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Voltaren (diclofenac) is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain and inflammation in a wide range of conditions. In many respects it is similar to other NSAIDs, such as aspirin or ibuprofen, as far as benefits and side effects, but many patients find Voltaren to be more helpful in treating pain from inflammatory conditions that other NSAIDs. Voltaren is not particularly effective as a fever-reducer.

Also like other NSAIDs, Voltaren is usually used as-needed and over the short term; treatment should not exceed 14 consecutive days without doctor approval. Risk of serious side effects increase with length of use.

In addition to the tablets on this page, Voltaren is available in a few other formulas:

• Voltaren Rapid is a fast-acting version of Voltaren tablets that begins working 10 to 15 minutes faster than its regular counterparts. Unfortunately effects wear off faster than regular tablets, and it should not be used for more than 7 consecutive days.
• Voltaren Emulgel is a topical gel applied to the skin. It is particularly beneficial in treating joint, muscle, tendon or ligament pain and inflammation, but will have no effect on other types of pain, like headaches. A significant advantage of topical application is the reduced risk of side effects.
• Duranzo contains the same active ingredient as Voltaren, and also contains codeine. It is beneficial for short-term use when more powerful pain relief is needed than Voltaren alone can provide.

Note that patients who have had allergic reactions to any other NSAID are at increased risk of having an allergic reaction to Voltaren. All NSAIDs increase risk of complications if taken in the third trimester of pregnancy.

Taking Voltaren

NSAIDs like this product are often viewed as virtually harmless, perhaps because they are so widely used and often available over-the-counter. Patients seeking relief from pain often think little of taking higher doses or using these products for considerably longer than recommended. Be aware that doing so can produce very serious, even fatal, complications. On the other hand, the reason NSAIDs are so readily available is because they are generally very safe if used as recommended.

Voltaren is used to treat pain and inflammation over the short term from injuries or during flare-ups of chronic conditions, such as:

• Rheumatoid arthritis
• Osteoarthritis
• Ankylosing spondylitis
• Muscle sprains or strains
• Sports injuries
• Tendonitis
• Headaches

It should not be used as a long-term treatment to manage chronic conditions like arthritis.

Treatment is similar in all conditions:

• Take 50 or 75 mg as-needed up to three times per day.
• Do not exceed 75 mg in a single dose.
• Each dose should be followed with a full glass of water.
• Wait at least 10 minutes after a dose before laying down.
• Taking on a full stomach may slow the speed at which effects are felt.

As with any medication, taking the smallest effective dose for the shortest amount of time is desirable. However, some patients do take Voltaren for longer than the recommended 14 days; in these cases regular doctor checkups are advisable to monitor for any potentially developing side effects.

Warnings & Side Effects

Used as directed, serious side effects from Voltaren are rare. More common side effects are generally not cause for concern unless severe, including:

• Nausea
• Heartburn
• Headache
• Constipation
• Diarrhea
• Drowsiness
• Mild dizziness
• Gas

Even if using the medication as directed some patients are at increased risk of severe side effects. Be alert for warning signs if there is any history of:

• Ulcers or bleeding in the stomach or intestines
• Heart problems
• Kidney or liver problems
• Fluid retention
• High blood pressure

Adverse reactions that warrant immediate medical attention include:

• Symptoms of heart attack or stroke
• Seizures
• Difficulty breathing
• Severe dizziness or confusion
• Severe or persistant abdominal pain

As mentioned above, this product---and all NSAIDs---should be avoided during the third trimester of pregnancy.

Voltaren SR (diclofenac SR) is the sustained release version of Voltaren, a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild- to moderately-painful inflammatory conditions.

The SR version is typically taken once or twice per day, while the regular version is taken two to four times per day. On the other hand, the regular version can be split and crushed; Voltaren SR must be swallowed whole.

Like all NSAIDs, Voltaren SR reduces inflammation and the accompanying pain. While it does have some fever-reducing properties, it's not particularly beneficial in that respect and rarely used to lower fever unless accompanied by inflammation. Voltaren SR is also not particularly effective at reducing pain that isn't associated with inflammation, such as diabetic nerve pain.

Taking Voltaren SR

Though limited to painful, inflamed conditions, Voltaren SR is a versatile medication. It is often used to manage pain from acute conditions or to manage flare-ups in chronic conditions, such as:

• Rheumatoid arthritis
• Psoriatic arthritis
• Ankylosing spondylitis
• Osteoarthritis
• Gout
• Migraines
• Menstrual cramps
• Bursitis
• Tendinitis
• Sports injuries
• Muscle sprains & strains

Dosage and duration of treatment is somewhat variable, though with Voltaren SR dosage is rarely lower than 50 mg and rarely higher than 100 mg in a dose. Patient response is huge factor in dosage strength, assuming there's no preexisting conditions which call for modified dosing. Voltaren SR is usually taken just once per day, though in some instances it can be taken twice per day 12 hours apart.

Treatment should be done at the lowest effective dose for the shortest possible time. In lighter pain this may be a few days; for flare-ups in chronic conditions this may span several weeks. Patients, particularly first-time users of Voltaren SR, should not exceed two weeks of consecutive treatment without involvement from a doctor; a doctor can monitor for developing side effects that might otherwise go undetected until severe.

Precautions & Side Effects

Certain individuals are at increased risk of experiencing serious side effects while taking Voltaren SR, even short term. Check with a doctor before starting treatment if there is a history of:

• Allergic reaction to any other NSAID
• Stomach or intestinal ulcers or bleeding
• Heart, liver or kidney issues
• High blood pressure
• Fluid retention

The above conditions don't necessarily rule out use of Voltaren SR, but patients need to be extra alert for warning signs of potential adverse effects.

Most side effects are not dangerous, including:

• Mild stomach upset
• Constipation
• Diarrhea
• Gas
• Heartburn
• Dizziness

Less common but more serious side effects from Voltaren SR include:

• Anemia
• Heart failure
• Liver or kidney impairment
• High blood pressure
• Heart attack
• Stroke
• Ulcers or gastrointestinal bleeding

Women who are pregnant should avoid use of this or any other NSAID during the third trimester.

Other Options

Voltaren is available in a range of formulas, many of which are available at Kiwi Drug:

• Voltaren tablets are the regular formula of Voltaren SR; these are taken two to four times per day. They can be split and crushed if desired.
• Voltaren Rapid is a fast-acting formula ideal for migraine headaches. Though it works faster than other forms, it also wears off faster.
• Voltaren Emulgel is a topical solution ideal for joint, muscle and tendon pain. Applied to the skin, risk of side effects are considerably reduced.
• Voltaren Osteo Gel is similar to Voltaren Emulgel. While it might not be quite as potent, it's available without a prescription and is fine for mild pain.

Please don't hesitate to contact us if you need help finding a product appropriate for your particular situation---we're happy to help!

Voltaren Emulgel is a gel for rubbing into the skin and contains a substance called Diclofenac.
Diclofenac is one of a group of medicines called non-steroidal anti-inflammatory analgesics (NSAID).

Voltaren Emulgel is used to relieve pain and reduce swelling in a number of conditions affecting the joints and muscles.
Voltaren Emulgel works particularly well on inflammation of tendons, ligaments, muscles and joints due to trauma (e.g. sports injuries, sprains, strains and bruises), soft tissue rheumatism and localized rheumatic conditions, e.g. bursitis.
For aches and pains, back, neck and shoulder pain. Voltaren Emulgel is available in 50gram tubes.

The amount of Voltaren Emulgel gel needed per application will vary depending upon the size of the painful or swollen area being treated.
You can apply Voltaren Emulgel 2 or 3 time a day unless your doctor advises other wise.
You may notice a slight cooling effect when you rub the gel into the skin.

Voltaren Emulgel is suitable to be used by all age groups.
Gently rub a small amount of Voltaren Emulgel into the skin around the swollen or painful area.
Voltaren Emulgel is for external application only and NOT to be taken orally.
Do NOT apply Voltaren Emulgel to cuts or open wounds or any other area where the skin is abnormal.
After applying the gel do NOT cover with bandages or sticking plaster.
Do NOT get Voltaren Emulgel into your eyes.
If this happens wash your eyes out with clean water and seek immediate medical advice.

If your symptoms do NOT improve within 2 weeks or they get worse seek immediate medical advice.
Wash your hands directly after application (unless this is the intended site to be treated).

Voltaren Osteo Gel 12 Hourly is for the temporary relief of local pain and inflammation associated with mild forms of osteoarthritis of the knees and fingers. 

DIRECTIONS: Rub gently into the affected area 2 times daily (preferably morning and evening). Apply once every 12 hours. Do not use for more than 3 weeks, except on medical advice. For external use only. Use only on healthy skin.

 PRECAUTIONS:

• Unless a doctor has told you to, do no use this product if you have asthma.
• If you experience an allergic reaction, stop application of gel and see your doctor immediately.
• Do not exceed the recommended dose. Excessive use can be harmful.
• Avoid contact with eyes
• For external use only
• Contains isopropyl alcohol, propylene glycol and butylated hydroxytoluene as presevatives.
• Do not use if tube seal is broken or missing.
• Store below 30 degrees celsius. 

DO NOT USE:

• On children under 12 years of age
• If you are pregnant or breastfeeding
• If you are allergic to diclofenac or other anti-inflammatory medicines. 

INGREDIENTS: 23.2 mg/g diclofenac diethylammonium

Inactive Ingredients: butylated hydroxytoluene, diethylamine, carbomer 980, cetomacrogol 1000, coco-caprylate/caprate, isopropyl alcohol, liquid paraffin, oleyl alcohol, eucalyptus sting 191134, propylene glycol, water.

Please read enclosed leaflet before use

Voltaren Rapid (diclofenac) is a fast-acting version of the non-steroidal anti-inflammatory drug (NSAID) Voltaren. The medication is used to relieve mild to moderate pain, inflammation and, to a lesser extent, fever in patients age 14 and up.

Because of the speed with which Voltaren Rapid begins to work it is advantageous in certain conditions, though it has the drawback of being less suitable for long-term use than regular Voltaren products. Treatment with Voltaren Rapid should generally not exceed one week. It is typically used to alleviate symptoms from:

• back pain
• joint pain
• dental pain
• muscle strains or sprains
• tendinitis
• menstrual cramps
• primary dysmenorrhoea

Voltaren Rapid is particularly beneficial as an abortive treatment for migraine headaches compared to regular-release tablets. Speed is critical in relieving migraine symptoms, and Voltaren Rapid starts working 10 to 15 minutes faster than its regular counterparts.

The medication is available in 12.5 mg, 25 mg and 50 mg strengths. Tablets are typically taken as-needed to provide relief from pain and inflammation. Each dose should be followed by a glass of fluid and ideally taken shortly before a meal, as a full stomach will reduce gastrointestinal side effects.

Dosage can vary considerably depending on the condition being treated, age, other medications being taken and a variety of other factors. For best results a doctor or pharmacist should be consulted for ideal dosage. General guidelines are as follows:

• Migraines - take 50 mg at the earliest symptoms a migraine is developing. If symptoms persist after two hours, a second 50 mg dose may be taken. Additional 50 mg doses may be taken as-needed every 4 to 6 hours, not to exceed 200 mg in one day.
• Primary dysmenorrhoea - take 50 to 100 mg for the first dose, followed by 50 mg doses three times per day, spread evenly apart, for 3 days.
• Menstrual pain - take 50 mg at the first sign of pain. Additional 50 mg doses may be administered up to three times per day, if needed, for the following three days.
• Other painful conditions with inflammation - take 75 to 150 mg per day, divided into two or three doses with at least a 4 hour interval between each dose, for up to seven days. Do not exceed 200 mg in a 24 hour period and do not exceed seven consecutive days of treatment without doctor instruction.

Effects begin to be felt around 10 to 15 minutes after administration, compared to 20 minutes or more with regular release tablets. Most patients experience significant relief from mild to moderate pain. Effects last 4 to 8 hours.

Warnings before Use

Side effects associated with Voltaren Rapid are similar to any other NSAID. Unfortunately, given how widely-available some NSAIDs are, many people don't realize that these medications can produce some serious complications, especially if taken long term.

Most side effects are not dangerous, including:

• stomach pain
• constipation
• diarrhea
• gas
• heartburn
• nausea
• vomiting
• dizziness

Less common but more serious side effects include:

• anemia
• high blood pressure
• heart failure
• liver and kidney problems
• bleeding and ulcers in the stomach and intestine
• life-threatening allergic reactions
• heart attack or stroke

Though the above adverse reactions are rare, their risk of developing increases the longer the medication is taken; for this reason regular doctor checkups are strongly encouraged if diclofenac products are taken long term.

Some individuals are at greater risk of experiencing serious side effects even it using Voltaren Rapid short term. Check with a doctor before starting treatment if there is a history of:

• allergic reaction to any other NSAID
• stomach or intestinal ulcers or bleeding
• heart, liver or kidney issues
• high blood pressure
• fluid retention

The above conditions don't necessarily rule out treatment with Voltaren Rapid, but patients need to be extra alert for warning signs of potential adverse effects.

Voltaren Rapid should never be used during the third trimester of pregnancy; this product, and other NSAIDs, can cause complications during birth.