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Indications and contraindications for the use of diclofenac ointment. Diclofenac ointment: what is it used for, instructions for use

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Diclofenac in the form of an ointment or gel is an excellent pain reliever for muscle pain.

In addition, this drug is often used by those who lead an active lifestyle or play sports at a professional level.

Gel (ointment) for external use Diclofenac belongs to the group of non-steroidal pro-inflammatory drugs and is a derivative of phenylacetic acid.

Ointment VS gel

It is immediately worth noting that Diclofenac ointment is not significantly different from the gel. There are various auxiliary components included in the drug.

In addition, the gel is absorbed much faster (without leaving any marks on bedding and clothing), due to which a more pronounced analgesic and anti-inflammatory effect of diclofenac can be observed. And this is not surprising, since the product contains a maximum amount of 5% of the active substance.

Of course, the drug in gel form is more convenient to use. At the same time, there is no need to unequivocally state that the gel is better than ointment; it also has a number of contraindications for use that should be taken into account.

In addition, today you can buy Diclofenac in tablet form in almost every pharmacy.

The active substance of the gel is diclofenac; the auxiliary components of the drug include:

purified water;
propylene glycol;
ethanol;
carbomer;
trolamine;
methyl parahydroxybenzoate;
lavender oil.

Diclofenac is also used as the active substance of the ointment (at the same concentration - 5%), and the additional components are:

dimexide;
polyethylene oxide – 400;
polyethylene oxide – 1500;
1,2-propylene glycol.

Diclofenac gel is transparent, has a pronounced specific odor, and the ointment is white in color, with a subtle specific aroma.

Pharmacological action of the drug

Diclofenac, which is an active ingredient, has an anti-inflammatory and pronounced analgesic effect, characterized by anti-edematous effects. The drug eliminates joint stiffness, providing painless motor activity.

The drug prevents the synthesis of prostaglandins, which, in turn, allows you to completely block the inflammatory process. Both cream and gel are characterized by excellent penetrating ability.

The use of this drug makes it possible to get rid of swelling and pain in the joints and muscles. As a result of using the product, it is possible to achieve a significant anti-inflammatory effect and improve joint mobility.

Subject to the conditions for use of the drug, the absorption rate of diclofenac is no more than 6%.

Indications for use

What does Diclofenac ointment-gel help with:

Prescription restrictions

Like many anti-inflammatory and analgesic drugs, Diclofenac in the form of a gel or ointment has a number of contraindications. These include:

Dosage and method of administration of the drug

Diclofenac ointment and gel are used externally only. The dosage depends entirely on the size of the affected area. If we are talking about an ointment, then an amount equal to 2-4 g of the product (the size of a cherry) will be sufficient; a strip of gel no more than four centimeters at a time is used.

For children whose age ranges from 6 to 12 years, the dosage should be halved.

The drug is applied directly to the skin at the site of inflammation and rubbed in with gentle, gentle movements until completely absorbed. The procedure is repeated two to three times during the day.

Diclofenac is used until pain and inflammation are completely eliminated. It is not recommended to use it as directed for more than two weeks.

After using the drug, it is recommended to wash your hands thoroughly with soap, avoiding contact with the mucous membranes. An exception is when the ointment or gel is applied to the skin of the hands (for example, when).

Overdose and application features

You should not use more than 8g of the drug per day. As practice shows, when used externally in recommended doses, an overdose is not observed.

In order to enhance the anti-inflammatory and analgesic effect, tablets or tablets are prescribed simultaneously with ointment or gel for external use. The treatment regimen, depending on the severity of the disease and the general condition of the patient, is determined by a specialist.

During pregnancy, as well as during breastfeeding, the use of the drug is undesirable, since its effect has not yet been studied.

The product should not be used when treating children under 6 years of age. In old age, the drug is used only after consultation with the attending physician.

At the same time, the expected benefits from the use of the drug must exceed the possible risks to the health of an elderly patient.

If the patient has impaired liver or kidney function, Diclofenac is used with great caution and under the supervision of specialists. After applying the ointment or gel, do not use an occlusive dressing.

Side effects

Adverse reactions are conventionally divided into two subgroups:

Local– these include photosensitivity, eczema, as well as contact dermatitis, which manifests itself in the form of peeling, redness, itching, and swelling.
System– these include allergic reactions (urticaria, bronchospastic reactions, angioedema), generalized skin rash,

Diclofenac– a white ointment with a light characteristic aroma. Used to relieve joint pain and eliminate inflammatory processes. Can be prescribed by a doctor for rheumatism, sprains of tendons and ligaments, and traumatic bruises.

This article provides you with the most detailed information about medicinal ointment

Diclofenac: instructions for use, average cost in pharmacies, incomplete and complete analogues, reviews. Would you like to tell us about your own experience using this medicine? Then please leave a comment at the very bottom of the page.

Clinical and pharmacological group
Belongs to the group of nonsteroidal anti-inflammatory drugs (NSAIDs), a derivative of phenylacetic acid. Intended for external use.

Sales in pharmacies
Available without a prescription.

Average cost in pharmacies
The average price of Diclofenac ointment is 90 rubles. per tube.

Composition and release form of the drug

The main active ingredient of the drug Diclofenac– diclofenac sodium (lat. – diclofenac sodium).

The medicine used for external use is available in two forms:

Gel (or cream) with a saturation of 1 and 5% of the main active ingredient. It is characterized by rapid absorption and is recommended for complex treatment in combination with Diclofenac tablets in order to reduce the dosage of the latter. Diclofenac 5 percent gel should absolutely not be used if blood clotting is low.
Ointment with a concentration of diclofenac sodium 1% per 0.3 g in a tube weighing 30 grams. Easy to apply and leaves no marks on clothes.

The drug Diclofenac, both in the form of an ointment and in the form of a gel, includes the same active ingredient. However, in addition to diclofenac sodium, it contains:

dimethyl sulfoxide;
propylene glycol;
polyethylene oxide 400 and 1500.

Pharmacological effect

Treating the problem area of the body with Diclofenac ointment or gel is an effective solution for eliminating existing problems, in particular, inflammatory pain spasms. This is due to the fact that the drug has a complex effect, acting as:

analgesic;
decongestant;
anti-inflammatory substance.

Its reliability is ensured by its ability to act directly on the site of inflammation, both at rest and during activity. As a result, pain is quickly and effectively eliminated, swelling and stiffness of the joints are relieved, and motor function is normalized.

Indications

Diclofenac ointment has a wide range of applications, therefore Doctors prescribe it for:

non-rheumatic and rheumatic muscle pain;
degenerative and inflammatory diseases of the musculoskeletal system:
rheumatic and psoriatic arthritis;
articular syndrome with rheumatism and exacerbation of gout;
osteoarthritis;
inflammation of tendons and ligaments;
lumbago;
sciatica.

The emergence of post-traumatic inflammatory foci in soft tissues and the musculoskeletal system:

dislocations;
bruises;
ligament damage.

Contraindications for use

It is not recommended to use Diclofenac ointment and gel:

during pregnancy and breastfeeding (lactation);
children under 6 years of age;
in case of hypersensitivity or allergic reactions caused by non-steroidal anti-inflammatory drugs or diclofenac sodium directly;
in case of a history of bronchial spasm;
in the presence of abrasions, wounds and other damage to the integrity of the skin.

It is worth noting that the use of Diclofenac ointment is allowed during the first and second trimester of pregnancy, but only by the doctor’s decision and only in cases where the risk to the unborn child is less than the benefit to the mother.

Use during pregnancy and lactation

The use of Diclofenac is allowed during the first and second trimesters of pregnancy if its potential benefit is higher than the possible negative effect on the fetus.

Instructions for use of Diclofenac gel and ointment

Instructions for use of Diclofenac ointment indicate that the amount of product for external use depends on the size of the treated area. The single dosage should take into account the dosage form of the drug and the age of the patient.

Which is better: Diclofenac gel or ointment? It is impossible to answer this question unambiguously, since both forms of the drug have an equivalent positive effect.

Instructions for external use of Diclofenac gel, ointment and spray:

Children and adults over 12 years of age can apply Declofenac to the area of inflammation 3-4 times a day. Children from 6 to 12 years old - no more than 2 times a day.
The duration of use of the drug depends on its effectiveness and indications. However, if more than 2 weeks have passed since treatment, you should consult a doctor.

Using the transdermal patch:

For adults and elderly people, as well as children over 15 years of age, a transdermal patch is applied to the painful surface once a day for 24 hours.

If the patch is used to treat soft tissue injuries, the course should be no more than 2 weeks (14 days); to eliminate problems in muscles and joints, a three-week (21 day) treatment period is allowed. In other cases, a doctor's recommendation and consultation is required.

If seven days after using the patch there is no improvement in the condition or it only worsens, you should also consult a doctor.

Side effect

Side effects depend on the individual sensitivity of the body, the duration of use of Diclofenac and the dosage.

As a result, you may experience:

skin redness, rash, burning;
nausea, flatulence, loss of appetite, pain in the epigastric region;
dizziness, drowsiness, headache;
photosensitivity;
systemic anaphylactic reactions, incl. shock;
bronchial spasms.

If you experience any of the above symptoms, stop using the drug and consult your doctor immediately.

Overdose

Diclofenac gel and ointment have low systemic absorption, so overdose is practically excluded.

Features of application

The medicinal product Diclofenac should not be applied:

on the mucous membrane of the mouth, nose, eyes and open wounds;
in case of prolonged exposure to direct sunlight;
when applying airtight (occlusive) dressings;
in excessive quantities over a large area of sensitive skin over a long period of time.

If Diclofenac is used in conjunction with other drugs, then the total daily dose of the active substance diclofenac sodium must be taken into account.

Drug interactions

When interacting with drugs that cause photosensitivity, Diclofenac enhances their effect.

You must be very careful when using diclofenac together with antibiotics, antiepileptics and other drugs that have a hepatoxic effect.

In all other cases, a clinically significant drug interaction with Diclofenac is unlikely due to its slow absorption.

Terms and conditions of storage

Incomplete and complete analogues

One percent diclofenac sodium is the active ingredient in many medicinal ointments. The original drug is Voltaren.

There are a huge number of complete and incomplete analogues of Diclofenac. In some cases, they differ in that the name of the company that produces it is added to the brand name, for example:

Diclofenac-Akrikhin
Diclofenac-Acos, etc.

Also analogues of Diclofenac are medicinal ointments called:

Dicloran
Ortofen, etc.

Replacing Diclofenac with its analogue requires prior consultation with your doctor.

Almost everyone is familiar with the fairly effective ointment Diclofenac; most people often experience simple sprains of muscles or ligaments when playing sports, and older people often experience pain in the joints. In this article we will look in detail at how to use Diclofenac ointment, how it works and how it helps.

Pain in muscles and joints can poison a person’s life, depriving him of the opportunity to move freely and easily or simply lead a normal or active lifestyle.

Diclofenac ointment can be a lifeline in this case.

What is Diclofenac ointment?

Diclofenac ointment is considered a derivative of phenylacetic acid and an anti-inflammatory non-steroidal agent.

The ointment can have a pronounced analgesic, antipyretic and anti-inflammatory effect, and also has an antipyretic effect.

Let's talk about the storage conditions for Diclofenac ointment. This ointment does not require any special storage conditions; just put it in a cool, dry place. But we recommend that the temperature in such a place vary from eight to fifteen degrees. Freezing is prohibited.

The ointment has a sufficient shelf life of twenty-four months.

Composition of the ointment

The composition of the drug Diclofenac is very simple, one tube contains about thirty grams of the substance and contains mostly one potent component, namely diclofenac sodium - which equals zero point three grams.

Diclofenac ointment also contains the following additional components, namely:

Diclofenac ointment is white in color and characterized by a weak but specific odor.

What can Diclofenac ointment help with?

Before using this ointment, you need to know the indication for using this medication.

Diclofenac ointment, when applied to the affected area, has:

Anti-inflammatory effect;
Removes swelling;
Analgesic effect.

This remedy for rheumatic diseases can reduce joint pain, both during movement and at rest.

In addition, the ointment can eliminate morning stiffness and also protect joints from swelling, which helps improve motor function.

Systematic external use of Diclofenac ointment can help the ointment penetrate the skin and accumulate in the underlying tissues, that is, in the joint capsule, joint cavity, muscle tissue and subcutaneous tissue.

The ointment can stop the synthesis of prostaglandins, which plays a major role in the development of the inflammation process.

A fairly wide spectrum of action of the drug can give doctors the opportunity to prescribe it for a large number of diseases:

Degenerative and inflammatory diseases of the musculoskeletal system:

For the treatment of rheumatoid arthritis;
For osteoarthritis, inflammatory processes in tendons and ligaments, radiculitis;
For the treatment of lumbago and sciatica;
Against psoriatic arthritis;
For the treatment of articular syndrome in rheumatism, as well as during exacerbation of gout.

Post-traumatic inflammation of the musculoskeletal system, as well as tissues (soft):

For bruises;
For dislocations;
For the treatment of damaged ligaments;

Muscle pain of rheumatic/non-rheumatic origin.

Properties

This drug is classified as an anti-inflammatory non-steroidal drug for good reason, because it can have a clear anti-inflammatory effect.

Due to the fact that Diclofenac contains certain analgesic components, the ointment can have an immediate analgesic effect at the sites of application.

This drug can instantly relieve pain and also prevent swelling in the affected joints. In addition, the use of ointment can greatly increase their mobility.

Compared to other products, Declofenac ointment has a large number of advantages, namely:

This drug has incredible penetrating ability;
Has a transdermal effect (impact);
It is absorbed very quickly and practically does not leave any greasy spots or shine on clothes.

Contraindications

Diclofenac ointment, like most medications, has certain contraindications.

These include:

Side effects…

Some side effects may occur while you use this drug.

Basically they directly depend on:

Sensitivity to the drug;
Total duration of treatment;
Dosage values;
Individual characteristics of a person.

Typically, side effects are caused by these reactions: allergic formations on the skin are likely, that is, a burning sensation, a little redness or a rash on the skin.

With very long use of this ointment or when using it in large doses, quite serious systemic or side symptoms can appear.

... from the central nervous system

Excessive sleepiness;
Frequent dizziness;
Headache;

... from the respiratory organs

Bronchospasm;
Anaphylactic shock (very dangerous to human life);
Anaphylactic systemic reactions.

... from the intestinal and gastric tract

Nausea;
Flatulence;
Loss of appetite;
Feeling of pain in the epigastric region.

If side effects occur, you should prohibit the use of Diclofenac ointment and consult a doctor as soon as possible.

Application of ointment

Methods and dosage

Before using Diclofenac sodium ointment, the instructions for use must be carefully studied.

The ointment is used only externally.

A single dosage is usually from two to four grams, comparable in volume to cherries and is quite enough to treat a skin area of four hundred to eight hundred square centimeters. It should be noted that the highest daily dosage of this drug is exactly eight grams.

Diclofenac ointment should be applied in a very thin layer and gently rubbed into the skin in the area of inflammation.

You can use the ointment two or three times in one day.

After applying this medication, hands should be washed thoroughly, preferably under running water, if they are not considered the immediate area of treatment, for example, for arthrosis of the fingers.

The duration of treatment, as a rule, mainly depends on the general indications and the subsequent effect observed.

Diclofenac ointment should not be used for longer than two weeks.

To enhance the effect, this ointment is used together with the healing forms of diclofenac already existing in the world.

Before supplementing your treatment with tablets after two weeks of using the product in ointment form, you should consult your doctor.

Effect of the ointment

For osteochondrosis ointment is applied two or four grams two or three times a day.

The drug helps improve the functional ability of the joints affected by the disease and also increases the range of motion.

For bruises ointment is applied to mechanical closed damage to organs and tissues, approximately two grams three times a day.

The ointment has an anti-inflammatory and analgesic effect.

For radiculitis ointment should be used from two to four grams two to three times a day;

The effect of Diclofenac ointment is noticeable in reduced morning stiffness.

For hemorrhoids. For the most acute form of hemorrhoids, this drug is applied in the thinnest layer around the anus, the maximum dosage is no more than two grams.

The drug has an antiseptic and analgesic effect, and also relieves inflammation.

For sprains. Diclofenac ointment is applied in accordance with the standard dosage: two to four grams two to three times a day.

This drug helps reduce pain, both during movement and at rest, and can relieve swelling.

Use and special instructions

As we noted above, Diclofenac ointment is used only externally. And the amount of this drug is determined mainly depending on the size of the affected area.

Adults are allowed a dosage of two to four grams and children whose age is no more than twelve years old, no more than two grams, this ointment is applied to the skin no more than four times a day and rubbed in easily. For children aged six to twelve years, this drug is allowed to be applied no more than twice a day.

It is of great importance to note that after applying the ointment to the affected area, there is no need to apply an occlusive dressing on top.

With prolonged use or when applying this ointment to large surfaces of the body, there is a risk of developing other side effects, including an increase in the activity of sensitive film enzymes. That is why, to minimize this possible risk from the liver, it is recommended to use this drug in the minimum dosage and in the shortest possible time.

It is necessary to avoid contact of this drug with the eyes and any other mucous membranes. It is also unacceptable for the ointment to get into any open wounds.

Additional instructions

Use for liver and kidney dysfunction . The ointment should be used with caution in case of hepatic porphyria, kidney disease, as well as in the most severe disorders of general liver function. The use of Diclofenac ointment is permissible only after consultation with a doctor.

Use during lactation and pregnancy . Since there are no clinical controlled studies in pregnant women yet, this drug should not be used during pregnancy.

It is very important to note that the use of this ointment, especially in the third trimester of pregnancy, due to the quite possible early closure of the ductus bollus, is also likely to suppress labor pains in women.

Since there is no information about the penetration of Diclofenac ointment into breast milk, the drug should not be used during lactation.

Use to treat the elderly and children . This drug should not be used to treat children under six years of age. As for elderly patients, this ointment is allowed for treatment only after consultation with a doctor.

What is best - Diclofenac gel or ointment?

The gel is a very effective anti-inflammatory agent and also has an analgesic effect.

In addition, it is absorbed much faster and does not stain clothes in any way. Most patients note that the gel is much more convenient to use than ointment.

Diclofenac gel is considered the only diclofenac preparation on the Russian market with a five percent maximum concentration of this active ingredient.

The use of the gel greatly reduces the dose of medicinal ointment used directly orally, and in some individual cases, it can completely replace tablets.

But it’s impossible to say for sure that the gel is much better than the ointment itself. The drug in the form of a five percent gel also has side effects and contraindications.

Also, the gel should be used with caution in case of any blood clotting disorders, this also includes a tendency to bleeding, and hemophilia.

The gel, like the ointment, is approved for the treatment of children over six years of age.

Is it possible to overdose the drug?

As is known, when this drug is used externally, an overdose is unlikely.

But when applying this drug to fairly wide areas of the body and with very long use, it is impossible to completely exclude the possibility of the formation of side systemic effects of the ointment.

The clinical picture is determined by disorders that mainly arise from the central nervous system.

In case of overdose, the following symptoms are possible:

Sudden dizziness;
Symptoms of hyperventilation with slightly increased convulsions;
In children, an overdose quite often occurs in the form of myoclonic convulsions;
Increased excitability;
Headaches.

On the part of the intestinal and gastric tract, an overdose is formed by the following disorders:

Nausea;
Vomiting;
Pain in the abdomen.

Various types of bleeding in the intestinal or gastric tract may also begin, and disturbances in the general functions of the kidneys or liver may appear.

If the above symptoms of overdose occur, you should immediately consult a doctor and immediately stop using this drug.

Interaction with other drugs

When using this ointment with other medications, the interaction will be minimal.

However, it is worth noting that with the simultaneous use of Diclofenac and:

Loop diuretic – reducing their overall diuretic effect;
A potassium-sparing diuretic may increase the concentration of potassium in the blood;
Other NSAIDs increase the risk of side effects.

With the simultaneous use of tablets (containing Diclofenac) with this ointment, increased concentrations of digoxin and lithium in the blood plasma can occur.

Analogues and cost

The cost of Declofenac varies from twenty to thirty rubles.

We can include the drugs described below as analogues.

Ortofen ointment

This ointment is used for inflammatory diseases of the musculoskeletal system, such as:

The use of Ortofen ointment is identical to Diclofenac ointment.

Voltaren ointment

Also belongs to the group of non-steroidal anti-inflammatory drugs and is indicated for:

Muscle or back pain;
Diseases of the joints and musculoskeletal system:
- Rheumatoid arthritis;
- Attacks of gout;
- Osteoarthrosis;
- Ankylosing spondylitis;
- Bekhterev's disease;
- Osteochondrosis.

Depending on the overall size of the affected area, two to four grams of ointment is applied three to four times daily to the affected area and rubbed in very gently.

How much safer these analogues are than Diclofenac ointment is very difficult to answer, because each drug has its own contraindications and side effects.

That is why a highly qualified doctor must select a healing ointment.

Diclofenac ointment is a quick help for swelling and pain. According to the instructions, it is intended for the treatment of arthritis and injuries. Diclofenac is available in the form of solutions, ointments or their analogues - gels. How does this product work? And can I use the painkiller for a long time?

Diclofenac is a non-steroidal non-hormonal medicine

The main active ingredient in the ointment is diclofenac. This is an anabolic (pain reliever) from the category of so-called non-steroidal anti-inflammatory drugs (NSAIDs). The main thing that can be understood from the complex abbreviation is that diclofenac is not a hormonal drug. This means that its use does not have as many side effects, contraindications and restrictions on use as hormonal ointments.

The term "steroid" is often regarded as a designation "hormone" or "steroid hormone". The drug name “non-steroidal” means “non-hormonal drug”. Diclofenac, along with aspirin and ibuprofen, is the three most well-known non-hormonal anti-inflammatory drugs.

Diclofenac is used when pain and inflammation develop. It has gained wide popularity in the pain relief of joint inflammation.. Arthrosis, rheumatism, osteochondrosis, sciatica, lumbago, lumbago.

At the same time, diclofenac not only reduces sensitivity, but reduces the inflammatory process that caused this pain. How does it work? A non-steroidal substance inhibits the action of an enzyme called cyclooxygenase. By doing this, it stops the synthesis of other substances (hormone-like prostaglandids), which stimulate the development of inflammation.

Note: prostaglantides are not only responsible for the level of inflammation and pain. They also perform several other functions. For example, they control the synthesis of gastric mucus to protect the stomach walls from hydrochloric acid. Therefore, long-term oral use of non-steroidal drugs (for example, diclofenac) can lead to gastritis and stomach ulcers.

Several forms of medications are produced based on diclofenac. These are enteric-coated tablets, injection solutions, ointments and gels for external use, eye drops and rectal suppositories.

As part of the preparations, the non-steroidal drug is administered in the form of two compounds - diclofenac sodium and diclofenac potassium. Most medications contain diclofenac sodium. Some manufacturers give external preparations the name diclofenac sodium ointment (for example, Belarusian Borisov Plant, Ukrainian Farmak). The potassium form of diclofenac is most often used in tablets for oral administration. In this form, diclofenac is absorbed more efficiently and enters the blood faster.

Let's look at two external preparations with diclofenac - skin ointment and gel.

Diclofenac ointment: composition

Diclofenac ointment is so popular that it is produced by many pharmaceutical companies. Among the Russian manufacturers there is diclofenac ointment Akri (produced by the Akrikhin plant, Russia), and there is diclofenac ointment Akos (pharmaceutical company Sintez, also Russia). Among foreign analogues, the Israeli version of the ointment is known - diclofenac Teva (ointment-gel).

Diclofenac ointment contains 1% of the active substance. In addition to NSAIDs, the drugs contain dimexide, succinic or lactic acid, preservatives.

How much diclofenac ointment costs is determined by the manufacturer of the medicine. Considering that the active ingredient in the ointment is the same, different types of anesthetic with diclofenac differ only in auxiliary components and countries of origin.

Almost all diclofenac ointments contain 5% dimexide. This component is also is anti-inflammatory. It activates metabolism and thereby accelerates the elimination of toxins that are formed during inflammation. He also has some antimicrobial activity.

Diclofenac ointment: instructions for use

The instructions for use of diclofenac position it as a symptomatic medicine. That is, to use it, it is not necessary to conduct a full examination. It is enough that there are symptoms of inflammation - pain, redness, swelling. This means that an anesthetic ointment is needed.

What does diclofenac ointment help with? It treats and reduces pain in joints and soft tissues. Successfully relieves inflammation in any musculoskeletal disorders(surgeries, injuries, inflammation due to joint degeneration, neurological pinching). Used in several areas of medicine - orthopedics, neurology, traumatology. Let's list where diclofenac is in demand:

Injuries of joints and periarticulars.
Joint pain of any origin.
Musculoskeletal disorders (in the spine, arms, legs, neck, fingers, etc.).

The composition is also standardly recommended for minor injuries - bruises, sprains. As an ointment for bruises, diclofenac guarantees a reduction in pain. This is especially necessary in the first hours after receiving an injury (if it is a bruise). In case of overvoltage (soreness) the use of ointment becomes necessary the next day after training.

When the ointment is applied topically, diclofenac is concentrated in the joints. Its amount in joint tissues is 20 times higher than in the blood. Therefore, external treatment with ointments (creams, gels) turns out to be very effective.. It injects medicinal components close to the site of inflammation. And ensures their concentration in inflamed tissues.

Effect of the ointment

Diclofenac pain relief ointment reduces swelling in the area of joint inflammation. Thanks to this, the mobility of the joint increases. It bends and extends more fully, turns better, and movements are performed with less pain.

The composition of the ointment is equally effective on any human joints. Yes, diclofenac ointment with cervical osteochondrosis allows you to reduce pain when turning your head, as well as eliminate headaches. For lumbar pain diclofenac returns the body to a vertical position, relieves painful stiffness in the lower back. In general, diclofenac ointment for the back is used for various pains - pinched nerves due to osteochondrosis, lumbar pain of radiculitis, herniated vertebral discs, lumbago.

Diclofenac ointment for osteochondrosis can reduce inflammation, pain and swelling. However, it does not act on the main cause of inflammation - compression of nerve endings by salt outgrowths (osteophytes). Therefore, stopping the action of diclofenac may lead to a relapse of inflammation. Thus, ointment or tablets with diclofenac or any other non-steroidal anti-inflammatory drug are a temporary symptomatic treatment measure. But not the main therapy for osteochondrosis.

The main effect of diclofenac is expressed in reducing swelling and pain, reducing inflammation. A secondary effect of diclofenac is a decrease in temperature (antipyretic effect).

Three types of external preparations are produced based on diclofenac - ointment, cream and gel. Each of them is intended for a specific application. Cream - for quick absorption and slight pain relief (for bruises). Ointment - for long-term action and for the treatment of joints(osteochondrosis, arthritis, arthrosis, other joint inflammations).

The gel form has an increased concentration of diclofenac. It contains 5% of the active ingredient. Also contains lavender oil. The gel is used to quickly and effectively relieve muscle pain.

What does the instruction and use say about diclofenac gel? The gel is prescribed:

for any muscle pain;
with sprained ligaments;
for muscle swelling due to joint degradation (arthritis, arthrosis, sciatica, lumbago).

Diclofenac ointment has wider application. It is used not only for muscle and joint pain, but also for migraines, abdominal pain (colic, proctitis), and inflammation of the ENT organs. Thus, the ointment is a more universal long-acting preparation. Gel - a more effective treatment for muscle pain.

How to use diclofenac ointment?

The composition of the ointment is applied to the area of localization of pain and inflammation(on the joint, ankle, foot, or calf muscle, or on the neck, lower back). During the day, apply a thin layer to the area of pain 3-4 times, lightly rubbing into the skin.

Important: diclofenac ointment, cream and gel can only be applied to skin without wounds, abrasions, cracks, or other damage.

Can diclofenac ointment be applied to children with muscle-articular or other pain? The manufacturer limits the use of the ointment to 6 years of age. It is strictly not recommended for younger children to use the ointment. For those over 6 years old, the ointment composition can be applied to pain areas no more than 2 times a day.

Side effects and contraindications of diclofenac ointment

Use diclofenac ointment with caution during pregnancy. Especially not recommended in the last trimester.
For ulcerative lesions of the digestive organs.
In case of disturbances in the functioning of the excretory and filtering organs (liver, kidneys).
With a tendency to bleeding and with hemophilia.

Side effects with external treatment with diclofenac are rare. They occur if the timing of administration is not met (if the ointment is used for a long enough time, 1 month or more). In this case, itching, rash, and redness may occur. There are usually no other side effects from external ointment (gel).

Diclofenac (along with many NSAIDs) thickens the blood and increases its ability to form blood clots. This means it increases the likelihood of heart attack, stroke, and other vascular problems. However, this only occurs during long-term internal treatment (with tablets or injections). In such cases, diclofenac can provoke ulcerative conditions. What else is important to know:

Do not drink alcohol together with NSAIDs (diclofenac)..
It is better to take diclofenac with food. Be sure to drink it with water (at least half a glass).
Do not exceed the dose (even if there is no desired analgesic effect).

In many European countries, systemic treatment with diclofenac (injections and tablets) is prohibited. This is explained by the fact that long-term use of the substance increases blood viscosity and promotes the formation of blood clots. Which can result in a stroke or heart attack. The risk of increasing vascular diseases, according to foreign experts, is about 40%.

In Russia, diclofenac is on the national list of essential drugs. It is sold without a doctor's prescription and its price is quite affordable.

What else is important to know about the drug? Systemic treatment must be treated with caution. Do not uncontrollably swallow pills or use suppositories with the drug for longer than 2 weeks.. As for ointments and gels, these local treatments do not penetrate into the general bloodstream and do not have a systemic effect. When applied correctly, according to the instructions, ointment with diclofenac is practically harmless (although it is not recommended to be used for longer than 3 weeks).

Diclofenac ointment: analogues

Diclofenac is a non-steroidal acetic acid derivative. Besides it, there are several other non-steroidal drugs of acid origin. This - indomethacin, ketorolac, aceclofenac. All of them are analogues of the non-steroidal diclofenac.

Here are the most popular names of ointments with diclofenac:

Ortofen (Switzerland) - ointment, which contains the same diclofenac, but without dimexide. Moreover, the concentration of diclofenac in it is higher (2% instead of the traditional 1%). Ortofen has the same mechanism of action - it inhibits inflammatory enzymes. What is Ortofen diclofenac ointment used for? It has the same indications for use as other non-steroidal substances and is also used for pain relief and the treatment of inflammation.

Voltaren (Switzerland) - gel. Its price is the highest among various medications with diclofenac. Diclofenac is included in its composition not in sodium form, but in the form of diethylamine. It does not contain a Vaseline base, but contains liquid paraffin. Due to this, Voltaren is absorbed faster and shows its effect faster. Which is better - domestic Diclofenac Acri or Voltaren ointment (gel) from Switzerland? In terms of speed of pain relief, Voltaren is better. However, this is a rather expensive drug. In addition, it contains more preservatives (allergens). Therefore, if you have a modest budget and possible allergic reactions, it is better to use a domestic product. In addition, the ointment composition has another advantage - long-term absorption and prolonged treatment.

Diklak (Germany)- NSAIDs from German pharmacists, drugs based on them more affordable than Voltaren.
In addition to diclofenac and acidic non-steroidal drugs, there are non-steroidal substances that are obtained in other ways (ibuprofen, naproxen, ketoprofen, nimesulide, meloxicam). On their basis, ointments are also produced for the treatment of joint pain. The most famous, ibuprofen ointment, is also an analogue of diclofenac ointment.

Ibuprofen ointment- prescribed for pain and inflammation in joints and muscles. What to choose, ibuprofen ointment or diclofenac? Ibuprofen has a less pronounced analgesic effect. Therefore, in case of severe pain, you should not replace treatment with ibuprofen. But with normal sore throat it is quite possible.

Diclofenac is a white ointment with a slight specific odor, which is used as an analgesic and anti-inflammatory agent for people who suffer from joint pain.

It is also prescribed to those who suffer from rheumatism, traumatic bruises, sprained ligaments or tendons.

On this page you will find all the information about Diclofenac: complete instructions for use for this drug, average prices in pharmacies, complete and incomplete analogues of the drug, as well as reviews of people who have already used Diclofenac ointment. Would you like to leave your opinion? Please write in the comments.

Clinical and pharmacological group

NSAID for external use, a derivative of phenylacetic acid.

Conditions for dispensing from pharmacies

The ointment can be purchased without a prescription.

Prices

How much does Diclofenac ointment cost? The average price in pharmacies is 90 rubles.

Release form and composition

The drug Diclofenac for external use is available in the form of ointment and gel. This is what the packaging looks like in the photo. The active ingredients of these products are the same. When comparing medications, note:

Ointment. It has a concentration of active substance of 1% - 0.3 g per tube weighing 30 grams. The base is oily, easy to apply, and does not stain clothes.
Gel. Available in 1 and 5% saturation, it absorbs faster. With its use, in complex treatment using tablets, their dosage can be reduced. A composition with a concentration of 5% is contraindicated in cases of bleeding disorders.

The active ingredient that Diclofenac contains is sodium diclofenac (in Latin - diclofenac sodium). Among the components of the ointment there are auxiliary substances that ensure its viscosity and medicinal qualities.

The composition of the drug includes:

propylene glycol;
polyethylene oxide 1500;
dimethyl sulfoxide;
polyethylene oxide 400.

Pharmacological effect

The use of Diclofenac ointment or gel as a local remedy for painful spasms of an inflammatory nature is considered an effective solution to the “painful issue” due to the effect that the ointment has when applied topically to the inflamed area:

anti-inflammatory effect;
analgesic effect;
anti-edematous effect.

The reliability of diclofenac-based ointments for rheumatic and joint pain is ensured by the fact that the drug acts on the source of inflammation both at rest and during movement. Motor capabilities improve significantly with the use of the ointment because the feeling of morning stiffness in the joint area is relieved and swelling goes away.

Indications for use

The wide spectrum of action of the ointment allows doctors to prescribe it for many diseases:

1) Inflammatory and degenerative diseases of the musculoskeletal system:

for the treatment of articular syndrome in rheumatism and during exacerbation of gout;

for treatment;
against psoriatic arthritis;
for osteoarthritis, radiculitis, inflammatory processes in ligaments, tendons;
for the treatment of lumbago.

2) Post-traumatic inflammation of the musculoskeletal system, as well as soft tissues:

for the treatment of damaged ligaments;
with dislocations, bruises.

3) Muscle pain of non-rheumatic/rheumatic origin.

Contraindications

These funds in both forms are not used when:

pregnancy;
breast-feeding;
hypersensitivity to NSAIDs in general or specifically to diclofenac sodium;
history of bronchospasm;
allergic reactions after taking acetylsalicylic acid and other NSAIDs observed previously;
impaired integrity of the skin;
children under 6 years of age.

As for pregnancy, Diclofenac gel and ointment are prohibited in the third trimester. In the first two, it can be used for treatment according to indications, if the benefit to the mother outweighs the risk to the fetus. But this decision is made by the doctor.

Use during pregnancy and lactation

Use is contraindicated in the third trimester of pregnancy due to the possibility of decreased uterine tone and/or premature closure of the fetal ductus arteriosus.

Use in the first and second trimesters of pregnancy is possible in cases where the potential benefit to the mother outweighs the potential risk to the fetus or infant.

Use during lactation (breastfeeding) is contraindicated.

Instructions for use

The instructions for use indicate that when applied externally, the amount of Diclofenac ointment depends on the size of the painful area. The single dose depends on the dosage form used and the age of the patient.

Gel, ointment, spray for external use:

For adults and children over 12 years of age, the drug should be applied to the skin over the area of inflammation 3-4 times a day, for children aged 6 to 12 years - up to 2 times a day.
The duration of use depends on the indications and effectiveness of treatment. After 2 weeks of using the drug, the patient should consult a doctor.

The transdermal patch is used in the form of applications to the skin:

For adults, elderly patients and adolescents over 15 years of age, the patch is applied to the skin over the painful area for 24 hours. Only 1 patch is allowed to be used per day.
When treating soft tissue injuries, the patch is used for no more than 14 days, and when treating diseases of muscles and joints - no more than 21 days, unless there are special recommendations from a doctor.

If there is no improvement after 7 days and if your health worsens, you should consult a doctor.

Side effects

The side effects that occur depend on individual sensitivity, the dose used and the duration of treatment.

Allergic reactions from the skin are possible (skin rash, burning, redness). With prolonged use of the ointment and/or use of large quantities, systemic side effects may occur: from the gastrointestinal tract (epigastric pain, nausea, flatulence, loss of appetite); from the central nervous system (headache, dizziness, drowsiness); from the respiratory system (bronchospasm, systemic anaphylactic reactions, including shock), photosensitivity.

If any side effects occur or if an overdose is suspected, stop using the ointment and consult a doctor.

Overdose

Due to the low systemic absorption when applying the ointment, an overdose is unlikely.

special instructions

Apply only to undamaged areas of the skin.
During the period of use, prolonged exposure to the sun should be avoided.
Avoid contact of the drug with the eyes, mucous membranes or open wounds.
Should not be used under airtight (occlusive) dressings.
Caution is required when applying large amounts of the drug to large areas of sensitive skin over an extended period of time. When used with other dosage forms of diclofenac, the total maximum daily dose should be taken into account.