Publication date: 2018-10-14 14:48
Avoid the use of VOLTAREN in patients with severe heart failure unless the benefits are expected to outweigh the risk of worsening heart failure. If VOLTAREN is used in patients with severe heart failure, monitor patients for signs of worsening heart failure.
VOLTAREN® GEL is indicated for the relief of the pain of osteoarthritis of joints amenable to topical treatment, such as the knees and those of the hands.
kidney problems - little or no urinating, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath
Avoid the use of VOLTAREN in patients with a recent MI unless the benefits are expected to outweigh the risk of recurrent CV thrombotic events. If VOLTAREN is used in patients with a recent MI, monitor patients for signs of cardiac ischemia.
There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAID use. The concurrent use of aspirin and an NSAID, such as diclofenac, increases the risk of serious gastrointestinal ( GI ) events (see WARNINGS Gastrointestinal Bleeding, Ulceration, And Perforation ).
One major concern about the use of products like Voltaren is that several conditions that seem to involve inflammation actually do not. Patients usually assume that the “burning” pain of repetitive strain injuries like tendinitis is caused by inflammation, but in fact this is not the case. It is possible that some inflammation is present, and it is possible that and NSAID will still have some pain-killing properties — the chemistry is rather complex, so it’s just unknown — but for the most part an anti-inflammatory medication is going to be relatively useless for a problem that involves no inflammation.
Based on the mechanism of action, the use of prostaglandin-mediated NSAIDs, includingVOLTAREN® GEL, may delay or prevent rupture of ovarian follicles, which has been associated with reversible infertility in some women. Published animal studies have shown that administration of prostaglandin synthesis inhibitors has the potential to disrupt prostaglandin-mediated follicular rupture required for ovulation. Small studies in women treated with NSAIDs have also shown a reversible delay in ovulation. Consider withdrawal of NSAIDs, including VOLTAREN® GEL, in women who have difficulties conceiving or who are undergoing investigation of infertility..
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Voltaren only for the indication prescribed.
Step 8. Apply the gel to your hand, wrist , or elbow. You can use the dosing card to apply the gel (see Figure C ). Then, use your hands to gently rub the gel into the skin (see Figure D ). Do not share your dosing card with another person. Make sure to cover the entire affected hand, wrist, or elbow with the gel. Remember that the hand includes the palm of your hand, the top of yourhand, and your fingers.