Thuốc Voltaren (Topical)

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Thuốc Voltaren (Topical)
Thuốc Voltaren (Topical)

Holevn Health chia sẻ các bài viết về: Thuốc Voltaren (Thuốc bôi), tác dụng phụ – liều lượng, Thuốc Voltaren (Thuốc bôi) điều trị bệnh gì. Các vấn đề lưu ý khác. Vui lòng tham khảo các chi tiết dưới đây.

Tên chung: diclofenac (Tuyến ứng dụng tại chỗ)

thuốc nhuộm-KLOE-fen-ak

Holevn.org xem xét y tế. Cập nhật lần cuối vào ngày 4 tháng 12 năm 2019.

Tuyến đường chủ đề (Gel / Jelly; Giải pháp)

NSAID gây tăng nguy cơ biến cố huyết khối tim mạch nghiêm trọng, bao gồm nhồi máu cơ tim và đột quỵ, có thể gây tử vong. Nguy cơ này có thể xảy ra sớm trong điều trị và có thể tăng theo thời gian sử dụng. Diclofenac natri chống chỉ định trong phẫu thuật ghép bắc cầu động mạch vành. NSAID gây ra nguy cơ tăng các tác dụng phụ nghiêm trọng ở đường tiêu hóa (GI) bao gồm chảy máu, loét và thủng dạ dày hoặc ruột, có thể gây tử vong. Những sự kiện này có thể xảy ra bất cứ lúc nào trong quá trình sử dụng và không có triệu chứng cảnh báo. Bệnh nhân cao tuổi và bệnh nhân có tiền sử bệnh loét dạ dày và / hoặc chảy máu GI có nguy cơ cao mắc các biến cố GI nghiêm trọng.

Lộ trình ứng dụng tại chỗ (Bản vá, Phát hành mở rộng)

NSAID gây tăng nguy cơ biến cố huyết khối tim mạch nghiêm trọng, bao gồm nhồi máu cơ tim và đột quỵ, có thể gây tử vong. Nguy cơ này có thể xảy ra sớm trong điều trị và có thể tăng theo thời gian sử dụng. Diclofenac epolamine chống chỉ định trong môi trường phẫu thuật bắc cầu động mạch vành. NSAID gây ra nguy cơ tăng các tác dụng phụ nghiêm trọng ở đường tiêu hóa (GI) bao gồm chảy máu, loét và thủng dạ dày hoặc ruột, có thể gây tử vong. Những sự kiện này có thể xảy ra bất cứ lúc nào trong quá trình sử dụng và không có triệu chứng cảnh báo. Bệnh nhân cao tuổi và bệnh nhân có tiền sử bệnh loét dạ dày và / hoặc chảy máu GI có nguy cơ cao mắc các biến cố GI nghiêm trọng.

Tên thương hiệu thường được sử dụng

Tại Hoa Kỳ

  • Flector
  • Klofensaid II
  • Giấy phép
  • Pennsylvania
  • Rexaphenac
  • Năng lượng mặt trời
  • Voltaren

Các dạng bào chế có sẵn:

  • Gel / Thạch
  • Giải pháp
  • Kem
  • Xịt nước
  • Bản vá, phát hành mở rộng

Lớp trị liệu: Giảm đau

Lớp dược lý: NSAID

Lớp hóa học: Axit axetic (lớp)

Sử dụng cho Voltaren

Diclofenac được sử dụng để điều trị đau và các triệu chứng viêm khớp khác (ví dụ viêm xương khớp), chẳng hạn như viêm, sưng, cứng và đau khớp. Tuy nhiên, thuốc này không chữa được viêm xương khớp và sẽ chỉ giúp bạn miễn là bạn tiếp tục sử dụng nó. Diclofenac là thuốc chống viêm không steroid (NSAID).

Diclofenac 3% gel bôi ngoài da cũng được sử dụng để điều trị keratosis tím, một vấn đề về da có thể trở thành ung thư nếu không được điều trị. Cách chính xác mà diclofenac tại chỗ giúp điều kiện này vẫn chưa được biết.

Diclofenac giải pháp tại chỗ được sử dụng để điều trị đau và sưng do viêm xương khớp đầu gối.

Diclofenac miếng dánhệ thống tại chỗ được sử dụng để điều trị đau cấp tính gây ra bởi các chủng nhỏ, bong gân và nhiễm trùng (vết bầm tím).

Thuốc này chỉ có sẵn với toa thuốc của bác sĩ.

Trước khi sử dụng Voltaren

Khi quyết định sử dụng thuốc, rủi ro của việc dùng thuốc phải được cân nhắc với lợi ích mà nó sẽ làm. Đây là một quyết định mà bạn và bác sĩ của bạn sẽ đưa ra. Đối với thuốc này, cần xem xét những điều sau đây:

Dị ứng

Hãy cho bác sĩ của bạn nếu bạn đã từng có bất kỳ phản ứng bất thường hoặc dị ứng với thuốc này hoặc bất kỳ loại thuốc khác. Cũng nói với chuyên gia chăm sóc sức khỏe của bạn nếu bạn có bất kỳ loại dị ứng nào khác, chẳng hạn như thực phẩm, thuốc nhuộm, chất bảo quản hoặc động vật. Đối với các sản phẩm không kê đơn, đọc nhãn hoặc thành phần gói cẩn thận.

Nhi khoa

Các nghiên cứu thích hợp đã không được thực hiện về mối quan hệ của tuổi tác với tác dụng của gel bôi ngoài da diclofenac , miếng dán hoặc dung dịch ở trẻ em và hệ thống thuốc bôi diclofenac ở trẻ em dưới 6 tuổi. An toàn và hiệu quả chưa được thành lập.

Lão

Các nghiên cứu phù hợp được thực hiện cho đến nay đã không chứng minh được các vấn đề cụ thể về lão khoa sẽ hạn chế tính hữu ích của thuốc diclofenac ở người cao tuổi. Tuy nhiên, bệnh nhân cao tuổi có nhiều khả năng mắc các vấn đề về thận, tim hoặc dạ dày do tuổi tác, điều này có thể cần thận trọng và điều chỉnh liều cho bệnh nhân dùng thuốc diclofenac.

Cho con bú

Không có nghiên cứu đầy đủ ở phụ nữ để xác định nguy cơ trẻ sơ sinh khi sử dụng thuốc này trong thời gian cho con bú. Cân nhắc lợi ích tiềm năng chống lại các rủi ro tiềm ẩn trước khi dùng thuốc này trong khi cho con bú.

Tương tác với thuốc

Mặc dù một số loại thuốc không nên được sử dụng cùng nhau, trong các trường hợp khác, hai loại thuốc khác nhau có thể được sử dụng cùng nhau ngay cả khi có thể xảy ra tương tác. Trong những trường hợp này, bác sĩ của bạn có thể muốn thay đổi liều, hoặc các biện pháp phòng ngừa khác có thể là cần thiết. Khi bạn đang dùng thuốc này, điều đặc biệt quan trọng là chuyên gia chăm sóc sức khỏe của bạn phải biết nếu bạn đang sử dụng bất kỳ loại thuốc nào được liệt kê dưới đây. Các tương tác sau đây đã được chọn trên cơ sở ý nghĩa tiềm năng của chúng và không nhất thiết phải bao gồm tất cả.

Sử dụng thuốc này với bất kỳ loại thuốc sau đây không được khuyến khích. Bác sĩ có thể quyết định không điều trị cho bạn bằng thuốc này hoặc thay đổi một số loại thuốc khác mà bạn dùng.

  • Ketorolac

Sử dụng thuốc này với bất kỳ loại thuốc nào sau đây thường không được khuyến cáo, nhưng có thể được yêu cầu trong một số trường hợp. Nếu cả hai loại thuốc được kê đơn cùng nhau, bác sĩ có thể thay đổi liều hoặc tần suất bạn sử dụng một hoặc cả hai loại thuốc.

  • Abciximab
  • Acenvitymarol
  • Amiloride
  • Aminptine
  • Amitriptyline
  • Amitriptylinoxide
  • Amoxapin
  • Anagrelide
  • Apixaban
  • Ardpayin
  • Argatroban
  • Aspirin
  • Bemiparin
  • Bendroflumethiazide
  • Benzthiazide
  • Betamethasone
  • Betrixaban
  • Bivalirudin
  • Budesonide
  • Bumetanide
  • Cangrelor
  • Ceritinib
  • Giấy chứng nhận
  • Clorothiazide
  • Chlorthalidone
  • Cilostazol
  • Citalopram
  • Clomipramine
  • Clopamid
  • Clopidogrel
  • Cortisone
  • Cyclopenthiazide
  • Cyclosporine
  • Dabigatran Etexilate
  • Dalteparin
  • Danaparoid
  • Trì hoãn
  • Deflazacort
  • Desipramine
  • Desirudin
  • Desmopressin
  • Desvenlafaxine
  • Dexamethasone
  • Dexketoprofen
  • Diazoxide
  • Dibenzepin
  • Sự khác biệt
  • Digoxin
  • Dipyridamole
  • Dipyrone
  • Dothiepin
  • Doxepin
  • Thuốc nhỏ giọt
  • Duloxetine
  • Edoxaban
  • Enoxaparin
  • Eplerenone
  • Epoprostenol
  • Eptifibatide
  • Escitalopram
  • Axit etacrynic
  • Etodolac
  • Etofenamate
  • Ticagrelor
  • Ticlopidine
  • Tinzaparin
  • Tirofiban
  • Tolfenamic Acid
  • Tolmetin
  • Torsemide
  • Trazodone
  • Treprostinil
  • Triamterene
  • Trichlormethiazide
  • Trimipramine
  • Trolamine Salicylate
  • Valdecoxib
  • Venlafaxine
  • Vilazodone
  • Vorapaxar
  • Vortioxetine
  • Warfarin
  • Xipamide
  • Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

    • Acebutolol
    • Alacepril
    • Atenolol
    • Azilsartan
    • Azilsartan Medoxomil
    • Benazepril
    • Betaxolol
    • Bisoprolol
    • Candesartan Cilexetil
    • Captopril
    • Carteolol
    • Carvedilol
    • Celiprolol
    • Ciprofloxacin
    • Enalapril
    • Enalaprilat
    • Eprosartan
    • Esmolol
    • Fosinopril
    • Irbesartan
    • Labetalol
    • Levobunolol
    • Lisinopril
    • Losartan
    • Metipranolol
    • Metoprolol
    • Moexipril
    • Nadolol
    • Nebivolol
    • Olmesartan Medoxomil
    • Oxprenolol
    • Penbutolol
    • Perindopril Erbumine
    • Pindolol
    • Practolol
    • Propranolol
    • Quinapril
    • Ramipril
    • Sotalol
    • Spirapril
    • Telmisartan
    • Timolol
    • Trandolapril
    • Valsartan

    Interactions with food/tobacco/alcohol

    Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

    Other medical problems

    The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

    • Anemia or
    • Bleeding problems or
    • Blood clots or
    • Congestive heart failure or
    • Edema (fluid retention or body swelling) or
    • Heart attack, recent or history of or
    • Heart disease or
    • Hyperkalemia (high potassium in the blood) or
    • Hypertension (high blood pressure) or
    • Kidney disease, mild to moderate or
    • Stomach ulcers or bleeding, history of or
    • Stroke, history of—Use with caution. May make these conditions worse.
    • Aspirin-sensitive asthma or
    • Aspirin (or other NSAIDs) sensitivity, history of or
    • Kidney disease, severe—Should not be used in patients with these conditions.
    • Damaged or non-intact skin caused by skin diseases (eg, exudative dermatitis, eczema, infection lesions), burns, or wounds (for skin patch and topical system only)—Should not be used in patients with this condition.
    • Heart surgery (eg, coronary artery bypass graft [CABG] surgery)—Should not be used to relieve pain right before or after the surgery.
    • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

    Proper use of Voltaren

    This section provides information on the proper use of a number of products that contain diclofenac. It may not be specific to Voltaren. Please read with care.

    Keep using this medicine for the full time of treatment. However, do not use this medicine more often or for a longer time than your doctor ordered. This medicine is not for long-term use.

    This medicine comes with a Medication Guide and patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

    To use the skin patch or topical system:

    • Use this medicine exactly as directed by your doctor. It will work only if applied correctly.
    • Wash your hands with soap and water before and after applying a patch or topical system. Do not touch your eyes until after you have washed your hands. If it gets into your eyes, wash the eyes right away with water or saline. If eye irritation persists for more than one hour, call your doctor.
    • Apply the patch or topical system right away after removing it from the protective pouch. Do not cut it into smaller pieces and do not touch the sticky surface of the patch or topical system.
    • Apply the patch or topical system to a clean, dry, intact skin area. Choose an area with little or no hair and free of scars, cuts, or irritation. Avoid putting the patch or topical system on areas where it could be rubbed off by tight clothing.
    • Press the patch or topical system firmly in place with your fingertips to make sure that the edges stick well. If the patch or topical system begins to peel off, the edges may be taped down.
    • If the patch or topical system still peels off, it may be used with a mesh netting sleeve (eg, Curad® Hold Tite™, Surgilast® Tubular Elastic Dressing) to hold the patch or topical system applied to the ankles, knees, or elbows. The mesh netting sleeve must not be occlusive and must allow air to pass through.
    • Do not use the patch or topical system when you take a bath or shower.
    • To help you remember to use your medicine, try to get into the habit of using it at regular times. If you are using the skin patch, try to change it at the same time and day of the week.

    To use the topical gel:

    • Wash your hands before and after using this medicine.
    • For Voltaren® 1% topical gel: Use the enclosed dosing card to measure the correct dose. The gel should be applied within the oblong area of the dosing card up to the 2 or 4 gram line (2 grams for each elbow, wrist, or hand, and 4 grams for each knee, ankle, or foot).
    • Apply the medicine very carefully to clean, dry skin, and avoid getting any in your eyes, nose, or mouth.
    • Do not apply this medicine to areas with broken skin or open wounds, infection, or severely peeling skin.
    • Apply enough medicine each time to cover the entire affected area.
    • Do not use heating pads or cover the treated area with a bandage unless your doctor has told you to.
    • Do not use cosmetics (eg, makeup or sunscreens) or other skin care products on the same skin areas where you have applied this medicine.
    • For Voltaren® 1% topical gel: After applying this medicine, do not shower, bathe, or wash the affected area for at least 1 hour. Wait for at least 10 minutes before covering the treated skin with gloves or clothing.

    To use the topical solution:

    • Use this medicine exactly as directed by your doctor. It will work only if applied correctly. Do not apply this medicine anywhere on your body other than where your doctor tells you.
    • Wash your hands with soap and water before and after applying the solution. If you get this medicine into your eyes, wash the eyes right away with water or saline. If eye irritation persists for more than 1 hour, call your doctor.
    • Apply the solution to a clean, dry, intact skin area. Choose an area free of open wounds scars, cuts, or irritation.
    • Put 10 drops of the solution at a time on your hand or directly to your knee. Apply the solution evenly on the front, back, and sides of your knee.
    • After using the Pennsaid® solution, wait for at least 30 minutes before showering or bathing.
    • Do not use external heat or dressings to the treated knee. Avoid wearing clothing or applying skin care products, such as sunscreen, insect repellant, lotion, moisturizer, or cosmetics, over the treated knee until the skin is completely dry.
    • Avoid skin-to-skin contact between other people and the treated knee until the skin is completely dry.
    • Protect the treated knee from sunlight.

    Dosing

    The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

    The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For topical dosage form (gel):
    • For actinic keratosis using Solaraze® 3% gel:
      • Adults—Apply to affected skin area 2 times a day.
      • Children—Use and dose must be determined by your doctor.
    • For osteoarthritis of the hands, elbows, or wrists using Voltaren® 1% gel:
      • Adults—Apply 2 grams (g) to the affected skin areas four times a day (a total of 8 g each day). However, the total dose should not exceed 32 g per day over all affected joints. Use the enclosed dosing card to measure the appropriate dose.
      • Children—Use and dose must be determined by your doctor.
    • For osteoarthritis of the knees, ankles, or feet using Voltaren® 1% gel:
      • Adults—Apply 4 grams (g) to the affected skin areas four times a day (a total of 16 g each day). However, the total dose should not exceed 32 g per day over all affected joints. Use the enclosed dosing card to measure the appropriate dose.
      • Children—Use and dose must be determined by your doctor.
  • For topical dosage form (solution):
    • For osteoarthritis of the knee:
      • Adults—40 drops (10 drops at a time) on each affected knee 4 times a day.
      • Children—Use and dose must be determined by your doctor.
  • For transdermal dosage form (skin patch):
    • For acute pain:
      • Adults—One patch applied to the painful area 2 times a day.
      • Children—Use and dose must be determined by your doctor.
  • For transdermal dosage form (topical system):
    • For acute pain:
      • Adults and children 6 years of age and older—One topical system applied to the most painful area 2 times a day.
      • Children younger than 6 years of age—Use and dose must be determined by your doctor.
  • Missed dose

    If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

    If you forget to wear or change a patch, put one on as soon as you can. If it is almost time to put on your next patch, wait until then to apply a new patch and skip the one you missed. Do not apply extra patches to make up for a missed dose.

    Storage

    Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

    Keep out of the reach of children.

    Do not keep outdated medicine or medicine no longer needed.

    Ask your healthcare professional how you should dispose of any medicine you do not use.

    After removing a used patch, fold the patch in half with the sticky sides together. Make sure to dispose of it out of the reach of children and pets.

    Precautions while using Voltaren

    It is very important that your doctor check your or your child’s progress at regular visits. This will allow your doctor to make sure this medicine is working properly and to decide if you should continue to use it. Blood and urine tests may be needed to check for unwanted effects.

    This medicine may increase your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time may also have a higher risk.

    This medicine may cause bleeding in your stomach or bowels. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, are over 60 years of age, are in poor health, or are using certain other medicines (eg, other NSAIDs, steroid medicine, blood thinners).

    Serious skin reactions can occur during treatment with this medicine. Check with your doctor right away if you have any of the following symptoms while using this medicine: blistering, peeling, or loosening of the skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills.

    Some possible warning signs of serious side effects that can occur during treatment with this medicine may include black, tarry stools, decreased urination, severe stomach pain, skin rash, swelling of the face, fingers, feet, or lower legs, unusual bleeding or bruising, unusual weight gain, vomiting of blood or material that looks like coffee grounds, or yellow skin or eyes. Also, signs of serious heart problems could occur such as chest pain, tightness in the chest, fast or irregular heartbeat, unusual flushing or warmth of skin, weakness, or slurring of speech. Check with your doctor right away if you notice any of these warning signs.

    This medicine may cause a serious allergic reaction called anaphylaxis. Although this is rare, it may occur more often in patients who are allergic to aspirin or to any of the nonsteroidal anti-inflammatory drugs (NSAIDs). Anaphylaxis can be life-threatening and requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, or fainting. Other signs may include: changes in color of the skin of the face, very fast but irregular heartbeat or pulse, hive-like swellings on the skin, and puffiness or swelling of the eyelids or around the eyes. If these effects occur, get emergency help at once.

    It is important to tell your doctor if you are pregnant or planning to become pregnant before using this medicine. Using this medicine while you are in the last 3 months of pregnancy (third trimester) can harm your unborn baby. Do not use this medicine during the latter part of a pregnancy unless your doctor tells you to.

    If you plan to have children, talk with your doctor before using this medicine. Some women using this medicine have become infertile (unable to have children).

    If your symptoms become worse, check with your doctor.

    Diclofenac may cause redness, soreness, scaling, and peeling of the affected skin. Do not stop using this medicine without first checking with your doctor. If the reaction is very uncomfortable, check with your doctor.

    While using this medicine, your skin may become more sensitive to sunlight than usual, and too much sunlight may increase the effects of the medicine. During this period of time:

    • Stay out of direct sunlight, especially between the hours of 10 AM and 3 PM, if possible.
    • Wear protective clothing, including a hat and sunglasses.
    • Do not use a sunlamp or tanning bed or booth.
    • Make sure you have discussed the use of a sun block product with your doctor.

    If you have a severe reaction from the sun, check with your doctor.

    Before having any kind of surgery or medical tests, tell your doctor that you are using this medicine. It may be necessary for you to stop treatment for awhile, or to change to a different nonsteroidal antiinflammatory drug before your procedure.

    Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

    Voltaren side effects

    Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

    Check with your doctor immediately if any of the following side effects occur:

    More common

    • Burning, itching, redness, skin rash, swelling, or soreness at the application site
    • itching skin

    Less common

    • Blood in the urine
    • chest pain
    • cough
    • dry, itching, or burning eyes
    • eye pain
    • headaches, including migraines
    • increased sensitivity of the skin to sunlight
    • pain or tenderness around the eyes and cheekbones
    • redness of the skin
    • redness or swelling of the eyes
    • runny or stuffy nose
    • skin rash other than at the application site
    • sore throat
    • tightness in the chest
    • troubled breathing
    • ulcers or sores on the skin, other than at the application site

    Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

    More common

    • Chills
    • diarrhea
    • fever
    • general feeling of discomfort or illness
    • joint pain
    • loss of appetite
    • muscle aches and pains
    • nausea
    • scaly, thick, or tingling skin
    • shivering
    • sweating
    • trouble sleeping
    • unusual tiredness or weakness
    • vomiting

    Less common

    • Acne
    • back pain
    • belching
    • bleeding skin
    • burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
    • dizziness
    • heartburn
    • increase in body movements
    • indigestion
    • lack or loss of strength
    • loss of or change in taste
    • loss or thinning of the hair
    • neck pain
    • sleepiness or unusual drowsiness
    • stomach upset or pain

    Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

    Seek emergency medical attention or call 115

    Further information

    The content of Holevn is solely for the purpose of providing information about Thuốc Voltaren (Topical)  and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Please contact your nearest doctor or clinic, hospital for advice. We do not accept liability if the patient arbitrarily uses the drug without following a doctor’s prescription.

    Reference from: https://www.drugs.com/cons/voltaren-topical.html

  • Spironolactone
  • Sulfasalazine
  • Sulindac
  • Tacrolimus
  • Tenofovir Disoproxil Fumarate
  • Tenoxicam
  • Tianeptine
  • Tiaprofenic Acid
  • Ticagrelor
  • Ticlopidine
  • Tinzaparin
  • Tirofiban
  • Tolfenamic Acid
  • Tolmetin
  • Torsemide
  • Trazodone
  • Treprostinil
  • Triamterene
  • Trichlormethiazide
  • Trimipramine
  • Trolamine Salicylate
  • Valdecoxib
  • Venlafaxine
  • Vilazodone
  • Vorapaxar
  • Vortioxetine
  • Warfarin
  • Xipamide

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acebutolol
  • Alacepril
  • Atenolol
  • Azilsartan
  • Azilsartan Medoxomil
  • Benazepril
  • Betaxolol
  • Bisoprolol
  • Candesartan Cilexetil
  • Captopril
  • Carteolol
  • Carvedilol
  • Celiprolol
  • Ciprofloxacin
  • Enalapril
  • Enalaprilat
  • Eprosartan
  • Esmolol
  • Fosinopril
  • Irbesartan
  • Labetalol
  • Levobunolol
  • Lisinopril
  • Losartan
  • Metipranolol
  • Metoprolol
  • Moexipril
  • Nadolol
  • Nebivolol
  • Olmesartan Medoxomil
  • Oxprenolol
  • Penbutolol
  • Perindopril Erbumine
  • Pindolol
  • Practolol
  • Propranolol
  • Quinapril
  • Ramipril
  • Sotalol
  • Spirapril
  • Telmisartan
  • Timolol
  • Trandolapril
  • Valsartan

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Anemia or
  • Bleeding problems or
  • Blood clots or
  • Congestive heart failure or
  • Edema (fluid retention or body swelling) or
  • Heart attack, recent or history of or
  • Heart disease or
  • Hyperkalemia (high potassium in the blood) or
  • Hypertension (high blood pressure) or
  • Kidney disease, mild to moderate or
  • Stomach ulcers or bleeding, history of or
  • Stroke, history of—Use with caution. May make these conditions worse.
  • Aspirin-sensitive asthma or
  • Aspirin (or other NSAIDs) sensitivity, history of or
  • Kidney disease, severe—Should not be used in patients with these conditions.
  • Damaged or non-intact skin caused by skin diseases (eg, exudative dermatitis, eczema, infection lesions), burns, or wounds (for skin patch and topical system only)—Should not be used in patients with this condition.
  • Heart surgery (eg, coronary artery bypass graft [CABG] surgery)—Should not be used to relieve pain right before or after the surgery.
  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper use of Voltaren

This section provides information on the proper use of a number of products that contain diclofenac. It may not be specific to Voltaren. Please read with care.

Keep using this medicine for the full time of treatment. However, do not use this medicine more often or for a longer time than your doctor ordered. This medicine is not for long-term use.

This medicine comes with a Medication Guide and patient instructions. Read and follow these instructions carefully. Ask your doctor if you have any questions.

To use the skin patch or topical system:

  • Use this medicine exactly as directed by your doctor. It will work only if applied correctly.
  • Wash your hands with soap and water before and after applying a patch or topical system. Do not touch your eyes until after you have washed your hands. If it gets into your eyes, wash the eyes right away with water or saline. If eye irritation persists for more than one hour, call your doctor.
  • Apply the patch or topical system right away after removing it from the protective pouch. Do not cut it into smaller pieces and do not touch the sticky surface of the patch or topical system.
  • Apply the patch or topical system to a clean, dry, intact skin area. Choose an area with little or no hair and free of scars, cuts, or irritation. Avoid putting the patch or topical system on areas where it could be rubbed off by tight clothing.
  • Press the patch or topical system firmly in place with your fingertips to make sure that the edges stick well. If the patch or topical system begins to peel off, the edges may be taped down.
  • If the patch or topical system still peels off, it may be used with a mesh netting sleeve (eg, Curad® Hold Tite™, Surgilast® Tubular Elastic Dressing) to hold the patch or topical system applied to the ankles, knees, or elbows. The mesh netting sleeve must not be occlusive and must allow air to pass through.
  • Do not use the patch or topical system when you take a bath or shower.
  • To help you remember to use your medicine, try to get into the habit of using it at regular times. If you are using the skin patch, try to change it at the same time and day of the week.

To use the topical gel:

  • Wash your hands before and after using this medicine.
  • For Voltaren® 1% topical gel: Use the enclosed dosing card to measure the correct dose. The gel should be applied within the oblong area of the dosing card up to the 2 or 4 gram line (2 grams for each elbow, wrist, or hand, and 4 grams for each knee, ankle, or foot).
  • Apply the medicine very carefully to clean, dry skin, and avoid getting any in your eyes, nose, or mouth.
  • Do not apply this medicine to areas with broken skin or open wounds, infection, or severely peeling skin.
  • Apply enough medicine each time to cover the entire affected area.
  • Do not use heating pads or cover the treated area with a bandage unless your doctor has told you to.
  • Do not use cosmetics (eg, makeup or sunscreens) or other skin care products on the same skin areas where you have applied this medicine.
  • For Voltaren® 1% topical gel: After applying this medicine, do not shower, bathe, or wash the affected area for at least 1 hour. Wait for at least 10 minutes before covering the treated skin with gloves or clothing.

To use the topical solution:

  • Use this medicine exactly as directed by your doctor. It will work only if applied correctly. Do not apply this medicine anywhere on your body other than where your doctor tells you.
  • Wash your hands with soap and water before and after applying the solution. If you get this medicine into your eyes, wash the eyes right away with water or saline. If eye irritation persists for more than 1 hour, call your doctor.
  • Apply the solution to a clean, dry, intact skin area. Choose an area free of open wounds scars, cuts, or irritation.
  • Put 10 drops of the solution at a time on your hand or directly to your knee. Apply the solution evenly on the front, back, and sides of your knee.
  • After using the Pennsaid® solution, wait for at least 30 minutes before showering or bathing.
  • Do not use external heat or dressings to the treated knee. Avoid wearing clothing or applying skin care products, such as sunscreen, insect repellant, lotion, moisturizer, or cosmetics, over the treated knee until the skin is completely dry.
  • Avoid skin-to-skin contact between other people and the treated knee until the skin is completely dry.
  • Protect the treated knee from sunlight.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For topical dosage form (gel):
    • For actinic keratosis using Solaraze® 3% gel:
      • Adults—Apply to affected skin area 2 times a day.
      • Children—Use and dose must be determined by your doctor.
    • For osteoarthritis of the hands, elbows, or wrists using Voltaren® 1% gel:
      • Adults—Apply 2 grams (g) to the affected skin areas four times a day (a total of 8 g each day). However, the total dose should not exceed 32 g per day over all affected joints. Use the enclosed dosing card to measure the appropriate dose.
      • Children—Use and dose must be determined by your doctor.
    • For osteoarthritis of the knees, ankles, or feet using Voltaren® 1% gel:
      • Adults—Apply 4 grams (g) to the affected skin areas four times a day (a total of 16 g each day). However, the total dose should not exceed 32 g per day over all affected joints. Use the enclosed dosing card to measure the appropriate dose.
      • Children—Use and dose must be determined by your doctor.
  • For topical dosage form (solution):
    • For osteoarthritis of the knee:
      • Adults—40 drops (10 drops at a time) on each affected knee 4 times a day.
      • Children—Use and dose must be determined by your doctor.
  • For transdermal dosage form (skin patch):
    • For acute pain:
      • Adults—One patch applied to the painful area 2 times a day.
      • Children—Use and dose must be determined by your doctor.
  • For transdermal dosage form (topical system):
    • For acute pain:
      • Adults and children 6 years of age and older—One topical system applied to the most painful area 2 times a day.
      • Children younger than 6 years of age—Use and dose must be determined by your doctor.

Missed dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

If you forget to wear or change a patch, put one on as soon as you can. If it is almost time to put on your next patch, wait until then to apply a new patch and skip the one you missed. Do not apply extra patches to make up for a missed dose.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

After removing a used patch, fold the patch in half with the sticky sides together. Make sure to dispose of it out of the reach of children and pets.

Precautions while using Voltaren

It is very important that your doctor check your or your child’s progress at regular visits. This will allow your doctor to make sure this medicine is working properly and to decide if you should continue to use it. Blood and urine tests may be needed to check for unwanted effects.

This medicine may increase your risk of having a heart attack or stroke. This is more likely in people who already have heart disease. People who use this medicine for a long time may also have a higher risk.

This medicine may cause bleeding in your stomach or bowels. These problems can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, are over 60 years of age, are in poor health, or are using certain other medicines (eg, other NSAIDs, steroid medicine, blood thinners).

Serious skin reactions can occur during treatment with this medicine. Check with your doctor right away if you have any of the following symptoms while using this medicine: blistering, peeling, or loosening of the skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills.

Some possible warning signs of serious side effects that can occur during treatment with this medicine may include black, tarry stools, decreased urination, severe stomach pain, skin rash, swelling of the face, fingers, feet, or lower legs, unusual bleeding or bruising, unusual weight gain, vomiting of blood or material that looks like coffee grounds, or yellow skin or eyes. Also, signs of serious heart problems could occur such as chest pain, tightness in the chest, fast or irregular heartbeat, unusual flushing or warmth of skin, weakness, or slurring of speech. Check with your doctor right away if you notice any of these warning signs.

This medicine may cause a serious allergic reaction called anaphylaxis. Although this is rare, it may occur more often in patients who are allergic to aspirin or to any of the nonsteroidal anti-inflammatory drugs (NSAIDs). Anaphylaxis can be life-threatening and requires immediate medical attention. The most serious signs of this reaction are very fast or irregular breathing, gasping for breath, or fainting. Other signs may include: changes in color of the skin of the face, very fast but irregular heartbeat or pulse, hive-like swellings on the skin, and puffiness or swelling of the eyelids or around the eyes. If these effects occur, get emergency help at once.

It is important to tell your doctor if you are pregnant or planning to become pregnant before using this medicine. Using this medicine while you are in the last 3 months of pregnancy (third trimester) can harm your unborn baby. Do not use this medicine during the latter part of a pregnancy unless your doctor tells you to.

If you plan to have children, talk with your doctor before using this medicine. Some women using this medicine have become infertile (unable to have children).

If your symptoms become worse, check with your doctor.

Diclofenac may cause redness, soreness, scaling, and peeling of the affected skin. Do not stop using this medicine without first checking with your doctor. If the reaction is very uncomfortable, check with your doctor.

While using this medicine, your skin may become more sensitive to sunlight than usual, and too much sunlight may increase the effects of the medicine. During this period of time:

  • Stay out of direct sunlight, especially between the hours of 10 AM and 3 PM, if possible.
  • Wear protective clothing, including a hat and sunglasses.
  • Do not use a sunlamp or tanning bed or booth.
  • Make sure you have discussed the use of a sun block product with your doctor.

If you have a severe reaction from the sun, check with your doctor.

Before having any kind of surgery or medical tests, tell your doctor that you are using this medicine. It may be necessary for you to stop treatment for awhile, or to change to a different nonsteroidal antiinflammatory drug before your procedure.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Voltaren side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

  • Burning, itching, redness, skin rash, swelling, or soreness at the application site
  • itching skin

Less common

  • Blood in the urine
  • chest pain
  • cough
  • dry, itching, or burning eyes
  • eye pain
  • headaches, including migraines
  • increased sensitivity of the skin to sunlight
  • pain or tenderness around the eyes and cheekbones
  • redness of the skin
  • redness or swelling of the eyes
  • runny or stuffy nose
  • skin rash other than at the application site
  • sore throat
  • tightness in the chest
  • troubled breathing
  • ulcers or sores on the skin, other than at the application site

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Chills
  • diarrhea
  • fever
  • general feeling of discomfort or illness
  • joint pain
  • loss of appetite
  • muscle aches and pains
  • nausea
  • scaly, thick, or tingling skin
  • shivering
  • sweating
  • trouble sleeping
  • unusual tiredness or weakness
  • vomiting

Less common

  • Acne
  • back pain
  • belching
  • bleeding skin
  • burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings
  • dizziness
  • heartburn
  • increase in body movements
  • indigestion
  • lack or loss of strength
  • loss of or change in taste
  • loss or thinning of the hair
  • neck pain
  • sleepiness or unusual drowsiness
  • stomach upset or pain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Seek emergency medical attention or call 115

Further information

The content of Holevn is solely for the purpose of providing information about Thuốc Voltaren (Topical)  and is not intended to be a substitute for professional medical advice, diagnosis or treatment. Please contact your nearest doctor or clinic, hospital for advice. We do not accept liability if the patient arbitrarily uses the drug without following a doctor’s prescription.

Reference from: https://www.drugs.com/cons/voltaren-topical.html

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