Diclofenac gel is a topical NSAID primarily used for localized pain and inflammation relief in conditions like arthritis, sprains, and backache. It’s approved for adults and adolescents aged 14+ and can be obtained via prescription or over-the-counter in some regions. However, certain medical conditions (e.g., bleeding disorders, heart/kidney disease) require caution or avoidance. Proper application—avoiding eyes, broken skin, and occlusive dressings—is critical to prevent systemic absorption and side effects.
Key Points Explained:
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Intended Users
- Adults and adolescents: Diclofenac gel is approved for individuals aged 14 years and older.
- Accessibility: Available both by prescription and as an OTC product in pharmacies for certain pack sizes.
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Medical Conditions Treated
- Targets localized pain and inflammation from:
- Arthritis (e.g., knee osteoarthritis)
- Musculoskeletal injuries (sprains, strains, backache)
- Works by reducing prostaglandin production, decreasing swelling and pain at the application site.
- Targets localized pain and inflammation from:
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Contraindications and Precautions
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Absolute contraindications:
- Severe kidney/liver disease
- Active stomach ulcers or bleeding disorders
- Aspirin-sensitive asthma (risk of bronchospasm)
- Damaged skin (for patches/gel absorption risks) (Diclofenac Patch)
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Require medical consultation:
- Hypertension, heart disease, or recent cardiac surgery
- Mild kidney impairment or dehydration
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Absolute contraindications:
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Application Guidelines
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Avoid:
- Contact with eyes, mucous membranes, or open wounds (risk of irritation/systemic effects).
- Covering treated areas with bandages/dressings (increases absorption).
- Best practices: Apply a thin layer to clean, intact skin and wash hands after use.
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Avoid:
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Safety Considerations
- Systemic absorption is minimal but possible, especially with prolonged use or large application areas.
- Monitor for skin reactions (redness, itching) or rare systemic NSAID side effects (e.g., gastrointestinal upset).
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Alternatives and Comparisons
- For patients with contraindications to topical NSAIDs, consider:
- Cold/heat therapy for acute injuries
- Acetaminophen (oral) for pain without anti-inflammatory needs
- Physical therapy or corticosteroid injections for chronic conditions
- For patients with contraindications to topical NSAIDs, consider:
This targeted approach ensures effective pain relief while minimizing risks—highlighting why diclofenac gel remains a staple for localized inflammation management in eligible patients. Always consult a healthcare provider to weigh individual benefits against potential risks.
Summary Table:
| Category | Details |
|---|---|
| Approved Users | Adults & adolescents (14+ years) |
| Conditions Treated | Arthritis, sprains, strains, backache |
| Contraindications | Severe kidney/liver disease, bleeding disorders, damaged skin |
| Application Tips | Avoid eyes/open wounds; apply thin layer to intact skin |
| Safety Notes | Monitor for skin reactions; minimal systemic absorption |
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