Feldene vs. Voltaren Gel

Are Feldene and Voltaren Gel the Same Thing?

Feldene (piroxicam) and Voltaren Gel (diclofenac sodium topical gel) are nonsteroidal anti-inflammatory drugs (NSAIDs) used to relieve the signs and symptoms of osteoarthritis.

Feldene is also used to treat rheumatoid arthritis.

Feldene is taken orally, while Voltaren Gel is a topical (for the skin) medication.

Side effects of Feldene and Voltaren Gel that are similar include stomach/abdominal pain, diarrhea, upset stomach, gas, nausea, and ulcers.

Side effects of Feldene that are different from Voltaren Gel include fluid retention, loss of appetite, constipation, indigestion/heartburn, bloating, vomiting, dizziness, headache, nervousness, gross bleeding/perforation, elevated liver enzymes, skin itching or rash, blurred vision, and ringing in your ears.

Side effects of Voltaren Gel that are different from Feldene include application site reactions such as skin itching, dryness, redness, scaling, numbness and tingling, cysts, pimples, or other skin irritation.

Both Feldene and Voltaren Gel may interact with alcohol, aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants, blood thinners, lithium, methotrexate, diuretics (water pills), and steroids.

Feldene may also interact with ACE inhibitors.

Voltaren Gel may also interact with cyclosporine, heart or blood pressure medications, and cosmetics, sunscreen, lotions, insect repellant, or other medicated skin products applied to the same area.

What Are Possible Side Effects of Feldene?

Common side effects of Feldene include:

  • swelling,
  • anorexia,
  • abdominal pain,
  • constipation,
  • diarrhea,
  • indigestion,
  • heartburn,
  • upset stomach,
  • stomach pain,
  • elevated liver enzymes,
  • bloating,
  • gas,
  • gross bleeding/perforation,
  • heartburn,
  • nausea,
  • ulcers (gastric/duodenal),
  • dizziness,
  • headache,
  • nervousness,
  • skin itching or rash,
  • blurred vision,
  • ringing in your ears, and
  • vomiting.

What Are Possible Side Effects of Voltaren Gel?

Common side effects of Voltaren Gel include:

  • nausea,
  • stomach pain,
  • upset stomach,
  • diarrhea,
  • gas,
  • ulcers, or
  • itching,
  • dryness,
  • redness,
  • scaling,
  • numbness and tingling,
  • cysts,
  • pimples, or other
  • skin irritation where the medicine was applied.

What Is Feldene?

Feldene (piroxicam) is a nonsteroidal anti-inflammatory drug (NSAID) indicated for the relief of the signs and symptoms of osteoarthritis and rheumatoid arthritis.

What Is Voltaren Gel?

Voltaren Gel (diclofenac sodium topical gel) is a topical gel nonsteroidal anti-inflammatory drug (NSAID) used to treat pain of osteoarthritis of joints that are amenable to topical treatment, such the hands and knees.

SLIDESHOW

What Is Rheumatoid Arthritis (RA)? Symptoms, Treatment, Diagnosis See Slideshow

What Drugs Interact With Feldene?

Feldene may interact with alcohol, antidepressants, blood thinners, lithium, methotrexate, diuretics (water pills), steroids, aspirin or other NSAIDs (nonsteroidal anti-inflammatory drugs), or ACE inhibitors. Tell your doctor all medications and supplements you use. Tell your doctor if you are pregnant or plan to become pregnant during treatment with Feldene; it may harm a fetus. Taking Feldene during the last 3 months of pregnancy may harm the fetus. Do not take Feldene during pregnancy unless your doctor has told you to. Feldene can pass into breast milk and may harm a nursing baby. Consult your doctor before breastfeeding.

What Drugs Interact With Voltaren Gel?

Voltaren Gel may interact with aspirin, lithium, diuretics (water pills), blood thinners, and methotrexate.

Voltaren Gel may also interact with heart or blood pressure medications, cyclosporine, steroids, certain antibiotics, and other topical treatments.

How Should Feldene Be Taken?

For the relief of rheumatoid arthritis and osteoarthritis, the recommended dose of Feldene is 20 mg given orally once per day. If desired, the daily dose may be divided.

How Should Voltaren Gel Be Taken?

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 rectangular 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 Feet, Ankles, Or Knees

Apply the gel (4 g) to the affected foot, ankle, or knee 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 Hands, Wrists, Or Elbows

Apply the gel (2 g) to the affected hand, wrist, or elbow 4 times daily. Voltaren® Gel should be gently massaged into the skin ensuring application to the entire affected hand, wrist, or elbow. 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.

Special Precautions

  • Avoid showering/bathing for at least 1 hour after the application. Inform patient to wash his/her hands after use, unless the hands are the treated joint. If Voltaren® Gel is applied to the hand(s) for treatment; inform patient not to wash the treated hand(s) for at least 1 hour after the application.
  • Do not apply Voltaren® Gel to open wounds.
  • Avoid contact of Voltaren® Gel with eyes and mucous membranes.
  • Do not apply external heat and/or occlusive dressings to treated joints.
  • Avoid exposure of the treated joint(s) to natural or artificial sunlight.
  • 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
  • Concomitant use of Voltaren® Gel with oral non-steroidal anti-inflammatory drugs(NSAIDs) has not been evaluated, and may increase adverse NSAIDs effects. Do not use combination therapy with Voltaren® Gel and an oral NSAID unless the benefit outweighs the risk and conduct periodic laboratory evaluations.
  • Avoid wearing of clothing or gloves for at least 10 minutes after applying Voltaren® Gel.

QUESTION

The term arthritis refers to stiffness in the joints. See Answer
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References
SOURCE:

Pfizer. Feldene Prescribing Information.

https://www.pfizermedicalinformation.com/en-us/feldene/dosage-admin


Dailymed. Voltaren Gel Product Information.

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=60045fc6-f0d9-4f67-ba91-c3b317596437

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