What should be done if someone swallows diclofenac gel or patch? Emergency Steps & Safety Guide

If someone swallows diclofenac gel or a Diclofenac Patch, immediate action is crucial due to the risk of systemic toxicity, gastrointestinal irritation, or other complications. The primary steps involve seeking emergency medical help, contacting poison control, and removing any remaining product from the mouth. The severity of symptoms dictates whether to call 911 or proceed to the emergency department. Bringing the product container aids medical professionals in assessing the situation accurately.

Key Points Explained:

1. Immediate Emergency Response

   • Call 911 for life-threatening symptoms: If the person is unconscious, having difficulty breathing, or experiencing seizures, emergency services must be contacted immediately.
   • Go to the emergency department: Even if symptoms seem mild, diclofenac ingestion can lead to delayed complications like gastrointestinal bleeding or kidney damage.

2. Remove Any Remaining Product

   • If the patch or gel is still in the mouth, carefully remove it to prevent further absorption. Avoid inducing vomiting unless instructed by a medical professional, as this could worsen irritation.

3. Contact Poison Control

   • If symptoms are not immediately life-threatening, call a poison control center (e.g., 1-800-222-1222 in the U.S.) for guidance on next steps. They can assess the risk based on the amount ingested and provide tailored advice.

4. Bring the Product Container

   • Providing the original packaging helps medical staff determine the concentration of diclofenac, formulation type (gel/patch), and any additional ingredients that may influence treatment.

5. Monitor for Symptoms

   • Even if initial symptoms are mild, watch for:
     • Nausea, vomiting, or abdominal pain (indicating gastrointestinal irritation).
     • Dizziness, confusion, or drowsiness (signs of systemic absorption).
     • Skin reactions (if the gel was ingested, topical sensitivity may still occur).

6. Avoid Home Remedies

   • Do not administer activated charcoal or other treatments without professional advice, as diclofenac’s absorption kinetics vary by formulation.

7. Follow-Up Care

   • After initial treatment, monitor for delayed effects like ulcers or kidney dysfunction, especially in high-risk individuals (e.g., elderly or those with pre-existing conditions).

By acting swiftly and methodically, the risks associated with diclofenac ingestion can be minimized. Always prioritize professional medical evaluation over home interventions.

Summary Table:

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