"Jan. 12, 2011 -- A new study weighs in on the debate over the relative safety of nonsteroidal anti-inflammatory medications (NSAIDs), commonly used to treat joint and muscle aches and pain.
The study, published online in the BMJ,"...
DOSAGE AND ADMINISTRATION
[See the Patient Instructions for Use]
The dosing card can be found attached to the inside of the carton. The proper amount of VOLTAREN® GEL should be measured using the dosing card supplied in the drug product carton. The dosing card is made of clear polypropylene. The dosing card should be used for each application of drug product. The gel should be applied within the oblong area of the dosing card up to the 2 gram or 4 gram line (2 g for each elbow, wrist, or hand, and 4 g for each knee, ankle, or foot). The 2 g line is 2.25 inches long. The 4 g line is 4.5 inches long. The dosing card containing VOLTAREN® GEL can be used to apply the gel. The hands should then be used to gently rub the gel into the skin. After using the dosing card, hold with fingertips, rinse, and dry. If treatment site is the hands, patients should wait at least one (1) hour to wash their hands.
Lower Extremities, Including The Knees, Ankles, And Feet
Apply the gel (4 g) to the affected foot or knee or ankle, 4 times daily. VOLTAREN® GEL should be gently massaged into the skin ensuring application to the entire affected foot or knee or ankle. The entire foot includes the sole, top of the foot and the toes. Do not apply more than 16 g daily to any single joint of the lower extremities.
Upper Extremities Including The Elbows, Wrists And Hands
Apply the gel (2 g) to the affected hand or elbow or wrist, 4 times daily. VOLTAREN® GEL should be gently massaged into the skin ensuring application to the entire affected hand or elbow or wrist. The entire hand includes the palm, back of the hands, and the fingers. Do not apply more than 8 g daily to any single joint of the upper extremities.
Total dose should not exceed 32 g per day, over all affected joints.
- Showering/bathing should be avoided for at least 1 hour after the application. Patient should wash his/her hands after use, unless the hands are the treated joint. If VOLTAREN® GEL is applied to the hand(s) for treatment; patient should not wash the treated hand(s) for at least 1 hour after the application.
- VOLTAREN® GEL should not be applied to open wounds.
- Contact of VOLTAREN® GEL with eyes and mucous membranes should be avoided.
- External heat and/or occlusive dressings should not be applied to treated joints.
- Exposure of the treated joint(s) to sunlight should be avoided.
- Avoid concomitant use of VOLTAREN® GEL on the treated skin site with other topical products, including sunscreens, cosmetics, lotions, moisturizers, insect repellants, or other topical medications [see DRUG INTERACTIONS].
- Concomitant use of VOLTAREN® GEL with oral non-steroidal anti-inflammatory drugs (NSAIDs) has not been evaluated, and may increase adverse NSAIDs effects.
- Wearing of clothing or gloves should be avoided for at least 10 minutes after applying VOLTAREN® GEL.
Dosage Form And Strength
Storage And Handling
VOLTAREN® GEL is available in tubes containing 100 g of the topical gel in each tube. Each tube contains diclofenac sodium in a gel base (10 mg of diclofenac sodium per gram of gel or 1%).
100 g tube
3 Pack (3 Tubes containing 100 g each).... ..NDC 63481-684-03
5 Pack (5 Tubes containing 100 g each) ..NDC 63481-684-05
Store at 20°C to 25°C (68°F to 77°F). Keep from freezing. Store the dosing card with your VOLTAREN® GEL.
Marketed by: Endo Pharmaceuticals Inc., Malvern, PA 19355 Manufactured by: Novartis Consumer Health, Inc. Parsippany, NJ 07054-0622 OR Novartis Pharma Produktions GmbH, Wehr, Germany. Revised: November 2014
Last reviewed on RxList: 5/28/2015
This monograph has been modified to include the generic and brand name in many instances.
Additional Voltaren Gel Information
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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