Diclofenac sodium is a non-steroidal anti-inflammatory drug (NSAID) used to reduce pain, reduce fever, and relieve inflammation. It works by inhibiting the production of prostaglandins, substances that play an important role in the inflammation process. It is available both over-the-counter (OTC) and by prescription.
Uses
Diclofenac sodium is used to treat a wide variety of pain and inflammation conditions. It can be used to help reduce symptoms of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and other conditions that cause pain and inflammation. It is also sometimes used to treat mild to moderate menstrual pain and headaches.
Diclofenac sodium works by inhibiting the production of prostaglandins. Prostaglandins are substances that help to regulate the inflammatory response. When prostaglandins are inhibited by diclofenac sodium, inflammation is decreased and pain is decreased.
How Long Does it Take To Work?
Most people will begin to feel the effects of diclofenac sodium within one to two hours after taking it. The full effects of diclofenac sodium can take up to several days to reach their peak.
Absorption, Route of Elimination, Dosage, Administration
Diclofenac sodium is rapidly absorbed after ingestion, and can be taken orally or administered rectally, intravenously, intramuscularly, or by injection. The elimination half-life of diclofenac sodium is 1-2 hours. The usual dose of diclofenac sodium is 25-50 mg, three or four times daily. Larger doses may be used, depending on the patient's condition.
Side Effects
Some common side effects of diclofenac sodium include stomach discomfort, nausea, vomiting, headache, water retention, fluid retention, rash, itching, dizziness, and drowsiness. Rare but serious side effects may include severe stomach or intestinal bleeding, cardiovascular issues, or kidney failure.
Toxicity
The toxicity of diclofenac sodium is low. When taken according to instructions, the risks of toxicity are minimal. However, if taken in high doses, the risk of adverse effects and toxicity increases.
Precautions
When taking diclofenac sodium, it is important to follow the instructions of your doctor or pharmacist. People with certain medical conditions should not take diclofenac sodium, such as those with heart, liver, or kidney disease. People with a history of stomach ulcers or bleeding should also avoid taking this medication.
Interactions
You should not take diclofenac sodium in combination with other NSAIDs as they can increase the risk of serious side effects. You should also not take diclofenac sodium in combination with steroids, as this may increase the risk of stomach upset and bleeding.
Disease Interactions
People with certain medical conditions should not take diclofenac sodium. These include those with heart, liver, or kidney disease, as well as people with a history of stomach ulcers or bleeding. It is especially important for people with asthma to talk to a doctor before taking diclofenac sodium, as it can worsen asthma symptoms.
Drug Interactions
Diclofenac sodium can interact with other medications and should not be taken with other NSAIDs, steroids, or blood thinners. It is important to tell your doctor or pharmacist about all medications and supplements you are taking before starting diclofenac sodium.
Food Interactions
Certain foods and beverages may interact with diclofenac sodium. Alcohol should be avoided while taking diclofenac sodium, as it may increase the risk of serious side effects.
Pregnancy Use
Diclofenac sodium should not be taken during pregnancy. It is important to talk to your doctor before taking it if you are pregnant, or thinking of becoming pregnant.
Lactation Use
Diclofenac sodium has been found to pass into breast milk and may cause side effects in a nursing infant. Therefore, it is not recommended for women who are breastfeeding to take diclofenac sodium.
Acute Overdose
An acute overdose of diclofenac sodium can be dangerous. Symptoms of an overdose may include nausea, vomiting, dizziness, confusion, sweating, and stomach pain. Seek medical help immediately if an overdose is suspected.
Contraindication
Diclofenac sodium is contraindicated in people with certain medical conditions, such as heart, liver, or kidney disease, as well as people with a history of stomach ulcers or bleeding. It is also not recommended for pregnant or breastfeeding women.
Use Direction
The usual dose of diclofenac sodium is 25-50 mg, three or four times daily. Larger doses may be used, depending on the patient's condition. The medication should be taken with food to reduce the risk of stomach upset.
Storage Condition
Diclofenac sodium should be stored in a cool, dry place, away from direct sunlight and out of reach of children. It should not be kept in the bathroom. Throw away any unused medication after the expiration date.
Volume of Distribution
The volume of distribution for diclofenac sodium is 0.98-1.83 L/kg.
Half Life
The half-life of diclofenac sodium is 1-2 hours.
Clearance
The clearance of diclofenac sodium is 0.41-0.87 L/h.
Some Frequently Asked Questions About Diclofen Gel 1% w/w
1. What is Diclofen Gel 1% w/w?
Diclofen Gel 1% w/w is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, swelling, and inflammation in various conditions like arthritis, muscle pain, and menstrual cramps.
2. How does Diclofen Gel 1% w/w work?
Diclofen Gel 1% w/w works by blocking enzymes (COX-1 and COX-2) that produce prostaglandins, which are chemicals in the body that promote inflammation, pain, and fever.
3. What conditions does Diclofen Gel 1% w/w treat?
It is commonly used to treat:
Arthritis (osteoarthritis, rheumatoid arthritis)
Musculoskeletal pain
Menstrual pain
Postoperative pain
Inflammatory conditions like ankylosing spondylitis
4. Can Diclofen Gel 1% w/w be used for headaches?
Yes, Diclofen Gel 1% w/w can be used to treat certain types of headaches, including migraines, when prescribed by a doctor.
5. What forms is Diclofen Gel 1% w/w available in?
Diclofen Gel 1% w/w is available in several forms, including:
Oral tablets
Topical gels or creams
Injection
Extended-release tablets
6. How should I take Diclofen Gel 1% w/w tablets?
Diclofen Gel 1% w/w tablets should be taken orally with food or milk to reduce stomach irritation. Always follow your doctor's instructions regarding dosage.
7. What is the usual dose of Diclofen Gel 1% w/w for adults?
The usual dose for adults is 50-75 mg two to three times a day, depending on the severity of the condition. For extended-release formulations, it is typically taken once daily.
8. Can Diclofen Gel 1% w/w be taken with food?
Yes, taking Diclofen Gel 1% w/w with food can help reduce the risk of stomach irritation or ulcers.
9. Can Diclofen Gel 1% w/w cause stomach problems?
Yes, it can cause stomach irritation, ulcers, or bleeding, especially with long-term use. It is recommended to take it with food to minimize these effects.
10. Are there any side effects associated with Diclofen Gel 1% w/w?
Common side effects of Diclofen Gel 1% w/w include:
Stomach upset
Headache
Dizziness
Rash
Increased blood pressure
11. Can Diclofen Gel 1% w/w cause liver damage?
Yes, in rare cases, Diclofen Gel 1% w/w can cause liver problems. It's important to monitor liver function during long-term use.
12. Can Diclofen Gel 1% w/w be taken during pregnancy?
Diclofen Gel 1% w/w should be avoided during pregnancy, especially in the third trimester, as it can harm the unborn baby. Always consult your doctor if you're pregnant.
13. Can Diclofen Gel 1% w/w be used while breastfeeding?
Diclofen Gel 1% w/w passes into breast milk in small amounts. Consult your doctor before using it if you're breastfeeding.
14. How long can I take Diclofen Gel 1% w/w?
The duration of Diclofen Gel 1% w/w use depends on the condition being treated. It's usually used for short-term relief of pain and inflammation, but longer use should be under a doctor's supervision.
15. Can I take Diclofen Gel 1% w/w if I have high blood pressure?
Diclofen Gel 1% w/w can raise blood pressure, so it should be used cautiously in people with hypertension. Regular monitoring of blood pressure is recommended.
16. Can I drink alcohol while taking Diclofen Gel 1% w/w?
It's best to avoid alcohol while taking Diclofen Gel 1% w/w as it can increase the risk of stomach bleeding and liver damage.
17. Can Diclofen Gel 1% w/w interact with other medications?
Yes, Diclofen Gel 1% w/w may interact with other medications, including blood thinners, certain antidepressants, and other NSAIDs. Always inform your doctor about all medications you're taking.
18. What should I do if I miss a dose of Diclofen Gel 1% w/w?
If you miss a dose, take it as soon as you remember. If it's almost time for the next dose, skip the missed dose. Do not double the dose.
19. Can Diclofen Gel 1% w/w cause an allergic reaction?
Yes, in rare cases, Diclofen Gel 1% w/w can cause allergic reactions, including rash, swelling, and difficulty breathing. Seek medical attention immediately if you experience these symptoms.
20. Is Diclofen Gel 1% w/w safe for elderly individuals?
Elderly individuals may be more sensitive to the side effects of Diclofen Gel 1% w/w, particularly the risk of stomach bleeding and kidney problems. Dosage adjustments may be necessary.
21. Can Diclofen Gel 1% w/w cause kidney problems?
Yes, long-term use of Diclofen Gel 1% w/w can cause kidney damage. Kidney function should be monitored in people taking the drug for an extended period.
22. What are the signs of a Diclofen Gel 1% w/w overdose?
Signs of an overdose may include:
Stomach pain
Nausea
Vomiting
Severe headache
Dizziness
If you suspect an overdose, seek immediate medical help.
23. Can I take Diclofen Gel 1% w/w if I have asthma?
Diclofen Gel 1% w/w should be used cautiously in people with asthma, as it can potentially trigger asthma attacks in some individuals.
24. Can Diclofen Gel 1% w/w cause dizziness?
Yes, dizziness is a possible side effect of Diclofen Gel 1% w/w, particularly when standing up quickly. If you experience dizziness, avoid activities that require full alertness.
25. Can Diclofen Gel 1% w/w be used for muscle pain?
Yes, Diclofen Gel 1% w/w is commonly used to relieve muscle pain and inflammation.
26. Is Diclofen Gel 1% w/w effective for back pain?
Yes, Diclofen Gel 1% w/w can be effective in treating back pain, especially when inflammation is present.
27. Can I apply Diclofen Gel 1% w/w gel on broken skin?
No, Diclofen Gel 1% w/w gel should not be applied to broken or irritated skin as it may cause irritation.
28. Can I take Diclofen Gel 1% w/w with other pain relievers?
It's important to avoid taking multiple NSAIDs at the same time, as this can increase the risk of side effects like stomach ulcers and bleeding.
29. Can Diclofen Gel 1% w/w cause gastrointestinal bleeding?
Yes, Diclofen Gel 1% w/w can cause gastrointestinal bleeding, especially in people with a history of ulcers or other digestive issues.
30. Does Diclofen Gel 1% w/w help with joint pain?
Yes, Diclofen Gel 1% w/w is effective in reducing pain and inflammation associated with joint conditions like arthritis.
31. How should Diclofen Gel 1% w/w be stored?
Diclofen Gel 1% w/w should be stored at room temperature, away from moisture and heat. Keep it out of reach of children.
32. Can Diclofen Gel 1% w/w be used for menstrual cramps?
Yes, Diclofen Gel 1% w/w is commonly used to treat menstrual cramps by reducing inflammation and pain.
33. Can Diclofen Gel 1% w/w cause heart problems?
Long-term use of Diclofen Gel 1% w/w may increase the risk of heart attack or stroke. It should be used with caution in people with heart disease.
34. Can Diclofen Gel 1% w/w be used for tooth pain?
Yes, Diclofen Gel 1% w/w can be used to relieve pain from toothaches and dental procedures.
35. How quickly does Diclofen Gel 1% w/w work?
Diclofen Gel 1% w/w usually starts working within 30 minutes to an hour to relieve pain and inflammation.
36. Can Diclofen Gel 1% w/w be used for gout pain?
Yes, Diclofen Gel 1% w/w can help reduce the pain and inflammation associated with gout attacks.
37. Does Diclofen Gel 1% w/w increase blood pressure?
Yes, Diclofen Gel 1% w/w can cause an increase in blood pressure, especially with long-term use.
38. Can I take Diclofen Gel 1% w/w if I have diabetes?
Diclofen Gel 1% w/w should be used with caution in people with diabetes, as it may affect kidney function and blood sugar control. Consult your doctor for advice.
39. Can Diclofen Gel 1% w/w cause weight gain?
Weight gain is not a common side effect of Diclofen Gel 1% w/w, but some individuals may experience fluid retention.
40. Can Diclofen Gel 1% w/w be used for tendonitis?
Yes, Diclofen Gel 1% w/w can be used to reduce pain and inflammation caused by tendonitis.
41. Can Diclofen Gel 1% w/w be used for fibromyalgia?
Diclofen Gel 1% w/w can be helpful in managing some of the pain and inflammation associated with fibromyalgia.
42. Can I use Diclofen Gel 1% w/w if I am allergic to aspirin?
If you are allergic to aspirin, you may also be allergic to Diclofen Gel 1% w/w, as both belong to the NSAID class of drugs. Consult your doctor before using it.
43. Is Diclofen Gel 1% w/w safe for short-term use?
Yes, Diclofen Gel 1% w/w is generally considered safe for short-term use under the supervision of a doctor.
44. Can Diclofen Gel 1% w/w cause nausea?
Yes, nausea is a common side effect, especially if Diclofen Gel 1% w/w is taken without food.
45. Can I take Diclofen Gel 1% w/w with other NSAIDs?
No, combining Diclofen Gel 1% w/w with other NSAIDs can increase the risk of side effects like stomach ulcers and bleeding.
46. Can Diclofen Gel 1% w/w cause dizziness or lightheadedness?
Yes, dizziness or lightheadedness can occur, especially when standing up quickly. It's advisable to rise slowly to avoid these symptoms.
47. Can Diclofen Gel 1% w/w be used for chronic pain?
Yes, Diclofen Gel 1% w/w can be used for managing chronic pain, but long-term use should be under a doctor's supervision.
48. Can I stop taking Diclofen Gel 1% w/w abruptly?
It is best to gradually reduce the dose of Diclofen Gel 1% w/w under your doctor's guidance if you need to stop taking it.
49. Can Diclofen Gel 1% w/w cause fluid retention?
Yes, Diclofen Gel 1% w/w can cause fluid retention, leading to swelling in the legs or ankles.
50. What should I do if I experience severe side effects from Diclofen Gel 1% w/w?
If you experience severe side effects like chest pain, difficulty breathing, or severe stomach pain, seek emergency medical attention immediately.
*** Taking medicines without doctor's advice can cause long-term problems.