Voltaren

Voltaren Gel is a type of nonsteroidal anti-inflammatory drug (NSAID) formulated explicitly for topical application. Made to treat pain and inflammation associated with osteoarthritis and minor injuries, it is particularly effective for areas like the knees, ankles, feet, hands, wrists, and elbows. Voltaren Gel works by inhibiting the cyclooxygenase (COX) enzymes, significantly reducing the production of prostaglandins involved in the inflammation process. This targeted approach ensures effective relief directly at the site of discomfort while minimizing systemic exposure and potential side effects. Recommended dosages for the treatment of osteoarthritis include applying 4 grams of the gel to larger joints and 2 grams to smaller ones up to four times daily. Users should use the gel to clean dry skin and avoid heat or direct sunlight exposure after application. While Voltaren Gel is safe for many, it carries risks typical of NSAIDs and should be used under a doctor’s guidance, especially by those with underlying health conditions.

Voltaren Gel (diclofenac sodium topical gel) is a highly effective medication to treat pain associated with osteoarthritis, minor injuries, and other inflammatory conditions. It is available as a 1% gel applied directly to the affected area, providing targeted pain relief by reducing inflammation. Voltaren Gel is suitable for application on joints such as the knees, hands, wrists, feet, ankles, and elbows. For managing osteoarthritis pain, the recommended dosage involves applying 4 grams of the gel to areas like the knees, ankles, or feet and 2 grams to smaller areas such as hands, wrists, or elbows four times daily. This regimen ensures sustained relief throughout the day. A dosing card accompanies the gel to ensure accurate application.

Simply apply the Voltaren gel to clean, dry skin and gently rub it in to promote absorption. It is crucial to avoid covering the treated areas with clothing or bandages immediately after application and to avoid exposure to heat or sunlight. Hands should be washed after application unless they are treated at the site. Voltaren Gel operates by inhibiting the cyclooxygenase (COX) enzymes, which are crucial in the prostaglandin synthesis pathway, thereby lowering the production of inflammatory mediators in the body. This mechanism alleviates pain and diminishes inflammation directly at the source.

While generally safe for topical use, Voltaren Gel can result in side effects like skin irritation or increased sensitivity to sunlight. It is also associated with potential risks similar to other NSAIDs, such as gastrointestinal issues or rare cardiovascular events. It should be used cautiously under medical advice, especially in individuals with existing health concerns. Alternatives to Voltaren Gel include other topical treatments such as Pennsaid, Solaraze, and Flector Patch, as well as different formulations like creams and patches from brands like Aspercreme, Bengay, and Icy Hot, which offer varied methods of pain relief depending on patient needs and preferences.

Voltaren gel is used for:

• Osteoarthritis Pain Relief
• Acute Pain from Minor Injuries
• Other Inflammatory Conditions

Forms & Strengths of Voltaren Gel?

Voltaren Gel is available in the following forms and strengths, primarily designed for topical use to ease pain and inflammation:

• Topical Gel
  • 1% Gel
• Topical Patch and Solution

What Are the Recommended Dosage of Voltaren Gel?

When you consider Voltaren gel for adults to treat Osteoarthritis, follow these guidelines:

For Osteoarthritis

• Knees, Ankles, or Feet: Apply 4 grams of the gel to the affected area four times daily.
• Hands, Wrists, or Elbows: Apply 2 grams of the gel to the affected area four times daily.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

To use Voltaren Gel effectively and safely, follow these steps:

• Read the medication guide & patient instructions for use provided by your pharmacist before using diclofenac each time you get a refill.
• If you have queries, ask your doctor or pharmacist.
• Use the dosing card(s) offered with the medication to measure the correct dose.
• Place the dosing card flat on a surface and squeeze a line of the medication onto the card, following the marks to measure the prescribed Voltaren Gel dose.
• Gently rub the gel into the affected joint as directed by your healthcare professional, typically 4 times daily.
• You may use the dosing card to apply the gel.
• Do not apply to skin that is cut, infected, or has rashes.
• If reusing the dosing card, rinse and dry it after each use.
• When discarding the dosing card, fold it in half with the medication side inside and dispose of it safely, out of reach of children & pets.
• Wash your hands after applying the Voltaren gel unless you are treating your hands.
• Do not shower, bathe, or wash the treated areas for at least one hour after applying the gel.
• Wait at least 10 minutes prior to covering the treated area with gloves or clothing.
• Do not bandage, wrap, or apply heat (e.g., heating pad) to the treated area.
• Do not apply more than 16 gm of diclofenac per day to any single joint of the lower body (e.g., knee, ankle, foot).
• Do not apply more than 8 gm of diclofenac per day to any single joint of the upper body (e.g., hand, wrist, elbow).
• The amount of diclofenac applied to all affected areas should not exceed 32 grams daily.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

Voltaren Gel works by inhibiting the enzyme cyclooxygenase (COX), which is involved in the production of prostaglandins. Prostaglandins are substances in the body that are crucial in inflammation and pain signaling. By blocking the COX enzymes, Voltaren Gel reduces the levels of prostaglandins, leading to decreased inflammation and pain in the treated area. This makes it particularly effective for treating local symptoms of osteoarthritis, such as pain and inflammation in the joints, because its action is localized, targeting only the area where the gel is applied. This localized effect minimizes the systemic absorption and side effects typically associated with oral nonsteroidal anti-inflammatory drugs (NSAIDs).

Common Side Effects of Voltaren Gel: Voltaren Gel is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation. Here are some of the common side effects associated with its use:

• Skin Reactions: One of the most frequently reported side effects of Voltaren Gel is skin reactions. Since the Voltaren gel is applied directly to the skin, it can sometimes cause irritation. Common skin-related side effects include:
• Rash: A red, raised rash may develop at the application site or area, especially if you have sensitive skin or a past of allergic reactions.
• Itching: Some users may experience itching, ranging from mild to moderate discomfort.
• Dryness and Redness: Voltaren Gel may cause the skin to feel dry, tight, or red in the area where it’s applied. These signs are generally mild and tend to disappear once the gel is discontinued.
• Scaling: In some instances, the skin may peel or flake after using Voltaren Gel for some time, especially in areas where the skin is already compromised.
• Increased Sensitivity to Sunlight: Voltaren Gel can make your body’s skin more sensitive to the sun’s rays, increasing the risk of sunburn. While using the product, it’s important to take precautions, such as avoiding direct sunlight or wearing sunscreen.
• Gastrointestinal Issues: Voltaren Gel is generally considered safe when used as directed, but some users may experience gastrointestinal side effects. This includes:
• • • Stomach Pain or Discomfort: When you use Voltaren for pain relief, this can cause you stomach pain or discomfort. Some people might experience this sensation shortly after applying the gel, particularly in individuals with sensitive stomachs or gastrointestinal issues. It is important to pay attention to how your body responds to the medication, especially when applying it for specific pain relief, such as Voltaren gel dosage for knee pain or back pain.
• Nausea: Nausea is another gastrointestinal side effect associated with Voltaren Gel use. While it is less common, some users feel queasy or lightheaded after applying the gel. Always follow the prescribed Voltaren gel dosage for adults, and if the nausea persists, speak to your doctor for further guidance.
• Diarrhea: Some individuals might experience an upset stomach, which could lead to diarrhea. This side effect may be more noticeable if Voltaren gel is applied in larger quantities or over extended periods.
• Neurological Side Effects: When using Voltaren Gel, some individuals may experience neurological side effects, which are typically mild but can still be concerning. This includes:
• • • Headache: Headache is a possible side effect when using Voltaren Gel. While not everyone will experience headaches, it is important to be aware of this potential side effect. If you notice headaches after applying the gel, it may be worth monitoring the frequency and severity.
• Dizziness: Another possible neurological side effect is dizziness. This sensation of lightheadedness or a spinning feeling can occur shortly after applying the gel, although it is less common. If you experience dizziness while using Voltaren Gel, avoiding activities that could put you at risk for injury is important. 
• Increased Blood Pressure: Voltaren Gel can, in some cases, increase blood pressure. If you have a history of high blood pressure, it is important to monitor it regularly while using this medication.
• Fluid Retention: Fluid retention may occur as a side effect of Voltaren Gel. This can lead to swelling in some body regions, especially the feet and ankles. If you experience unusual swelling, consult your healthcare provider.
• Burning Sensation at the Application Site: Some individuals may experience a mild warming or burning sensation where the gel is applied. This is usually temporary and goes away after a short time. If the sensation persists or becomes bothersome, it’s advisable to discontinue use & consult a doctor.

Serious Side Effects of Voltaren Gel: Voltaren Gel is generally well tolerated, but like all medications, it can cause serious side effects in some people. It’s important to be aware of these potential risks and seek immediate medical attention if they occur. Here are the severe side effects associated with Voltaren Gel:

• • Cardiovascular Problems: The use of Voltaren Gel can significantly increase the chance of serious cardiovascular events, including heart attack, stroke, and other potentially fatal conditions. The risk of these events is higher with prolonged use of the medication, especially in individuals with existing cardiovascular disease or those who have risk factors like diabetes, hypertension, or high cholesterol. Patients using Voltaren Gel should be monitored closely for any signs of cardiovascular issues, and its use should be limited to the shortest duration necessary to manage symptoms.
• Gastrointestinal Issues: Voltaren Gel can cause severe gastrointestinal problems, including bleeding, ulcers, and perforation of the stomach or intestines, which can be fatal. These complications can occur without warning symptoms, making it essential for users to be vigilant for any signs of gastrointestinal distress, such as black or bloody stools, stomach pain, or vomiting blood. The risk of these issues may be heightened with long-term use, a history of gastrointestinal disorders, or concurrent use with other medications that affect the stomach lining.
• Hepatic Reactions: Voltaren Gel can cause liver toxicity, leading to conditions such as hepatitis, jaundice, or even liver failure. Symptoms of liver dysfunction may include nausea, fatigue, lethargy, itching, tenderness in the right upper quadrant of the abdomen, yellowing of the skin or eyes, and flu-like symptoms. Liver function should be monitored regularly, especially in patients with pre-existing liver conditions or those using Voltaren Gel for extended periods.
• Renal Toxicity: Voltaren Gel, when absorbed into the bloodstream, may lead to renal toxicity, potentially causing acute renal failure. This side effect is more likely to occur in dehydrated individuals, have pre-existing kidney conditions, or are concurrently taking medications that impact renal function. Kidney damage can result in a reduced ability to filter waste products, leading to dangerous imbalances in the body’s electrolytes and fluids.
• Severe Allergic Reactions: In rare cases, individuals might experience severe allergic reactions to Voltaren Gel, even without prior exposure to diclofenac. Anaphylactic reactions can occur, presenting symptoms such as swelling of the throat or face, difficulty breathing, hives, and chest pain. These reactions may require immediate medical intervention, as they could be life-threatening if not treated quickly.
• Skin Reactions: Serious skin reactions associated with Voltaren Gel include exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN). These rare but severe reactions cause widespread skin peeling, blistering, and painful rashes. SJS and TEN can lead to life-threatening complications, such as infections and organ failure, requiring urgent medical attention and potentially discontinuation of the medication.
• Respiratory Issues: Voltaren Gel, a topical anti-inflammatory medication, can lead to respiratory issues, especially in patients with a history of asthma or those who are sensitive to aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs). These individuals may experience exacerbated asthma signs, like wheezing, shortness of breath, or chest tightness. In more severe cases, this could trigger an asthma attack or make it more difficult for the person to breathe, which can be particularly concerning for individuals with pre-existing respiratory conditions.

[Note: These are not all the possible serious side effects of Voltaren Gel. If you experience any side effects that seem severe or concerning, it is essential to contact your healthcare provider immediately. Regular monitoring and prompt reporting of side effects can help manage risks associated with this medication.]

When you buy Voltaren online, it’s important to be aware of possible risks, especially for certain individuals. If you have concerns about using the medication, discussing these with your doctor or pharmacist is crucial.

• Heart Risks: Diclofenac sodium topical gel can increase the risk of serious cardiovascular events like heart attacks or strokes. This risk is higher if you have a history of heart issues, use the gel in high doses or for prolonged periods, or have undergone heart bypass surgery. Use the lowest effective dose for the shortest duration possible. Seek immediate medical attention if you experience symptoms such as chest pain or difficulty breathing.
• Gastrointestinal Risks: The gel can cause ulcers and stomach bleeding, mainly if used in combination with other NSAIDs, corticosteroids, blood thinners, SSRIs, or if you regularly consume alcohol or smoke. Symptoms might include blood in vomit or stools that resemble coffee grounds. Utilize the minimal effective dose for the shortest time necessary to reduce risks.
• Liver Health: Rarely, the gel can cause severe liver damage. Symptoms might not be apparent, but if you experience unusual fatigue, nausea, yellowing of the skin or eyes, or dark urine, discontinue use and consult your healthcare provider immediately.
• Renal Health: Using diclofenac sodium topical gel can adversely affect kidney function, particularly in conjunction with certain medications like ACE inhibitors or in patients with existing kidney, liver, or heart conditions. Inform your doctor if changes in urination patterns occur.
• Blood Pressure and Fluid Retention: The gel can elevate blood pressure and cause fluid retention, leading to swelling and worsening hypertension or heart failure. Monitor your blood pressure regularly, and avoid the gel if you have severe heart failure.
• High Potassium Levels: The medication can cause hyperkalemia, which can be dangerous. Symptoms include nausea, muscle weakness, and tingling sensations. Report these symptoms to your healthcare provider promptly.
• Asthma and Allergic Reactions: Diclofenac sodium topical gel may trigger severe asthma attacks or other allergic reactions, especially in individuals allergic to aspirin or other NSAIDs. Seek emergency help if you experience difficulty breathing or facial swelling.
• Pregnancy: The gel can harm an unborn baby when used during the second and third trimesters by reducing amniotic fluid and causing renal or cardiac issues in the fetus. Discuss potential risks with your healthcare provider if you are pregnant or planning to become pregnant.
• Severe Skin Reactions: There is a risk of serious skin reactions with symptoms including widespread rashes, peeling, and painful blisters. Discontinue use and seek immediate medical assistance if you experience these symptoms.

What Are the FDA Boxed Warning for Voltaren Gel?

Voltaren Gel carries an FDA-boxed warning, the strongest warning the FDA requires. It highlights potential serious risks associated with the drug. The boxed warning for Voltaren Gel emphasizes the following risks:

• Cardiovascular Risk: Non-steroidal anti-inflammatory drugs (NSAIDs), including diclofenac, which is the active ingredient in Voltaren Gel, may increase the risk of serious cardiovascular thrombotic events, such as myocardial infarction and stroke. This risk may occur early in treatment and may increase with duration of use.
• Gastrointestinal Risk: NSAIDs, including diclofenac, may cause an increased risk of serious gastrointestinal adverse events, including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms.

When using Voltaren Gel, it’s essential to consider several precautions to ensure safe and effective use. Here are critical precautions associated with Voltaren Gel:

• Avoid Certain Conditions: Voltaren Gel should not be used in individuals who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs. Severe, rarely fatal, anaphylactic reactions to NSAIDs have been reported in such individuals.
• Gastrointestinal Risks: Although less systemic exposure occurs with topical administration compared to oral NSAIDs, there is still a risk of causing severe gastrointestinal events such as bleeding, ulceration, and perforation.
• Cardiovascular Risks: As with other NSAIDs, Voltaren Gel may increase the risk of heart attack or stroke, which can be fatal. This risk may increase with more prolonged use of the drug and in people who have heart disease.
• Skin Reactions: NSAIDs, including Voltaren Gel, can cause severe skin adverse reactions such as exfoliative dermatitis, Stevens-Johnson Syndrome (SJS), and toxic epidermal necrolysis (TEN), which can be fatal. These serious events may occur without warning.
• Hepatic Effects: Elevations in liver enzymes can occur. Severe hepatic reactions, including jaundice and cases of fatal hepatitis, have been reported with NSAID use.
• Renal Toxicity: Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury. Caution should be used when initiating treatment with Voltaren Gel in patients with considerable dehydration or pre-existing renal failure.
• Pregnancy: Use of NSAIDs, including Voltaren Gel, during the third trimester of pregnancy increases the risk of premature closure of the fetal ductus arteriosus.
• Photosensitivity: Diclofenac has been associated with cases of photosensitivity. Patients should limit exposure to sunlight and artificial UV rays while using Voltaren Gel.
• Pediatric Use: The safety and effectiveness of Voltaren Gel in pediatric patients have not been established.
• Elderly Patients: Elderly patients are at greater risk for serious gastrointestinal, cardiovascular, and renal adverse events.

Voltaren Gel has several contraindications. You should not use it if you have:

• Known hypersensitivity to diclofenac or any other component of the formulation or to aspirin or other NSAIDs.
• History of asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs. Severe, rarely fatal, anaphylactic-like responses to NSAIDs have been reported in such cases.
• During the peri-operative period in the setting of coronary artery bypass graft (CABG) surgery.
• In the third trimester of pregnancy, like other NSAIDs, Voltaren Gel may cause premature closure of the ductus arteriosus.
• Active gastrointestinal bleeding, ulceration, or inflammatory bowel disease: Topical diclofenac has been associated with localized skin reactions and could theoretically exacerbate gastrointestinal conditions when absorbed systemically.
• Severe hepatic impairment, the drug might exacerbate liver conditions.

If you miss a dose of Voltaren Gel, apply it as soon as you remember. However, if it is almost time for your next scheduled application, skip the missed dose and continue with your regular dosing schedule. Do not apply a double dose to make up for a missed one.

[Note: If you have missed a medication dose and are unsure regarding the next one, immediately consult your doctor or pharmacist.]

If you use too much Voltaren Gel, you might increase your risk of side effects. While systemic absorption is lower than with oral diclofenac, excessive or prolonged use can still lead to issues typically associated with NSAIDs. These include gastrointestinal problems such as stomach pain, heartburn, nausea, and, more rarely, kidney problems, liver damage, or severe heart issues. In case of significant overuse, you should contact a healthcare provider or poison control center to understand the necessary actions, especially if you experience any adverse symptoms.

[Note: If you consumed more than the recommended dose, get medical help immediately or call the Poison Help line at 1-800-222-1222.]

When you order Voltaren gel, consider these guidelines to store this:

• Store Voltaren Gel at room temperature, ideally between 20°C to 25°C (68°F to 77°F).
• Do not freeze the gel. Keep it in a location where the temperature remains consistent and does not drop to freezing levels.
• Store the gel away from direct sunlight to prevent degradation of the active ingredients.
• Ensure the cap is securely closed after each use to prevent the gel from drying out and to maintain its efficacy.
• Keep the gel out of reach of children and pets to prevent accidental ingestion or contact.
• Do not use the gel beyond the expiry date stated on the packaging. The expired gel may not be effective and should be disposed of properly.

[Note: Discuss with your healthcare professional the proper disposal of unused medicine and any questions you may have regarding its storage.]

Voltaren Gel can interact with certain medications, particularly those that affect renal function or increase the risk of bleeding. Here are some key interactions to be aware of:

• Anticoagulants and Antiplatelet Drugs: Such as warfarin, aspirin, and clopidogrel. Using Voltaren Gel with these medications can increase the risk of bleeding.
• Other NSAIDs: Including oral diclofenac, ibuprofen, and naproxen. Concurrent use with other NSAIDs can increase the risk of gastrointestinal ulcers or bleeding and may also lead to increased systemic exposure to diclofenac.
• Corticosteroids: Such as prednisone. Combined use can increase the risk of gastrointestinal side effects like ulcers and bleeding.
• Selective Serotonin Reuptake Inhibitors (SSRIs) and Serotonin Norepinephrine Reuptake Inhibitors (SNRIs): Medications such as fluoxetine and venlafaxine may increase the risk of gastrointestinal bleeding when used with Voltaren Gel.
• ACE Inhibitors and ARBs: Such as lisinopril or losartan. Voltaren Gel can reduce the effectiveness of these drugs used to treat high blood pressure and may also worsen renal function.
• Diuretics: Concurrent use with diuretics like furosemide or hydrochlorothiazide can affect renal function and decrease the diuretic effect.
• Cyclosporine and Lithium: Voltaren Gel can increase the plasma concentration of these drugs, leading to potential toxicity.

What Are the Other Voltaren Gel Interactions?

Voltaren Gel, which contains diclofenac, is used primarily to treat pain and inflammation associated with conditions like osteoarthritis. Here are some alternatives that may be considered depending on the specific needs and medical advice:

• Ibuprofen Gel: Similar to Voltaren, it’s applied topically and reduces inflammation and pain.
• Menthol Creams: These provide a cooling sensation to help soothe sore muscles and joints.
• Capsaicin Cream: Derived from chili peppers, it reduces the intensity of pain signals through the skin.
• Aspercreme: Contains trolamine salicylate and is used to temporarily relieve joint and muscle pain.
• Biofreeze: A gel that uses menthol to cool the pain, popular among athletes.
• CBD Creams: Known for anti-inflammatory properties without psychoactive effects.
• Tiger Balm: A blend of herbal ingredients relieving muscle and joint pain.
• Salonpas Patches: Adhesive patches that contain methyl salicylate and menthol for pain relief.
• Penetrex Cream: Often used for arthritis-related inflammation and soft tissue pain.
• Alcohol: Daily consumption of alcohol can irritate the stomach lining and enhance the likelihood of gastrointestinal issues, such as ulcers or bleeding. When combined with Voltaren Gel, this risk is amplified, as NSAIDs like Voltaren can also cause stomach irritation and interfere with the normal protective mechanisms of the stomach lining. Therefore, it’s advisable to limit your alcohol intake to reduce the potential for stomach bleeding or ulcers.
• Tobacco: Smoking is another risk factor that can exacerbate stomach problems. Nicotine and other chemicals in tobacco can impair the blood flow to the stomach lining, making it more susceptible to irritation and damage. This, when combined with Voltaren Gel, can significantly increase the chances of gastrointestinal bleeding.

[Note: It’s important to discuss all your current medications, including over-the-counter drugs and supplements, with your healthcare provider to manage any potential interactions effectively when using Voltaren Gel.]

Several other options are available if you’re looking for alternatives to Voltaren for pain relief. Here are some commonly recommended alternatives:

• Pennsaid (diclofenac sodium topical solution)
• Solaraze (diclofenac sodium topical gel)
• Flector Patch (diclofenac epolamine topical patch)
• Lidoderm (lidocaine patch)
• Aspercreme (trolamine salicylate cream)
• Bengay (methyl salicylate + menthol cream)
• Icy Hot (menthol + methyl salicylate cream)
• Capzasin (capsaicin cream)

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

Voltaren Gel is an effective treatment for joint pain associated with osteoarthritis, but its high retail prices in the US can be a burden for many patients. Voltaren Gel’s price can vary significantly depending on the retailer, making it difficult for some individuals to afford long-term treatment. US residents can consider purchasing Voltaren Gel from Canadian pharmacies for more affordable options for more affordable options. Polar Bear Meds is a reputable provider known for its competitive pricing. By using the coupon code “WELCOMEPB10” at checkout, customers can receive up to a 10% discount on their first order. Additionally, our referral program offers further savings, including a free coupon for future purchases. Secure your supply of Voltaren Gel from Canada and enjoy substantial cost savings. 

AtPolarBearMeds.com, we assure you the most affordable price to buy Voltaren Gel online from Canada. Rest easy knowing that your order will be dispatched from a reputable Licensed Canada Pharmacy Online, adhering to the highest standards of quality and authenticity. Our discounted medications are shipped directly from Canada to your doorstep, ensuring a swift and secure delivery experience. To conveniently buy Voltaren Gel online at a substantial cost, call us at 1-888-779-2193 toll-free.