Pharmacology Book

Diclofenac Gel

Aka: Diclofenac Gel, Voltaren Emulgel
  1. Dosing: Diclofenac 1% gel applied to affected joints
    1. Measure gel on a dosing card and massage into affected area
    2. Overall maximum: 32 grams/day over all affected joints
    3. Elbow, hand or wrist: 2 grams applied up to 4 times daily (maximum 8 grams/day/joint)
    4. Knee, ankle or foot: 4 grams applied up to 4 times daily (maximum 16 grams/day/joint)
  2. Precautions
    1. Do not use with other topicals
    2. Do not apply heat to application site
    3. Avoid washing area or showering for at least one hour
  3. Pharmacokinetics
    1. Only 6% systemically absorbed
  4. Adverse effects
    1. Local skin reactions
  5. Efficacy
    1. Canadian study demonstrated equivalent efficacy to oral agent for specific Joint Pain
  6. Contraindications
    1. Absolute
      1. CABG history
      2. Asthma or Aspirin hypersensitivity
      3. Advanced renal disease
    2. Relative (use with caution in this group)
      1. Known cardiovascular disease
      2. Known Peptic Ulcer Disease (however topical diclofenac did not appear to increase ulcer risk)
      3. Hypertension (however topical diclofenac did not appear to increase Blood Pressure)
      4. Hepatic insufficiency
      5. Advanced Chronic Kidney Disease
      6. Congestive Heart Failure or other edematous condition

You are currently viewing the original '\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree