Voltaren Emulgel Gel pain reliever and anti-inflammatory For muscle and joint pain based on Diclofenac (1%). Voltaren Emulgel is a local treatment of painful and inflammatory conditions : of a rheumatic or traumatic nature of the joints, such as osteoarthritis and arthritis ; of the muscles, in case of contractures or injuries ; of tendons and ligaments, in the presence of tendonitis .
Dosage and method of use of Voltaren Emulgel Gel 60 Gr 1%
How to take Voltaren Emulgel Gel?
Adults over 18 years: Apply Voltaren Emulgel 1% gel 2 times a day to the area to be treated (preferably in the morning and evening), rubbing lightly. The amount to be applied depends on the size of the affected area. For example, 2-4 g of Voltaren Emulgel 1% gel (an amount varying in size from a cherry to a walnut) is sufficient to treat an area of 400-800 cm².
Adolescents aged 14 to 18: Apply Voltaren Emulgel 1% gel 2 times a day to the area to be treated (preferably in the morning and evening), rubbing lightly. The amount to be applied depends on the size of the affected area. For example, 2-4 g of Voltaren Emulgel 1% gel (an amount varying in size from a cherry to a walnut) is sufficient to treat an area of 400-800 cm².
Seniors (over 65 years): The usual dosage for adults can be used.
After application, clean hands with absorbent paper and then wash them, unless they are the site to be treated. Absorbent paper should be thrown away in household waste after use. Patients should wait for Voltaren Emulgel 1% to dry before showering or bathing. The gel should not be used for more than 14 days without medical advice. Consult your doctor if symptoms persist or worsen after 7 days of treatment.
Active ingredients Voltaren Emulgel Gel 60 Gr 1%:
100 g of Voltaren Emulgel contain
Active ingredients : 2.32 g of diclofenac diethylammonium, equivalent to 2 g of diclofenac sodium. Excipients with known effect: propylene glycol (50 mg/g of gel) butylhydroxytoluene (0.2 mg/g of gel) pungent eucalyptus perfume For the full list of excipients, see section 6.1.
Excipients : Butylated hydroxytoluene, carbomers, cocoyl caprylocaprate, diethylamine, isopropyl alcohol, liquid paraffin, macrogol cetostearyl ether, oleic alcohol, propylene glycol, pungent eucalyptus perfume, purified water.
Contraindications of Voltaren Emulgel Gel 60 Gr 1%
When should Voltaren Emulgel Gel not be used?
Contraindications/Side effects of Voltaren Emulgel Gel:
- Hypersensitivity to the active substance or to any of the excipients listed in paragraph
- History of asthma, angioedema, urticaria or acute rhinitis following the intake of acetylsalicylic acid or other nonsteroidal anti-inflammatory drugs (NSAIDs)
- During the third trimester of pregnancy.
- Use in children and adolescents under 14 years of age is contraindicated.
Side effects of Voltaren Emulgel Gel 60 Gr 1%
The possibility of systemic adverse events with the application of Voltaren Emulgel 1% cannot be excluded if the preparation is used on large areas of skin and for a prolonged period. Voltaren Emulgel 1% should only be applied to intact, non-diseased skin and not to skin wounds or open lesions. It should not be allowed to come into contact with the eyes or mucous membranes and should not be ingested. Discontinue treatment if a skin rash develops after application of the product. Voltaren Emulgel 1% can be used with non-occlusive dressings, but should not be used with an occlusive dressing that does not allow air to pass through. Important information about some of the excipients Voltaren Emulgel 1% gel contains 200 mg propylene glycol per dose (4 g) equivalent to 50 mg/g which may cause skin irritation. Voltaren Emulgel 1% gel contains butylhydroxytoluene which may cause localized skin reactions (e.g. contact dermatitis) or irritation of the eyes and mucous membranes. Voltaren Emulgel 1% gel contains pungent eucalyptus fragrance, a flavoring containing benzyl alcohol, citronellol, coumarin, d-limonene, eugenol, geraniol, linalool which may cause allergic reactions.
Interactions
Since systemic absorption of diclofenac following topical application is very low, interactions are very unlikely.
Side effects
Adverse reactions include mild and transient skin reactions at the application site. In very rare cases, allergic reactions may occur. Adverse reactions are listed below by organ, apparatus/system:
- Infections and infestations: Very rare Rash with pustules.
- Immune system disorders: Very rare: Hypersensitivity (including urticaria), angioedema.
- Respiratory, thoracic and mediastinal disorders: Very rare Asthma.
- Skin and subcutaneous tissue disorders: Common Dermatitis (including contact dermatitis), rash, erythema, eczema, pruritus. Rare Bullous dermatitis. Very rare Photosensitivity reaction, allergic reactions. Not known Burning sensation at the application site, dry skin.
Overdose Voltaren Emulgel Gel
The low systemic absorption of topical diclofenac makes overdose very unlikely; however, similar adverse effects to those observed after an overdose of diclofenac tablets may be expected if Voltaren Emulgel 1% is ingested (1 tube of 60 g contains the equivalent of 1.2 g of diclofenac sodium). In the event of ingestion, resulting in significant systemic adverse effects, general therapeutic measures normally adopted to treat poisoning with nonsteroidal anti-inflammatory drugs should be undertaken. Further treatment modalities, within a short time after ingestion, should take into account clinical indications or the recommendation of the poison control centre, where available.
Voltaren Emulgel Gel 60 Gr 1% in pregnancy and breastfeeding
Can I use Voltaren Emulgel Gel during pregnancy or breastfeeding?
The systemic concentration of diclofenac compared to oral formulations is lower after topical administration. Based on experience with treatment with systemic NSAIDs, the following is recommended: Inhibition of prostaglandin synthesis may adversely affect the pregnancy and/or embryo/fetal development. Results of epidemiological studies suggest an increased risk of miscarriage and of cardiac malformation and gastroschisis after use of a prostaglandin synthesis inhibitor in early pregnancy. The absolute risk of cardiac malformations increases from less than 1%, up to approximately 1.5%. The risk is believed to increase with dose and duration of therapy. In animals, administration of prostaglandin synthesis inhibitors has been shown to result in increased pre- and post-implantation loss and embryo/fetal mortality; In addition, an increased incidence of various malformations, including cardiovascular, has been reported in animals given prostaglandin synthesis inhibitors during the organogenetic period. During the first and second trimester of pregnancy, diclofenac should not be given unless clearly necessary. If diclofenac is used by a woman attempting to conceive, or during the first and second trimester of pregnancy, the dose should be kept as low and duration of treatment as short as possible. During the third trimester of pregnancy, all prostaglandin synthesis inhibitors may expose the fetus to: • cardiopulmonary toxicity (with premature closure of the ductus arteriosus and pulmonary hypertension); • renal dysfunction, which may progress to renal failure with oligo-hydroamniosis; the mother and neonate, at the end of pregnancy, to: • possible prolongation of bleeding time, and an anti-aggregating effect which may occur even at very low doses; • inhibition of uterine contractions resulting in delayed or prolonged labor. Diclofenac is contraindicated during the third trimester of pregnancy. Breastfeeding Like other NSAIDs, diclofenac passes into breast milk in small amounts. However, at therapeutic doses of Voltaren Emulgel 1% no effects on the infant are expected. Due to the lack of controlled studies in breastfeeding women, the product should be used during breastfeeding only under the advice of a healthcare professional. In this circumstance, Voltaren Emulgel 1% should not be applied to the breasts of nursing mothers, nor elsewhere on large areas of skin or for a prolonged period of time.
Expiry and storage of Voltaren Emulgel Gel 60 Gr 1%
How to store Voltaren Emulgel Gel?
Store below 30°C. The medicine can be used for 3 years after first opening.