Diclofenac Topical

About diclofenac topical

This belongs to the group of medicines known as Non-steroidal anti-inflammatory drugs (NSAIDs).

Diclofenac topical is used to relieve pain and inflammation in the muscles, tendons and joints, including symptoms associated with rheumatism. It works by reducing the effect of chemicals which are produced by the body as a response to inflammation.

Another form of diclofenac topical is also available for the treatment of actinic keratosis (a type of skin growth resulting from excessive sun exposure). This condition often looks like red, scaly patches on the skin.

Diclofenac used for pain and inflammation is available in gel and solution form. Brands include Pennsaid, Voltarol Emulgel and Voltarol Emulgel P. Diclofenac used for actinic keratosis is available in gel form and brands include Solaraze.

Before using diclofenac topical

Before using diclofenac make sure your doctor or pharmacist knows:

• if you are pregnant, trying for a baby or breast-feeding
• if you suffer from kidney, liver or heart problems
• if you suffer from rhinitis, asthma, or breathing problems
• if you have ever had an unusual reaction from taking aspirin, ibuprofen or any other NSAIDs
• if you have ever had or currently suffer from a stomach ulcer or bleeding
• if you have ever had a stroke or a related condition
• if you have eczema, broken skin, sores or rashes at the site of injury
• if you have ever had an allergic reaction to this or any other medicine
• if you are taking or using any other medicines, including those available to buy without a prescription, herbal or complementary medicines

Diclofenac topical is not usually recommended for use in children.

How to use diclofenac topical

• Apply diclofenac exactly as directed by your doctor or as directed in the manufacturer's information leaflet.
• Always read the manufacturer's information leaflet, if possible, before beginning treatment.
• Diclofenac should be applied thinly with gentle massage only. Hands should be washed immediately after use.
• Avoid contact with the eyes, inside the nose, on wounds and on inflamed or broken skin.
• Do not use under dressings.
• Discontinue use immediately if a rash develops.
• If you forget to apply diclofenac at your usual time, apply it as soon as you remember. However if it is almost time for your next application, skip the missed one and continue applying at the usual times. Do not apply double the amount at the same time to compensate.
• Diclofenac topical is for you. Never give it to others even if their condition appears to be the same as yours.
• Diclofenac topical is for external use only. If you suspect that you, or someone else, has swallowed diclofenac topical, go to the accident and emergency department of your local hospital at once. Always take the container with you if possible, even if empty.

Getting the most from your treatment

• Before taking or using any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take or use alongside diclofenac.
• Diclofenac may cause your skin to become more sensitive to sunlight than usual. Avoid strong sunlight and sunbeds whilst using topical diclofenac.
• Keep your regular appointment with your doctor so your progress can be checked.
• Before having any kind of surgery, including dental and emergency treatment, tell the surgeon, dentist or doctor that you are using diclofenac.

Can diclofenac topical cause problems?

Along with their useful effects, all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor if you develop itching, reddening, smarting, blistering or increased sensitivity of the skin where you have used diclofenac topical or if you experience any eye pain, infection of the eyes, stomach pains, nausea or diarrhoea.

Important: If you experience unexplained skin rash all over the body, swelling of the lips, mouth and throat, pain, blistering of the skin, or breathing problems, stop using diclofenac immediately and consult your doctor or accident and emergency department of your local hospital as soon as possible.

If you experience any other worrying side effects which you think may be due to this medicine, discuss them with your doctor or pharmacist.

How to store diclofenac topical

• Keep all medicines out of the reach of children.
• Store in a cool dry place, away from direct heat and light.
• Never keep out of date or unwanted medicines. Discard them safely by taking them to your local pharmacist who will dispose of them for you.

© EMIS and Cegedim Pharmacy Services Ltd 2006   Updated: 22/03/2006