"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
Dosing Card [See the Medication Guide – Patient Instructions for Use]
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 polypropylene, like the tube cap containing Voltaren® Gel (diclofenac sodium gel) , but without the white colorant. 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 dosing card containing Voltaren® Gel (diclofenac sodium 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. It 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 (diclofenac sodium 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 (diclofenac sodium 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 (diclofenac sodium 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 (diclofenac sodium gel) should not be applied to open wounds.
- Contact of Voltaren® Gel (diclofenac sodium 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.
- Voltaren® Gel (diclofenac sodium gel) should not be used concomitantly with sunscreens, cosmetics, lotions, moisturizers, insect repellants, or other topical medications on the same skin sites has not been evaluated.
- Concomitant use of Voltaren® Gel (diclofenac sodium 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 (diclofenac sodium gel) .
Dosage Forms And Strengths
Storage And Handling
Voltaren® Gel (diclofenac sodium gel) is available in tubes containing 100 g of the topical gel in each tube. Physician samples are packaged in 20 g tubes. Each tube contains diclofenac sodium in a gel base (10 mg of diclofenac sodium per gram of gel or 1%).
20 g tube (physician's sample) NDC 63481-684-83
100 g tube NDC 63481-684-47
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 25°C (77°F); excursions permitted to 15-30°C (59-86°F) [See USP Controlled Room Temperature]
Keep from freezing.
Marketed by: Endo Pharmaceuticals Inc, Chadds Ford, PA 19317. Mfd by: Novartis Consumer Health, Inc, Parsippany, NJ 07054-0622 or Novartis Pharma Produktions GmbH Wehr, Germany. July 2009
Last reviewed on RxList: 10/15/2009
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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