Voltaren can be purchased at a pharmacy without a prescription. It is important to clarify just a pharmacist with a concentration of active ingredient required to gel.
analogs
When the components of the drug intolerance or contraindications Voltaren Gel can be replaced with the following analogy:
The name of the drug and the dosage form of release | The active substance and its therapeutic effect | Terms of use | Contraindications and side effects |
Debt (cream, gel) | The active substance ibuprofen, has anti-edematous, anti-inflammatory and analgesic effects. | Means required to apply on the skin strips no more than 10 cm 3-4 times a day. The duration of use is chosen individually. | In the presence of dermatological pathologies, use the tool is prohibited during pregnancy and up to the 12 months of the child. Treatment in rare cases can cause bronchospasm, burning sensation, and allergic reactions. |
Indomethacin (gel and ointment) | Main indomethacin substance eliminates fever, pain and inflammation development. | The means required to apply at 2-4 g, 3-4 times a day. The course selected individually. | The facility has a large list of contraindications and side effects which need to be read before use. |
Naiz (gel) | The active ingredient nimesulide has anti-inflammatory and analgesic properties. | Naiz required applied to the skin strips 3 cm 2-3 times a day for 10 days. | Contraindications to the facility and the side effects are similar to Voltaren gel. But the probability of a negative reaction from nimesulide in 2 times lower than that of diclofenac. |
Ketonal (gel, cream) | The active agent, ketoprofen, helps to reduce pain, inflammation and swelling. | Applied to the skin up to 5 cm means 2-3 times a day. Course duration is assigned individually. | During exacerbation of asthma and liver and kidney abnormalities agent is not used. Therapy can cause the development of allergic reactions. |
Fastum gel (gel) | The main component of ketoprofen has anti-inflammatory and analgesic effect. | Dina gel strip 3-4 cm applied 2 times a day for 10-14 days. | 12 years old, as well as during pregnancy and in the presence of dermatological diseases means not assigned. Using the gel may cause allergic reactions. |
Voltaren has a pronounced local analgesic, decongestant and anti-inflammatory action. Depending on the severity of pain can select gel with a concentration of active substance of 1% or 2%.
It is important Voltaren 2% is not recommended to use in children and the elderly. The effectiveness of the drug is dependent on compliance with the rules of application and the course described in the instructions.
Author: Svetlana Kotlyachkova
Registration of the article: Mila Friedan
Videos about Voltaren gel
Instructions for use Voltaren: