Voltaren Emulgel for back pain, muscles and joints, gel 1% 75g

pharmachologic effect

Manufacturer: Novartis, Switzerland
Release form: ampoules, tablets, gel, patch, suppositories

Active ingredient: diclofenac

Synonyms: Diclofenac, Diclonate, Ortofen, Naklofen, Diclak, Diclofarm, Diclogen

The drug has several therapeutic effects at once, which makes it stand out from its analogues: it fights pain, inflammation and swelling of tissues. When using several forms (for example, ampoules and gel), a quick effect is achieved.

Ampoules, tablets and suppositories are used as prescribed by a doctor and can negatively affect the condition of the gastrointestinal tract. Abuse, non-compliance with instructions and the presence of contraindications cause bleeding, erosion, and aggravation of gastrointestinal diseases.

Local forms - gel and patch - are sold freely and can be used for up to 2 weeks without consulting a doctor. However, if during this period the symptoms worsen or do not go away, you should contact the clinic.

Indications for use of Voltaren

The medicine has several therapeutic effects, eliminates pain and heals. Applicable in the following cases:

1. diseases of the musculoskeletal system, accompanied by swelling, pain and inflammation (arthritis, arthrosis, spondylosis, osteoarthritis);
2. injuries, sprains, dislocations;
3. back and neck pain.

For quick results, doctors often prescribe a combination of oral medications (ampoules, suppositories) and local forms (gel, patch). The course and dosage are determined individually, taking into account risk factors and contraindications.

Voltaren - instructions for use

The method of application, frequency and duration depend on the chosen form of Voltaren. Ampoules, tablets and suppositories are used as prescribed by a doctor and sold from pharmacies with a prescription. Local forms (gel and patch) are sold freely.

The gel is applied 2-3 times to painful areas, with the exception of damaged skin (wounds, abrasions, burns, bedsores, cuts, etc.).

The patch sticks on and is valid for up to 24 hours.

Ampoules, suppositories and tablets are used 1-2 times a day for 5-7 days.

Contraindications, side effects

NSAIDs are used with caution, even in local form, if allergic reactions were previously observed when taking tablets or capsules - urticaria, swelling, bronchial asthma and others. You should not use Voltaren if you have a skin rash or other allergic phenomena that develop after applying the gel. Contraindications to therapy are:

• pregnancy - last 3 months;
• age up to twelve years;
• wounds, abrasions, ulcers in the application area.

For acute and exacerbating diseases of the gastrointestinal tract, ulcers and erosions, for hepatic porphyria, heart failure, use the drug in the minimum possible course, under the supervision of a doctor. These also include 1*2 trimesters of gestation, asthma, and renal failure. During lactation, the product can be used only for the most important indications, for a short course. It is strictly forbidden to apply it to the skin of the mammary glands! In the 3rd trimester of pregnancy, Voltaren can disrupt the tone of the uterus and provoke oligohydramnios.

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The most common side effects are skin reactions - rash, allergies, itching, urticaria, and very rarely - bullous dermatitis.

Systemic forms of allergies develop infrequently. It is also possible to increase skin sensitivity to ultraviolet radiation. Almost no other negative reactions were noted.

Analogues of Voltaren

The drug Voltaren is an original drug based on diclofenac. Its advantages are sufficient research, the presence of clinical trials, effectiveness, and several forms of release. Possible disadvantages: prescription tablets, ampoules and suppositories, high cost.

List of Voltaren analogues

Drug analogues

Voltaren is quite expensive, but has cheaper analogues. They contain the same active substance or are as similar as possible in action and components. List of Voltaren gel analogs that are cheaper:

There are other NSAIDs on sale in the form of ointments based on ibuprofen, meloxicam, ketorolac and other components that work in a similar way.

Voltaren or Diclofenac: which is better?

The drug under the trade name “Diclofenac” is produced by many companies, “Biosintez”, “Teva”, “Altfarm”, “Akrikhin” and others. Its price is the least expensive - you can buy a tube of cream or gel for 30-80 rubles. The ointment contains 1-3% diclofenac sodium, a powerful anti-inflammatory component.

Additional substances depend on the specific brand of the drug - macrogol, preservatives, propylene glycol, a number of drugs contain dimethyl sulfox.

Some doctors believe that Diclofenac and Voltaren are completely identical. But this is not entirely true. Of course, they have the same active ingredient - diclofenac sodium. Some side components also coincide, for example, both drugs contain talc, starch and microcrystalline cellulose, carbopol, propylene glycol, ethyl alcohol, trolamine. They create the consistency characteristic of both drugs.

However, Voltaren contains macrogol cetostearate, an isopropyl alcohol. Together they help penetrate the skin faster, but can also provoke allergies. Because of this, it is recommended to buy Voltarene only after consulting with your doctor. But a negative reaction can also occur from Diclofenac: it contains lavender oil, to which not all patients react positively.

The volume of the drug and the concentration of the active substance in them are the same. But Voltaren’s packaging is more convenient, and it also has a special protective box. But Diclofenac has a dosage of 5 and 10 ampoules, while Voltaren has only 5. Of course, the dosage can be selected depending on specific instructions.

So you need to focus only on research data on the quality of medicines. It is known that the algorithms of Voltaren’s action have been studied as much as possible, so the list of contraindications has not been supplemented for a long time. But there is no confirmed information about the use of Diclofenac in children. Accordingly, the more preferable drug is Voltaren, but if a specialist suggests using its analogue, it is better to listen to his position.

Diklak as an analogue of Voltaren

Gel Diclak is another well-known product based on diclofenac, a complete structural analogue of Voltaren. . the medicine differs from others in its high concentration of the active substance, 5%, that is, it works much more effectively than the drug in question. Despite this, when used according to the instructions, the same 6% of the product is absorbed into the blood, no more. Therefore, you should not be afraid of pronounced side effects.

Due to its high effectiveness, the drug is recommended for diseases that cause severe pain:

• soft tissue rheumatism;
• rheumatoid arthritis;
• psoriatic arthritis;
• acute infectious arthritis;
• bursitis;
• lumbago;
• disc herniation in the spine.
  Read also:  Bisoprolol-ratiopharm (Bisoprolol-ratiopharm)

The drug is prohibited under 6 years of age, during pregnancy (3rd trimester), and lactation. In old age, use with caution. Adverse reactions sometimes include contact dermatitis, papules, vesicles, and skin peeling.

Aertal is a powerful tool

Airtal is based on aceclofenac, a derivative of acetic acid, and provides a strong analgesic and anti-inflammatory effect. The cream releases. After application to the problem area, aceclofenac inhibits the production of prostaglandins and leukotrienes, suppressing COX 1,2.

A distinctive property of Airtal is its sufficient tolerability in the main groups of patients.

Due to its strong action, Airtal is recommended for use after painful injuries, sprains, fractures, and for inflammatory diseases of the joints and soft tissues.

It accumulates in the absorption zone, therefore it has a prolonged effect, and the risk of affecting the gastrointestinal tract is minimized. Airtal is used only by adults over 18 years of age; it is prohibited in the presence of the Varicella-Zoster virus in the body, since during the development of this viral infection it can cause complications in the soft tissues. One application requires 1.5-2 g of cream, so its consumption is more economical than that of Voltaren.

Analogs of Voltaren suppositories

Voltaren suppositories are available in two dosages of 50 and 100 mg, are available by prescription and are based on the medicinal properties of diclofenac. They help fight pain and inflammation.

An analogue of Voltaren suppositories 100 mg and 50 mg with the same active substance is the drug Diclofenac. Produced by domestic manufacturers, the bioavailability, and therefore the effectiveness of the drug, is lower.

Other analogues are cheaper than Voltaren candles:

• Indomethacin;
• Amelotex;
• Diclovit;
• Ketonal.

The drugs are used in the treatment of diseases of the musculoskeletal system (for example, osteochondrosis), in gynecology. The advantage of this form is that it does not affect the stomach and has a quick therapeutic effect. The disadvantage is that it is a prescription drug, the need to store some analogues in the refrigerator (Indomethacin, Diclofenac) or the high cost (Ketonal, Amelotex).

Voltaren Emulgel (gel, ointment) analogues

Voltaren gel can be replaced with drugs based on the same active ingredient - diclofenac. These include:

• Diclofenac (ointment, gel);
• Diklak (gel);
• Ortofen (ointment, gel);
• Diclofarm (gel);
• Diclovit (gel).

These analogues differ in the excipients in their composition, the concentration of the active substance (diclofenac), bioavailability and effectiveness. The price of joint replacements is lower.

Other analogues of Voltaren Emulgel are based on components different from diclofenac.

Dolobene

Manufacturer: Merkle, Germany
Release form: gel

Active ingredient: heparin, dimethyl sulfoxide, dexpanthenol

An analogue of Voltaren is the combined drug Dolobene, used for injuries, bruises, sprains, dislocations, and neuralgia.

Apply topically as an additional remedy during physiotherapy. ABOUT

has a number of excellent properties: local analgesic, decongestant, anti-inflammatory, antithrombotic and healing (regenerating).

Dolgit

Manufacturer: Dolorgit, Germany
Release form: gel, cream

Active ingredient: ibuprofen

An analogue cheaper than Voltaren for joints is the drug Dolgit.

It has similar effects - it reduces pain and inflammation, swelling and redness of tissues, improves joint mobility, and eliminates stiffness.

Nise

Manufacturer: Dr. Reddy s, India
Release form: granules, gel, tablets

Active ingredient: nimesulide

Synonyms: Nimulid, Amelotex, Nimesil, Nimesulide, Nimika, etc.

The drug Nise is also an analogue and contains a different substance. It is used for pain and inflammation of the joints, painful and unpleasant sensations in the lower back, dislocations, injuries and sprains.

Other analogues are cheaper than Voltaren ointment:

• Finalgon is an ointment and cream with a local irritant and analgesic effect.
• Deep Relief is a gel, its action is aimed at irritating receptors, pain relief and reducing inflammation, restoring joint mobility.
• Chondroxide is a cream and gel that not only eliminates the symptoms of diseases of the musculoskeletal system, but also the cause (their destruction), the action is aimed at restoring connective tissue and preventing the destruction of cartilage.
• Troxevasin is an analogue for sprains and injuries accompanied by pain, swelling and hematomas.
• Capsicam is an advertised ointment based on viper venom that has a local irritating and warming effect and eliminates pain.

Analogues in the form of a gel, cream or ointment are used for up to 14 days and do not eliminate the cause of pain, inflammation and other unpleasant sensations.

Important! If the drug does not help within 14 days, the symptoms remain the same or worsen, consult a doctor for a diagnosis and adequate treatment.

Voltaren Emulgel for back pain, muscles and joints, gel 1% 75g

A country

Switzerland
The country of production may vary depending on the batch of goods. Please check with the operator for detailed information when confirming your order.

Active substance

Diclofenac

Description

Voltaren Emulgel 75g with an innovative applicator cap - convenient to apply, leaving your hands clean.
Voltaren Emulgel is intended for pain in the joints, back, muscles, as well as inflammation and swelling of soft tissues and joints. Voltaren Emulgel has a triple effect! 1: against pain 2: against inflammation * 3: to speed up recovery ** The active substance diclofenac is a non-steroidal anti-inflammatory drug with pronounced analgesic and anti-inflammatory properties, penetrates deep into the skin, acting on both pain and its cause - inflammation. * * Instructions for medical use, RU No. P N016030/01 dated 09.09.2009 ** Limit. Musculoskeletal disorders. 2013, 14:250. Compared to using placebo.

Compound

100 g of the drug contains: Active ingredient: 1.16 g of diclofenac diethylamine, which corresponds to 1 g of diclofenac sodium. Excipients: carbomers (carbopol 974 R) 1.20 g, macrogol cetostearate (cetomacrogol 1000) 2.00 g, cocoyl caprylocaprate (cetiol LC) 2.50 g, diethylamine 0.90 g, isopropanol 20.00 g, liquid paraffin 2.50 g, aromatic cream 45 (contains benzyl benzoate) 0.10 g, propylene glycol 5.00 g, water 64.64 g.

Product description

Homogeneous, creamy gel, color from white to yellowish.

pharmachologic effect

The active component diclofenac is a non-steroidal anti-inflammatory drug with pronounced analgesic, anti-inflammatory and antipyretic properties.
By indiscriminately inhibiting cyclooxygenase types 1 and 2, it disrupts the metabolism of arachidonic acid. Voltaren Emulgel is used to eliminate pain and reduce swelling associated with the inflammatory process. Thanks to its water-alcohol base, Voltaren Emulgel has a calming and cooling effect. Pharmacokinetics Absorption The amount of diclofenac absorbed through the skin is proportional to the area of ​​the treated surface and depends both on the total dose of the drug applied and on the degree of skin hydration. After applying 2.5 g of Voltaren Emulgel to a skin area of ​​500 cm2, absorption is about 6% of the applied dose of diclofenac compared to Voltaren tablets. Distribution: 99.7% of diclofenac is bound to plasma proteins, mainly albumin (99.4%). The concentration of diclofenac in plasma, synovial membrane and synovial fluid was measured when the drug was applied to the area of ​​the affected joint. Maximum plasma concentrations were approximately 100 times lower than after oral administration of the same amount of diclofenac. Diclofenac accumulates in the skin, which plays the role of a reservoir that releases the active substance into the tissue. When applied to the area of ​​the affected joint, the concentration of synovial fluid is higher than in plasma. Diclofenac is preferentially distributed and retained deep in tissues prone to inflammation (such as joints) rather than in the bloodstream. The concentration of diclofenac in tissues is up to 20 times higher than in plasma. Metabolism The metabolism of diclofenac is carried out partly by glucuronidation of the unchanged molecule, but mainly through single and multiple hydroxylation. Excretion Most of diclofenac and its metabolites are excreted in the urine. The total systemic plasma clearance of diclofenac is 263±56 ml/min. The terminal half-life is 1-2 hours. The half-life of metabolites, including two pharmacologically active ones, is also short and amounts to 1-3 hours. One of the metabolites (3'-hydroxy-4'-methoxydiclofenac) has a longer half-life, however , this metabolite is completely inactive. Patients with renal and hepatic impairment Accumulation of diclofenac and its metabolites is not expected in patients suffering from renal impairment. In patients with chronic hepatitis or uncompensated cirrhosis, the kinetics and metabolism of diclofenac are the same as in patients without liver disease

Indications for use

Back pain due to inflammatory and degenerative diseases of the spine (sciatica, osteoarthritis, lumbago, sciatica), - joint pain (joints of the fingers, knees, etc.) with osteoarthritis, - muscle pain (due to sprains, strains, bruises, injuries) , - inflammation and swelling of soft tissues and joints due to injuries and rheumatic diseases (tenosynovitis, bursitis, lesions of periarticular tissues)

Contraindications

Hypersensitivity to diclofenac or other components of the drug; a tendency to develop attacks of bronchial asthma, Quincke's edema, urticaria or acute rhinitis when using acetylsalicylic acid or other NSAIDs; pregnancy (III trimester), breastfeeding; children's age (up to 12 years); violation of the integrity of the skin at the intended site of application.

Carefully

Hepatic porphyria (exacerbation), erosive and ulcerative lesions of the gastrointestinal tract, severe dysfunction of the liver and kidneys, chronic heart failure, bronchial asthma, old age, pregnancy (I and II trimester).

Use during pregnancy and lactation

Due to the lack of data on the use of Voltaren Emulgel in pregnant women, the use of the drug during the first and second trimester of pregnancy is recommended only as prescribed by a doctor, weighing the benefits for the mother and the risk for the fetus. The drug is contraindicated in the third trimester of pregnancy due to the possibility of decreased uterine tone, impaired fetal renal function with subsequent development of oligohydramnios and/or premature closure of the fetal ductus arteriosus. Due to the lack of data on the penetration of Voltaren Emulgel into breast milk, the use of the drug during breastfeeding is recommended only as prescribed by a doctor, weighing the benefits for the mother and the risk to the fetus. If it is still necessary to use the drug, it should not be applied to the mammary glands or large surface areas of the skin and should not be used for a long time. There are no data on the use of Voltaren Emulgel and its effect on fertility in humans.

Directions for use and doses

Externally. For adults and children over 12 years of age, the drug is applied to the skin 3-4 times a day and lightly rubbed. The required amount of the drug depends on the size of the painful area. A single dose of the drug - 2-4 g (which is comparable in volume to the size of a cherry or walnut, respectively) is sufficient to treat an area of ​​400-800 cm2. If your hands are not the area where pain is localized, your hands should be washed after applying the drug. The duration of treatment depends on the indications and the observed effect (to enhance the effect, the gel can be used together with other dosage forms of Voltaren). If after 7 days of use the therapeutic effect is not observed or the condition worsens, you should consult a doctor. The product should not be used for more than 14 days for post-traumatic inflammation and rheumatic diseases of soft tissues. Laminated tubes: To remove the protective membrane, use the screw cap as a key (the recess with ridges on the outside of the cap). Align the indentation on the outside of the cap with the shaped protective membrane of the tube and turn. The membrane should separate from the tube. Laminated tubes can have either a regular cap (round shape) or an innovative cap (triangular shape), which is especially convenient for use with limited mobility of the joints of the hands due to osteoarthritis or other joint diseases or injuries, as well as an applicator cap. Aluminum tubes: Before first use, the protective membrane of the tube must be pierced using the special protrusion on the outside of the polypropylene screw cap. Aluminum bottles: The drug is applied to the skin 3-4 times a day. Spray on the painful area for 3-6 seconds, lightly rub into the skin until the solution is completely absorbed. The required amount of the drug depends on the size of the painful area. If your hands are not the area where pain is localized, your hands should be washed after applying the drug.

Side effect

Classification of the frequency of occurrence of adverse reactions: very often (≥1/10); often (≥1/100, Infectious and parasitic diseases: Very rare: pustular rash. Immune system disorders: Very rare: hypersensitivity reactions (including urticaria), angioedema. Respiratory, thoracic and mediastinal disorders: Very rare: bronchial asthma Disorders of the skin and subcutaneous tissues: Common: dermatitis (including contact dermatitis), rash, erythema, eczema, itching Rare: bullous dermatitis Very rare: photosensitivity reactions If any of the side effects indicated in the instructions are aggravated , or you notice any other side effects not listed in the instructions, tell your doctor.

Overdose

The extremely low systemic absorption of the active components of the drug when used externally makes overdose almost impossible. However, with accidental ingestion of 100 g of gel, equivalent to 1 g of diclofenac sodium, systemic adverse reactions may develop. Treatment for accidental ingestion: gastric lavage, induction of vomiting, activated charcoal, symptomatic therapy. Hemodialysis is ineffective due to the high degree of protein binding of diclofenac (about 99%)

Interaction with other drugs

Voltaren Emulgel may enhance the effect of drugs that cause photosensitivity. Clinically significant interactions with other drugs have not been described.

special instructions

Voltaren Emulgel should be applied only to intact skin, avoiding contact with open wounds. After application, do not apply an occlusive dressing. Do not allow the drug to come into contact with the eyes or mucous membranes, and do not swallow. The drug contains propylene glycol and benzyl benzoate, which in some cases may cause mild local skin irritation. Treatment should be discontinued if a skin rash develops after application of the drug. The possibility of systemic adverse reactions (associated with the use of systemic forms of diclofenac) should be considered if diclofenac for external use is used at a higher dose or for a longer time than recommended.

Release form

Gel for external use 1%. 75 g each in an aluminum tube equipped with a protective aluminum membrane, with a screw-on plastic cap (white or blue) with a protrusion for perforating the membrane on the outside. The tube along with instructions for use are placed in a cardboard box. 75 g in a laminated tube (low-density polyethylene, aluminum, high-density polyethylene) with a shoulder and a one-piece shaped protective membrane made of high-density polyethylene and a polypropylene screw cap (white or blue), round or triangular, or with a screw-on applicator cap with transparent protective cap. The cover on the outside is equipped with a key (a recess with protrusions) for opening the protective membrane of the tube. The tube along with instructions for use are placed in a cardboard box. 75 ml in a pressurized aluminum bottle (about 73 g and 97 g, respectively), with a plastic pump dispenser on a polyethylene ring and a protective cap. The bottle along with instructions for use is placed in a cardboard box. Secondary packaging is allowed to have a first-opening control.

Storage conditions

At a temperature not exceeding 30 C, out of the reach of children.

Best before date

3 years. The drug should not be used after the expiration date indicated on the package.

Voltaren injections analogues

Voltaren injections and analogues are available with a doctor’s prescription, the course is set by a specialist. For severe and moderate pain, the drug is prescribed 1-2 times a day for up to 5-7 days, then it is possible to continue treatment with tablets.

To enhance the therapeutic effect, in addition to injections, local forms are prescribed - ointments, gels, creams or patches.

Analogs are cheaper than Voltaren in injections:

• Meloxicam (Movalis, Mesipol, Amelotex, Artrosan, etc.);
• Xefocam;
• Diclofenac (Diclonate, Ortofen);
• Ketoprofen (Ketonal);
• Ketorol (Ketorolac).

These drugs have anti-inflammatory, analgesic and anti-edematous effects.

In case of severe pain, you can replace Voltaren injections as prescribed by a doctor or supplement the treatment with the drug Dexalgin with a pronounced analgesic effect.

For diseases of the musculoskeletal system, accompanied by spasm and hypertonicity of the striated muscles, another Voltaren substitute is prescribed. This is the drug Mydocalm, containing the muscle relaxant tolperisone and lidocaine. After a course of injections, a tablet form without lidocaine is used.

Voltaren 1 or 2 percent: which is better?

The differences between different concentrations of Voltaren are obvious. So, a 1 percent product works slightly slower than a 2 percent product. This is due to the fact that the body receives less active substance, and accordingly, the bones are restored more slowly. A medicine with a concentration of 1 percent has a higher consumption, since it is taken longer. Also, a 1 percent product is applied at least 3-4 times a day, but the exact dosage depends on the decision of the attending physician.

Well, Voltaren at 2 percent works for 12 hours, so you can save on buying additional tubes. This is due to the fact that 2% diclofenac sodium has a more prolonged and powerful effect. Some reviews note that the product is absorbed 2 percent faster. But the manufacturers claim that the absorption time of both drugs is completely the same.

Voltaren tablets analogues

Voltaren tablets are available in dosages of 25 and 50 mg and have an anti-inflammatory and analgesic effect.

Voltaren's analogue of the active substance Diclofenac is available in dosages of 50 and 100 mg in Russia or Serbia. It is cheaper and less effective.

Other substitutes for Voltaren tablets:

• Arthrozan;
• Movalis;
• Nise;
• Nimesulide;
• Mydocalm;
• Ketorol;
• Dexalgin et al.

Nimesil, an analogue of Voltaren tablets, acts faster. It is produced in powders; when it enters the body, no time is spent on splitting the shell.

For degenerative diseases of the musculoskeletal system, along with Voltaren, Teraflex and Teraflex Advance capsules are prescribed. The action is aimed at restoring connective tissue, preventing cartilage destruction, reducing inflammation and pain.

Voltaren patch analogues

Voltaren in the form of a patch is glued to the surface of the skin to reduce pain and inflammation. The action continues throughout the day. The advantage of this form of release is the long-lasting effect, the absence of unpleasant sensations at the site of gluing (burning, itching).

Pepper patch is an unequal replacement for Voltaren. It has an exceptionally warming, locally irritating and distracting effect.

Analogs are cheaper than the Voltaren patch:

• Ketonal Thermo - a warming patch based on ketoprofen, also reduces pain and inflammation, the advantage is that many pharmacies sell it individually from large packages.
• Nanoplast is a patch based on the action of an electromagnetic field, available in three sizes depending on the inflamed area.

Analogues are also sold freely, without a doctor's prescription.

Instructions and important information

The drug is used externally. It is used up to 3-4 times a day after 6-8 hours, lightly rubbing into the painful area. The dose of the product at a time depends on the size of the area, usually 2-4 g is enough. After application, you should thoroughly wash your hands. The course of therapy is 14 days or more, but the specified period is the maximum for the development of the effect (if there are no results, you should consult a doctor!). Recommendations for using the gel are as follows:

• Treatment in which the application of ointment is combined with taking Voltaren tablets is more effective;
• if the mobility of the hand joints is impaired, it is better to buy tubes with a new triangle cap, which will be easier to remove;

• Before applying the product for the first time, you need to pierce the protective membrane on the hole using the protrusion on the lid.

Due to poor systemic absorption, it is impossible to achieve an overdose. However, when using a full package of 100-150 g of gel at a time, allergic reactions and discomfort in the gastrointestinal tract may occur. For treatment you need to take enterosorbents.

Diclofenac or Voltaren

Manufacturer: Akrikhin, Sintez, Biokhimik, Ozon, etc., Russia;
Hemofarm, Russia; Teva, Hungary or Russia Release form: tablets, ampoules, ointment, gel, eye drops, suppositories

Active ingredient: diclofenac

The drugs Voltaren and Diclofenac are synonyms, i.e. drugs based on one component. There is a difference between them.

Voltaren is an original imported medicine in the form of ampoules, tablets, suppositories, gel and patch. The analogue is not available in the form of a patch; there is an additional type - ointment. The concentrations of local forms are also different - the analogue has 1, 2 and 5%; Voltaren has 1 and 2%.

Diclofenac is a domestic, less often imported drug, known and popular due to its low cost.

Voltaren suppositories are not stored in the refrigerator; to preserve the medicinal properties of Diclofenac suppositories, special conditions and compliance with the temperature regime are required.

Voltaren tablets are available in smaller dosages of 25 and 50 mg. Doses of 50 and 100 mg of the analogue have the same effect.

The lack of these drugs has a negative effect on the gastric mucosa. However, according to reviews, side effects occur less frequently when treated with Voltaren than when treated with the analogue Diclofenac.

Also, many buyers claim that Voltaren is more effective and has a stronger effect. This is due to the original production technology and high bioavailability.

In general, the indications, contraindications and side effects of the drugs are similar. Which is better - Voltaren or Diclofenac injections, depends individually and depends on the intensity of pain. If possible, it is advisable to purchase an imported original drug or consult a doctor regarding a replacement drug and a recommended analogue from the manufacturer.

A more modern analogue of Voltaren and Diclofenac is the drug Aertal, a derivative of this active substance. Available in tablets, sachets for oral administration and cream, it has less negative effects on the gastric mucosa and blood pressure.

Voltaren or Fastum gel – which is better?

Manufacturer: A. Menarini, Italy
Release form: gel

Active ingredient: ketoprofen

Synonyms: Ketoprofen, Bystrumgel, Artrosilene, Ketonal, Febrofid, Spazgel, Pentalgin Extra-gel, etc.

The drugs Fastum gel (Ketoprofen gel) and Voltaren are produced by imported companies in the same form - as a gel with different active ingredients. They are used for the same indications - diseases of the musculoskeletal system, bruises, dislocations, injuries. You do not need a prescription from a doctor to purchase them.

Fastumgel is applied 1-2 times a day for up to 14 days without a prescription. If ineffective, it is necessary to consult a doctor to determine the cause of the pain and select adequate therapy. General limitations are violation of the integrity of the skin (wounds, cuts, abrasions), individual intolerance.

Both analogues have the same therapeutic effects:

• relieve inflammation and pain;
• relieve swelling of joints and stiffness of movement;
• reduce redness and swelling in the lesion.

After application, the Voltaren gel cools the skin, while the analogue Fastum gel has a warming effect.

What to choose – Fastum gel or Voltaren, individually. In general, the therapeutic effects are the same. It is important to remember that gels are worse than tablets and injections and do not eliminate the cause of pain and inflammation.

Voltaren - what kind of remedy, indications

Gel for external use Voltaren Emulgel is a popular remedy for osteochondrosis and joint pain. The drug is produced by Glaxo Smith Klein (Switzerland) and is available in different volumes - 20, 50, 75 and even 100-150 ml. The cost of the largest package of 150 ml is 720 rubles. In a minimum package of 20 ml the product costs 230 rubles.

The active substance in the emulgel is diclofenac 1-2%, a representative of NSAIDs.

Diclofenac belongs to phenylacetic acid derivatives and is present in the gel in the form of a sodium salt. The gel is liquid, but resembles an emulsion, which is why it received a unique name (emulgel). It is white, yellowish in appearance, and has an indistinct odor. The medicine in local form helps relieve inflammation and has a pronounced analgesic property. It inhibits COX 1-2 - enzymes that cause the production of pain mediators. Therefore, the gel can be used to relieve pain and swelling caused by inflammation.

Thanks to the composition, the product penetrates better into the tissues and gives a soothing, cooling effect. Only 6% of the active substance is absorbed into the blood, but when applied to the joints, a high concentration of diclofenac accumulates in their cavities. In inflamed tissues, its amount is almost twenty times greater than in healthy tissues, which increases the effectiveness of use.

How much and what are the indications for using the gel? Here they are:

• osteochondrosis and other diseases of the spine;
• radiculitis, sciatica, lumbago;
• osteoarthritis and other joint diseases;
• tendonitis, tendovaginitis, pain in soft tissues.

The drug is widely used after injuries that lead to pain - bruises, sprains; Voltaren is popular among athletes for overexertion.